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.� <br /> APPLICATI�.N FOR CONSTRUC'� rON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETf,WA 982G1 •259•8870 <br /> ❑ DEMOUTION ❑ COMBINATIO',�3�UILDIJIG O M'EJCHANICA^L O PLUMBING ❑ SIGN <br /> PROJECT ADDRESS: �� CO�P/�.� �T -�M� �E t� P�' �7G A1/E ' <br /> P�"�a �f�'�Xe� �Z✓O 96 t� Hu 5 �dP�� '�'!kZO�' �Cb' -3�5�/b�7 <br /> O'MIER MUL�ODRE55 CIfY S�� �HO E <br /> Qf� .g�ixP/ /Z/o 9�0�' �1.� SE ���� �'Zos'� 33!/-/6 �7 - <br /> 1E�N�N�Ty Y/A+llADO(1f.55 CIiY tIP Pi�ONE <br /> --T'C� f�.��% `fYJ57lZGf i/O� CO.. <br /> ARLMTEGT OR UE9GNFN M�It�OUf1E55 Cltt 7�� �HONE <br /> �'GJ�ST Co?sT. Co. 30? $Pi( ST. C7��'ro'�65 98aao 2�'� �733 ��vCcioinF <br /> GE,NE,RKCONTMCTIXI M�ILAO�fC55 CIIY ]iP PuONE 51aElICENSE� <br /> ME'L/u+iCALCONTR�CTOR MMlA00RE55 Cltt Z�P P110NE ST�iELICENSE� <br /> N�A" <br /> PI�BINCCONTPA�TOR MA'1,AOORE55 GIfY DP PNONE STATEIICENSE• <br /> ca+rrucrrr�ceocvronK HEATING SYSTEM: ❑GAS �ELECTRIC ❑ <br /> I�SGPoBE Wd�K�ND SOU�RE FOOfAGE INVOLVFU CO T�CT 1'CRSON�NO PMONE NO - <br /> /20 59• fT. �SPresSo �/d�_ 3^ 7 —/b <br /> Sx�s' r.lsA <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> � APPLICNTIUN AND KNOW THE SAN.E TO BE TRUE AND CORRECT ALL <br /> PP.Mp5E0 V oc e�n�dr+a PROVISIONS OF lAWS AND ORDINANCES GOVERNING TNIS TYPE OF <br /> �resso ��P�� WORK WILI BE COMPLILD WITH WNETHC-R SPECI'rIED HEREIN OR <br /> IEGAL0E5CPoVT�OMOFV110VERTYI��NBEIOWdi�TT4GN7WOCOFiES) NOT. THE ORANTIN6 OF A PERMIT DOES NOT PRESUME TO GIVE <br /> toT e�oc� ov AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> O7HER STATE OR LOCAL LRW REGULATING CONSTRUCTION OR THE <br /> ��.� PERFORMANCE OF CO�STRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORid THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPIY WITH THE STATE <br /> � CONTRACTORS LAW 1827 HCW AND 296.200 WAC. <br /> PNCEL TAK I.D.MMBER ��`� <br /> ' CONSTI�IlCn011lOµ�ENDE0.�DDRESS.TElEPNO'�EMIMBEii �(�=""�/� /�! �� <br /> N/� " � �MI��O� �� —7 D�TE <br /> CiTY BUSINE55 UCENSC N0. <br /> PlUM81N0 MECHANICl1l <br /> NO. TYPE OF flXTURE OR ITEM FEE NO. T/PE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILEn � A/C—ARiNDLG UNfTS ' � <br /> BATHTUB ; FORCED AIR SYSTEMS � <br /> LAYATOHY(1NASH BASIN) � HEAT PUMP ' <br /> SHOWER UNIT HEATERS ' <br /> KITCHEN SINK 6 DISP i CLOTHES DRYERS � <br /> DISHWASHER � RANGE HOOD <br /> LAUNDRY TRAY ' WATER HEATER � <br /> CLOTHES WASNER � WOOD STOVE ' <br /> URINAL � MEfAL FIREPLACE(WOCD DURNING) ; <br /> DFINKING FOUNTAIN FIREPLACE INSERT(WOOD 6URN�NG) � <br /> FLOOR DRAIN � GAS FIREPLACE ' <br /> i <br /> BACKFLOW PREVENTERS ; GASRANGE . � <br /> SINK(SERVICE—BAR,ETC.) GAS PIPING <br /> EXHAIBTFAN . <br /> i <br /> i <br /> � <br /> SU0 TOTAL f � SU�TOTAI S r <br /> PERMIT S _�— PERMIT S � <br /> TOTALFEE f ' TOTAIFEE S ' � <br /> FOR OFFICE USE ONLY: <br /> FRONTSETBACN REAPSF.i6�Le SIUESETB�LR PUUCnECNNU�NF`�fI � fE��� �Ef.EIMNO <br /> /C7 I)Ile'K � �•. ✓�-V <br /> USE 2a+E_ � ioi enE� vec�ar s��E FEES VALUATION F__ E�_ <br /> � �� n!, <br /> � YES ❑ NO OUIlUMO � �� �v`-' <br /> NEIpHT IIMITATION NO OF ONElLINO SIIE OF OlOG21 <br /> �v i UN115 � �� PUlM01NG �_ _ � <br /> ' T <br /> OCGUV�NCV M 0�51(MiES OCGUPANIlO�D BAS MENI uEpUrylWl <br /> GROUP � ' <br /> ❑YE$ N� <br /> RDUI IIpNM.Pl�N CH(.GR <br /> FIRESP(UNKLERREO'D RfA50N — <br /> �v� �OIII[I� <br /> FlRENMMPEO'D AEA50N — � � ` <br /> N� 5iA1[OlI1l01NG5114iL1U0QE ----_ � U`U <br /> ---�-,-- <br /> � ttveoFqor+sr / �L�NSl�P ovennr CITYOFEVERE7T rumv.wanKs — _ - -- ���._ <br /> j �'I� LOCAL SAlES <br /> V✓ ��i �>„rE � -1� TAX CO�E IS 3105 TOTAL __�� ' S� <br />