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APPLICATIG.J FOR CONSTRUCT.JN PERMIT <br /> CITV OF EVERETT•BUILDING D�VISION � <br /> 3200 CEDAR STREET•EVERETT, WA 98201 •259-8810 <br /> ❑ OEMOLITION d COMBINATION � p' BUILDING C�'MECHANICAL Q"PLUMBING O SI(iN <br /> PROJECTADDRESS: 73 S '� P_AI i� �� <br /> YNE+� f�0� es �uc �0909 �udv4u� 1 .�oi/anis�/ 9B290 3Go -SGB8839 <br /> OVMER MAILADpiE55 qTY IIP PMONE <br /> 7ENN�T EWlA00fiE55 GTY IIP PNONE <br /> ARCN7ECTOi1DE5�C✓IEP MAIIMDRE55 CIN ZIP PNONE <br /> SA N� �2C�77NG✓ <br /> GENEIULLONiMCTOq MNlA0DRE55 CIfY ZIP PI�ONE SGTE IICENSE� <br /> MECNANIC/�LCONTMCTOR MARADJRc55 CITY IiP VMONE $TATElICCSE� <br /> MU4BMMCONTRACTON �uLIL�ORE55 Qtt 21P PNONE STATEl1LENSE� <br /> 977v� [ -3 <br /> �°"T""°T°"�°°"ro�"` HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br /> L�BAJsj 6 15�4 <br /> OESCNlE WON1t ANO SOU�NE F007A6E wVOLYED CONTACT PERSON M10 PNONE NO <br /> U <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> RG^S�� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> rnovos¢o usE oF eu�ra PROVISIONS OF UWS AND OROINANCES GOVERNING THIS TYPE OF <br /> ' � WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> ����n�no�ar�r�nnr�s�awneeiowoa�rt�cNiwocor�s� NpT. THE 6RANTIN� OF A PERMIT DOES NOT PRFSUME TO GIVE <br /> ��� � fr AUTHORITY TO VIOLATE OR CANCEL THE PRO'/ISION OF ANY <br /> �oT OTNER STATE OR LOCAL LAW RE6ULATINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> ��cy � �r OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> 39 •G1G�•O . APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> p�wce�r�x i.o.rxn�n CONT TORS LAW 1827 RCW AND 296200 WAC. <br /> .d1�G1Q7t� ' ZLVi'77S•.fGZ6 'I 1 o I 5 b <br /> CpN57pULTqN LOAN IENDER.IIDORE55.TELEPIIONE MMABER �(_y� T <br /> 516NATURE �OATE <br /> �29�80 - <br /> an eus�r�ss��cense no. <br /> PLUMBIN6 MECHANICAL <br /> NO, TYPE OF FlXTURE OR REA1 FEE� NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILEn � NC—NHNDLO UNfTS ' <br /> BATHTUB ; FORCED AIR SVSTEMS � <br /> UVATORY(WASH BASIN) � � � HEAT PUMP ' <br /> SHOWER �. /O UNIT HEATERS � <br /> 'j KITCHEN SINK 6 OISP � CIOTHES DRVERS � <br /> 2 DISHWASHER � Z RANGEHOOD . : <br /> LAUNDRY TMY � Q WATER HFATER � <br /> Q CLOTHES WASHER � WOOD STOVE ' <br /> URINAL ' MEfAL FIREPLACE(WOOD BURNING) � <br /> DRINKINa FOUNTAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> FLOOR DRAW � 6AS FIREPLACE � <br /> BACKFLOW PREVENTERS � ���E —� <br /> SINK(SERVICE—PAR,ETC.) � GAS PIPING : <br /> � (� IXHAUST FAN � <br /> i � <br /> � � <br /> SUB TOTAL S ; SUB TOTAL S �_ <br /> PERMIT S � PERMIT S � <br /> TOTALFEE S ' 70TALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> iRONTSETB�CN pEARSETB�LN SIDE TBACN PLANCIIECNNUM6ER FEF REf.EIPTNO <br /> 20 20 /6 / l <br /> use xa+� � l0T ARE� v�cu�+,r/s� e FEES VALUATION FEE <br /> � N"5 ❑ � BUILOIN6 � vtl /� � <br /> NEI6HTLIWTTION NO.OFDWELUNC SIIEOFBlD6RJ �! I <br /> UNITS ZS�{�f S�F. G/V G �' p�p�,�piNG _Y J <br /> a: F. GA , <br /> pCCUPANCY Iq Of 51pOf5 IX:LUPANT lOAO BASEMENT MEGNI�NiC�I i <br /> a�3 0. 2 oYEs � _� <br /> ADDIiIJN�L PUN CHECM ' <br /> FlRESPRINIQFRREO'0 REASC'� � — <br /> i <br /> OiHEN � <br /> FIREMMMNEO'D �E�SON �j( <br /> STAIE OUIIDING 511RCHMiGE (f <br /> �� <br /> TYPEOFf,pNST PLANSM7NOVEDBY CITYOFEVERETT �1IB11f,WOHNA �,�,I.Q i <br /> _,A/ J� rax°cooEas3,os TOTAL �— <br /> o�Te S � S6 � <br />