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.�. <br /> APPLICATIG.J FOR CONSTRUCT JN PERMIT <br /> CiTY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT, WA 98201 •259•BB10 <br /> ❑ DEMOUTION ;�COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING O SIGN <br /> PROJECT ADDRESS: ;'_J � yl�l_-(.'I I �,I iV ::!�'" <br /> �N11ER M�ILADp1E55 <br /> � ^ CIiY IIP 1 P110N[ .; .� �} <br /> ���-�J� I`� �✓/ ' t1f�'= 17� rn � " I — � „ _ � c . <br /> C �. �HI<1 � �, � ,:I ) ,: , �. �.. � <br /> IEIUNT u�ui�D0fIf55 - �--� "',� "-1 i . L,'Y �_��" ' (:::-.G� ' <br /> „ r.nr nn � ruon� <br /> ��::G%d� . /.� rit/N�/�'/ <br /> Ai1�Mi[CTORDESIGNER M�IIADORESS" �ITY )IP PIiONF � <br /> 1�.l��=,�f"�'l�11 ➢'.IJIl � `�1'L�Ya`�27'f,v S�n(f��, '�K///JJJ SYl�iceu�irJti.__ '=' �--=;4-- ���1'7 <br /> GE ERA��p�fMClpl M�ILAW E55 �y Ct1Y , � I��r � <br /> �'��UNG SfAIC IICCNSE• <br /> .CAkFC'/c'tG:�7 C�dJ�SrK�nefiryt� d�,41 sr%'r=•rl-in /��r� / �KF c 117�77 <br /> 61ECN�NI�µ�pryTR��TOR MIULAODRE55 CITV jIP PIIpNE <br /> � ,. SiA1E L CENSE• <br /> � ' �:A'�'1J`a �r. t�.�� L;.., ��, f���,: e�TF1�K 6�P'I� <br /> MU4BRGCONiRA,tOR MIL/PDRESS GfY IIP PHONE <br /> Si�TE LICENSE• <br /> A�_IAA)Ct {-�Inil �'�/� �1 � IhF�Tb.��i�7 <br /> ta+rn•cr vrocE a�K � — <br /> — �Y(���� 7� ' HEATING SYSTEM: ❑GAS�cLECTRIC ❑ <br /> DESGMlE Wpllt AHD Sq��pE FppT�(iE W VOlVEO Cf)t1111Ct�Cfi50N AND PHONE NO <br /> � _ �' % �ar� � f� �,U AIUb7 V`",rivV <br /> R�s� :rtc�' 43s o <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> vnovos¢o use oF e�n�dra APPLICATION AND KNOW THE SAMF TO BE TRUE AND CORREC7 ALL <br /> � � PROVISIONS OF UWS ANO ORDINANCES GOVERNING THIS TYPE OF <br /> IEWLDESCPopT10Np�MippEqtt�S11pWHBElqyppATT11�NINqtONES� WORK WILL BE COMPIIED WITH WHETHER SPECIFIED HEHEIN OR <br /> NOT. THE ORANTING OF A PERMIT OpES NOT PRESUME TO 61VE <br /> ��T B�� a nUTHORI7Y TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTNER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCiION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WOqK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCEI TNf I.D.M/MBER CONTRACTORS LAW 18.27 RCW AND 296200 WAC. � <br /> �� r„Q � O <br /> CQMSTIF1C710N l0 IENDER.�OqiESS.TELERId1E MIMBER x �i� � �'. � <br /> �P' � 516N�TU E DAIE <br /> qoa w�sT �1 u� �u �j-Fp,� -E�s — <br /> t CIfYP gqES5l10EN5C110. <br /> P�V�� MECHANICAL � <br /> �. TYPE OF flXTURE OR ITEM FEE NO. TVPE pP EOUIPMENT FEE <br /> WATER CLOSET(TOILEn � A/C—NHNDL6 UNfTS � <br /> � ��� ' / FORCED AIH SYSTEMS � <br /> 3 UVATORY(WASH BASIN) ./ � HEAT PUMP , <br /> ��R � ' UNIT HEATERS � <br /> KITCHEN SINK 8 DISP ; CLOTHES DRVERS ' <br /> � DISHWASHER � / RANGEHOOD � <br /> • LAUNDRY TRAY ; WATER HEATEq � <br /> CLOTNES WASHER � / WOODSTOVE T— <br /> U71NAL � METAL FIREPIACE(WOOD BURNING) � <br /> DRINKING FOUNTAIN ; FIREPLACE INSERT pnlppD BURNING) ; <br /> FLOOR ORAIN � GAS FIREPLACE , <br /> BACKFLOW PREVENTERS ; GASRANGE � <br /> � <br /> SINK(SERVICE—BAR,ETC.) � GAS PIPING , <br /> EXHAUSTFAN � <br /> � � <br /> � � <br /> � � — <br /> � � <br /> SUB TOiAL S ; SUB TOTAL f ; <br /> PERMIT f � PERMIT S � <br /> TOTAL FEE S � TOTAL FEE S � <br /> FOR OFFICE USE ONLY: � <br /> FIIONTSETp11CK / pE�fiSETR�f.N�./ SIDESFTP�C Pl�NG1ECNNUANif11 fEF � qEf.FIPTVO <br /> ZQ �-c/ 5 � p � .�-�2 � 7 3 Z'9� <br /> USEZONF ` I lO1�PE� v�c�nr r¢ , FEES VALUATION FEE <br /> _ L1YE5 �❑�NO pUI1IJINf � �'i � <br /> NEIGNT LIMITAi10 � NO OF DWF.IpNG i$iZF.Oe�i'Pl��l L� ` � <br /> unit� S i ddlU t _LL' <br /> vwuniNc ; <br /> OCWPANCY Np p 90bF5 OCCUP�Nf IOAD BASEMENT p MFC���NIf.AI — G./1�— <br /> 6ROUP � <br /> �� ❑YES .�0 — «_� <br /> FIRES PINKLEflflEOD RFA50Y �DDIIIONALi`I�NCN(CIt �_ <br /> ____�__ <br /> omcn ; <br /> FIREAV.RI.iREO'0 RF��nN � <br /> -- Si�iF.BUIIDMt:SIIOCIUtIOE --,/,� �� <br /> �; <br /> TYPEOFf,ON$T rinrusnrrnovF�1qr CITYOFEVERETT runur.wones <br /> TT�� �Jl� LOCALSALES --- — �_;_ <br /> •�L uat S /9 � TAX CODE IS 3105 TOTAL � <br />