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APPLICATIG_J FOR CONSTRUCT.JN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> , 3200 CEDAR STREET• EVERETT;WA 98201 •259-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING O MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS:��SI- �St �alGb S' � <br /> ONNEP M1UL�OdiE55 <br /> rItt 2in vnONE <br /> af � f�0 f�a5 �.v� 6p„2 � s / 73 S1 �4A6i iu�yo'ti � a p <br /> TEHAN, MN�IIDDI,E55 � �tt. ��a,�J <br /> 71P PIIONE <br /> h�'Ci G/r C�i.YSmL1yFJfiB75 .'�.7/ 6 3�S�ltlo�. <br /> ARGtlTQCTq10E51�NER M�IIAD�RE55 CIfY IIP PNpNE <br /> GENERNGONTIUpOR MNL�WORE55 CItY Z�P PuONE SGTEIICENSE� <br /> b-N T�o itc� �fo�r�-4 /aa <br /> MECNANICALCONTRACTOR M�qADpiE55 Cltt IIP PIIONE <br /> STATE IICENSE� <br /> PLUAIBINGCONTR�CiOR M�ILAOORESS CItY iIP P1qNE <br /> SiATE LICENSE� <br /> GONTMGT PPoCE GF Wp{iN <br /> HEATING SYSTEM: ❑GAS ❑ ELECTRIC L� <br /> DESCRIBE WqiKAN05pUARE FOOTApE INVOIVED CONT�CT VERSON�ND PMONE NO G <br /> �D �ib* �i� I�Or,/ GLL/ S/ � <br /> I HEAEBY CERTIFY THAT I HAVE READ ANU EXAMINED THIS <br /> PROA75ED USE OF BNLpNO APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT ALL <br /> �j/,�(� /'��� No�� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> �aµoescrarriararHop¢nttis�rowwee�owuq�rt MTWp�PIES� �"/ORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> � x, ��, �_ NOT. THE ORANTINO OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �or��BLOCN AUTHORITY TO VIOLATE OR CANCEL THE PqOVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATINO CONSTRUGTION OR THE <br /> PERFORMANCE OF CONSTHUCTION.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 /> iMCEI TNf 1.0.M1MeEp CONTRACTO AW 1927 RCW AND 298.20 AC. <br /> % <br /> CON51HlIC710N lOM!LENDER.ADD11ES5.TELEPHpIE MIMBER <br /> RE D�7 <br /> CI7V BUSINE55 tICENSE NO <br /> PLUYBINO MECHANICAL <br /> NO. TWE OF flXTURE OR ITEM FEE NO. TYpE OF ECUIPMENT FEE <br /> WATER CLOSET(TOILEn �J � NC—AIHNDlO UNfTS i <br /> BATHTUB I ; FORCEDAIRSYSTEMS � <br /> UVATORY(WASH BASIN) ' <br /> � HEAT PUMP � <br /> SHOWER � UNIT HEATERS � <br /> KITCHEN SINK$DISP ' / CLOTHES DRVERS <br /> � � <br /> DISHWASHER ' <br /> ' / RANGEHOOD <br /> LAUNDRY TRAY ; WATER HEATER � <br /> CLOTHES WASHER ' <br /> � WOOD STOVE , <br /> URINAL ' Mt�AL FIREPLACE(WOOD t3URNING) � <br /> DRINKING FOUNTAIN � FIREPLACE INSERT(WOOD BURNING) ' <br /> FLOOR DRAIN , ' <br /> GAS FIREPLACE � <br /> BACKFLOW PREVENTERS � GASRANGE � <br /> SINK(SERVICE—BAR,ETC.) GAS PIPING � <br /> IXHAUSTFAN <br /> � <br /> � � <br /> � --�— <br /> � <br /> � <br /> � <br /> SU8 TOTAL S ; SUB TOTAL S ' <br /> � <br /> PERMIT S � PERMIT S i <br /> TOTAL FEE S � TOTAL fEE S � � <br /> FOR OFFICE USE ONLY: �,3Z�� �� _ ��/�G <br /> FRONTSETP�CK � RE�RSETB�CK � SID7ESET�B�C% Pl�HC11ELNNUM BR IEE 7� REf.EIPTNO <br /> uSEz� � IOT�REA v�c�N�E S FEES V�TION FEE <br /> � ❑YES O NO OUIl01NC /..� �Qry i. 'f�7 � � <br /> MEIGNTLIMIUT N � NOOFOWELUNG SIZEOFBL06RI '7 l��J � � <br /> UN115 ���Z S,F. L/V��./4 � p�py01NG � <br /> 1��;— <br /> GC�GUUPANCY NO M StMhES OLCUPANf LO�� 9�SEMENT � MECIUNIGL %, /'1 � <br /> ❑YES dFiO �� ' <br /> FINESPRINKLEpREO'U i1E�5UN �DDIIION�Lt`UNCnf.CK „�, <br /> OIIIEO � <br /> FlHENMMflEO'U RE��ON <br /> STAlE0UIl01NG51111L11MCE �,`I � <br /> trvEovr.oHsr PL�NS�PPROVEOOY CITYOFEVERETT �UBIIf,WppKS � <br /> J�� IOCAL SALES ��— <br /> —JJ oete �, �2 rj(v TAX CODE IS 3105 TOTAL <br />