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APPLICATI�'�I FOR CONSTRUCT'9N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT,WA 98201 •259-8810 <br /> ❑ DEMOUTION ❑ COMBINATION p'BUILDING O MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS: _�f0o P.�c�'�.� Svi7.`� /oZ <br /> ONR�EF YNLMqiE55 GiY IIP PNONE �}-T-�'�(/, /7i�/r�t' A <br /> ���if7 A/e.ro.ti(a� �o. iooi ��.It�A�...A'ua 5�.�. 3izs Ss.,4� 9e�sy 20L • G26 -OiSO <br /> 7ENMlT MNt 1100i1E55 �,W��w i CI1Y IIV VNpNE D_� �� <br /> M�licnl Coysullah�c Al,w�s..�. `�`r P �NNa )leo ��"q„� SuM44. S�ik. ieoo �` �oL - Gzz-6i2g <br /> ARCIIItEGT011DE51GNER MAIII�DORE55 CITY I�P PNONE <br /> GENEMIGONTMCTOq MULADppE55 CIIY bP PIIONE Sf�TEIICENSE• <br /> A�L�YiC�+kktoc . 810 2`{0'f'`ST. SF ��F4a.11 9Q021 Loby831a1� �LDR/A�� Z02KU <br /> NEL�/MlICALCONiP�LTqi YuIADDNE55 Cltt bP PIIONE STATELICENSE� <br /> PIVMlRMLONTRACTOR MAILI1D011E55 GIY zlP P�E STATELICENSE• <br /> coNrw�ct rwc�a woac <br /> ¢ � HEATiNG SYSTEM: ❑GAS ❑ ELECTRIC ❑ <br /> DESCfMlEMqRNA1qSqJAREFOOT�6EM1VOlYED CONTIICT RSON PNONE <br /> F> ' � 3CI " 3� 3� <br /> V. e. c�:•- e <br /> I HEHEBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> P110POSE0 USE OF BUILqNO APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT ALL <br /> PROYISIONS OF LAWS AND OROINANCES GOVEPNING THIS TYPE OF <br /> WORK WIIL BE COMPLIED WITH WHETHEH SPECIFIED HEREIN OR <br /> lEWL0E5LRMi10NOFP110PERtt�51qWplEIOWOR�TTACNiNOGO%E5� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �oT xocK oF AUTHORITY TO VIOLATE OR CANCEL THE P4tOVISION OF ANY <br /> OTHER STATE OR LOCAL LAW RE6ULATIN6 CONSTRUCTION OR THE <br /> PERFOHMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> � APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> MqCELTA%ID M!YlER CONTRACTORS UW 1B27 RCW AND 296200 WAC. <br /> . . �o� O 00 �' /T/���.�'�C/"� �y�9re <br /> , GONSTRUC710NlWNlENOER.A0D11E55.TELEP110NENUMEER x � ,V /� / <br /> SIGNATURE O�TE <br /> ' CITY BUSINE55 LICENS[NO. <br /> . �� PLUMSINO MECHANICAL <br /> I N0. TYPE OF FlXTURE OR ITEM FEE NO. TYPE OF EGUIPMENT FEE <br /> , WATER CLOSET(TOILEn � A/C—NHNOL6 UNIT� � <br /> . BAiHTUB ; FORCED AIR SYSTEMS ; <br /> LAVATORY(VYASH BASIN) � HEAT PUMP � <br /> SHOWER � UNIT HEATERS ' <br /> KITCHEN SINK 8 DISP ; CLOTHES DRYERS � <br /> DISHWASHER � RANGE HOOD � <br /> . LAUNDRY TRAY ; WATER HEATER � <br /> CLOTHES WASHER � WOOD STOVE � <br /> URINAI ' MEfAL FIREPUCE(WOOD BURNING) ' <br /> DRINKINf3 FOUNTAIN ; FIREPLACE INSERT(WOOD BURNING) � <br /> FLOOR DRIUN � GAS FIREPUCE � <br /> BACKROW PREVENTERS ; (iAS RANf3E ; <br /> SINK(SERVICE—BAR,ETC.) � GAS PIPINO � <br /> ' D(HAUST FAN ' <br /> � <br /> � � <br /> SUB TOTAL S ; SUB TOTAL S 1 <br /> PERMIT S � PERMIT S � <br /> TOTALFEE f � TOTALfEE S ' <br /> FOR OFFICE USE ONLY: <br /> iRONTSETB�CI( REARSETlACK SIOESFTlACk PlANC11ECNNUrABER FEF � NECFIPTNO <br /> 53/- • <br /> us¢za+e iot�a¢� v�cu+ts��t FEES VALUATION FEE <br /> ❑res ❑rro omion+r. �a3 � DD <br /> �ro�rt u�una+ rro a owe�una s�a xocn i � <br /> UNIf[ ^ I^ � P111M0ING � <br /> d J I <br /> OCCUP�NCY Iq(li S�MFS OCCUP/JIT IpAD B�SEMENT � MFCM�NICAL � <br /> � I a � ❑YES Jd NO � <br /> �DDIiION�L PL�N CIIf.CN i <br /> FIRESVWNKLERNEO'D pEASON � <br /> N J OIIIER <br /> F'NIEAUPMRC-0'D AE�id1 � <br /> NJ STAIE BOIlDINO 51111CN�f16E i� <br /> _' � <br /> trvEorr,oNST PlANSAP ovcoer CITYOFEVERETT �IIqIIf.WbfIRG ; <br /> v-� �'1 LOCAL SALES — —''— <br /> o�r /0� � _ L TAX CODE IS�105 TOTAL � <br />