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at,wp e � <br />APPLICATI49 FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT. WA 98201 •259.8810 <br />rl Tgoan TION rOy el'I [COMBINATION F3 BUILDING FT MECHANICAL Fl PLUMBING fl 81GN <br />P A <br />E/ .AOMELS <br />GAY <br />IW <br />rr+� <br />Snohomish County <br />3000 Rockefeller Ave Everett <br />98201 <br />425-388-3320 <br />IflgNl <br />uul. ApGl[SS <br />Gq <br />f <br />glGlf <br />ARGSIECT OR OESIOMN <br />MAR ESS <br />GM1 <br />IIP <br />nA'Plf <br />Gary arkinson <br />Architects 2812 Colby <br />Avenue Everet• <br />98201 <br />425-252 <br />715'1 <br />ICENSE <br />sIATf L! <br />mwnm.GMTIuclm <br />uu.PRUMSS <br />OTT <br />IGTE <br />1`AOQA.01 <br />Tom I1 Construction <br />PO BOX 12575 Mill <br />Creek980� <br />! <br />c25 6R7 <br />qlE <br />LtGL'T <br />1 it LILLAp <br />MECNAMKAL CONI"ACTOO <br />—L AGKTESS <br />GM' <br />MURNMAp CON1PACTOP <br />MAR ACPNESS <br />CIfV <br />M <br />gIGGIE <br />flAli LE:LME1 <br />COEIITIACT IRIICf OE WORB <br />3 <br />HEATING SYSTEM: [) GAS RI ELECTRIC F3 <br />vR ADO <br />pfSCgRE RANOSWAM E(g1AllE INVpVFO <br />CON1ACi H115IM Mq 7!AAT <br />Clerk's Of�ice <br />Sr f fye <br />425-252-2153 — <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES OOVERNWO THIS TYPE OF <br />rRMFortouM a BInEAw <br />WITH WHETHER SPECIFIED HEREIN OR <br />C oiirtrIX <br />WORK WILL BE COMPLIED <br />NOT. THE GRANTING OF A PERMIT DOER NOT PRESUME TO GIVE <br />gK ATY GIATTACh M cprE51 <br />IfOAL OESCgI.IIVI U( IS1R"BELOW <br />Eve retlM 'aL Of D-U 11 Il10Ck 716 3YW With <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OR THE <br />LOT <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />1 2 vac. Rockefeller S[ U. adi Lo . <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />SD Blk and TWG vac. alley Whn SD Blk. <br />APPLICATION 19 MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS_ LAW IS2T RCW AND 295.200 WAC, <br />V <br />BARGEE TAAID NWSFR <br />439-716-000-0000 <br />/`� 9b <br />/' 114 <br />C�151RIIC110111ON1lCIpER AGNIFSS.IEI[1'IK.ITE NIMMR <br />X _—p� �J A 1 <br />$NWAIURE <br />GM1 eULAKSS lK[NSE w <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM FEE <br />MECHANICAL _ <br />NO. TYPE OF EQUIPMENT <br />FEE <br />NO. <br />CLOSET <br />NC—AHNDLG UNITS —H.P. <br />WATER (TOILET) <br />FORCED AIR SYSTEMS —B.T U. M EA. <br />BATHTUB <br />_ <br />LAVATORY )WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS — DT.U. M <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISIIWASIIER <br />VENTILATION FAN <br />LAUNRRYTRAY <br />RANGE HOOD <br />CLOTHES WASHER <br />WATER NEATER <br />- <br />URINAL <br />_ <br />WOOD STOVE <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />SINK (SERVICE -- BAR. ETC.) <br />OAS RANGE <br />GAS PIPING <br />EXIIAUST FAN <br />SUB TDTAL f <br />SUB TOTAL S <br />—'—*— <br />— <br />FERMIi f <br />PERMIT S <br />TOTAL FEE S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />EII[Wi SF1PALk <br />11EAO SF.TBACR <br />STIR SFIPACR <br />M1AVry A4 Cl <br />yyy...11l of <br />PfCFPIw <br />— <br />FEES VALUATION <br />FEE <br />USE IONF <br />IUf A"EA <br />VALY1191F <br />T N(1 <br />f Il[P <br />PIMgNP <br />IKKUH L"F.ATKIR <br />aOWEIUW <br />SAN, ITT PIOdT �„1y <br />nINPMP <br />---1— <br />OCcurANLr NB(A KS <br />MECIIAMCN <br />_— <br />ElCG1TMNTLOAD PARFLf/Il <br />°" AW <br />�' nro w <br />_ <br />AEO"I(WflnfHGKCk <br />TWE µAITM IC <br />�A <br />"EASfX1'�h <br />OUKO <br />STMC PIMMRTSMTGIAIK:E <br />F.M. FIEOO <br />PE!�W" <br />IrPEOF E:ONST HAMS AlYYl0VE0 BY CITYOFEVERETT TYAXY:—O <br />LOCAL�1'. �� SALES TA%CODE S3 OS TOTAL <br />WTf II / ! 9�fc <br />