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/�5� <br /> APi�A.���T10�. FOR CONI�TRUCTI.�IN PERi1111T� <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 90201 •259•8810 �—'" <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS: � � �� 0 5 � 'hpv�s� E ve�-�.^ i. i� l-��i� <br /> r <br /> (-1ZuRt �<+ro"�i.ta:!c lZ>.of''a i36r�E �4rK��t�d l:�A 9_Yj'p3� �Z141S(n <br /> OWNER MnIL�0.7RE55 LITY 7��' P110NE <br /> TENANT M.VL�ODRF.55 CIIY 7�� PHONE <br /> �RCHRECTORDESIGNE� MMl�0�RE55 Gitt IIP PHONE <br /> ies�a N G+jjQ-> �q1`a�s.a;s o a ��, Fva.�-rr w_p Q�2.8� 3 53 0 5 3 I <br /> GENEf1Al ONTMCTOR M�ilA0f1RE55 GIY 111' PnONE $IA7ELICENSE� <br /> AZu,Rec.oms�•�-�,� �37uF3 �3Gn�E K�tik1a�N �osy f?�.14�;�C Ar_ua.P.c ; 1Z8 Rw <br /> MECHANICAL CONTRACTOR MAII RDDRE55 CITV III• PIIONE STATE LICENSE� <br /> In ;� ;aa � ��v 3Go \ izi � Sw L�INwoad, W�. �8����1 `1�15 S°13� }��r - h \l3`IDu <br /> PLUMBIN NTRA�TOR RI��OURE55 � CIiY 21P PIIONE ST�TEUCENSE/ <br /> /�/. W. t�f\c,�C�c (�; 1. ll0000h:�11C1a�,k �lVc� St,.�TeZo�_[�,^„ [=R.aK. R$oIZ �14Z d�49 �erTl.`F' M ��RRzi�. <br /> CONTRACT PRICE OF WORK <br /> IiEATING SYSTEM: �GAS ❑ ELECTRIC ❑ <br /> DESCRIBEWORKANOSOUMEFOOTAGEINVOLVED ��. CONiPCIPf.O50HANDPY.p11EN0 <br /> 5..�'.`lZ. 12'1G Mld EN�`' _�1�e ��oVd ZML• RZ1 4`tE,G <br /> S38 L w�-Ct �-x.v.L\ � S:A �6F3 S�'• , <br /> LLi IZ � � tiEREBY CEPTIFY THAT I HAVE READ AND EXAMINEO THIS <br /> APPLICAT�ON AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> P{qPO5EDU5EOFB111L01NC c �� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> J WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEG�LDESCRIPTIONOFPROPERiVI5110WNPELOWDRATTAGMTWOCOP�ES� �IOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �pr�e�ocK__oF_ AUTFICRITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR IOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PEFlFORMANCE OF COtISTfiUCTION.THAT I AM AUTHORIZED BY THE <br /> � O� � ^�, � WNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> �/ APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW iB27 RCW AND 296.200 WAC. <br /> PARCE�TAX 1 D.NUMBER ^ <br /> P w-r •e � �f 3Rl -a� -oo3Z -a o i <br /> COMSTRUCTIONLOANLENOER.ADDRESS.TELEPNONENUMOER X � -�4-8-.�� I-� ��- 97 <br /> fF��Nj;p.,P 3Aak ZC� (<t`.n� ~I 01qZ SIGNn1URE UATE <br /> CIIYOUSINESSLIC[NSGNO �-pL40C.�F <br /> PLUi181NG MECf1ANICAL <br /> Np, TYPE OF FIXTURE OR ITEfA FEE NO. TVPE OF EOUIPMENT FE�_ <br /> � WATEfl CLOSET(TOILET) / ! � NC—MiNDLG UNITS ' <br /> BATHTUB ' ; �_ FORCEDAIRSYSTEMS � <br /> LAVATORY(WASH BASIN) /// i HEAT PUMP ' <br /> SHOWER / ' UNIT HEATERS ' <br /> �— <br /> ( KITCHFN SINK&DISP � ___CLOTHES ORYERS � <br /> DISHWASHcR � Rl�NGEFIOpD ' <br /> LAUNDRY TPAY ; f WATER I IEATER -� � <br /> � CLOTHES WASHER � WOODSI�OVE ' <br /> URINAL ' MFT�L FIAEPLACE(WOOD BURNING) � _ <br /> DRINKING FOUNTAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> FLOOR DRAIN � GAS FIREPLACE ' <br /> � <br /> BACKfLOW PREVENTERS � GAS RANGE _ �_ <br /> SINK(SERV.�E—BAR,ETC.) � GAS PIPING <br /> � [XIiAUST FAN <br /> � <br /> i <br /> � <br /> � <br /> i <br /> — - i � <br /> � <br /> � <br /> — � <br /> SU�TOTAL S ; SUB TOTAL S � <br /> PERMIT A � PERMIT 5 � � <br /> TOTAL FEE �S ' TOTAL FEE S ' <br /> FOR aFFICE USE OlJLY: <br /> FRONTSETBACI( � AE��SFTBRCN / S�DESETB�CK/ MANf.11GCNNUMO!❑ �EF q/_ �ECEIPTNO <br /> ?.� � 3 /�j �� <br /> use ionE q l0T AtiEA �� vncerv�srtc �fEE� VALUATION FEE <br /> �.i/ ❑res ❑ �o nunnu�s �OS 63t3 ��� <br /> HEIGHTLIMITATION � NOOFUWEILING SIZEOfBIOGRI / i <br /> ^jQ� UNIiS �' � S./ Pl11MOR1(S � <br /> L.CI r-. D <br /> OCCUPANCY NO Of StONiFS OGCUPANT LOAD B�SEIAENT � � MFCIInNIC�I � <br /> GROUP n ❑YES LWNn ---- � , / <br /> '3 J- ` — _. �OUIIIONPI PINJCIIfLN � •[f <br /> FIflESPflINKLEAREO'D RE�SJN __ - i �- <br /> ouu:n <br /> FIFE AIAHM REO'� <br /> — nFnsor+ -- / ; < /, <br /> SiNC OU1l01t1G 91flf.unliCE �Jv <br /> TVPEOFf,ON57 PIANS�PPBOVEDDY l,/� CITVOFEVERETT runncwvn�__ — _ �V1= <br /> ��" LOCAL SALES � <br /> �—�/ oniE f�5 �7 TAX CODE IS 3105 7oTAL___ _ <br />