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APPLICATIO.., FOR CONSTRUC3'1.�T1 PERMIT/ <br /> CITY OF EVERETT•BUILDING DIVISION eC� <br /> 3200 CEDAR STREET•EVEREI7,WA 98201 •259•8010 � d <br /> ❑ DEMOUTION ❑ COM8INATION ❑ BUILDING MECHANICAL O PLUMBING ❑ SIGN <br /> PROJECTADDRESS: yOa� V�IE � I.EJ�I �� <br /> �owwcn MML�DDRE55 ci�rv ���� .f rir � / v��p+� <br /> �I< �� ,.noaEss �`—`C��A1�J_I r'"�=U-___l��i•�IN€��(13 �� S " �Z�I <br /> �1 rnc <br /> ARCMTECTORDESIGNEn I.UIIADORE55 PIY IiP PHONF <br /> yEqEllq fONtRSCipt MIuIADORE55 �IIY )m PUONE f.GiEIIL[NSE� <br /> �Vhl l,l�"�:.-,c��r i R .�Arn Tua�.��n`��-�ty-�/�1 �'�{i�1�J�? <br /> MECHIWIG�LLONTNAG� M�IL�IX`RE55 f� ( 7R �.TAtEUC NSE <br /> "�Arn � �1�19� .�.��-��cY, <br /> PIUMBMGCONTR1Gi MML�OORE55 CItY IIP PNDNE �!:UIELICENSEi <br /> � <br /> CONTMCT PieCE OF NOn . <br /> � I � HEATING SYSTEM: �AS ❑ ELE(.TRIC ❑ <br /> OESCPoBEWMNANp!iOUAREiOOTAGEMVOlVEO CON1�Cf1`ffI50N�N01'l1pNF.NO��� ���`� � <br /> -1� �� L � r�r�'� �=-�, �c�,� � ���.- �,n _ <br /> IG'✓_. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROq�SED VSE OF BI11Lprxl APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIEO WITH WHETHER SPECIFIED HEREIN OR <br /> lFMl0E5L{pPiqNOFP1i0PERtt�51qWHBEIOWORATT/�CHTYl0001'IES) NOT. THE �RANTING OF A PERMIT DOES IJOT PRESUME TO GIVE <br /> wT aiocK or AUTHORITI' TO VIOLATE OR CANCEL TNE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW RECaULATIN6 CONSTRUCTION OR THE <br /> f ERFOFMANCE OF CONSTfiUCTION.THAT I AM AUTHORI2ED BV THE <br /> OWNER OF THIS PROPERTY TO P FORM THE WOHK FOR WHICH <br /> APPIICATION IS M AN PLY WITH THE STATE <br /> PNICEL TAtf I.D.NUMBEP CONTRACTORS L B27 296 DO WAC. <br /> O`�O- - ` [///7 <br /> CONSTRUGTION lOM!IENDER,�Oq1E55,TEIEPIqNE M/MBER x �/ <br /> SIGN�IUIIE D <br /> pTY BUSINESS IICFNSC NO <br /> PLUMBINO MECMANICAL <br /> NO. TYPE OF flICTURE OH ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATEH CLOSET(TOILEn � NC—MiNDLG UNfTS � <br /> BATHTUB ; FORCED AIR SYSTEMS � <br /> UVATORV(WASH BASIN) � HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 6 DISP ; CLOTIiES DRYERS <br /> DISHWASHER � RANGE HOOD � <br /> UUNDRY TRAV � WATER HEATER � <br /> CIOTHESWASHER � WOODSTOVE � <br /> URINAL � MEfAL FIREPLACE h'JOOD BURNING) ' <br /> D:IINKING FOUNTAIN FIREPLAC[INSERT(VJOOD BURNING) i <br /> FLOOR DRAIN GAS FIREPLACE � <br /> BACKFLOW PREVENI'ERS ; GAS RANGE ; <br /> SINK(SERVICE—BAR,ETC.) � GAS PIPING <br /> EXIIAUST FAN <br /> � <br /> � <br /> � i <br /> SUB TOTAL S � SUB TOTAL f ' <br /> PERMIT f i PERMIT S i <br /> TOTAL FEE E � 70TAL FEE f <br /> FOR OFFICE USE ONLY: <br /> FRONTSEip�LN PE�RSETPACK :�OESFT6�CIt PlANC11CCNNUMOf❑ l fEf IiH:FIPfNO <br /> l�� ,��` <br /> USE 20NE ior enen WC�Ni SIIF. FEES VALUATION FEE <br /> ❑YES O� OUIID�NC i <br /> HEIONTIIMIi�T10N NOOfUWELLINO SIIEOFBIDORI <br /> UNIf$ <br /> i`1111ApING <br /> OCCUP�NCY lql%SIMo6 OCCUP�NftO�D BASEMENI MFCnnNIC�L —�4— <br /> GRWP <br /> ❑Y[5 ❑NO - -"- <br /> FIRESPIUNKLERREO'D RfeSON �DDIIION�I.f`IeNC11fCN <br /> oturn <br /> FINEAIMMREO'D AE��ON <br /> S1Alf OIIIIOING$IIfICNTqOC <br /> TYPEOFf,ONST i't�NSAPPPOVFO�Y CITYOFEVERETT runur.vmnks <br /> LOCAL SALES - -- - — � ----'— <br /> oeie TA% CODE IS J105 TOTAL <br />