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APPLICATIG_J FOR CONSTRUCI . JN PERMIT <br /> CITY OF EET • BUILDING DIVISION <br /> 3200 CEDAR STREEETT-•EVEHETT, WA 90201 •259-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING CI MECHAI:ICAL �T❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS:—/—, R+ , / �� _- <br /> c%Nrn All ADOIIFR LL <br /> ./ c1ly nr rI1DN1e�34,/ <br /> TENANT MAIL AnonrS5 CITY -!h tip. PRONF <br /> AIICHITE(IIDROE51GNrR MAl1 ADORE%S CIfY /B' —� PIgNf <br /> GENERAL CONIRACIOn MAIL ADOnt 55PIIONr li� SIMCIICf NSEF <br /> /11cZ �RACyon ' <<LA"/1S/ 5� AI/// �/"C e/: — PRONE <br /> MECHANICAL EGNTAETDn AIL ADDRF 55 CITY IIP PINNY STAIr IICr NSE F <br /> PLUMBINGCONTRAC,TOA MAIL ADOnESS EIIY 71P PNDNF. STATE IICf HSC F <br /> LT.. I,OT PNCC W WORK <br /> IIEATING SYSTEM: 96AS ❑ ELECTRIC ❑ <br /> OFSCR E KANOSOUARE rO TAGE INVOLVED CONTACT PIIISONANIIPRONC NO <br /> _ 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> P EDUSE OF BUILDING - APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WOTIK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGAL DESCRIPTION Or PnorEn"(SNDWN BELOW ORATTACH TWO C;7ESI NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT I. LOCK or <•r f4 c 1-5/,4 wi AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> 0111ER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF TMS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> ln _ APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> PAnCELTAX ID NOMBER CUNTRACTORFT L//LAA���W 18..2.,7 R�CW AND <br /> �296.200 WAC. <br /> consrnLlcncwLOAN1ENnrnADlNiFSS.rEIErN17Nr:NUMnen ( _ n /iri' /nom_ <br /> sIF;FfrA111,1 LL- nAlr <br /> CRYBGSWr SSL"NSE W) <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) /: �— _ _ A/C-A_MNOLG UNITS <br /> BATHTUB ; / FORCED AIR SYSTEMS 1 <br /> ,3 LAVATORY('- ISH BASIN) // ,_ HFAT PUMP <br /> SHOWER _ UNIT H[ATEFlS <br /> _ <br /> / KITCHEN SINK 8 DISP , / CLOTHES DRYERS ; <br /> / DISHWASHER L RANGE HOOD <br /> LAUNDRY TRAY ; <br /> , 1 WATER HEATER <br /> / CLOTHES WASHER —�, -- W(X)USIOVE <br /> URINAL _ METAL FIREPLACE(4699BUMNING) <br /> DRINKING FOUNTAIN i FIRU'LACE INSERT(WOOD BURNING) ) <br /> / FLOOR DRAIN i / GAS FIREPLACE <br /> BACKFLOW PREVENTERS ' _ GAS RANGE <br /> SINK(SERVICE-BAR.ETC.) T 3 GAS PIPING <br /> EXHAUST FAN <br /> _ I <br /> SUB TOTAL S ' _ SUB TOTAL S <br /> PERMIT $ _ —_ PERMIT S <br /> TOTAL FEE S '--- _ TOTAL FEF S <br /> FOR OFFICE USE ONLY: owd <br /> rRONT SFTRACK / Pf AR SFTRACK / SIDE SFTBACK PI ANcNrcK Nuun-1 II 1 nrrrIPI NO <br /> 2-o z o - 7�- <br /> usE 1 ( IOL AREA VACANT SIT FEES VALUATION /FEE <br /> ✓ p n NO nIKItNNo _ 95,1� <br /> I,EIGIII LIMITATION / NO IWCILIN(i SIZE W BLI)SL/ff ----- --- --- —� <br /> IINIIS 1 F 1��// <br /> y S.F. G`IRIAGE <br /> 000UOAN(:Y NO Of SIMIIS OCCUPANT IOAR BASEMENT ----- ---. --- ---— ---- - ---- I <br /> GROUPM(CI WaC.AI "- <br /> L" ❑Yrs L441 -------_. - — — , <br /> FIRE SPRINKLER RED'D 'if ASCN - ADINHONAI PIANCIII(* <br /> _ Donn <br /> FIRE ALARM nE0'D RF ASfNI <br /> 51AIt RuLPI111SIRIf,IIADRt <br /> rrrE or roFFsr r1 ANS Arrn vE nr CITY OF EVERETT roftwwrvlKs <br /> LOCAL SALES ----- --- -- - ---- -------�-'-- <br /> DAR LZ/f� TAX CODE IS 3105 TOTAL___ —_— <br />