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APPLICATION FOR CONSTRUCT& PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 B (425) 257-8810 <br />❑ DEMOUTION ❑ COMEINATION P( BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: 990-0 - _ I 41, jk,;e• S,T� <br />.bAU(c p1wwwuS <br />143o IE vi,poicizIaNK <br />?s 0'1 AI <br />rOv-o 5,4So4- <br />hZT-251-&1" <br />Opi���j� <br />VOL ROORESS <br />an <br />TIP <br />PNGNE <br />i 0me(3Asy <br />3345 AICHELz u� OR.. <br />E¢Jlwt- <br />92a1s <br />114-44* - t-A44 <br />YENANI <br />MN ADDRESS <br />CITY <br />lip <br />FRONT <br />M4U WhNN`f pWW"tle <br />U6W ;1;1Ema (- <br />WAY QE.LL@V-(E <br />98aa5 <br />42G- ezz- ciJ44 <br />AROPoACI OR DSIGNER <br />MAIL AOORESS <br />FIT, <br />lip <br />PMJNF <br />&KTL CTIBIJ A--W <br />. LBX.. 0bl 4� <br />LNANWAaD <br />_ 4804(- <br />Au 9�4-9D65 <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />AP <br />P,gNE SIATF IICF.% <br />MF.CHANICALCON19,07TOR VOL ADORE SS Clry IR PqW STAFF LICENSE — <br />PLUMBING CONITOMFO1 MAIL AIXMESS CITY !IP Pit SWFlICENMA <br />CONIFUCI PRICE or 'NOW <br />HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br />CESCPIBF WJIRIf ANrI SWAPE EOOtAOE M"OIVFO <br />CONTACT PIR5CN ANY FROVE NO <br />Z.611 s o GoR-AlE.RS'r.�N� L[ [I <br />G/1T1 iiaa-lTnc y35 ?7Y�/ <br />�L SF OF GR-1 (iLrF1L IR l\ <br />I HEREBY CERTIFY THA HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE 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 />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING 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 />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 CW AND 296200 WAC. C <br />X (�4-- <br />PRdrosf G usE DE RwIdNG <br />LEGAL DESCPIPIICN W PIROPERTY 1500001 BELOW ON AFTACH FIND COAE51 <br />LOT BLOCK OF_ <br />,sdj --O ZO <br />wlCEL TAXI 0 NUMBER <br />Ca1SIACTIONLOANIENMP. AGGRESS. IEIEiMONE MAZER <br />SIGNATURE DAr <br />CITY BUMNESS DCENSC NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIC-A/HNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK S DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />--� <br />SINK (SERVICE -BAR, ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />SUBTOTAL f <br />SUBTOTAL S <br />- <br />PERMIT S <br />PERMIT S <br />TOTALFEE $ <br />TOTALFEE $ <br />FnR OFFICF ELSE ONLY: <br />FRONT SFTRACK <br />REAP SYRIA" <br />SICf $f IBACR <br />PLANC14ECK NUWrR <br />RECEIPT NO <br />spy <br />3 <br />USEIONf <br />t01 AREA <br />VACANI MIe <br />FEES <br />VALUATION <br />FEE <br />BMIdNC <br />_ <br />Oa <br />mfs ❑lu <br />NEIGNt[IMITATION <br />NO DOWELLING <br />SITE Of ROGIT. <br />I <br />LIMITS <br />PlII4Rlvf <br />��� <br />OCl:11N4(.Y <br />NJ MSF�RfS <br />C(:CIIVANI IUAO <br />BASF4FN1 <br />MTC.NANK.AI <br />_— <br />GROVP <br />❑YF5 D4O <br />AGXIRINN_ n ANCW.CK <br />FIRE SMIINKLEP PEO'O <br />RfASD1 <br />OINEP <br />EIR(AURAI RCO'R <br />RFAtOV <br />SORT RurtUwG SuxNATIGf <br />Y ,� <br />T'PQ Of WINST <br />P[nvsAPPP$$V�FDRY <br />CRY OF EVERETT <br />Punur. vrtwws <br />—Jr/ -� <br />1/K <br />LOCAL SALES <br />rota <br />OD <br />OArL 2 - 9 E <br />TAX COOS IS 7105 <br />