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APPLICATICS FOR CONSTRUCTRON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 A 259.8810 <br />❑ DEMOLIII014 ❑ COMBINATION ❑ BUILDING }V MECHANICAL �I PLUMBING ❑ SIGN <br />PROJECT ADDRESS: 3-70/ %/>yT /}✓E /. <br />Er ET2 CYT Cc/-+/c 3 jO/lyalrT AYre t{/pfc77 `j SLOr ,A.x <br />TENANT MUI AL t. CRY )IP PRONE <br />A11Gx1[GIMOESIGNER 4AII x00nE55 GIY )RP PIpNE <br />0[NFOAI LONIM11 UP MAIL AMITE SS <br />CITY <br />TIP <br />PRONE <br />SWEUCENSEI <br />M[LIIANICAL CONInAC1g1 MAM1AOOIIESS <br />ON <br />ZIP <br />p110NF <br />SrA1E LICEN5E1 <br />i T'+6' R]' BE.e I. <br />PIUMBW0001R, uu1 ,MAILADOMSS <br />ZIP <br />CITY <br />ZIP <br />PHONE <br />SIAIEIIx:ENSEF <br />M 6Rn'/AY GCfi.4+lc.�,. 96ic_F53ve,ue <br />ReTae-Ar <br />AM,y. 4ecsz <br />2f 5�AAx�IY�c <br />PLBG-g22GG,ec Fi VAFC- 575G.en <br />HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br />OEUNeF YgNx ANO SGIAFfS',FOCYAGE MVDl WD <br />RL`x GEl Yc4._6r.,+s ++ AP633 <br />CONIACT PERSON AND PHONE NO <br />�3RLkiCtsdot'a' 925-4SS-9L>, <br />Rflocsf-iE Zi/F�VJ L�'13` �" �i/f/t-Gb't <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 WILL 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 />OWNFR OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW Ig,27 RCW AND 296.200 WAG. <br />� <br />SIINATUOE OAIL <br />PrxNroS[o USE w BulmNo R <br />/l+Fplc.7z Ce /-./c <br />t[cu cescnmllorla rnorEnlr (W. BELOW on enAcx lvroCORE5) <br />LOT nLUCx of <br />PARCEL TAX In. NUMBEn <br />CONSTRUCTION LOAN LENDER, ADDRESS. TELEPHONE NUUMFI <br />GIY DULIIESS IRC[NSC NU <br />PLUMBING <br />MECHANICAL <br />PE OF FIXTURE Oq ITEM <br />LOSET (TOILET) <br />FEE <br />�- <br />NO. <br />TYPE OF EQUIPMENT <br />NG-MiNDLG UNITS <br />FEE <br />_ <br />' <br />FORCED AIR SYSTEMS <br />(WASH BASIN) <br />—�— <br />NEAT PUMA <br />MLAUNDRYTRAY <br />UNIT HEATERS <br />SINK A DISP <br />DISHWASHER <br />CLOTHES DRYERS <br />HOOD <br />------ <br />TRAY <br />WATER HEATER <br />WASHER_ <br />W000 STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GASRANGE <br />— <br />SINK (.SERVICE - BAR, ETC.) <br />GAS PIPING <br />/ <br />EXHAUSTFAN 640c�� <br />33 <br />REL�+fATE T/FFVs�S e.ALy <br />SUB TOTAL 5 <br />' <br />SUB TOTAL $ <br />PERMIT 5 <br />T- <br />PERK41T 5 <br />TOTAL FEE S <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />TRIDENT SErDALn <br />11EAnsEIDAcx <br />SIMS.R.ACK <br />PLAN GRCK WAITER <br />rrr <br />nrF.[IHI NO <br />USE SONS <br />LOT AREA VACANISRE <br />0rri O No <br />NO Or OWELUNG IIZE W HUDOTI <br />UNIT$ <br />FEES <br />VALUATION <br />FEE <br />MZU)Nn <br />_ <br />NEgINUM1AINM <br />Pu1MBIxa <br />FANCY <br />pGiIOMEE <br />OCCUPANT LUAU <br />BASEYFNI <br />GYIS DNo <br />M[CIIAMCAI <br />FIRE SPFENKLER MO 0 <br />REASON <br />ADpIgNALMANGRECK <br />DINEREAW1M <br />MO,REAEON <br />STATE BNLGNO SINCN AGE <br />TYPE OFCONSI <br />PLANSUPPROVEOBY <br />DATE <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 310S <br />no Ir. aonxx <br />TOTAL <br />