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APPLI�A�Ia i F'OR CONSTRUGT...JN PERMIT <br /> CITY OF EVERETf• BUILDING DIVISION �.7T <br /> 320p�EDAR STREET•EVERETT, WA 98201 •259-8810 <br /> �� <br /> ❑ DEMOLITION ❑ COMBINATIClN ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING �SIGN <br /> PROJECT ADDRESS: / �j Z 3 - � 3-f� 5 f r li c�' � T� 1 w�fF %S��( <br /> OWNEA unaaocnEss cm zir r��o�+c <br /> l,</ ,� � Y- � � NA w���� ���� r3� S�g c✓e�c��f 1,�,��} `I��' ZO G �:��% 3/G ���� �� 3 <br /> IEH�NT IANLApORE55 CIIY IIP PIIONE <br /> ��2 IA/'Nt�2 /S Z3 - 3 T�= >�" G-: ✓e�ce {f , r,✓� 4 8201 Zo� 2 s 2 - 3 Za 3 <br /> ARGIntECTOf1DE51GNEn MFIIAOD�ESS CITY )IP PHONE <br /> GENEOA�Wttt{IACiIXi MAILApU0E55 CILV IiP p�IONE SfAIEIICENSE� <br /> S_+�-A--2� a /o/2i i=tieczs,z.e� w�L_ve�«7�, t/� 9 � �Y 2CY3ss -5'i � 3 2R�✓ScL�a�z^�� <br /> MEEH�NICALCONTR�f.TOR M�ILADDf1E55 � .fIN 21 PIIONE STATcUCENSE• <br /> PWMBMGCON7RA�Jpp MnILADORE55 CI1Y IIP PIIONE STAiEUGENSE� <br /> CON7RACTPRIGEOF 0(1N <br /> a �I. ��I NEATING SYSTEM: ❑ GAS ❑ ELECTflIC ❑ <br /> OESCf11BEWORK�NO OU�PEFOOTAGEINVO:VED CONTACTPEnSONANDPHONENO <br /> ' e i c� 2 d• ,u Z GG 3�3 -Y� �� <br /> - � ' � SQe - <br /> ��I' / I if-���C.�S� 'I — ��//:1 lG]'�tT�' � HEREBY CERTIFY THAT i HAVE READ AND ExAMINED THIS <br /> PROI'OSED USE OF OUIIDING APPLICATION AND KNOW THE SAME TO BE TFUE '.ND CGRRECT ALl <br /> PROVISIONS OF LAWS ANJ QRDINANCES GOVERNING THIS TYPE OF <br /> WOPK WILL BE COMPLIED WITH WHETHER SPECIFIED HFREIN OR <br /> LEGA!OESGRIPTIONOFPROPERTY�SHOWNOELOWq1�TTALIITWOCOPIES� NO7. THE G�iANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �or l7 to t„t to oiocK�_or 7�"G�r '✓e a P AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> � OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> ��L i � YY) L X c � �E (✓�� g PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> / ^ OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> Pn2 cv ,/.�5 2eC «,� '„� G� APPLICATION IS MADE AND I COMPLY WI7H THE Sl'ATE <br /> PMCEL TAX I.O.N111A�EA CONTRACTGRS LAW iB27 qCW AND 296.200 WAC. <br /> 38f - 882 - - 2 <br /> CONSTRUCTION LOAN tENDER.A00RE55.TElEP110NE NUM�E{i x ,� ��E^-�24d� Z- y- / / <br /> SIGNAiURE DATE <br /> /��> ��olr 7 �7'S V <br /> COY EUSINES£UCENSE ND <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) � A/C—A/HNDLG UNRS � <br /> BATHTUB ' FORCED AIR SYSTEMS ' <br /> � � <br /> IAVATORY(WASH BASIN) i HEAT PUMP � <br /> SHOWEF � UNITHEATERS � <br /> !(ITCHEN SINY,8 DISP i CLOTHES DR`lERS ' <br /> UISHWASHER � RANGEHOOD � <br /> LAUNDRY TRAY ; WATER hiEqTER ' <br /> CLOTHES WASHER � WOOD STOVE � <br /> UFINAL � METAL FIREPLACE(WOOD BURNING) � <br /> DRINKING FOUNTAIN ; FIREPLACE INSERT(WOOD BURNING) ; <br /> FLOOR DRAIN � GAS FIREPLACE � <br /> BACKFLOW PREVENTERS ; GASRANGE ; <br /> SINK(SERVICE—BAR,ETC.) GAS PIPING <br /> EXHAUST FAN <br /> � — <br /> � � <br /> � � <br /> � <br /> � <br /> � � <br /> SUB TOTAL $ ; SUB TOTAL $ <br /> PERMIT $ � PEHMIT S i <br /> TOTALFEE S � TOT�LFEE 5 <br /> FOR OFFICE USE C1NLY: <br /> iRONTSETUALN PENISF.TORCN SIDESETB�CH PIRNCIIECKNl1u0-Ep FEF _,�ail RFCEIPTNO <br /> Nn ,v� .�� 5�1�{ L �� <br /> use zoNe yer•nee v�cnNr sne FEES VALUATION FEE <br /> _ �- 3 z . Z�� o.ES o Na o������� 2 -o a; — <br /> IIEIGIIiLIMIT�TION NOOFDWEILIHG SIZEOFOLOGRI <br /> �J _ ��1,�� UNII$ �^ PIUTA�INC i <br /> h-ah <br /> � T� <br /> OCCUPANCY NO Of90�rt5 OCCUPANILOAD OASE1AENi <br /> GIlOUP MECHANICAL <br /> ❑YES �]NO - <br /> FlIiESPflINNLERflEO'D RFhSON ADDIiION�LPLAN�11f.CN <br /> -�-- <br /> on�en <br /> FIREAIARMflEO'D REASON � <br /> STQE OUIlI1W6 SIIfiC11A0GE �� <br /> TYPEOFf,ONS� PLANSAP VED�Y CITYOFEVERETT �IIflI1f.WOHKS <br /> ,�✓S 1 LOCAL SALES — —i— <br /> o�rE , TAX CODk :S 3105 TO7aL � <br /> - _ . ,:*�;„3 <br /> . ._ <br />�, ;. _ . , <br /> �-, _.-:�t <br /> � w � ;,. � -�_�:- �. _�s . y � �.-� <br /> � .,. <br /> w s��4.—._' L '��� <br /> .. _._ . . . ._ . _ . _ _ _ e�.�— �.:___ . .. . �-'i <br /> . _ _ _ . _.r '�..�.[.___._ _ _. __ . ct�. -.tt__ �a_ <br />