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APPLICATA FOR CONSTRUAN PERMIT <br />CITY OF EVERETT F BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT, VIA 98201 P (425) 257-3810 <br />P-IDEMOLITION ❑ COMBINATION <br />PROJECT ADDRESS: I O I I O r <br />93'BUILDING QrMECHANICAL ❑ PLUMBING ❑ SIGN <br />SavY e <br />lEN/.NI�A <br />4NI AdME55 <br />dlv <br />flr <br />ngNE <br />0 Lo T\PY <br />AKiZCIOR pE51dIFR <br />YAR ADDPEBS <br />CI1Y <br />)1r <br />rll(INE <br />RfCk3rowv\ <br />468o Rhodie <br />C0.v\e Flee laY <br />G: WA <br />98z4�i �3bo)331-zo16 <br />_ <br />GENFBAI COHTBACTGR <br />NAR ACDIESS <br />Olr <br />br <br />NlrnE <br />STA1l OC[NSF• <br />BI'ieY� <br />aies <br />I�i44 I�uuall ?yeV.1d <br />RArvYlon <br />y. Cjgos_r <br />4ZSzz4S-4tW <br />NCO. AC1011 <br />MMI ACCEAF55 <br />n <br />lM <br />(\ NKIxE <br />iTATT LCENSE0 -,IP%o <br />n;: <br />\\ L\CIE, <br />1\ <br />BRiGRwoGGPt3 <br />NIIMBMGCONIRAl.IOR <br />WIT ADDRESS <br />CIE, <br />LIP <br />PHON! <br />STATE LICENSE <br />�/f'n iifFif <br />CONTRACT PmCE OF %NCFx <br />u. <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC Cl <br />DESCmBF YMK ANO SOIAPE FOOTAGE INRKXWO ICONTACT <br />RRSONAND PNONF NO <br />2000 5� \ <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />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 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAG. <br />X <br />Iu-rgrDsru Ber or PunniNG <br />IeFIC CILL16 <br />IFGALDEScdrnON DrrROPERIr ISNCW'NN BUOWOR ATTACIITwotomESI <br />TO] BLOCK or <br />PA ICELTAZ IB NUMBER <br />�4zB -04a-004-0006 <br />CdI51RlIC11dNlOAN LfNBFR. APDRE55.lElEmbNE NINBER <br />EIGNAIURE DAr( <br />OIY BUSINESS LCENSE NO <br />PLUMBING j <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A(C—MINDLG UNITS <br />BATHTUB <br />FORCED AIR SYSI EMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WAIER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />13ACKFLOW PREVENTERS <br />I GAS RANGE <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />SUB TOTAL S <br />SUBTOTAL S <br />PERMIT $ <br />PERMIT S <br />TOTAL FEE S <br />TOTAL FEE S <br />pno FIP :1119 16A nmi V. <br />FRONISFTRACK <br />REARSEIBACK <br />SCE SETBACK <br />RAN NECK NUMPlR <br />!EF (J.I <br />RECHPT NO <br />9G <br />— <br />USE ZONE <br />IOI ABTA <br />VACANT SITE <br />FEES <br />LUATION <br />FEE�� <br />auldNr. <br />- <br />OVE <br />NFIGNI IIMITA1pN <br />NO Oi pWEWMG <br />WE OFM 1 <br />, <br />' <br />IMTB <br />NUMBING <br />OCRWPANCr WdcrrRlS <br />CmRANI EOAD <br />BASTMExT <br />ulf.NANB:AI <br />- <br />OVFs O O <br />A11111OAN.RAIN CIpCK <br />— <br />, <br />FIRESPRINKLEPREOV <br />WA.SON <br />110 <br />l 4v <br />OTHER <br />FIRER MREO'IT <br />AFASDY <br />O <br />/ L J <br />IU <br />STATE BDIDuc SIMMER'lmE <br />or coNcl <br />RANB AP EDer <br />CITY OF EVEPETT <br />nlaur. woos <br />TOTAL <br />7A% CODE IS 1105 <br />