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. � <br /> APP�.ICAT{1.��! FOR COI�ISTRUC7 .dN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT,WA 98201 •259-8810 <br /> ❑ DEMOLITION ❑ COMBINATION �I IUILDII�G ❑ MECHANICAL ❑ PLUMBING O SIGN <br /> PROJECT ADDRESS: ��y ,t-.P /AAi FU GU/g p / <br /> �/�E{�lf_�,���oo Ess �(7f,7 �/ttil�O�iU � nr �=cc+c�/' �P�E �7% ]�i�/ `L <br /> �EN�NT 11AllA0Df1E55 CITY ZIP i`I�ONE <br /> �qLNITECT q1�ESi6NEf1 Ml1ll AD�RE55 �itt )n` PNONE <br /> `7-L.q s ��vs9-!���_ /9Z/! �/�._rC�.f �r/�.�} 9��3 ��,�t���i�s�'lc/ <br /> GENEMI CONTMCTOq M�IlA00RE55 f.I1Y I��� PIIONE �., .5 SUIE LICENSE� <br /> lo�c�7�Ch1 <br /> MECHAPoCALCONiRI1Ci0R MML�DDRE55 CIfY IiP P110NE STATEULENSE� <br /> PLUMB'N6CONTR�CfOR MMLADDRE55 GIfY ZIP P110NE STAfEIICENSE� <br /> CpNTiUCT PPoCE Of W0f1M <br /> HEATING SYSTEM: ❑GAS 1� ELECTRIC ❑ <br /> DESCPolEVNfIN�ND50UAPEFOOTAGEINVOLVED L T�CTPEt150NANDPMONENO <br /> � �-- 7 <br /> l� G <br /> I HEHEBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TiiUE AND CORRECT ALL <br /> PROPOSEDUSE OF BUILDINO/ PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK Wlll BE COMPLIED WITH WHETHER SPECIFIED HEHEIN OR <br /> LECALOESCPoPTIONOFPROPERtt�SNOWNBELOWIXIAR�CNTWOCOPIES) NOT. THE �RANTIN6 OF A PEFMIT DOES NOT PRESUME TO GIVE <br /> wT e�ocK or AUTHORITY TO VIOLATE. OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REOULATING CONSTRUCTION OR THE <br /> 5-� � Ct�'4C� ��+ eQ PERFOFMANCE 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 /> PARCELTA%I.O,MIMBEH CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> GONSTIMICTIONLOANLENDER./�Wl1 .T EPlIONENUMBER � SIG�A� ��������� <br /> CITY BUSINESS UCENS@ NO. <br /> VLUMBIN6 MECHANICAL <br /> NO. TYPE�OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) � A/C—A/HNDLG UNfiS ' <br /> BATHTUB ; FORCED AIR SYSTEMS � <br /> LAVATORY(WASH BASIN) , HEAT PUMP � <br /> SHOWER � UNIT HEATERS ' <br /> KITCHEN SINK 8 DISP ; CLOTHES DRVERS � <br /> DISHWASHER � R,4NGE HOOD ' <br /> UUNDRY TRAY ; WATER HEATEfl � <br /> CLOiHES WASHER � WOODSTOVE � <br /> URINAL � MEfAL FIREPLACE(WOOD BURNING) ' <br /> DRINKING FOUNTAIN ; FIREPLACE INSEfiT(WO00 BURNING) � <br /> FLOOR DRAIN � GAS FIREPLACE ' <br /> BACKFLON'PREVEN�ERS ; GASRANGE � <br /> SINK(SERVICE—BAR,ETC.) GAS PIPING <br /> � EXHAUSTFAN � <br /> � ; <br /> � <br /> � � i <br /> � ; <br /> SUB TOTAL S ; SUB TOTAL S ; <br /> PERMIT S � PERMIT 5 <br /> TOTAI FEE f � 70TAL FEE S ' <br /> FOR OFFICE USE ONLY: <br /> FRONT SETB�CN / PEM SF.TBI�(',�! l SIDE SETB�CI� J �UN CIIECN NUMpEfI FEF — 7�j RECEIPI NO <br /> � <br /> [.L/ � U �l 2 � <br /> USE20NE� ioi�nc� V�CANISIIE FEES VALUATION FEE <br /> ..i <br /> OVES ❑ NO ppilflwf. g(� � <br /> NE�ONTLIMITATION / NOOFDWELIIHG SIZEOFBIIXLf.I � <br /> uwr� 62.� S�f, vwuowc 7 i-- <br /> OLCUPANCY NO O�SIptlFS OCCUP�NTlO�� BASEMENT � <br /> GRWP � MECH�NIf.�I � <br /> .3 ❑ves O�ao � <br /> FIRESPRINKLERPEO'0 �F�SON AO�i110NeLPl�NCuf.CR � _ <br /> OtllEfl <br /> FIRE�LMMREO'D AE��OM i� <br /> $TNE OUIl01Nf.511�C1u(16E —_ !7 <br /> Y' <br /> IYPEOFf,ONST PLANSAPPROVEOBY CITYOFEVERETT 1'IIqIIf.WOfiNS �n <br /> -- LOCAL SALES — — �`�-�— <br /> �N� �n.� �Z/Z%'y(� TAX CODE IS 9105 TOTAL � <br /> �— -- . _.— ._. ._ . ._-------� --- �-- -� � -�— _�'_ <br />