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APPLICATIA FOR CONSTRUCT& PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 •259-8810 OL <br />❑ DEMOLITION COMBINATION— '$ BUILDING MECHANICAL ,PLUMBING ❑ SIGN <br />PROJECT ADDRESS: Z 111 ML Nl .1., - 1 1 A dr <br />IrNANT <br />uul AUDI <br />GIY Tr ngNE <br />ANCMIFCT GII CE$K,MFR <br />MAR A00PF3$ <br />CITY tlr nqN( <br />gCNI A.15SAucC FS.UL,-s <br />133g5 5 <br />R_53L) %.q- 2Z3 36o Hli <br />fSVp IPEAlAT'a 'A <br />fr NCnk LONIPwiW <br />4w ADULUSS <br />GIY IM nNM <br />STATE IIUI. <br />4rolA Al CMIRACIOR <br />NUMADO"Iss <br />fJry !P' nNWE <br />STATE IICENSEA <br />STATE ISEM$E <br />r1 U4BINO CONIPACIp! <br />4w AGM1E55 <br />GIY )IP INgNC <br />CONiMCI nbCE Or WpLA JD �j� <br />CO0 F o o <br />✓ 70 ' <br />HEATING SYSTEM: aGAS ❑ ELECTRIC ❑ <br />Of umeE NOnX PNp $pMnE raolwF MvpVEO <br />CLAW, "AW PNONF AO <br />9FT ✓t c L... — <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />0114ER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.2] IT ND 296 2W WAD. <br />X `/ j'G� <br />rnpgsEo u3E DF LpNO <br />rA^; 1 p v <br />FC <br />LEDAL oeupvllGl or my lvlowrl eELowwAnwN lYq canEsl <br />LOT -IE SS' RMK 'Iqt—Or GN nL M'// <br />A D 17 <br />R IL TAX IO AUUNKn <br />CWSTnmtIONIOANIENOEn.wORFSS IFIU AVIA A <br />srnAnnK DAT'�� <br />E <br />City TIULwss LICEN$C NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EGIAPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A]C—MMDLG UNRS <br />_ <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />II[AT Pump — <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DINERS <br />DISHWASHER <br />_ <br />RANGE HOOD <br />LAUNDRY TRAY <br />I <br />WATER HEATER <br />/ <br />CLOTHES WASHER <br />WOOD STOVE <br />--'— <br />URINAL <br />MEIAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />' <br />—T— <br />GAS RANGE <br />_ <br />SINK(SERVICE — BAR, ETC.) <br />% <br />GASPIPING <br />—�— <br />EXI MUST FAN <br />00 <br />SUB TOTAL <br />S <br />SUB TOTAL f <br />PERMIT <br />sl <br />PERMIT S <br />TOTALFEE <br />S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: T2/S./7 �ne.>✓�,f- "r"�'���1]�1-S' 1"� <br />FIIp11 ViPALK <br />20' <br />PCwSf IRACX <br />Zo ] <br />51Dt$FIBACK«� <br />bd- S <br />MANGKf.KMAq(T <br />_. y <br />f[E <br />Wf.FInI NO <br />USE toN1t ` <br />_' <br />lOt AnFA <br />C W <br />VACANT VIF <br />orFS �tl � <br />FEES <br />VALUATION <br />FEE <br />n11KpM1 <br />AU4PMn <br />_ <br />�I dQ�3 <br />�%1 '� <br />NFIGIII U41tA1gl 1 <br />Z- <br />NO p 11WFllINO <br />UNITS <br />$4E OF BIDDOI <br />l (j <br />UCJ Si p <br />OCCUPANCY <br />G OUn <br />•3 <br />I ND GSUWS <br />I <br />OCCUPANT TOAD BASEMENT <br />E$ ❑NO <br />nFASON <br />41 GIUM.0 <br />— <br />' <br />FnIE$rPINKLEPREOD <br />A1011XWy nANGKCK <br />011lln <br />�— <br />FIFE AIMMRE09 <br />1rnE Of COAST <br />_ <br />nFAPnU <br />nuns=BYERETT <br />Dut S 3105 <br />MAIL PIlpnMli $IIIII:IIATKK <br />nllpr wlln,lcALES <br />TOTAL <br />26 / <br />