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APPLICATIORFOR CONSTRUCT& PERMIT <br />CITY OF EVERETT • PUILDING DIVISION <br />3200 CEDAR STREET A EVERETT. WA 90261 A259.8810 <br />❑ DEMOLITION i}T COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: '170 5 Hm "0+7= LhN f-- _ <br />n , yr1. r� <br />&t-vc.o <br />9701 /l R�Ro+R u[y E C P+s FT - Ib Rf <br />31 1-'-yam,/ <br />TFINIAO <br />Y I ,Ess <br />C11Y llr r•glh <br />Bgr)FT[C1 p1 MSIGMR <br />YMIAGO, 'ESs <br />CITY )II` r11JNF <br />i3.a)'7Trrr/i�� <br />,, r>,H>7L'7°• <br />R •/1, . <br />Ho7 N^ w� ve _� rn. 55z71 <br />3Yy-3ITt—/n*ur) <br />f{ENER)ACCNrMcrpl - <br />Yut YI0II5s <br />cnr _ )Ir rIgNF <br />5':.1CIK[N <br />NoT SFtirq-ro <br />MECHANICAL CONTRACIOR <br />YA ApOPEsfl <br />COV it PnONE <br />Si ATE LKENSFA <br />PIVMBNG CONIRw1011 YUL AI%K F55 <br />cGN111ACf rlKCE a W(NIN <br />° y'i i _ <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ N.A` <br />OEUMBL Wp11B ANn SOUAnE rOOlwf IMVOIv[n <br />CONTACT M nsON A. PNME NO <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTR 5L 21 RCW AND 296.200 WAG. <br />rmorosEB USE a BIRIpNO <br />LEOK MS AP 1011 CF PB MAEV JENCOYN BELOW ON AITAC. TWO Cp9ES1 <br />LOT i1 SS B[uLIP2 GE 0A7AL4f^'QP r A'P°A: <br />PNILEL AAA. D NIIAIRFR <br />9/7l cmo05 o2a /7 OFD ov 0006 <br />CCNBiRUCIpNlOFJ11EMIER. AICNESB. tEI NUMIIEn <br />s 1 � DAICI <br />CAN BUSIrSSLICENSE NET <br />PLUMBIIIO Nq. <br />MECHANICAL N. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMIDIT <br />FEE <br />WATER CLOSET (TOILET) <br />ABC —MINDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />_ <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE — <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />T <br />SUB TOTAL S <br />SUE TOTAL S <br />PERMIT $ <br />T <br />PERMIT S <br />TOTAL FEE S <br />ITOTAL <br />FEE S <br />FOR OFFICE USE ONLY: 73- 1 .C/Lpdt_t, / O <br />FRONTSETRACKel� <br />MAR SFTBw[ <br />� <br />SIDE 7. SETBACK <br />M1AN CIKLII MBNfO <br />l <br />fFF A'l <br />MCFIrI NO <br />USE ?ONE �- w <br />SI <br />Iof A.E. <br />VACANT SITE <br />DYES ❑ NO <br />FEES <br />VALUATION <br />FEE <br />PUKINNII <br />5 ` <br />CJ <br />HEIGHT 1.7 ]y, <br />(J/E <br />NOI TOT IINtIUNO <br />SIZE OF MOYfI <br />Q'J(p SF <br />VRLASEIACNT <br />r1uMnINC. <br />CCCWRNCY Igp51(WIS <br />�I 2 <br />FIREWRINKLERREOD <br />IXSUPAM LOAU <br />oYIK <br />yFCNANCAI <br />AOOIIKMA1 rI AN OIf CN <br />OFAsbI <br />ONHn <br />IIREALARM AEG 9 <br />REASON <br />SEAT fl111lGINC,[1111CIIAIN:C <br />S� <br />TyOE or MS, <br />- L/ <br />MnNSAPEPOWDRY <br />DATE Z/ 517 <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />ruel r.wpaS <br />TOTAL <br />