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APPLICATICO FOR CONSTRUCTIMIN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: .lc1Tµ Aw SE k 100,,II, ST SE. <br />1'10h" fi,k. <br />TENANT uAR MfIRSS CITY )!P WKINE <br />GENERAL CONTRACTOR MAID AIXNFSS SCITY P,MYWE STAR LICFNSF• <br />Evet4t� n K,4ra,E! AiIA + `7 7-7 I� Tcen. ,J Sew wt. `fs5 o°) 763'1744 EvEKX611,1f uID <br />MFCHANICA CONTRACTOR UK ADDRESS On IIr pNO,lr SIAIF LKERSE• <br />PIUMR0.GCDITPACTCA MML ADDRESS CITY ZIP PNONF STATE I KENSF• <br />I Ncs. wa <br />CONTRACT PRICE Or WORK <br />HEATING SYSTEM: )GAS ❑ ELECTRIC ❑ <br />CFSIPIBF VYJPn AH05OUAPF IOOTAGE YRNXAD ( <br />I rs 1 <br />COARACTPFRSONANOPPONF /NO <br />k� I�A,��T 7 <br />10 f�ALkAc+t- GAs1�M.ls <br />I 'FA,�-F �j ....++`- y+Co .e G) T\4JiFAN tT <br />I HEREBY CERTIFY THAT 1 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 WIIL 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 />F <br />CONTRACTORS LAW G�W AND 296 200 WOIAA <br />LF <br />PADPGsrOUSE or muIDND 1'��� <br />r <br />LEGAL OESCPIPOGN of PROPERTY 15,gWN BLLOWGRAOACH TWOCONESI <br />LOY BLOCK Dr <br />PAPR�u <br />oiO <br />CGNSIItKIRN LOAN INOR ATTIRE <br />TG <br />YBUSINESSI• :NSCNO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />U <br />A/C-A/HNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />_ <br />SHOWER <br />GFEENO. <br />UNIT HEATERS <br />_ <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />I 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 />SINK(SERVICE - BAR. ETC.) <br />GAS PIPING <br />_ <br />EXHAUSTFAN <br />SUB TOTAL f <br />SUB TOTAL f <br />100 <br />PERMIT f <br />PERMIT $ <br />TOTAL FEE f <br />TOTALFEE f <br />Z Clr' J <br />FOR OFFIC <br />FPONTSFTBArn <br />'ISE FONF <br />HEIGHT INRATK)! <br />fO. 11PANCY <br />NO <br />FIRE SPRnmIFH RE <br />FIRE ALARM AEG <br />IrrF OF CONS, <br />