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APPL�CATIL.� FOR CONSTRUC7 ,JN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> . 3200 CEDAR STREET•EVERETT, WA 98201 •259-8810 <br /> ❑ DEMOI.ITION ❑,,,CO•M.BIINATION ❑ BUILDING �MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS: � / 4 ��<C ��/l G <br /> ��--r-- �_,..�/�_�' <br /> OWNER MUL�00pE55 <br /> �f� �,f�� �A n� �/ ( � � �arv �ryIm - /�/ ri�oH� `� <br /> � N��^-- MNINXME55 � � �� I ��"'�S.-____V��� C1i )��C_ S�SS <br /> ���Y ��� f'110NE <br /> ARGNRECT OR pE51GNE0 M1111 AODqE55 <br /> ��ry ���' P110NF <br /> GEryE�GONiR� lOR Mu��ppqE55 — <br /> N I Se�� l� ^^�1^ CITY ilf P�IONE $I�TE ICENSE� <br /> /UI\ " YI � �1,,,�,����: f''� 4�19� �9 ��/���' <br /> MELH�NICAICONTq�CTOR MM��ppqE� Q/L��j� <br /> l LI:Y ^'1ii` �--r' PIION�f---�C.1L 1-++S[+J/_� <br /> /1� <br /> STATE UCENSE� <br /> PLUM8INGCONTRACiOR M�ILAOpRES -- <br /> ^ CItY lIP P11UNE <br /> � STaE LICENSE I <br /> _�Fw VL'�i <br /> CONTMCT PPILE OF WpRK <br /> � ? HEATING SYSTEM: �S GAS ❑ ELECTRIC ❑ <br /> DESCRIBE VIJqK�ND SWARE i,�TACE INVaVEO <br /> C011I�Ci PCf150NANDt'NONE NO <br /> � ' 00 <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> rnovaseo use or eui�dwc � APPLICATION AND KNOW THE SAME TO BE TRUe AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> IECAlOE$C{rypT�p�pFpqppEpN�SNOWNBEIOWOqATTACMiKpCOMES) W�RK WILL BE COMPLIED WIiH WHETHER SPECIFIED HEHEIN OR <br /> ��T NOT. THE GRANiING OF A PERMIT pOES NOT PRESUME TO GIVE <br /> eiOCN oF AUTHONITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LqW REGULATING CONSTRUCTIOM OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOqIZED BY THE <br /> OWNER OF THIS PqOPERTY TO PERFORM THE WpqK FOR WHICH <br /> APPLICATION IS MPLY WITH THE STATE <br /> PARCELTNf1.D.NUMBER ' _ CON7RACTORS 18p W 29 200WAC. <br /> CON57RUCTON LONI LENDER.ApppE55.TELEP/IONE NUM�R ` / � <br /> SIGNRORE D�TE <br /> QTY BUSINE55 LICENSC NO <br /> PLUM&N6 _ <br /> NO. TYPE OF FlXTUqE Oq ITEM MECHANICAL <br /> �E N�• TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILE� , <br /> BATHTUB �—MINDLG UNITS , <br /> UVATORV(WASH BASIN) ' FORCED AIR SYSTEMS , <br /> SHOWER ' HEAT PUMP � <br /> KITCHEN SINK 8 DISP � UNIT HEATERS , <br /> DISHWqSHER ' CLOTHES DRVERS � <br /> ' RANGEHOOD � <br /> LAUNDRY TRAY � <br /> � WAlER HFATER , <br /> CLOTHES WASHER � WOODSTOVE � <br /> URINAL � METAL FIREPLACE�WOOD BURNING) � <br /> DRINKING FOUNTAIN ; FIREPLl�CE INSERT(WOOD BURNING) <br /> FLOOR DRAIN � GAS FIRGPLACE � <br /> BACKFIOW PREVENTERS ; GASRANGE , <br /> SINK(SERVICE—BAR,ETC.) GAS PIPING � <br /> � <br /> ' EXHAUSTFAN , <br /> � , <br /> � <br /> � <br /> � <br /> i <br /> i , <br /> SUB TOTAL S ' SUB TOTAL f <br /> PERMIT f � PERMIT f ;-- <br /> TOTAI FEE S � TOTAL FEE S � <br /> FOR OFFICE USE ONLY: <br /> FRpI�T S�Tp��K REAR SF.TBACK SIDE SETB�Ck <br /> Pl�Np1ECRNUMpf11 fEE lIECFIPTNO <br /> USE20HE IOT�f1E� V�C�Nf51fE <br /> FEES VALUATION FEE <br /> ❑YES ❑ NO <br /> HEIGHT LIMITATION ryp OUII OINC, <br /> O�DWELUNG 512E Of BLDGrtJ <br /> UNlfi <br /> PLIIMIIMC � <br /> OCCUPANCY Iq p SIOPofS OCCUPANTIO�D B�SEMENI --.�_ <br /> GRWC MFCIInNlf.111. <br /> ❑YES ❑NO <br /> FlRESPRINKLEqqEO'D RF�S(k! �DDIIION�I PUNpIff.N <br /> 011lCll �-- <br /> FIREAUqMqEO'D qE�CON <br /> $T�t[pinlOW65110C11MCE � <br /> TYPEOFCONST PlANSAPPROVEOBY -- <br /> CITYOFEVERETT runiir.wonns — <br /> LOCALSAIES <br /> oeie TAX CODE IS 3105 TOTAL �— <br />