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APPLICATIG_J FOR CONSTRUCT.JN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT, WA 88201 •259•8810 <br /> ❑ DEMOUTION ❑ COMBINATION ❑ EUILDINO ,Y� MECHANICAL p PLUMBING O SIGN <br /> PROJECTADDRESS:_�Cf.�� U/�j���C ��� F � ���C�/ <br /> /��)�R,/��/ MulA00RE/55 <br /> ( '/�/T 4 ��(Y�—��T I� �/�/'��/�{� /✓�IZ�� � YMONE <br /> TENN/T MNL 51100RE $ � —(-L�/�E ✓V �ItYi�I ��7 �Y�CD /eal <br /> dTY IIP PIIpNE F <br /> e � oo� �'J 2Sz- <br /> •RCMTCGTqip[S�GNER MNLAODRE55 ��T. <br /> II� PHONE <br /> z z - <br /> GENEMI COHTRACiOq M1UL 11ppiE55 CITY IIP PIIONE GGTE IICENSE� <br /> �t/u1 �lA -«�/c,A�,e z�aa �io,4�/�Z�,�c f'„9 �R-i�� �1� ��y�a3�t <br /> MEC11Na�AlWNTq�LTOR MIutA0p1E55 Cltt <br /> Z1C P���E STATE LICENSE� <br /> PLU4lMKiCONTR�CTOR Mi4LMME55 Cltt 21P <br /> PIqNE Sf�fElKENSE• <br /> CONTMCf PRICF pF Wq�K <br /> "— HEATING SYSTEM: GAS ❑ ELECTRIC ❑ <br /> ��lE MOlik A/O SIXIARE f00UpE MVOlVEO CONT�GT PERSON N1D PIqNE <br /> G v ^ <br /> ' _ c�� ZSZ_ <br /> 1 HEREBV CERTIFY THAT I HAVE READ AND EKAMINED THIS <br /> vnoros¢ouse oF euid'q APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF UWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> IEOKDESCppTpNpFp�ppEq7Y�ypyYNp��pWppAnkH7Wp�pqES� WORK WILL BE CAMPLIED WITH WFIETHER SPECIFIED HEREIN OR <br /> NOT. THE ORANTIN(i OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �oT a.°p� � AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REODUTINO CONSTRUCTION OH THE <br /> PERFORMANCE OF CONSiRUCTION.THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROP RTV TO PERFORM THE WORK FOR WHICH <br /> �T�1D�Ep� � oo — APPLICATION ADE A I COMPLY WITH THE STATE <br /> CANTRAC 5 LAW . Np pg6 Zpp�yp� <br /> CONST�NIGTION LWN IENDER.ADORE55.TELERIOHE NUA1lER <br /> X <br /> SNi �TURE � 0� E <br /> � CITY BUSINE55lICENSE Np. <br /> • ' PLUNMN(i MECHANICAL <br /> � �• TYPE OF FlXTUqE OR ITEM FEE NO. TYpE OF EOUIpMp1T FEE <br /> _ WATER CLOSET(TOILEn � NC—qMNDLO UNITS , <br /> BATHtt1B ' FORCED AIR SYSTEMS � <br /> � <br /> LAVATOqV(WASH BASIN) � HEAT PUMP <br /> SFIOWER ' UNIT HEATERS , <br /> KITCHEN SINK 8 DISP i CLOTHES DRYERS <br /> DISHWASHER � RANGE HOOD � <br /> � <br /> LAUNDRV TRAV ; WATER HEATER � <br /> CLOTHES WASHEH � WOpO STOVE <br /> UqINAL � ME7AL FIREPUICE(WOpD BURNING) � <br /> DRINKING FOUNTAIN ; FIREPIACE INSERT(WOOD BURNING) ' <br /> FLOOR DRAIN � GAS FIREPLACE , <br /> BACKFLOW PREVENTEHS ; Gq,^,RANGE � <br /> SINK(SEqVICE—BAR,ETC.) � GAS PIP�NG � <br /> ' IXHAUST FAN <br /> � <br /> � <br /> � <br /> � i <br /> SUBTOTAL S ; SUBTOTAL f ' <br /> � <br /> PERMIT f � PERMIT S i <br /> TOTALFEE S � TOTALFEE S <br /> FOR OFFlCE USE ONLY: ' <br /> FRONT$ETB'1CK AE�R SETBRCK SIDE SETB�CK PUN CIIECK NUMBER !EF RECEIPT NO <br /> 115EZONE LOT�PE� V�C�NTSIfE FEES VALUATION FEE <br /> ❑VES ❑ NO BUII�INC ' <br /> MEIGNTUMIT�TION NOpFDWEWNO SIZEOFBLDORI � <br /> UNI�S <br /> i <br /> PIUMBING <br /> OCCVP�NCY Np pi51MF5 OCCUP�NTIO�D B�SEMENT � <br /> G�� MECNIINILAI <br /> OYES � <br /> 0 NO <br /> flflESPRINKLEpREO'D RE�SON AODIf10N�l�l�NCN[CN <br /> OiNEtI � <br /> iIREMARMPEO'D RE�SON <br /> . $T�IE BUIIDINC SIIfIC1UpGE <br /> trvEar,oNst PinNSerraovEDer CITVOFEVERETT runncwonKs ' <br /> LOCAL SALES —_�_ <br /> oeTe TAX CODE IS 7105 TOTAL <br />