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APPLICAT161 FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT B BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ UILDING L9rMECHANICAL 121FLU UBING ❑ SIGN <br />PROJECT ADDRESS: ,390 <br />/C� if Ci)Nic �90( %io ,we <br />OM11rn I l V.`UIEss dr. zir rNON[ <br />y2olo9� Cp„ypeA :3 (Jr *e Excel{ <br />1F,IANI YY YpIrt55 d1Y llr rl F <br />Am`�ct OT �A l Yeas <br />'�(=Cole ILz (D�=_ 1oYY �Sra9D 36DsL879lS _ <br />GFN[Ml COHI CTON Nul AIXMF55 ON' lir IN," <IAIL IKr.% <br />1T1ea1� Mech- 463o W3�weNE TEDmoNi 4Bn-)3 YJS8839221 N7tRr *pi3c, <br />MECHA,XC0. COH1nAti(111 44UIXMI55 diY llr PiM/.[ ST11E 4CENSE• <br />�Jr.1N¢ A-s A-bI-Le- <br />INUYBYGCONInACIOn YYL'O ESS COY I" P.11E STATE LICENSE• <br /><ONTnACi rIKE Or YNnM <br />HEATING SYSTEM: El GAS [I ELECTRIC ❑ <br />MSCrvBE wVRN jNnSW P[[CGTYiE wVOlvrU CURACYr RSON ANO ONE No <br />%. M / Soul` tsi11-r S d� JS� 0.J� �1�Rou�N 883-9az <br />Odd % xE+a:.f7 rcanf -k� LIE.J"41�_ <br />'jie'dG4AE Z $ENSG RS I HEREBY CFRTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />r1I0POSEV USE Of PUANNG PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />cl-;dic WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />LEGAL OESCITIPIId GF PFQNGTY ISIONTI BELOW ON ATIACN Iwo EG`YS1 NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />Lot_—_eLOa or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORLIANCE 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 />PAnCFL O NwBFn CONTRACTORS LAW IB.27 ROW AND 296.200 WAC. <br />�%//� Coro (go/ Boa <br />CMSTmI l"LDANtENMn.AOCNESS.IELEPNONEN PER <br />SON"WE D!?3R9 wl[ <br />CTY FURNESS UCENSE NO <br />PLUMBING MECHANICAL _ <br />NO. TYPE OF FICTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br />3 WATER CLOSET (TOILET) A/C—MiNDLG UNITS <br />BATHTUB FORCED AIR SYSTEM= _ <br />Li LAVATORY (WASH BASIN) HEAT PUMP <br />SHOWER UNIT HEATERS__ _ <br />KITCHEN SINK S DISP CLOTH URYERS <br />DISHWASHER RANGE HOOD <br />LAUNDRY TRAY WATER HEATER ' <br />—T <br />CLOTHES WASHER WOOD STOVE <br />URINAL METAL FIREPLACE (WOOD BURNING) <br />DRINKINU FOUNTAIN FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN GAS FIREPLACE <br />DACKFLOW PREVENTERS GAS RANGE ' <br />T <br />1.3 <br />SINK (SERVICE —BAR, ETC.) GAS PIPING <br />EXHAUST FAN <br />--T- dl LAYlrFL>_ <br />y+c �i,t3EBc3. — <br />SUB TOTAL S <br />PERMIT f SUB TOTAL f <br />PERMIT <br />TOTALFEE S TOTAL FEE f (p <br />FOR OFFICE USE ONLY: <br />rMNT V10ACK [GP SETBACA SCE SEIBACN MANdKCS NUMBvw rEF PfrEIrI NO <br />U ' <br />USE ZONE mLdnFA YACANI NYE FE G VALUATION FEE <br />D Y".S ONO BUIDBBI <br />11FIGNTI1.IAIION No Cf DWELLING SIZE Or UW41 <br />Unnl< PLIINBNG <br />�T <br />OCI:MANCT IIJ (Y EI:IPLF M-cu ANI LOAD BAS A(N1 YfcNANCAL <br />DYFs ONO <br />EBR SRYMXtEP nFO9 MASON ACdfdAL 11A11dCCK <br />OIIIFP i <br />TYNE ALARM REO'O MA50v <br />$ql[ BNIOwO SIIICIIAIIfE <br />IVK OF CONST MANS..OVEDBY CITY OF EVERETT nlel K. rrrnKS — <br />IOCALSALES <br />GAZE TA% CODE IS 3105 TOTAL <br />