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�,, UG �"�NPt�i1YII-1 � <br /> �d�PE � CITY OF EVEFETT• BUILDING DIVISION <br /> � 3200 CEDAR STREET• EVERETT, WA 98201 • 259•8810 <br /> ❑ DEMOLITION ❑ COMBINATIION �BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PAOJECTADDRESS: IDI`a6 b�'1 DR.�V� .S � E✓E/i� w'9 �BobY> Q���Q��� �a <br /> R6ak �,ca�RrEc LL� (olao - ?TI( A d�E EVcRE�rr WA 4Qa�R 3'(7-Y�•S7 <br /> p�Ep M�ILA RE55 Itt ZIP P110NE <br /> 1EN11NT �a��DOf1F.55 f.I1Y )IP PI�ONE <br /> R�ck ANoer�co� liki ��/�� �v_N�E �a��,n� �n qBoao �0l� - 7�R- '�oRS' <br /> �W.HITECTORUESIGNER M�II�OQRE55 CIIY 71P PIIONF. <br /> I�)f6�Rooic A�lacrfli�S . �I,c (olao • ?�71 A�E, s,E.�yER�Tr WA4B7a8 347-46s7 �11U.gALOSs°� <br /> 'GENEIIAICONTR�GlOf1 MNLADDB 55 GIIY )m PnONE StATEIICENSE� <br /> Q.�uA9t.s St;� �i�AL �L�� Ia0'ru �1 E K�f�klANd WA 9go'3? a0L-�d�3-1�R68 I'�I.(ASM34SI,F <br /> MECHANICµCONTRACTOR MAIUDDnE55 `' GItV ZiP PIIONE Si�IEUCF.NSE• <br /> Ro8rf�l�n� P�uMBcP� iNc �,o7 sE av�a�,Y �nau_ wAY �ab F�/BR�tr WA 9�ao4 3ss-6i�t Re�i�lPia�ac.� <br /> PLUMBINGCONTP�C70R MAILAOORESS GILY 2�P PNONE STAIEUCENSE� <br /> CONTMCTPRICEOFWOR� l0 000 HEATING SYSTEM: GAS ❑ ELECTRIC ❑ _ <br /> DESCRIBE WORN ANO SOU�RE FOOT INVOIVEU C�NT Ci FEASON�ND f NONE N0 <br /> o�� Du � n ui � L 7- 4bs <br /> 271 � � �,c_ <br /> �135 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROPOSEDUSEOFBUIL�I�SIQEI�TI�I� JJ RKISWILL BE COMPLIED WITH W ETHER PECFEDHHEREN OR <br /> IEGALDESLPIPTIONOFPROPERTY�SNOWNBELOW bTTACHiWOCO�lES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> iot e�a:n oF � 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 C MP WITH THE STATE <br /> CONTR TO S LAW 18 7 RCW AND WAC. <br /> PARCEL TA%I.D.NIlA18EF <br /> 34 �o- o00- oi�� o o _ <br /> CONSTNVCTION LOAN LENDER.�ODRE55 TELEPH'JNE NU4AEA �_ �- � <br /> �),s. RRNk —S�ANEt' Ro�l O6- S -�S6S s �7� e o",E <br />, lOAbo l� Q� �� /-[-�� f7���� (� CITYOUSINESSIICEN5EN0. <br /> JJ 45 <br /> PLUM8ING MECMANICAI _ <br /> NO. TYPE OF flXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � -�- A/C—A/HNDLG UNRS : <br />� BATHTUB � FORCED AIR SYSTEMS �_ <br /> . LAVATORV(WHSH BASIN) � HEAT PUMP ' <br /> � UNIT HEATERS � <br /> SHOWEP � <br /> KITCHEN SINK 6 DISP � CLOTHES DRYEHS � <br /> DISHWASHER RANGE HOOD � <br /> LAUNDRY TRAY ; WATER HEATER __� <br />' CLOTHES WASHER � WOOD STOVE ' <br /> � MEfAI.FIREPLACE(WOOD BURNING) ' <br /> URINAL � <br /> ORINKING FOUNTAIN � (, FIREPLACE INSERT(WOOD BURNING) � <br /> � GAS FIREPLACE ' <br /> i FLOOR ORAIN � <br /> BACKFLOW PREVENTEPS � rQ- GAS RANGE � <br /> � SINK(SERVICE—BAR.ETC.) � GAS PIPINC <br /> � EXHAUST FAN <br /> � � <br /> � � <br /> i � <br /> � � <br /> SUB TOTAL S ; SUB TOTAL E � <br /> PERMIT 5 � PEFMIT S � <br /> � TOTALFEE S ' TOTALFEE E <br /> FOR OFFICE USE ONLY: <br /> i`lAHC11ELKNUTAOF fEF RF.f.FIMNO <br /> FRONT SE7B�CK FEAfi SETBALK S��E SETB�CM ����� � <br /> u5E Zor+E ior enen FEES VALUATION FEE <br /> VALANT$IIE �'�T— <br /> OYES ❑ H� pIllLO�NG • Q nS �°/23 _. u0 <br /> MEIGNTLIMITATION NOOFDWELUNG 5�2EOFOlOGR� 'J/N /��J�� <br /> uNrt� 2 Gl3 Ff C A4y'!' riuumr+c 25 <br /> -- —J /—'t �-- <br /> OCCUPANCY NO 0�9pfUE5 OCCUPANI LO�D 9ASEMF.NT � � MEG11nNIC�I �/,[/ ; _ <br /> Gf10U � ❑YES B'N7 - — i <br /> �,"� V'� noomor+nir�.nNc��ecK � <br /> FIAE SPRINKLER REO'� �EASON —� <br /> 0111E(� <br /> FIPEAIARMREO'D nEA50N ' SINEOUIIDINbS���OUIIGE _ ____�_�� <br /> IYPEOFf,0��5T PI�NSA�Pf10Vi�BY CITYOFEVERETT runnr.wonKs __ __ ___�__ <br /> `i LOCAL SALES /��� �p� <br />, —/J o��E �1 3 �/4� TAX CODE IS �105 TOTAL _ _—i..— <br /> I - <br />