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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 O COMBINATION �' BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS: � 7Zz i�t.l..c�Kr2 �4�)1= <br /> OYMER M�II�DORE55 CITY IiP PI�pN[ <br /> �✓NQT D �- �N� t-"�� r- R'�-iT W I!- YP�i ` <br /> MMl AUOqE55 �v� 7Z J� <br /> GIIY IIC PNONE <br /> �RCNITECTORpE51GNER M�IIADORE55 GIfY )m nNONF <br /> o�-e�Nf-rl2 <br /> eEHenluconrn�cron M�nnooness cn+ �-- ,�r <br /> r��oHe suiEi�cEu�.�. <br /> b� �DT=R.SI'zIJ o2313 A,�i[:LLf2 Fu'tz2Cc'T W�I-2Jzo� 2STt�7zJL DPTDLs�GC�zNS <br /> MECHANIpALCONTRQiOR M�ItADDRESi CIfY 71P PIIONC <br /> SGfF IICENSE• <br /> PIUMBINGCONiR�GIOp MMIADpqESS CItY IIP PIpNE <br /> ST�TE LILENSE� <br /> C:NiMLT PqI�E OF VIORK <br /> $SLba' � � � HEATING SYSTEM: O GAS ❑ELECTRIC ❑ <br /> OESCRIBE YIORK�ND SOU�RE FOpT�GE INVOIyED f.p1i�CT CCRSON AND PMpN[H� <br /> �L4�2/46� � �, 2 i-7z.S� 1161Pi� <br /> I HEHEBY CERTIFY THAT I HAVE REAO AND E%AMINED THIS <br /> P�OPOSED V.E OF BUILdHG APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALl <br /> G��Q�� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> LEG�l0E5GRIPTIONOFPRppEqry�S��pyyrypE�py�pq�nACpMqCOVIES� �'�'ORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> �oT,Z/ —Z3 NOT. THE GRANTING OF A PERMIT pOES NOT PRESUME TO GIVE <br /> aiocK 3'/�-/ p� /J-UU AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR IOCAL LAW qE6UUTINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTMORIZED BV THE <br /> CWN�_R OF THIS PROPERTV TO PERFORM TNE WORK FOR WHICN <br /> APPLICATION IS MADE AND 1 COMPLY WITH TME STATE <br /> PAIK,EL TAM I.D.MIMBER CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> 5'.� -3�f - oz�- aco9 ��/�\� ///^// � " <br /> CONSTRVGPON IO�N LENOER,ADdiE55.TELEi'NONE HIIMBER x% _� �(- � /YAn�� p , y_�g_y6 <br /> ./��RtiCL/f'�.Grx��c-.��� <br /> SIGNATUqE� OATE <br /> CIfY BUSINESS 11GEN5[NO <br /> PLUMOIN6 MECHANICAL <br /> NO. TYPE OF Fl7(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATEF CLOSET(701LEn � A/C—NHNDLG UNfTS � <br /> BATHTUB ; FORCED AIR SYSTEMS � <br /> UVATORY(WASH BASIN) ' <br /> � HEAT PUMP � <br /> SHOWER UNIT HEATERS � <br /> KITCHEN SINK 8 DISP i CLOTNES DRY'cRS ' <br /> DISHWASHER � RANGE HOOD , <br /> LAUNDRY TRAV ; WA?ER HFATER � <br /> CLOTHES WASHER � WOODSTOVE , <br /> URINAL � MEfAL FIREPLACE(WOOD BURNING) � <br /> DRINKING FOUNTAIN i FIREPLACE INSERT(WOOD BURNING) ' <br /> FIOOq DRAIN GAS FIREPIACE � <br /> BACKFLOW PREVENTERS ; GAS RANGE � <br /> SINK(SERVICE—BAR,ETC.) GAS PIPING � <br /> EXHAUST FAN <br /> i <br /> i <br /> � � <br /> SUB TOTAL f SUB TOTAI S � <br /> PERMIT j � PERMIT 5 <br /> TOTALFEE S � TOTALFEE f <br /> FOR OFFICE USE ONLY: <br /> DRONT SETP / RE�R SFTBACN f $IDE SFifl�CN J Pl�NC11ECN NUMOfB fEf , �j� IiFCFIPT NO <br /> � �r� �r <br /> usezor�e� � ior�nE� v�C�NtsitE FEES VALUATION FEE <br /> �� ❑YES ❑ NO <br /> p111lDINf � U^� � � <br /> MEIGNTLIMIT�TION � I NOOFOWEILING S12EOLBlOG/fl �— ' <br /> UNIiS <br /> f� CIUMpINC. <br /> OCGVPANCY NJ Of51MUF5 OGCUP�NiLO�D B�SEMEkf MECnnNICM � <br /> GRWP <br /> U-� I o.Es � _ _ <br /> FIRESPRINHLERqEO'0 RF�SON —�� ADp111pHAI PIANp1lCR <br /> -T-- <br /> plll[(1 <br /> FIREAihRMflEO'0 RE�SpN <br /> suie ounon+r,sunc�unr,e :� <br /> i <br /> TYPEOFf,pNST ninNs�rrnmeoer CITYOFEVERETT runnr.won.s <br /> 1�' LOCAL SALES — � — <br /> _ �/�/ o^iE Z•� 6 TAX CODE IS 3105 TOTAL <br /> 9 •�' <br />