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� ,�., .., <br /> APPLICATI6.� FOR CONSTRUCT�JN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT, WA 98201 •259-BB10 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING O MECHANICAL �PLUMBING ❑ SIGN <br /> PROJECT ADDRESS: �Q 7�O �y ��� ��p � f' � <br /> OWNEH � M ES %7� Z' �� P, l.�1J� /�/aC/ I/ ��///I <br /> /!�.J <br /> TE V�II�DpHF55 f.IIY 71P ��{`I N �T�1�— <br /> AqCMTEG OR DESIGNE MNl 11DORE55 GITY )IP PNONF. <br /> �A�1�d64C', 1�r5(5-T a7,�i.s 39fdr �l/E N����j✓� 9�l,�S' ?Ai'I�J�Pc ,����H <br /> 6ENEfULCONTR�CTOq MNlA00RE55 GILY )R PnONE Sf�TE UCENSE• <br /> iI <br /> MECHANICQCONTR�CTOii MNIADORE55 GTY 21P FNpNE SutEIICENSE� <br /> MU4BklCCMlTRACiOR YAILAODpES$ . CIJy' IIP PfqNE $TATELICENSE� <br /> 't�E!-TR6r> t�'Iir,�3%uG /�/G_ f�.0. l3oy /I03/ rco%e��G Wg 9�063 9s26r�7 �rG�r'I0 7SDz <br /> CONTMCT F{pGE OF W011K <br /> HEATING SYSTEM: ❑GAS ❑ ELECTRIC � <br /> DESCRIBE WpRK�ND SOUARE FOO7AGE MVOLVED f.ONTACT PERSON AND PMpNE NO <br /> I kEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> vnovoseo usE ac au�dna APFLICATION AND KNOW TH[SAME TO 8E TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF ' <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGiLLOESCRIPTIONOGPf10PERTY�5110WNBELOWp1ATfACNTWOLOPIES� NOT. THE aRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ioT a�ocK o� AUTHORITY TO VIOLATE OR CANCEL THE PROVIStON OF ANY <br /> OTHER STATE OR LOCAL LAW REGUTATINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOflIZED BY THE <br /> OWNER OF THIS PHOPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> iAqCEL TA%I.D.MIYBEN CONTRACTORS LAW iB27 RCW AND 296200 WAC. <br /> LONS7RUCTION LOAN LENDER.�ODRESS.IELEP110NE NUMBER '1f�G(.GPJ 0�� <br /> . NATURE D�TE <br /> ITV BUSINE55 tICENSE NO. <br /> � PWYBIN6 MECHANICAL <br /> fM. TYPE OF FlXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> • WATER CIOSET(TOILEn � NC—AIHNDLO UNRS � . <br /> BATHTUB ; FORCED AIR SYSTEMS ' <br /> UVATORY(WASH BASIN) � HEAT PUMP � <br /> SHOWER � UNIT HEATERS ' <br /> KITCHEN SINK 8 DISP 1 CLOTHES DRYERS � �I <br /> DISHWASHER � RANGEHOOD � <br /> LAUNDRY TRAY � WATER HEATER ; <br /> CLOTHES WASHER � WOODSTOVE � I <br /> URINAL ' MEfAL FIREPLACE(WOOD BURMING) ' ' <br /> DRINKING FOUNTAIN i FIREPLACE INSERT(WOOD BURNING) i <br /> FLOOR DRAIN � GAS FIREPLACE � <br /> BACKFLOW PREVENTERS ; GAS RANGE ; <br /> SINK(SERVICE—BAR,ETC.) � / GAS PIPING � <br /> �✓FJ7}�/� /L�A7E ' EXHAUST FAN ' <br /> � <br /> � i <br /> � � <br /> � � <br /> SUB TOTAL S � � SUB TOTAL f ; <br /> PERMI7 S � PERMIT S � <br /> TOTAIFEE S ' 70TALFEE S ' ' <br /> FOR OFFICE USE ONLY: <br /> FRONTSEiBACK REARSETB�LK SIDESETB�CN PLANCIIECkNVMBF.P fEf AECEIPTNO <br /> IISESONE LOT�REA VAC�NTSIfE fEES VALUATION FEE <br /> — ❑YES ❑ � OUIl01Nf � <br /> MEIONT LIMIT�TION NO OF DWELUNG SIIE OF BLOGR.� i <br /> UNIfS PltIMOING <br /> _ � <br /> OCCUPANCY NO Of5I0PoF5 OCCUPANTL0�0 B�SEMENT MECNuuICAL � <br /> GROUP � <br /> ❑YES ❑ NO — ' — <br /> FIRESPWNKIERflEO'� AE�SON �ODIIIONMMANCIICGN , <br /> 0111Ef1 � <br /> FIREAIMMflEO'0 AEASON � <br /> ST�IE OUIIDWG 511lICNRRCE i <br /> __ T— <br /> TYPEOFf,ONGT PI�NSAPPpOVEDBY CITYOFEVERE7T �11911f.WOf1N5 <br /> LOCAL SALES — <br /> o�iE TAX CODE IS 3105 7oTA� <br />