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^ � T <br /> . APPLICATIOid FOR CONSTRIDCTiON PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET•EVEREIT,WA 98201 •259-8810 <br /> ❑ DEMOLITIOH ❑ COMBINATION ❑ BUILOING ❑ MECHANICAL ❑ PLUMBING 1$ SIGN <br /> PROJECT ADGRESS,:,� 020 - 1`3� VE• S��- CVE/LF7'j"— "'' <br /> ��4 S✓YIT l� //;xt�' /7D'3l o l3l0�I"l .SE o �OSg ,� �da� <br /> �LADOliE55 cm Im r��pNE <br /> /�I9Pl7 Mc�rZPN4s /l020 -/p � AVE S r' EV2T7' w,� y�2o Sr 228- Zp 27 <br /> IENANT MNLAOOR[55 CIIY 71P PIIONE <br /> ��1�/� Mvnv�rYs ll ozo-l9 �' Avr S.F_. �vR77.' cvq- ��2oY �28'- u�z� <br /> ARL/tlTEGTOROESIGNER MAll�00RE55 CI1Y 71� PMpNE <br /> GENEMICONfMCTOR I,1uLA0017F55 C�IY 7�P PUONE Sf�7ELICENSE• <br /> �EkIQYN�oI�Cv, ��.�oX 5269 c���n�voe d Wl4 9�"oyb �76-5'8�S B��21Z�fNca77GM <br /> MECNANI��ONTMCTOR MNLADDRE55 CIIY ZIP PIIONE STATELICENSE� <br /> PLUMBWGCONfRACTOR MMLADDflESS �rtY jlP PHONE SfAiEIICENSE� � <br /> JNIMCf PRICE OL Vpql( <br /> �y77D �—' HEATING SYSTEM: ❑GAS ❑ ELECTRIC ❑ <br /> ESCPolE WOqK AND$pUARE FOOT�GE W VOIVED CONfACT PEIISON ANA PNONE NO. <br /> AG f� s F fNrE'aio,p ic�✓.G,�n��reo • <br /> ���.�,, O N 9�OG. M 192quE�, p,q�,�r �z� <br /> 1�I�NS QAl /2�� gL.DG-- W(L}L� � HEREBV CERTIFY THAT I HAYE FiEAD ANO EXAMINED THIS � <br /> •�OPOSEO USE OF BUItDINO APPLICATION AND KN01Y THE SAME TO BE TRUE AND CORRECT ALL <br /> ZZ� - • PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WIIL BE COMPLIE� WITH WF7ETHER SPECIFIED HEHEIN OR <br /> �eea.o¢sce�rria+oaerrorennisr+owr+ee�owon�necNrwocories� . NOT. THE ORANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> iot eiocK or AUTHORITY TO VIOLATE OR CANCEI THE PROVIS�ON OF ANY <br /> ' OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> SeL S/T�' PL! N PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH � � � <br /> APPLICATION IS MADE AND � COMPLY WITH THE STATE "�� <br /> �P EL TpA.X I.D�.^NUMB/E�fl r G CONTRACTORS LAW iB.27 RCW AND 296200 WAC. pT P'� ` <br /> OQJ �7 ��QJ ''OQV ! ��.. <br /> CONSTPVLTIqN LOAN IENDER,A00qESS.TELEP110NE NUMBEIi X ��7� �'�� �� (/�.� �� � � �� <br /> ".,F��: <br /> `V'� : ";:wr`° <br /> 516N�TURE D�IE �� <br /> .� . <br /> _ ']r5� <br /> �� CIfYBU5NES5lICENS[NO. bZ . �,�y,'f: <br /> PLUMBING MECHANICAL . . - <br /> NO. TYPE OF FUfTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE � ��' ��'"?= � <br /> WATERCIOSET(TOILET) � A/C—q/HNDLOUNR3 � �''�'� � <br /> BATHTUB ; FORCED AIR SYSTEMS � �+r�=Q'�x�' <br /> LAVATORY(WASH BASIN) � HEAT PUMP , ` ' '=��I <br /> SHOWER � UNITHEATERS � T�;;,��y� <br /> KITCHEN SINK 6 DISP i CLOTHES DRVERS ' �'�� <br /> OISHWASHER � RANGE H000 , `� <br /> LAUNDRY TRAY ; WATER HEATEq � � � � � . <br /> CLOTHES WASHER � WOODSTOVE , <br /> URINAL ' METAL FIREPLqCE(WOOD BURNING) � � <br /> -� DRINKING FOUNTAIN i FIREPLACE INSERT(WOOD BUNNING) ; <br /> FLQOR DRAIN � GAS FIREPLACE � <br /> BACKFLOW PREVENTERS ; GAS RANGE � <br /> SINK(SERVICE—BAR,ETC.) � GAS PIPING , <br /> ' EXHAUST FAN � . <br /> i � <br /> � � <br /> i � <br /> � � <br /> � � <br /> SUB TOTAL S ; SUB TOTAL f ' <br /> � <br /> PEFMIT S � PEHMIT S � <br /> TOTAL FEE S � TOTAL FEE S � <br /> FOR OFFICE USE ONLY: <br /> Fiip1T SETBACK REAR$ETBA�N SIOE SETBACN PI�N CIIECK NUM 0 fEF � RECEIPf NO <br /> N� � �J� � 5. 35 <br /> u5E20r1E nEA ynCeNISnE E VAlUAT10N FEC <br /> �-Z �7i 3z� o.Es o <br /> nunrnNa . � <br /> NEI�NT UMITATION NO OF OWELLIN6 512E OF tllU6/I,1 <br /> � <br /> O�- �`11� UNIB � PlUM01N6 <br /> hoa- I <br /> pCODUPANCY Iq O!SIOPofS OCCUPANI LOFU BASEAIENI MECIIMlICAI i <br /> y ❑YES ❑ NO • � <br /> =1P.ESPRINKLEflREO'0 �EASON �DD�iIONALPUNCIIGLN � <br /> O111E0 ' <br /> =1iiEALAfIMflEO'D REASqN ' <br /> ST�IE OWl01NG SUIILIU06E „S f� <br /> rl—� <br /> fYVEOFf.ONSf PtANSA DY C�TYOFEVEREIT P1�811f,NpOKS � ' <br /> � LOCAL SALES � <br /> D�TE � - �y.9 T:i% CODE IS 9105 TOTAL =�� <br />