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APPLICATICI. FOR CONSTRUCT►�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION �C���� <br /> 3200 CEDAR STREET•EVERETI,WA 98201 •259-8810 <br /> ❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL �J PLUMBIIdG ` ❑ SI(iN <br /> � PROJECT ADDRESS: /04 29 %�J� /�j� SE _.l�= z n ���s,� I I 5 3 <br /> OM71EH MIVl�Op1E55 GITY l�r PIqNE <br /> �f��n W (�R/LRt� 24�20�18 L���l� tJ4N l,y�a�w�uo:.l 9piD36 lZvb) 7L'7- b7Uc� <br /> 7E1UN7 /'r NNt�0pRE55 f.1T llf• t`I <br /> ��"�Ni�"�`HilO�t�o,�/ CvF,� 2U3 Zoh � - �o <br /> GF e� ti���oV ErrJ-r��•r�.zs 7H i��z� .3(� U6aJE <br /> 6ENEMLfANIMLT00 MUL�WRE55 GIY ---.—.....- �. '-"'�' --�IIUNE SUTEIICENSE� Z�j7(j]'�JW <br /> �cn?�c.+� r��zb� ��r�a�c.�oks 7�� �L �,,, � , c� (�w�..�e�.� g0�3G E�fcCrEC/bOTL� <br /> MECNANICALCONTRACTOR AWlAf1011E55 GfY � PIIONE ST11TElICENSE/ <br /> I�c�ic�� �!U�.������Acru,2s Z�'Z+J-� � L�..�.,i+�k (�r,,.v.,.�• f'u3b _« cc.r�LiL�•�,TE - <br /> PLU►lRqCONTMGTpi MNLM,ONE55 CI1V lln� P!lONE STATEIICENSE� <br /> ,� > �, Si;K d�"��G�t- /�FJ�D'��E 98z'!r <br /> c�rn�cT vwce oF vronK <br /> �a.vJ (yte k+•-vo/ �F.�c i.,.OG��I�.s HEATING5YSTEM:�GAS ❑ELECTRIC ❑ <br /> pE Wpry{�Iq$qUApE F iAf3E INVOWED CONI�CI�C1150N M!b P/qNE ND /y� <br /> �lJ.G,s��.- -�.... Q�i�c� Cuit �c,���� �ot��337-y1733 <br /> L»��y Sn�,�� 2676 S�, -7�-{ L��ta w,t2�r.. 1,_[2�17�-b�x� Z"�f <br /> � ��K �U� f . �" 1 HEREBV CERTIFV TI1AT I HAVE REAO AND EXAMINED THIS <br /> � u" � � APPUCATIDN AND KNOMI THE SAME TO BE TRUE AND COHRECT ALL <br /> o us as eu�aNn PROVISIONS OF IAWS MID ORGINANCES GOVEHNIN„THIS TYPE OF <br /> � � C — .r�r I t����" YYQRK WIiL BE ClM1PLIED WITH WHETHEF SPECIFIED HEREIN OR <br /> oe cwrrawavaavEa �awwee�oww rwocovies� NOt THE ORANTINB UF A PERMIT DOES NOT PRESUME TO 61VE <br /> i��_�� � AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> � J OTHER STAiE r,•A LOCIIL LAW RE6UUTINO CONSTRUCTION OR THE <br /> JIIAf J ,(,J � �C[-/i�'� Zv T 2� N PERF05MANCE OF CONSTRUCTION.THAT I AM AU11i0i11ZED BY THE <br /> OWNER OF THIS PROPERTV TO PERFOFM THE WORK FOR WHICH <br /> . !� s� W Y„) �� �� �v ��� APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> � �� — CONTRACTORS LAW 1827 AND 2 200 WAC. <br /> v�nce�r�x i.o.ran.�n / <br /> ' CONS �f LOAN LENOER. 5 .TELE MIMlER x Cw � �� (/L/�« I S �/ 7� <br /> so�T� re ���eu r'�•�^P i -a?7Z 5 °OZ.76Sa ��,E I <br /> . CITY BUSINESS LICENS[N0. �+ <br /> p��Np MECHAINCAL <br /> � NO. TYPE OF Fl)(TURE OH I1EM FEE N0. TYPE OF ECINPMENT FEE <br /> , � WATER CLOSET(TOILEn ' NC—AMNOLQ UNfTB � <br /> � g���g ; FORCED AIR SYSTEMS j _ <br /> T <br /> LAVATORV(WASH BASIN) � HEAT PUMP ' <br /> —•-- <br /> gHpyyEp � UNIT HEATERS ' <br /> KRCNEN SINK 8 DISP ; Z, CLOTHES DRVEFS � <br /> DISHWASHER � RANGEHOOD ' <br /> LAUNDRY TRAY ; WATER HEATER � <br /> CLOTHES WASHER � WOOU STOVE ' <br /> URINAL ' MEfAL FIREPIACE(WOOD BURNIN(i) ' <br /> ORINKINO FOUNTAIN � FIREPLACE INSEpT(WOOD BURNINQ) � <br /> FLOOR ORAIN � (V�S FIREPLACE '. <br /> BACKFLOW PREVENTERS � C�S RAN6E --;— <br /> SM1K(SERVICE—BAR,ETC.) � GAS P�P�N6 � � <br /> E%HAUSTFAN � � <br /> � <br /> � <br /> _. � <br /> � <br /> i <br /> i � <br /> � <br /> � <br /> � <br /> SUB TOTAL S � SUB TOTAL f i <br /> PERMIT f � PERMIT = � <br /> TOTALFEE f ' TOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> FIIONTSETB�CII AEMSETMCK . SIDESETBACK PIANCIIECNNUM8ff1 FEP REf.EIPTNO <br /> b I D S 5 03 <br /> treeia+� IOT�REA vAG�Nf51fE FEES VALUATION FE�_ <br /> �a ❑res No aininwa ,� a.�� I�J <br /> NEIGHT IIMT�TjQN MO Of UWELLING SiLE OF:'.00.R � <br /> 1�� unrts 2 24 S.� Lw�iJ4 t PLIIMOINfi ��� 't70 <br /> G D A --- /l <br /> pCCWANCY Iq0�5i(MIIES OLLUPANTlOAO BilSEMENT MF�II�NK.A1 — ,a{/ i• �� _ <br /> R, v-, y �.ES � ; <br /> FlRE SPfUNI(LER flE0'D �00�I�ON�I.PL�N CHf f.k � <br /> RE�SON � —i--- <br /> 0111FR � <br /> FIREAfMMREO'0 AF�SpN -- �I� -.1 <br /> $T�IE BIIII�INF SII�C1���6E �.,, <br /> irrear.orisr ri�Nsevwwvener- CITYOFEVEFE7T ruanr.wonKs - >r� � '. � <br /> -�{� �,U� LOCAL SALES --' - s�� <br /> ,_y._-'l.{ uerE l.� 30 5(o TAX CODE IS J105_ TOTAL _ <br />