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APRLICATIt,�� �'OR �ANSTRUC'� ..qN �ERMIT <br /> ���j CITY OF EVERETT • BUILDING DIVISION �1�; <br /> ��_�� � � ���"" P 3200 CEDAR STREET• EVERETT, WA 98201 • 259-E3810 <br /> ,�u:`,� <br /> CI DEMOLITION �COMBINATION f� BUILDING I 1 MECHANICAL i 1 PLUMBING f 1 SIGN <br /> PROJECT ADD�IESS �- ; <br /> �7„�7 /� —�i� rJ ��i��" / <br /> OWNER MAILAD�RE55 CIiV 21P PIIOFl[ <br /> (ll�c�j-c�� �}���s l�l.,�. Ik� i�� 13c,-N,�11- C--rere{�k 1�u,i��L�LL,�- �� �o �al�� �IG -o��l <br /> TENANT MPILADpRESS f.ITY ZIP � 1'110NE <br /> HRCHITLCTOR�ESIGNER MnI1.P0URE55 CIIY ]IP PP. ,.; <br /> �e 5 �}\ _y l�rch;ke c�s 40 A1u� Ic�er �t��`�;.j���_Ls�c��as4.y�$p�to ac�4� C���e� <br /> GENERAICONiRACTOR MAILADl1q[SS C17Y 21P PUONL Sia1ElICENSE• <br /> YU�etco 1-�am�S u.t� Sam�. v�'1tl-c_Q��{:.3K ,�,- <br /> MECNANICpLCONTRFCTOfi MAILA��RE55 GN 71P PIIO��E STATEIICENSE� <br /> �Ala1�-z plurnh�na 3a�y_In9+h �,� ;F FJ�r �-a- WA��1�p�C ���1�,) 3�fi_l� �' �T�P.��� <br /> PLU�dBINGCONTRnf,T08 MnII.P��RE55 CITY 21P PIIO�IE STAiEIIGENSEv <br /> 33 L ' � S- ns � - ��z�33�i-�LII_I�IAU��� <br /> coNr cT rryFe oF w�nK <br /> q g� HEATING SYSTEM: �QGAS f I ELECTRIC fl <br /> DESCPIAE WORN AN[l SOU'RE FOOTAGE INVO WED COtlT�Cl PFlI50�I ANO PI ION[NO <br /> -P,�c�ci " Q „ a L�r,;a- }�«�nhc�i �st� S�ruc ' � (1,1�L'.rr.r� e�� l�Vl�l<� 111�;��7nef <br /> �'�cau�rc� `ia�� IS�FIQo� a¢;2nd 1-�mC,� l�� r�b� . „- , � Fk-1 `�1 �� 3� <br /> e��� � � I fiEFEBY CERI"IFY THAT I HAVE READ AND EXAMINED TFIIS <br /> ` � U- APPLICAI�ION AND KNOW THE SNME TO BE TRUE AND CORRECT ALL <br /> PROPOSEO USE OF 9UILOING 1 1�^� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> '�Q�i��QXI�-i�� ` �9.S�C �'-1'�119`J WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGALDE5CRIPTIONOFPROPERTY�SHOWHBELOWORATTACNTWOCOPIES� NOT. THE GRANTING OF A PERAIIT DOES HOT PRESUMG TO GIVE <br /> �or � �BLOCK or�L15� � ��`-��"' AUTHORITY TO VIni47E OR CANCEL THE PfiOVISION OF ANY <br /> OTHER STATE CP.�OCAL LAW REGULATING CUNSTRUCI"ION OR THE <br /> i� C� C (� � � FERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED EIY THE <br /> `/ {� OWNER OF TIiIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> VO,UMP rO�l PIC�-�-t \4C� p S c�i CI - APPLICATION IS MADE AND I COMPLY WITH THE STATc <br /> PARCELTAY I[l.NIIMBER °� CONTRACTORS LAW 1827 RGW AND 296200 WAC. <br /> GONSTRUCTION l OFN LENOF.P.n�CPESS.TELEPIIONE NUMOER X U�� �`J„1� /�C�j L�/�� <br /> SI.NATUFl[ � � ` UniE <br /> _ �_ � •� <br /> CIiY OUSINE551 ICEIISG 110 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTJRE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> �— <br /> WATERCLOSET(TOILET) � A/C—AIHNOLGUNITS—H.P. ' _ <br /> BATHTUO ; FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> LAVATQRY(WASH BASIN) � HEAT PUMP � <br /> a SHOWER � UNIT HEATERS—B.T.U. M � __ <br /> KITCHEN SINK 8 DISP i �, CLOTFIES DRYERS i <br /> DISHWASHER --r VENTILATION FAN � <br /> IAUNGRY TRAY ; RANG[HOOD (�'�(1` �p�'�p�V� �_ <br /> � CLOTHES WASHFc � _� WATER HEATER � <br /> UfiINAL ' WOOD STOVG �_ <br /> DRINK!NG FOUNTAIN i METAL FIREPLACE(WOO�BURNING) i <br /> FLOOR DRAIN � FIREPLP.CE INSERT(WOOD�URNING) � <br /> BACKFLOW PREVEMTERS ; �. GAS FIREPLAGE � <br /> SINK(SERVICE --OAR,ETC.) GAS RANGE � <br /> � GAS PIPING �_ <br /> ; ExHAUST FAN � <br /> — , � <br /> � � <br /> SUB TOTAL S ' SUB TpTAL 5 ; <br /> � — <br /> PERMIT S —i-- PERAIIT 5 i <br /> TOTAL FEE $ ' TGTAL FEE $ —�-- <br /> FOR OFFlCE USE ONLY: <br /> FRONTSETAACN PEARSFRIALK $I�ESE7EfACh PINIGI�NI'l�l.�F�� f[F J� RFf.GI/i����� <br /> usezoNe iornnea vacnrnsne FEES VALUATION FEE <br /> i�ves �� no nu�in�r�a DC�S`Z �3 'Sc� <br /> — � �:— <br /> HEIGII7lIAlITRT10N 1!0 OF I)YIEIUtI: 512E OF p111G41 —��- � <br /> IINIIS Z70� Sf LIV//�ffj '} pL11MOPIG i <br /> S S F C'JA�C.GGY✓ _.—._ "- ____ ___ � <br /> OCCUPpNCY NOOf510l11[S OCCIIPANil0�0 OASEMENL ���p�i���i�;p� /�O iOO <br /> cnour <br /> �.3 �-, z ��,�s � �,� ---- --- — - -- , <br /> FIRERLARMREOD nraso.v ' nnoniorini rinnc.i�cr.K <br /> - —�-- <br /> � <br /> onrte ; <br /> fIRF.51'RINNIERREO'0 �F.ASON i <br /> STAIG OIIpDRiG 91RCIInqf,E i �n <br /> _ ��J <br /> TYPF.OFf.ONFi PIANSAPPROVFqny CITYUFEVERETT runur.wnnK�; __—__ . ___ __ � <br /> J!!�l-- LOCAL SALES —�— <br /> _ .�-/� ----. unrt cj�23 S'(� TAX CODE IS 3105 TOTaL.-- ------_---- �_- <br />• - <br />