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� � <br /> APPLICATIG.1 FOR GONSTRUCTION PERMIT <br /> C�TY OF EVERETT•OUILOING CIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259-8910 <br /> ❑ DEMOLITION Q COAA8INATION ❑ BUILDING ❑ MECHANICAL ❑ PLUAABING ❑ SI(iN <br /> PROJECTIIODRESS: 2110 HEW�TT /�•cE ty ,�- �,� <br /> F�OUJARDs.pqi�6Er,liOASr 2(e/�j M`�✓�L L'"VL"72C'tT" M/14 9820� J ,� t+ <br /> � MNll10p11E55 GITY � � � �_ � � 1 �1'�' �i(`S <br /> ES�(Z#Jl� Im ���or�E <br /> 5 WOOD I/�1C� ZI10 F{EW11T MlC G-1lcK.�TT WA �/ 20I 1'jhA.G.lLpi� <br /> *�T uui nopn�ss 8 Zul, 30 3 - /6 e S' <br /> atr 7io v�arrt <br /> GA�., Ba+�r-� SA,.ti� <br /> A�d�T[CTOR GES�ONFR M11I1�IDONE55 CIIY <br /> 71P p�E <br /> ���COM�pMfOq MMLAOONE55 C11Y <br /> 7�� p� st�TEl1CFN5E• <br /> MECMMIILKCONTA�CTOR M�1ttADd1E55 CITY E W ZOSLZ�J <br /> Z�r %� ST�TE 110ENSE� <br /> RIMMQCONTWCt011 MiYLl1D01�E55 CItY <br /> /��//4N r�P �F St�TEIICENSE• <br /> � n� r'Yla!'ZZT7DN <br /> cwtn�cr rwcE a warc <br /> sOOv HEATING SYSTEM: ❑OAS ❑ELECTRIC O <br /> OElCME MOM111N0 SOU�PE FOOTKiE M'OIVED CONtACT��plr I1ND PMONE!q <br /> 00� � �� SQ � CIIT t�rr..i 3o3 -iE0 <br /> I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED TM�S <br /> MorofEuuseorsuKduo APPLICATION AND KNOW THE SAME TO BE TRUE AND COqRECT Al.l <br /> M R N UFAc�u�t,i�.1 C. PROVISIONS OF LAWS ANU n•:ptNANCES GOVEqNINC;THIS TYPE OF <br /> uoKotfcairrq�oFp�ar�qTM��q��i�,p��n���E� WORK WILL BE CpMPIIED WITH WHETHER SPECIFIED MEREIN OR <br /> ��T Z � k��a ��.Rt,,T.T �T• THE ORANTINO �F A PERMR pOES NOT PpESUME TU 61VE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISION Of ANY <br /> OiMER STATE OR LOCK LAW RE6UU1T1Np CONgTqll��p►�pq TME <br /> PERFORMANCE OF CANSTRUCTION.TMAT I AM AUh�OqIZEO BY THE <br /> OWNER OF tMIS PROPERTV TO PERFORM THE WOqK FOq yyM1�N <br /> APPLICATION �S MADE AND 1 COMPLY WITH THE STATE <br /> ►�tt�u�i.o.M�� CONTRACiORS UW tB27 ACW AND 296.200 WAC. <br /> - -G <br /> CONlIIIUC110111dW LEI�ER.IIOpII(SS.tEIEAqNE MMlER � �(��- II/Z G/T� <br /> ,a SK1N�tIXE D�TE <br /> C� O <br /> atr eus�ss i�r��a <br /> ��� MECHA1pCAL <br /> NO. TYrE OF flRTURE OR�TEM PEE NO. TYPE OF EO{II/MENT FEE <br /> WATER CLOSET(101LET) , �_��Q�� <br /> � �TM� ' fORCED AIR SYSTEMS � <br /> UIVATORY(W�H BASIN) � HEAT PUMP <br /> K�TGIEN SINK 6 DISP � UNIT HEATERS , <br /> � CLOtHES DRYERS � <br /> DIBMWASMER RANQE Fi00D � <br /> . IAUNORV TRAY � WATEH HEATER � <br /> CIOTHE3 WASHER � WOODSTOVE � <br /> UqINAL � � <br /> METAL FIREPUCE pMOpp BURNIN6) � <br /> Ji!lTMMO FOUMTAIN ; flREPUCE INSEfiT(WOpD BURNIN(i) ' <br /> FLOOR DRAIN � GAS flREPUCE � <br /> OAdCROW PREVENTERS ' <br /> i (iAS RANQE i <br /> SMIK(SERVICE—BAR,ETC.) , �P�P�� � <br /> � <br /> ' E7CHAUST FAN , <br /> � <br /> � <br /> i <br /> _ � � <br /> � � <br /> � <br /> SUBTOTAL S ' SUB?OTAI f � <br /> PERMIT S � PERMIT f <br /> TOTAL FEE f ' TOTAL FEE S � <br /> FOR OFFICE USE ONLY: <br /> F110NT SEtl�dt qE�q SETytiN SIOf SETlnCN PtAN C11ECK NUMyFR FEF r R((:EIPI HO <br /> �� ior�n¢� V�ANf51fE FE 8� VALUATI N FEE <br /> OrEs ❑rro <br /> i ounowa �6ua ' <br /> �rtroxt uwunw .a or ow¢wrro site or e�oorti I <br /> unns <br />: y o�„�,N� ; <br />'� ��cr �aasuwr[s acuo�Hrio�o <br /> , <br /> •� !A$EUFNT MECNANIC�L —� <br /> I ❑YES ❑NO � <br /> SPN�NKIERREp�p qE�5p/ �DpI110N��M�NCnF.CM � <br /> YES U�� ' - <br /> FlXEILLMMREO'D RF�SON Oi��En � <br /> i <br /> N� Si�1E BUItbM6511RCN�11(:E i <br /> rrne a r,or�sr v�nN e�vnov¢o er CITY OF EVERETT runnr,woaex � <br /> 7� <br /> �_ �J LOCAL SALES _ � <br /> o� e I 1-1 - `t� TAX CODE IS J105 TOTAL � <br />