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APPLICATION FOR CONSTRUCTSN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT, WA 98201 K (425) 257-11810 <br />3KDEMOUT10N ❑ COMBINATION INK BUILDING ❑ MECHANICAL ❑ PLUMBING O SIGN <br />PROJECT ADDRESS: 3901 Hoyt, Everett, WA _ <br />THE EVFRR= CLIIIIC 3901 Hoyt Avenue Everett, (425) 259-0966 <br />OwNEN - uuuFpPEfs CITY rM -IpI <br />Umlogy Clinic 39C1 Hoyt Avenue Everett <br />11 11.1 MdRff CITY lip p(i <br />rchitectmil Warts 11335 Ng 124d Way. i14( Kirkland 425) 823-2244 _ <br />AYCI.TFCtt IMyO1RA 4All AMMESS C', II PIIUNf <br />Kirrtlgy-Cole Po Box 1179 &nhcmiah 98291 (360) 568-31-5 KMMU A27= <br />Lf N[Mt CONINWTCII uul Al)(i CITY D, rinaE c1A1I 110ENSFI <br />MFCNAi CWTPACIOP MAIL AIXXC SS CAY lip VIKNF STAG LICENSE. <br />N I IWNOC INTRACIOP MAPA[OMSS CITY ZIP PIMIF STATE IICVIU, <br />CONfMCT R.FCC I MIXM <br />$113,000 <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC <br />MIXT'I E IYORA ANO SWAFE F WTAOE "Wkwo <br />Tenant ImpraviSment 2 268 EII <br />CMIACI PERfYI ANP 1pCMF A 1 <br />_ <br />r <br />I HEREdY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISICNS 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 />OT14ER STATE OR LOCAL LAW [IEGULATING CONSI RUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APFLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW iB 21 RCW AND 296 200 WAC. <br />X <br />PRMIOs[O us[ M euLdNo <br />U[ology C11ni0 <br />LEGAL O[SORIPTIM of Pn01"FWY451IOWN anon M ATTACH PAID COPIES] <br />toy IAOCK M <br />PARCEL T" J I. L.nIER <br />�j/ 00(o vo/ o/n/ <br />CONS. ItNCPKIN LOAM LENDER.ACME&q PEMP110NEMNPER <br />SCNAIUE OA,, <br />0IY 61 LICENSE M <br />PLUMBING <br />MECHANICAL <br />NO. <br />_ <br />TYPE OF FUMURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—AMNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />_ <br />SHOWER <br />UNI I"HEATERS <br />_ <br />KITCHEN OINK 8 DISP <br />CLOTHES DRYERS <br />_ <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR, ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL f <br />I <br />SUB TOTAL S <br />PERMIT sl <br />PERMIT S <br />TOTAL FEE f <br />I <br />TOTALFEE f <br />FOR OFFICE USE ONLY: <br />EPnN1 VTPACK <br />REAP e[TMCR <br />SIDE SEfeACA <br />M.CII[ x P <br />r I, n <br />FrtC[MT NO <br />'witZMF <br />tot AR[A <br />VACANT VIE <br />FEES <br />VALUATION <br />FEE <br />FE_E <br />Bu1dM1 <br />000 <br />OYES 0Ao <br />N[IMlIIMITATION <br />ND aCnEIIMt <br />bllf CCR I N/ <br />IMITs <br />! <br />RIIEbM6 <br />OCIITAYtY MdTI(WEf <br />OCCJCCN1lOA0 eAYM[Nl <br />way <br />I <br />CP M I <br />�� OYES �Ml <br />F ME SRVNALEq REO'O <br />PIT. cyJ <br />TOdIKWNADd4KWM RAATCWCA <br />OIKAA <br />' <br />NG <br />C C1tNG C <br />TIRE MARM not, <br />A%6 <br />ff T" Q \\ <br />! 3v l p 7 a' > <br />sun eulTxlr. s�IRc,un;.[ <br />_ <br />/ SD <br />TYPFM r[nfP <br />TKAN9 APINIOVEoer <br />�L <br />LRY OF EVERETT <br />dmr.woPNs <br />) <br />I <br />/ <br />LOCAL SALES <br />TA%CODE IS 3105 <br />TOTAL <br />'Jjl ;Jg <br />