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� APPLICATIG_J FOR CONSTRUC7 _JN PERMIT <br /> ��PE � CITY'OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-B810 � <br /> ❑ DEMOUTION ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING p SIGN <br /> PROJECTAODRESS: �DII`I DQ�uE� S,E, �VE/1€rT W� �]R'adQ �VI�D�II�o IQ <br /> MII.LaR6ek At�x�Qr�� LI_c (Of�O- ?77f Al� SE EveaF-er (,�q QQ�c4 3v� vcs� <br /> OWNER MML�DORESS ITY SIP PMONE ' <br /> TENANT �C�ApppE55 GITY I <br /> R�k a"o�er� �(lNl ��� Au'cNuF_�9M^n1/1.I �'�Oao ���oN77R- 'aoS{4' ', <br /> AfiCMlECTd10E51GNER MAIADORE55 CITY JIP PNONE - ' <br /> Mi�cBRa� As��rfli�C I,�c (otao • �'�ru A�E s E �VER�� WA 4Kao8 3Y7•4657 /�11U.$AloSSPP I <br /> GENEMI CONTRACTOR MAILADpR 55 CiIV z�P PNONE $f�TE IICFN$E� <br /> ��uA9� .s��r N�=rAc Ilk4� laoru � e kiRkLMrtl WA 9R�3 20� ga 6R�.e R�u �M <�rsl,F <br /> MECNANICALCONTq� TOR NAILADDRE55 f.liV Z�� PHONE SiATEtICENSE� <br /> RoBrNlc+n� PwMBcA( wc �,o7 sE v, �TM neau ;,�AY �kab y�2ErT wa y�ao� 3ss-6i�r RngrnlPta�ac.a <br /> PLUMBINGCONiRAf,TOF MRILADDPESS Cltt ZIP pHONE STATELICFNSE• <br /> fANTMGT PRICE OF WORI�/�( <br /> � I D S i 000 Q p HEATING S1'STEM: ,�GAS O E�ECTRIC ❑ <br /> OESCPoBEWOqKANASW�REF00T INVOLVED CON7 CTPERSONANDPHONENO <br /> �Vt�n DuA .k 7Y�� � l0e 8Vi "l � L 3�(7- 4657 <br /> a7i� � � � <br /> 1 HEREBY CERTIFY THAT 1 HAVE READ AND E%AMINED THIS <br /> iNOPO5EDU5E OFBUILd APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT ALL <br /> � � / PROVISIONS OF I.AWS AND OROINANCES GOVERNING THIS TYPE OF <br /> �ec��oEscwvria+oFraovEanlsNowr+eeiowo RACHTWOCWIES� WORK WILL BE COMPLIED WITH WHETHEF SPECIFIED HEREIN OR � <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �ot BLOCK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW RECaULATING CONSTRUCTION OR THE <br /> SEE C PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORI2ED BY THE <br /> OWNER OF THIS PROPERTY TO pERFORM THE WORK FOR WHICH <br /> APPIICATION IS MADE AND I C MP WITH THE STATE <br /> VMCELTA%I.O.NUMBER CONTR TO S LHW 1B 7 RCW AND WAC. <br /> �q 7D- o00- o►�X- 0 0 <br /> STRUCTION IOAN LENDER,�ppHESS TElEP110NE NUMBEP 4 - <br /> �S• 06 - S �•S 6 51 �TU E DATE _ O^� <br /> �O SSO �` � � CITY BUSINESS LICENSE NO. <br /> PLUM&NG MECHANICAL <br /> ►!O. TYPE OF flXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT PEE <br /> WATER CLOSET(TOILE� � A/C—AMNDLG UNfTS � <br /> BATHTUB ; FORCED AIR SYSTEMS � <br /> UVATORY(WASH BASIN) T— <br /> � HEAT PUMP , <br /> SHOWER � UNIT HEATERS � <br /> KITCHEN SINK d DISP � CLOTHES DRVERS ' <br /> DISHWASHER � RqNGEHOOD —`,'— <br /> LAUNDRY TRAY ' WATER HEATER � <br /> CIOTHES WASHER � WOODSTOVE , <br /> URINAL � MEfAL FIREPIACE(WOOD BURNING) � <br /> ORINKING FOUIJTAIN i FIREPLACE INSERT(WOOD BURNING) � <br /> FLOOR DRAIN � ! GAS FIREPLACE � <br /> BACKFLON�PREVENTERS ; ,-0- GASHANGE � <br /> SINK(SERVICE—BAR,ETC.) � GAS PIPING � <br /> ' DCHAUST FAN <br /> � � <br /> i � <br /> SUB TOTAL S , SUB TOTAL S ' <br /> PEHMIT S � pEHMIT E —T— <br /> TOTAL FEE S � TGTRL FEE S � <br /> FOR OFFICE USE ONLY: <br /> FRONTSETBACK REARSETBACN SIDESETB�CR PUNCIIECKNUINNEB /J� FEF RECEIPTNO <br /> / � <br /> J <br /> USE20NE �pT�PEA V�C�Ni51iE FEES VALUATION FEE <br /> _ ❑YE$ []NO OUIl01NG <br /> i <br /> NEIGHT LIMITATION NO OF OWELLINC SIZE OF BIDGq 1 � <br /> UNIIS zy/3 S,F, Giv/nC4 t plUN13Mf. r <br /> 4�C.4G� <br /> OCWPANCY NO Of 51[NLES OCCUPANf LO�D B�SEMENT � <br /> ��P / MECNnNIC�I � <br /> •� (f � ❑YES �NO - � <br /> FIRESPRINNLERflEO'D HEASON Af101110NA�PL�NC11f.CK � <br /> OINER � <br /> RHEMARMREO'0 RE�CpN <br /> STAIE Bl11lDING SURCf1eq[E i, ;�n <br /> /r ,i�i! <br /> TVPEOFf,ONST PLANSAPPROVEDBIY� CITYOFEVERETT �UNuf.W00N5 <br /> _� �Jh� LOCAL SALES – — _--�_ <br /> o�rE c /3�y(o TAX CODE IS 3105 TO7AL <br />