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AP�i.ICATIl�! FO� COO�1S`�RUCT!'�4P1 PEi'��IIIT <br /> CITY OF EVERETT•BUII.DING DIVISION <br /> 3200 CEDAR STREET• EVERE'!T, WA 98201 •259-8810 <br /> ❑ DEMOLITION .�COMBINATION ❑ BllILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS: �v '� I %Oy3/ ���' �J✓� S E, �i/���'��(�� <br /> OMmER M�ILACORE55 �itt Zin P��ONE <br /> La.�n� Du,2QAr� 25z��� Q �.,.,�o�� w� �y�w��..� 98�3� �z�b� ��,;_6�imc� <br /> TEN�NT ,^ MAIL/�DORESS �(.IIY 71P PHONP <br /> A�!�'7 <br /> SIGNER MAII�DORE55 LIIY 71P P110NF <br /> ��Sik� ���5 M�,J� ��� �J«rz�_ 9�Zu � �2v�o� 353 -m53/ <br /> GENERAI ONiRACTOR MIJL�DURESS GIY 71i` PI10NE 51ATELICENSE� � <br /> EcKTi21 c vl l. <br /> AUER[sk /�ZvS[_YNZ 5 ZQi2-!��' 3 _�i�cu��11�u( ��t �YJ3(0 7/37'�?Uv �GEG j EG 1 ho�E <br />� MECH�NI' R/.CiOH MAIIADDRE55 f.ITV , / IIP PIIONE STATE UCENSE� <br /> ��.-�kyf�L o �. / ^Cd ��LW4 u Gf;o3� � <br /> EulCa..�Y c�ull�t,r1�Z'd25 �� � U 4 � Ct� / __ 7U'7-(�70v ELELT(. Z(d�J E <br /> PLUMBINCoCONTHA�TOp MAILAODqE55 IfY / Z�P PNONE STATELICENSE� <br /> r-�.�u�Rwl Navti�+.�tc�a s Z�2o� Gnr/� l�ky �«Tr Gf�f13� 7 c �/� <br />� CONTMCTPRIGEDFM/OpN �—�— ' — `����0 i�'E[.%EC.fbVSE <br /> J�D p��, UV U,,�t G�K.*-�fc�( tan �L,�ws��c/ HEATING SYSTEM: �GAS ❑ ELECTRIC � <br /> UE'SCIN BE WONN/�NQSOUARE FOOT�GE INVIX.VEO CONf�f.i PCI150N AN�PMOHE NO �E� <br /> _ N�� ri T lc� /3�S sg �'��s.�./� �f�; ..3JVt 1J.kAU (2�6, 37-N 733 3343-eeoo <br /> ZC4� y4i4qc pe/ sc�.lc Lv2�K} �JRIRl4Fi �Zt�b� 7&'7-b�U� <br /> � I HEREBY CERTIFY THAT 1 HAuE READ AND EXAMINED THIS , <br /> raoroseo use os euuarxi - -- - APPLICATION aNG�<MOW THE SAME TO BE TRUE AND CORRECT ALL <br /> �/� � PROVISIONS OF LAWS AND OfiDINANCES GOVERNING THIS TYPE OF <br /> LMJ `/it5 //N��''� u IL - �"t I GII� yyORK WILL BE COMPLIED WI7H WHETHER SPECIFIEO HEREIN OR <br /> LEWLOESLRIPTIONOFPROPERTY�SIIOWNBELO ORA T�CITWOCOP NUT. THE GRANTING OF A PERMI7 DOES NG7 PRESUME TO GIVE <br /> �or�_BLOCK ov�3��p_, AUTHOFiITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> , OTNER STATE Ofl LOCAL LAW RE•GULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> . — OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICAYION IS MAUE AND I COMPLY WITH THE STATE <br /> PARCEL TAIf I.D.NUMBER -- CONTRACTORS LA^W 18.E7 AND 296200 WAC. - <br /> �CON RUCTIONLOANLrENDER.AODRES. T'E`IEPNONENI1MBEf7 ��\ I'L�,nw X C�j,�,�.y;{// � 4 � �� <br /> �C�IA�1 TI C �. �INI� ���7'' r�C/'" SICN IIR�� 6n�re <br /> �J�'ZG�( M��,(� �J�� CIfVBU51NE55LICEN5EN0 <br /> � PLUMBING MECHANICAL <br /> � NO. TYPE OF FlXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> � T <br /> � WA"fER CLOSET(TOILEn � A/C—MINDLG UNRS ' <br /> BATiRUB ; FORCEDAIRSYSTEMS ; <br /> UVATORY(WASH BASIN) � HEAT PUMP � <br /> SHOWER ' UN!THEATERS ' <br /> KITC4EN SINK 3 DISP �; CLOTHES DRVERS � <br /> � DISHWASHER � RANGE HOOD L_ . <br /> � LAUNDRYTRAY ; WATERHEATER ; <br /> . CLOTHES WASHER � WOOD.liOVE —� <br /> _ _�_ � <br /> URINAL L MEfAL FIREPLACE(WOOD BU�NING) ' <br /> � DP.INKING FOUNTAIN � FIREPLACE INSERT,NJCOD PJRNING) � <br /> � FLOOR DRAIN ~— GAS FIREPLACE � <br /> BACKFLOW PREVENTERS � GASRANGE ; <br /> SINK(SERVICE—BAR,ETC.) � ' GAS PIPING � . <br /> � IXHAUST FAN ' <br /> � <br /> � � <br /> ---�- <br /> -- i � <br /> i � <br /> , � <br /> SUB TOTAL S ; SUB TOTAL S ; <br /> ?ERi.tIT S � PERMIT S -T— <br /> TOTALFEE f ' TOTALFEE S ' <br /> FOR C�FFICE USE ONLY: � <br /> FRONTSETOACK REAPSF.TBACN SIOESETB�C PI�NCIIECKNUUPFn fEF �FCE�PTNO <br /> S 2 � S S�� o <br /> USf.10NE �or�ae� V�CANI e FEES VALUATION FEE <br /> ��� YES ❑ NO pUllf)ING OC� 3 ; 5� <br /> IIEIGIIi UMITATIO � NO OF DW LUNf. SRE OF BLUGrt 1 ___—— � <br /> UNIiS I'111MIIINI i Q� <br /> 26 876 Sf ------------- — <br /> OCCUPANCY /q0i5i(WIfS OCCUPANTIOAD 9A5 MENT MEGInNIC.�t ��U i O� <br /> yc�nouv __ _. <br /> K' VrI ❑YES NO _____ _ — — � <br /> FIPC PR�NNLEHHEO'D flEA50N RUOI71pNq.PIANCl1(LN i <br /> _ _ _ -----r-- <br /> i <br /> 0711F� i <br /> F'f1EAlAl7MRE0'D REASqN <br /> SiAEOWlDIN65URL11�fiGE U/ !� <br /> —"._ �— <br /> tvrEorr.or+ST r�nNs��rnov¢nnv CITYOFEVERETT ruviu:wnn�s 7� ��� <br /> LOCAL SALES ----------—_.._...-- — --- <br /> "� TAX CODE IS 3105 To�M.� <br /> --....5:. �-/.� � o�,E Z�.� ---�----- ---- /33�� Do <br />