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�y��"�1/N��Yr� ro■� V���7���V� .JP1 PERM17' <br /> CITY OF EVERETT • BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 9B201 • 259-8810 <br /> I I DtMOLITION i I COMBINATION �BUILDING I l MECHANICAL I I PLUMBING I�I SIGN <br /> PROJECT ADDRES� / �_ v0 ,d �/�� Ev2 r�e�� I�1`� rI�� � I <br /> OVMER MN�AODFlE55 CIiY ZIP PHONE <br /> 7�A�-�-Y �6rnE� �3/(e-ful.�m.��ur � Su.a`a /oo ZSp-.�'.(. �1�/�IZ 37-8-37� o GxTZa(� <br /> tEN�NT MAILAODRG55 <br /> ARCNItECTOR�ES�GNER MAILA�ORE55 CITY 7.IP PMONE <br /> F[NEPALCONTR�CTOR MAILApORESS CITY ZiP PHONE S�ATELICEtJS[n <br /> Sihrle i9S Ou�N�R- DAu- YEi$ G7.oL7 <br /> ldECNANICAICONiR4CTOR lAFILF�p�E55 CITV ZIP PuONE $TATELICENSEM <br /> PLUMBING CONTRACTOR h1ML A��RESS GITY ZIP PHONE SinTE IICENSE k <br /> CONI(tACTPRICEOF WOPK hFpT1HG SYSTEM: DQ GAS rl ELECTRIC I:l <br /> DESCFIBE WORK ANO 5/6�'IME FO.OT,AGE INV�OjLVED �/j� CONTACT PEASON�Np PIIONF N0. <br /> _�_ ;.�n /p .f-2yLi�y /CL'G/d.L'N.Ct NHfI(�4-l�. YWVC '•Z ) �' .".� 7� O CKT �06 <br /> �<�.�yy�� D 5 5 ' Q..Z -- <br /> v <br /> ' HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> �M� Q} S L G _/� ;ppLICHTION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> < <��nn�FT'n��mca»"�— ' PROVISIONS OF LAWS AN� ORDIIJANCES GOVEFNING THIS TYPE OF <br /> iecn�� w.y�u•/.��� -QS/��'C.L , WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> iP ONOFPROPEf1TY(SMOWNOELOWORPTT�CHTYlOCOPIES) NOT. THE GRP.NTING OF A PERMIT DOES NOT PFESUME TO GIVE <br /> �pT�OLOCN oF�il � � T AUTHORITY TO VIOLATE OR CANCEL THE FROVISION OF ANY <br /> FD.tCST �IP�R k– OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> ?ERFORMANCE OF CONSTRUCTION.TIiAT I AM AUTHORIZED BY 7HE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY K'ITH THE STATE <br /> — CONTRAC ORS LAW 1827 RCW AND 296200 WAC. <br /> PAflCEL TA%I D.NOMOER <br /> gd � � - � � � - 04 � , 3 _ _ y� <br /> CONSTRUGTIONLUaNLENDFR.ADDRE55.7ELE?HONENUMpER x — <br /> SIGN RE DATE <br /> CITY 6USME55 UGENSF NO. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM F�_ <br /> � WATER CLOSET(TOILET) � A/C—A/HNDLG UNITS—H.P. ' __ <br /> BATHTUB ; FORCFDAIRSYSTEMS—B.T.U. M E.A. ; <br /> –T <br /> LAVATORY(WASH BASIN) i EAT PUMP ' <br /> � SHOWER ' U T HEATERS—B.T.U. M � <br /> KITCHEN SINK 8 DISP � ClOT� S�FYERS ' <br /> DISHWASHER � VENTILATTC3N FAN � <br /> LAUNDRY TRAY i RFNGE HOOD � <br /> CLOTHES�WASHER WATER HEATER ' <br /> URINAL ' \NOOD STOVE � <br /> ' METAL FIREPLACE(WOOD NMG1 � <br /> DRINKING FOUN IN � <br /> FLOOFi DRAIN � FIREPLACE INSERT(WOOD BU NG) ' <br /> BACKFLOW PREVENTE ; GAS FIREPLACE � <br /> SINK(SERVICE—BAR,ET . GAS RANGE ' <br /> � GAS PIPING � <br /> i EXHAUST FAN ' <br /> � <br /> SUB TOTAL S '; SUB TOTAL S � <br /> PERMIT S � PERMIT S � <br /> ,. , TOTAL FL"E S ' <br /> TOTALFEE a <br /> FOR OFFICE USE ONLY: <br /> FEE. RECEIPT NO <br /> FRONT SETFIACK � RE�fi SETBh�N SIOG SETOn�K � ALAN CHECK NUMOER �/'� � ,i�`��\� <br /> 2U '�Z O S �'1 � L� G <br /> �orn�en VACANiSITE E S VALUATION FEE _ <br /> use z _ <br /> , � �O�O �s n No ppIL�ING ' �� O7 ' <br /> � <br /> MEIGHTLIMITATION � NOOFOWLLLING 512EOFBLOGRL � <br /> 2 UNITS 1 ��$ s� GQ�QG� PLUMBING � <br /> i <br /> OGCUPANCV I10 OFS70PIE5 OCCUPnM LOA� BA9EMENT —�' <br /> GROIIP� � 61ECHANIC�L <br /> Z J � r7 YES L'NO � <br /> FIRE AIARM REO'D RE�SON AODITIONFI.PLAN CHECK �. J � � i <br /> i <br /> ��O OTIIER �_� <br /> FIRESPPINNLEliREO'D f1EA50N ' <br /> ST�TE Bl11LDING SUFCHARGE � t� C� <br /> TVPEOfCON� PLANSA�PP VEOBY CITYOFEVERETT �UD��CWORKS ���� <br /> � N" LOCALSALES ��'�;� > <br /> �-/J onte '� Z� � TAX CODE IS 3105 707AL <br /> . ' ""�1`^ � ''�..,, .� '"� . � , . . <,�y <br /> . <br /> • . -.✓ ar��.r.-i'Ax,.�" w- � � �y�ry�. , :. � �' � <br /> -- .'.� r ..a""'°�'w#t5&'f:!..�,�'��"k, 's� �Ne�'� C . � �' <br /> "`�` :�.( h " z'� '2F.,'��'�'t��Y �,u�L�,gi� u"' _. <t,�'�1� <br /> C= � ' . i.Y'�.� . .. . ^�'S :�.`R� �°�;�M1 .\i S�.i' <br /> r 5 <br /> _ v � <br /> r, -� ii+.::[ Y, ... ...�ii�y�� . �i"h'v.r.l.�.�...-; <br /> , �y .. y_��rF :�.� ... .... -� .....n��+,.. .. <br />