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APPLICATIO� FOR CONSTRUCT�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201•257•8810 <br /> ❑ DEMOLITION ❑ COMBINATION � BUILUING ❑ MECHANICAL C! PLUMBING ❑ SIGN <br /> PROJECTAUDRES II <br /> / Z ever`=-T� 1M� � W�- <br /> OWNER MNLAOOPE55 piY ZP PHJNE <br /> �es Q {�- z9yvs zst f}u� sE �� �, b�, .,� wA 9eoiu zv�-ss3-s7s7 <br /> TENANT NAiL�00PE55 LITY ZF p1pME <br /> Mp111ECIOR0E5GNER MMIADDRE55 CII" 21P RNMIE <br /> ��ss \�4 Ss� 253 -939 -�Yiz <br /> GENEPµCOMMCiO MAIL600NE5 G11Y ZP qpt{ SiAIEIILENSE• <br /> I�)��s ���- eo��— INesRuc�oy9eR <br /> NECNANICµLOMMCiOR MAIV.DONE55 CI}Y ZIP qqllE SIRELILENSE• <br /> PLIIMBINGCANiPACTOR MAll��p1E55 LRY ZY p110NE 5111ELqENSE• <br /> CON�PAGTPPiLEOFW011N � <br /> J�'Q ' NEATING SYSTEM: j$GAS ❑ELECTRIC ❑ <br /> OESCRIBE WOPKNJOSOI1MEiWiAGEINV0.V[0 GONiAGiPEPSONMN <br /> �,1r1� t+�u ' c �� �'i�c9.i4 e5 20 - S - <br /> JCI�K�JO" � � MEREBY CERTIfY THAT I HAVE READ AND E%AMINED THIS <br /> APPLICATION AND HNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> reorosco use em n+a PROVISIONS OF LAWS AND ORDINANLES GOVEFNING THIS TYPE OF <br /> 'e �l WORN WILL BE COMPLIEO WITH WHETHER SPECIFIFD MEPEIN OR <br /> �ecuoEScniprpeo�PPonEnn�S��awxBELOwonenscetwoCOnES� NOL THE GRANTINC C1F A PEf1MiT DOES NOT PRESUME TO GIVE <br /> LOT otoCK aF AUTHORITV TO VIOLATE OR CANCEL TNE PFOVISION OP ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCL OF CONSTRUCTION.THAT I AM AUTHOflIZED BY THE <br /> OWNER OF THIS PflOPEqTY TO PERFORM THE WORK FOR WHICH <br /> 396 -ova ��Z -000� PPPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> pu+tn.rnx i n.HuuoER CONTRACTORS LAW 18.27 R///C''W���AND 296200 WAC. <br /> CONSTNVL➢ONWIJllENOER.ADOBE55JFlEPNONENUY9CP x_�r JE/S_ � ��fp —�� <br /> 54N�iUP MIE <br /> L�IY BUSiNE55 ULENSE x0. <br /> PLUM1IBING MECHANICAL <br /> �'.p, TVPE OF FI%TUHE OF ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATEfl CLOSET(TOILET) NC—AMNDLG UNITS <br /> BATHTUB ' FORCEDAIRSYSTEMS <br /> LAVATORY(WASH BASIN) � HEAT PUMP <br /> SHOWER � UNITHEATERS � <br /> KITCHEN SINK 8 DISP CLOTHES DRYERS <br /> DISHWASk{ER RANGE NO'JD <br /> LAUN�RY TRAV i WATER HEATER <br /> CLOTHES WASHER WOOD STOVE ! <br /> URINFL � METALFIREPLACE(WOODBURNING) <br /> DRINNING FOUNTAIN j FIFEPLACE INSLRT�WOOD BURNING) i <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACHFLOW PREVENTERS GASRANGE i <br /> SINK(SERVICE—BAR,ETC.) i GASPIPING ! <br /> I E%HAUSTFAN ' <br /> i <br /> ' _—. __'_ . .—_..._ —_ ' <br /> i <br /> i <br /> SUBTUTAL S ! SUBTOTAL E ! <br /> PERMIT 5 i PERAIIT S <br /> TOTALFEE 5 TOTALFEE 5 ' <br /> FOR OFFICE USE ONLY: <br /> FRONiSE1p�CR REAqSEipACM SIpE5Et9eCN LNECKHUNeEp f[E RWEiP�NO. <br /> � � � � � . <br /> us[zor+e�! / io*eace veceHrsnc FEES VALUATION FEE <br /> ❑YES NO �R� / <br /> IIEIGNiIIM�yqN � NOJOFVNCLLWG 512EOi\CG'1.1. <br /> J�� N? � PlUMOixG <br /> ULCIIPMlCY 1qCf510PE5 CCLUP�NTIOW BASFYENi 11ECNA111Cµ <br /> G�WP'M (�O � <br /> �i� ❑YES NO <br /> iInESPf�I/w�KL/EflPEOD PEASON LWIiKKl4pUNCNCCN <br /> Y/l� 011�EN <br /> POEAI�P[00 PEASON <br /> /� % —' _ SL�IEBUMiAGSURC���RGE <br /> \ <br /> Trveorconsr r�u�s�rrnoveoor CITYOFEVEflETT �'ue�cwwue5 <br /> V _ j� LOCALSALES <br /> o+�E � TA%CODEIS31�5 TOTAL <br />