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APPLICATI� FOR CONSTRUC7�N PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT, WA 98201 •259•8810 <br /> ❑ DEMOLITION O COMBINATION ❑ BUILDING O MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS:�q�O I�uoIP ST F�Pce� <br /> Gro�p N�a►-H. �" <br /> OYYHER Y�R110p1E55 ptt IIP PNpNE ��� <br /> �a � r,va.�-C �� ��i �/ ��2 - 2�./a-v , _ , <br /> TENANT MMI�ODPC55 CI7Y 71P p110NE .• .,..-T'.. <br /> ARCMTECT OR DES�GNER MMl ADORE55 LITv 71P pHONE � � ' ��"�� <br /> GENEfUIGONTMCTOR M�IIAUDRESF CITY IIP PIIONE SfREUCENSE� � �'��L �� � <br /> i:al�' . <br /> F;ce U����I Spc ,�Klrc 30� s. clo,,e��lule <<ki{le 4VIO�d �ob- 763Y?7y <br /> MELNANICAICONTP�CTOR MAIlADIX1E55 (:ITV )IP PIIONE STATEUCENSE� ' <br /> VLUTABINp�pNTR�CTOR M�ILADDNE55 Cltt Z�P PNONE STATEIICEN$E• <br /> CONTR/�T PRICE OF WORK <br /> HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br /> OESCPolE WORK AHD SWARE FOOTAGE INVOIVED CONT�CT VERSON AND VHONE N0. <br /> � I <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROPOSED USE OF BUILDINO PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR �� <br /> IEGALDESCMPTIONOFMiOPER7Y�SHOWNBFLOWpiARACHTWOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE � <br /> �oT e�ocK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REOULATINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PHOPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PMLEL TIUf I.D.NUMBER CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> CONSTRUCTONIOMlLENDER,ADDHESS.TElEP1qNENUMBER x `� ��(ipy�` /O'ZSS—lO <br /> SIGNATU�� OATE <br /> CITY BU51NE5$LICENS@ NO. <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE�OF flXTURE OR ITEM FEE NO. TYPE OP ECUIPMENT FEE <br /> WATER CLOSET(TOILET) � A/C—ARiNDL6 UNfTS � <br /> BATHTUB ; FORCEDAIRSYSTEMS ; <br /> LAVATORV(WASH BASIN) � HEAT PUMP � <br /> SHOWER � UNITHEATERS ' <br /> KITCHEN SINK 8 DISP ; CLOTHES DRVERS � <br /> DISHWASHER � RANGE HOOD � <br /> LAUNDRY TRAV ; WATEH HEATER ; <br /> CLOTHES WASHER � WOODSTOVE � <br /> URINAL ' MEfAL FIREPLACE(WOOD BURNING) ' <br /> DRINKING FOUNTAIN i FIREPLACE INSERT(WOOD BURNING) i <br /> FLOOR DRAIN � GAS FIREPIACE � <br /> BACKFLOW PREVENTERS ; GAS RANGE ; <br /> SINK(SERVICE—BAR,ETC.) GAS PIPING � <br /> � EXHAUSTFAN ' <br /> � � <br /> � i <br /> � � <br /> � i <br /> SUB TOTAL S ; SUB TOTAL f ; <br /> PERMIT S � PERMIT f � <br /> TOTALFEE S ' TOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACN RE�R SETB�C1c SIDE SETBACR PtAN CIIECN Nl1uPER FEF AECEICT NO <br /> S�7—�SJ � <br /> USEIONE io*�ne� v�cu+rsrt¢ FEES VALUAT�ON FEE <br /> ❑YE$ ❑ NO OUIIDINf. � <br /> ME1611T IiMITATION NO OF DWEILING SIZE OF BIOGR I i <br /> UNIT$ PlUM01NG � <br /> � <br /> OGCR�P�NCY ND fK 5�(%bE5 OLCUPANT IO�D B�SEMENT 1,1p�N�HIUI � <br /> ❑YES ❑Np — <br /> FlRESPRiNKLEpqEO'D Rf.�SON pDDIiION�L�LANCIIF.CN � <br /> � <br /> ou�en (� � OL7 <br /> FIREAIAIiMREO'D RE��ON <br /> � <br /> $T�IE OWlOING SIItiC1U(if.E <br /> rrveovr,or+st PLANSAPPf10VEDBY CITYOFEVERETT PIIOIif.wOf1K5 � <br /> �M LOCAL SALES -- --"'— <br /> „�,F �D�.��/�(j TAX CODE IS 3105 70TAL . [�D 1 �(7 <br />