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APPLICATI�.A FOR CONSTRUC7 .ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259-8810 <br /> fl DEMOLITION fl COMBINATION fl BUILDING 6i MECHANICAL '-. PLUMBING fl SIGN <br /> PROJECT ADDRESS <br /> 3oe�� q„ � Ev���tt 9 �203 <br /> ONMER MRII�DORE55 Cltt ZIP P110NE <br /> Rob L�rd 30�� Ev�r�tt qg2az 3SS-Oti27 � <br /> TENANT MRILAOOPESS CITY ZIP PIIONE <br /> ARCHITECiOR0E5�GNER M�ILADURESS CITY ZIP PHONE ' <br /> GENERALCONTRPGiOR MAILIIUURE55 GIiY 21P PIION[ SiATEIIC[NSE• <br /> MECNANICALCONTRACiOR Mu�ILADDPE55 CITV` ZI{' P��ONE STATELICENSE� <br /> Q� -J '�nC uqS '1C41Hy �NL �StS9��'Dr JF �j/NG#vu2os ,3��-��q� AfFaR�Nes3�s _ <br /> PLUMBINGCONTRACiOR MRILAUD S CITY 21P PNONE STATEUGENSE� ^ <br /> � ` ` ' ' ' - � .. � — -'— _ . <br /> 5a.«e us aboJe <br /> corrraecrrPiceoFr% HEATING SYSTEM: VQGAS rl ELECTRIC rl <br /> [! <br /> DESCPIBE WORN AND SOUARE FOOTK.E IN/y`OLVEO CONTRCT PEPSON�Np 1'110NE N0. <br /> C � G�eL �L T ' 4G qK� Wd��r <br /> h41�C W Q �OV �5 OC7 <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> �e• APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> V SED VSE OF BVILDIN� PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> CS� GL WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR � <br /> LEG�lDESCRIPT�ONOFPROPERTVISNOWNBELOWORRI'TACH7WOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> wr eiocK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATIN6 CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORRED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PMCELT/Jt I.D.NUMBER CONTRACTORS LAW 10.27 RCW AND 296200 WAC. <br /> CONSTRUCTIOP�LOAN LENDER.�ODRE55.TELEPNONE NVMBER x__SC," - - /�' �� � ,�' <br /> SIGNATORE OATE <br /> CITY BUSINF.SS UCENS[NO. <br /> PLUMBINO MECHANICAL <br /> N0. TYPE OF FlXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> ' WATER CLOSET(TOILET) � A/C—AhINDLG UNITS—H.P. ' <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ; � <br /> LAVATORY(WASH BASIN) � HEAT PUMP ' <br /> SHOWER ' UNITHEATERS—B.T.U. M ' <br /> KITCHEN SINK R DISP � CLOTHES DRYERS � <br /> DISHWASHER � VENTILATION FAN ' <br /> LAUNDRY TRAY ; RANGE HOOD � <br /> CLOTHES WASHER � WATER HEATER ' <br /> URINAL ' WOOD STOVE � <br /> DR�NKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) � <br /> FLOOR�RAIN � FIREPLACE INSERT(WOOD BURNING) ' <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE � <br /> SINK(SERVICE—BAR,ETCJ � GAS RANGE ' <br /> GAS PIPING � <br /> � <br /> — ; EXHAUST FAN ' <br /> � <br /> � <br /> � <br /> � <br /> SUB TOTAL S ; SUB TOTAL S � D � <br /> PERMIT 5 � PERMIT S � <br /> TOTALFEE S ' TOTALFEE $ ' <br /> FOR OFFICE USE ONLY: <br /> IpONTSEiP�CR AEARSETB�CN SIUESETBACR �IANCIIECKNUM�ER FEF HECEIPTNO. <br /> //b <br /> use zor+e l0T AREA VRCRNi SITE FEES VALUATION FEE <br /> r i ves r� ruo omioir+c 1 <br /> NEIGNT UMIT�TION NO OF OWELUNG SRE OF OlOGR1 � <br /> UNIiS � <br /> t'1111dpING � <br /> � <br /> OCCUPANCY NO 0�510BiE5 OCCUPRNTLORO BASEMENT � <br /> MFW��NICAL i <br /> GROUP <br /> IIVFS I1 NO � <br /> FIREAURMREOD RF.ASON a0DI110N�LPL�NCNF.CN � <br /> i <br /> 011lE{i i <br /> PIAF.SPRINKLER REO'0 �F�SO4 � <br /> SIAIE OIIRDMfi SUfILN4RGE � <br /> i <br /> imeorr.ows� vinNsnrrnovFnnv CITYOFEVERETT �uniicwanKs � <br /> _�_ <br /> LOCAL SALES <br /> ��q�t TAX CODE IS 3105 T07AL ___ � <br />