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APPLICATI� (�OR CONSTRUCT�N PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVEREi7 WA 98201 •259-H810 <br /> ❑ DEMOLITION ,B COMBINATION FJ BUILDING ❑ MECHANICAL O PLUMBING ❑ SIGN <br /> PAOJECTADDRESS: LO f o2 �jp /�,•Ppp a � <br /> OYMER -�—..p�l3�Ql y �!lW/in7/� ���� qt�.�7� � 3 �/ �— <br /> M�IL�OOnE55 Cltt 21r <br /> PNON <br /> TFNANT u�qM0t1f55 <br /> /� \CITY IIP PI�ONE <br /> �7,�J/rs�.�.a ( � .��r, �Qbn1/p / <br /> �� ���v�ue>.,nen //e��ii�ooaess/—C—i C�n <br /> `-1� �-/.�� �1„ � � 7m PNONE — <br /> � J71w/ n�Q�7 �l�iil\/Z <br /> � �_ —��ri�ooness �""-�� T/� � L l S�/ l(�i <br /> �1 -��/--/-� 71� PuONE cMTEUCENSE� <br /> Me�[nwrvi��iGONT�('TOfl' MAIIADpR'� <br /> � f.ITY ZIf` PIIONE <br /> STATE UCENSE� <br /> PlU INGCONTRA�TOR M�RADOqESS CIfV - <br /> I�P PNONE STATE UCENSE� <br /> CONiMCT PR�CE OF WrJpK <br /> �-� ��%�q� HEATING SYSTEM: GAS ❑ ELECTRIC ❑ <br /> OESCRIBEWppN�NO50UARGippTACsEtN OLVEO <br /> / CONiA T{'F.f1SONANO PHONi NO <br /> T�n,< _ '>'n �-�/n� <br /> � �� X�� � ��9� =i ;S,'/ <br /> \f���` I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> vrroroseo use oF evaoirm APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT nLL <br /> � ��/ , PROVISIONS OF LAWS AND ORDINANCES GOVEHNING THIS TYPE OF <br /> `o�������AT�'IubWNBEIOWOR�n��nvp�pri¢51� WORK WILL BE COMPLIED WITH WHETHE.i SPECIFIED HEREItI OR <br /> ��J ,' NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> etocK ov AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW qEGULATINCa CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCT(ON.THAT I AM AUTHORIZED BY THE <br /> . OWNER OF THIS PqOPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PAq�EL TiVt I.D.HUMBER CONTRACTORS LAW 1827 RCW AND 296200 WqC. <br /> CONSTRUCTION LO�N LENDER.App�ESS.TELEPNONE MIMBEP x c� _r✓ / . �^ /IA �n / �� �� <br /> ! - 07 9 �.ra»-�i.r.f �i -�— <br /> SIGN��Uq� D�TE <br /> CITY BUSINESS LICENSE NO. <br /> • PLUMBIN6 MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT <br /> WATER CLOSET(TOILEn FEE <br /> ' A/C—/VHNDLGUNRS <br /> BATHTJB ' FORCED AIR SYSTEMS � <br /> LAVATORY(WASN BASIN) � HEAT PUMP �— <br /> SHOWER � UNIT HEATERS � <br /> KITCHEN SINK 6 DISP ' <br /> � CLOTHES DRYERS � <br /> DISHWASHER � � <br /> LAUNORY TRAY �NGE HOOD , <br /> � WATER HEATER � <br /> CLOiHES YlASHER � WOOD STOVE � <br /> URINAL � MEfAL FIREPLACE(WOOD BURNING) � <br /> DRINKING FOUNTAIN ' FIREPLACE INSERT(WOOD BURNING) ' <br /> ROOR ORAIN � GAS FIREPLACE � <br /> BACKFLOW PREVENTERS ; GAS Fil.,,;E � <br /> SINK(SERVICE—BAR, ETC.) ' <br /> � GAS PIPING � <br /> EXHAUSTFAN <br /> i � <br /> i <br /> � <br /> � � <br /> 1 T <br /> SUB TOTAL S ; SUB TOTAL S <br /> PERMIT S � PERMIT s �— <br /> TOTAL FEE S � TOTAL FEE E �— <br /> FOR OFFICE USE ONLY: ' � <br /> FRONTSETB�LK REMSETB�CK <br /> � i SIOESFTBACN PL�NCIIECNNUMp!'ll i'EF /_ RECEIPTNO <br /> � COd �� � � ^� ��v U�� <br /> � JC.`-, <br /> usElor/� LOiAIiEA VAC�Ni51IE FEES VALUATION FEE <br /> It Z � nn �E5 0 �o <br /> nunoiNr, � �p <br /> HEICIIiUMITATION NOOFOWEIIIHG SREOFBLOGRI � <br /> Z� UNIfS ; <br /> 2' PlUAl01NC ��� nU <br /> s L' <br /> OCCUPANCY Iq pf SIOWFS OCCVPANi(OSD B�5 MENT '�-- <br /> GRWP � � MEf,11nNICnI ��f � <br /> V'I Z ❑YES �'ryp �/lV i O�� <br /> FIRE VflINNLEfl REO'U f1E�50N ADDIIIONAL PIAN C11f.CR � <br /> � � n <br /> ` / <br /> omm <br /> FIREMMMREO'0 REAS(ay <br /> SiqE OIIIl01Nr,SUft�rufif.E �C'—i. <br /> �OV <br /> tYPEOif,ONST PLANS�PPnOVEOBY� — —' r— <br /> CITY OF EVERE7T runiir,wonK� <br /> LOCAL SALES ��cJ�O[� <br /> oere TAX CODE IS 3105 7oTaL — � C <br />