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APPLICATIO.� FOR CONSTRIlCT�JN PERMIT <br /> CITY OF EVERETT•BUILDING OIVISION � <br /> 3200 CED�:r� STREET•EVERETT,WA 9d2U1 •259-8810 <br /> ❑ DEMOLITION ❑ COM8INATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS: 7/�/j? Ti�pp �� Cufrolf- Wa /�fZO� <br /> ONNER MNL�DIXIE55 ptt 2m PNpNL <br /> �c �B;rn� l�ck�,alUv 7(�l� T,�cc ,tZu Euere{� G�k 98203 <br /> TENNIT MNl E55 CIIY IIP P��ONE <br /> ARCHRCGTOtiDE51GNER M�II�DOqE55 Glry )m PNONE <br /> ��,wr �ons{, �a �Q I,�� / l� 09 �'aiu.tinrk l�y Snohomish Wc. `15Z90 li�pLiQCR()//P10 <br /> GFNERNCONIMGTOR MNL�DOi1E55 CiiY IiP PnONE Sfe1EUCENSE• <br /> MECNMIICALCONTR�CTOR M�I��ppRE55 Cltt IIP PqpNE SiATEUCEHSE� <br /> PIUMBINGCONIRACTOR M�I��pIX1E55 CI�Y ZIP PNpNE St�1ElICENSE• <br /> GONTR�T VRICE OF WORN <br /> �% HEATING SVSTEM: ❑GAS � ELECTRIC ❑ <br /> OE BE WOqN�NO SOU�RE FOOTK.E INVOlVEO � CONTACT{` 01/ANO PMpNE Ip <br /> � �; a e Lr���_6��.�n oa <br /> 1 HEREBY CERTIFV THAT I HAVE READ AND EXAM�NED THIS <br /> RqPOSED USE OF BUIlpNO /J APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> y,lj QCaOwc PROVISIONS OF UWS AND ORDINANCES GObERNING THIS TYPE OP <br /> � WORK Wlll BE COMPLIED WITH WHETHER SPECIFIEO HEREIN OR <br /> lEMl0E5CPoPTIp1piPRpPEpry( pWHBELOWqoiAT�fALNiWOCp I S� NO7. THE GRANTING OF A PERMI7 DOES NO7 PRESUME TO GIVE <br /> �oT�e�ocu 1lU2.�KL_oF.�urce AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGUUTING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> �92��Cz'����-�.r;osz- OWNER OF THIS PROPERTY TO PERFORM THE WORK FOfl WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> vMCElititi.0.r�n�BEn CONTRA ORS LAW . 7 qCW AND�96200 WAC. <br /> COMSTRUCTIONIOAN IENDER.�OD{1E55.TElEP110NE NUAIBER x �`,�L�������i��r �,/ l/_S� <br /> 51G'N�TU EE �� J --� ��7 <br /> O�TE <br /> CITY BUSINESS LICENS[NO <br /> P����� MECHANICAL <br /> NO. TVPE OF FlXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILETJ � A/C—NHNDLG UNITS r— <br /> BATHT�B ' \ FORCEDAIRSYSTEMS ' <br /> UVATORY(WASH BASIN) � ��, HEAT PUMP , <br /> \ SHOWER ' UNITHEATERS � <br /> KITCHEN SINK 6 DISP ; \CLOTHES DRYERS ; <br /> . DISHWASHER � RANGEHOOD � <br /> I:QUNDRY TRAY � WATER HEATER <br /> CIQTHES WASHER � WOOD STOVE � <br /> URINAL � MEfAL REPLACE(WOODBURNING) <br /> DRINKING.FOUNTAIN � FIREPLAC NSERT(WO00 BURNING) i <br /> FLOOR ORAIN � GAS FIREPLA � <br /> BACKFLOW PREVENTERS ; GAS RlWGE ; <br /> SINK(SERVICE—BQq,ETC.) GAS PIPING <br /> IXHAUST FAN <br /> i � <br /> .\ ' <br /> '_� <br /> � � <br /> SUB TOTAL f ' SUB TOTAL f ; <br /> PERMIT S � PERMIT S � <br /> TOTAL FEE S � TOTAL FEE f � <br /> FOR OFFICE USE ONLY: <br /> fRONT SETtlACKO/ PE�N SF.iB�CK SIDE SETB�CK PUN GUELK NUMBFtI fE! �_�7 �Ef.EIPT NO <br /> Z Cl� � S / � <br /> usE 1owE .� ior eaee � V�C�Nf 511E FEES VALUATION FEE <br /> �I ��" O� ❑YES NO DWLDMC 7$ <br /> HE�GNTUMIT�TION NOOFDWEILING SIZF.OFBIDGRI <br /> 7� uNirs /.56 S,F. OnL rwuowc i <br /> OCGUPANGY IA Oi51pbES OLCUPANiLO�D BASEMENi <br /> GROUP � MFC11�NiC�I <br /> R' 01'ES B'710 <br /> FIRESPIiIHKIENREO'0 REASON �OG�iION��PUNG1CGk <br /> —T— <br /> Ol11E11 <br /> FIqEMMMNEO'� REASpN <br /> SLAi[BUROiN6511RL1U0fE — ' h li <br /> �LCJ <br /> TYPEOFf.ONST PLANSn"pnQVEDBY CITYOFEVERETT �IIOIIf,Wp(1NG <br /> —�F�� LOCAL SALES — <br /> "l� oae � TAX CODE IS 3105 7oiAL <br />