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•-, <br /> APPLICAYIG.�B FOR COId�TFiUCT .ON PEIRMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVER[1T, WA 98201 •259-8810 <br /> ❑ DEMOLITION ❑ COMBINATION p" BUILDING O MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS: �/'yz y /d T(� U�- �� <br /> S'�/!'I �JE'��r�U /O`���/ /07'�brs r �Ycrc7T J L�S�' -�7Js---� <br /> OWNER MAILAWftE55 Cln. ZIr <br /> P110NE <br /> TENANT IAAlI,�00BE55 f.I1V IIP <br /> P1�ONE <br /> AqCHRECTORDE5IGNER MUUD�RE55 ��ry -- <br /> 71P PHONE <br /> �w �-fd:r-f ��z�� �nT<y- �< <,�s��.,�. y�>� 3�y-y�� � <br /> GENERnLCONIq�CTOR MAI�Ap00E55 CIIY )IP PIIONE <br /> S�ATE UCENSE• <br /> MECHANICRLCONTRACTOfl MAILADDRE55 Cltt ZI{` PHOhE <br /> STRE LICENSE� � <br /> PLUTABING WNTNACTOR MAI�A�DRE55 CI7Y Z�p <br /> PHONE $TATE�ICENSE� <br /> UC�U, v U � .� <br /> LONTRACT PRICE OF WORK — <br /> HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br /> �ESCflIBE WORK AND SOU�RE FOOTAGE INVOWED CONinCi PERSON ANU PHONE N <br /> �-r G�� f�ls_o-�� G'oo�e .3�L/-5'z � <br /> I H[REBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> aaovoseo us F BUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> �/�.r�p-� '� PFOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGALDESCRIPTIONOFPROPERTY�SHOWNBELOWORATTpCNTYYOCOPIES) WOFlK WILL BE CO�dPUED WITH WH[THER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �oi BLOCK OF AUTHORITY TO VIOLATE Ofl CANCEL THE PROVISION OF ANY <br /> OTIiER 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 /> � 7� —oc�c� —v,�v —v �� ._S APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PMCELTA%I.D.NUMBER CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> CONSiflUCT10NLOANLENDER.A�UPE55.TELEPNONENUMOER //S^.. C > <br /> x r� i <br /> si Nnr e oae <br /> , cirr nusmess ucer+se r+o <br /> �� �. PLUMBING MECHANICAL <br /> i NO. TYPE OF FIXTURE OFl ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) � A/C—AMNDLG UNITS � <br /> BATHTUB ' FORCEDAIRSYSTEMS � <br /> LAVATORY(WASH BAS�N) � HEAT PUMP � <br /> SHOWER , ' <br /> UNIT HEATERS i <br /> KITCHEN SINK&DISP ; CLUTHES DRYERS � <br /> DISHWASHER � RANGE HOOD , <br /> LAUNDRY TRAY ; WATER HEATER � <br /> CLOTHES WASHER � WOODSTOVE , <br /> URINAL � MtTAL FIREPIACE(WOOD BURNING) � <br /> DRINKING FOUNTAIN ; FIREPLACE INSERT(WOOD BURNING) ' <br /> FLOOR DRAIN � GAS FIREPLACE , <br /> BACKFLOW PREVENTERS ; GASRANGE � <br /> SINK(SERVICE—BAR, ETC.) � GAS PIPING • , <br /> ; EXHAUSTFAN <br /> i <br /> i <br /> � ; <br /> i � <br /> SUB TOTAI $ ; SUB TOTAL 3 ' <br /> PERMIT S PERMIT $ � <br /> TOTAIFEE S � TOTALFEE $ <br /> FOR OFFICE USE ONLY: .��,�� <br /> �AONTSETB�CH tp� REA85F.TBACK SIOESET��CK 10{"'` p�����;�IECKNUMf1ER PEF ` PEf.EIPTNO <br /> 2O S'� �� � S� �t�c� S� <br /> .�� 5S _. <br /> USEZON' IOTAREA � VACANTSIIE � FEES VAIUATION FEE <br /> �— 1 ��1/ � D� S�� — ❑YES X!NO OUILOMf. — J��' — <br /> � <br /> HEIGHTLIMI7AT�ON NO.OFDWELLING � <br /> Z� UNIiS 512E OF BLDG/r.l <br /> � S L PL111ANNG i <br /> ' i( <br /> OCWPANGY NO Oi SIORIES OCrUPANI�04D pASEMENT �-- <br /> GROUP MECMnNICnL � <br /> �� OYES N� � <br /> FIRESPRINKLERREO'0 RERSON AOp1IlONALPLANC��f:CN � i � j� <br /> (_/ <br /> O111Ef1 � — <br /> FIflEP1AAMREO'D RERSON <br /> STAi[�IIIIDWGSIIOCIIPfif.E � !�/. <br /> l� <br /> TYPEOFf,pN57 ^'WSAPf�f10VEDUY CITYOFEVERETT �umir.wones <br /> '"� LOCAL SALES - -- __i_ <br /> ___}[__= u•� � Z3 TAX CODE IS 3105 70*�� � <br /> � -- ----- — -- — <br /> -----'------- �-'- <br />