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APPLICATIG.� FOR CONSTRUC7.JN PERMIT <br />CITY OF EVERETT • �UILDING DIVISION � <br />3200 CED�F STREET • EVERETT, WA 98201 • 259-8810 <br />i' DEMOLITION i i COMBINATION BUILDING MECHANICAL PLUMBING i i SIGN <br />PROJECT ADDRESS � <br />lD )}n 5/.7� ��(.c�}! L.,-� ��v��) 5�2, 5.�.1, ;3a _�tc L` C� <br />UwNrn Mail nnlmrs� rih Jir rnmu ry � <br />���I��lS�i/-i l�il�c. � ,�n %�I )ti't� �{. F'i.�l.a.c{_,I..�r� ---------- J�i-b��� <br />- ' Y�-----'- - - <br />ir��n�n nn nnunpss ��n� rv� rno�a <br />RfIC1111CCf OR pF.S1.HfB M�II �f1Dnf55 <br />/ir ruONf <br />O[NEf1�LCONipAqOR MMI.AOIIDE55 fIIY )IP PIION[ SiREIICFNSE� <br />�'�FCIIANIULf,ONTR4CTOR M�II�ODRF.55 [ITV }IP PIIONF SiAIEUCFNSE� <br />uti,u� P�,�».y,.� ����r �3.,w ,a,�.�.�L 5.,�r-� i->. w._�.u�.,,�i.,, w� (Jti�1-trlY8�3(= Ul�j <br />PIUMAMOCONiRnCiO� nIlA0URE5S CIIY IIt' p1�pHE StAtEIICFNSE� <br />oescnmr. vmnk �No couanr Foor�ee iNvoi vEo <br />��cn�,u ���, d 4�� c�.�w. <br />rnoroseo use or nimoiNa <br />LFG�L �ESCfiIPilpN OF CWOPERTY �SNOWN PF.LOW Ot1 Ail�f.111V <br />ior mocK or <br />PARCELTANID NIIMPER <br />CONSiRUCT10N IO�N LFNpEn. �D[1Rf55, i[IEPNONF. NIIMpfO <br />PLUMBINO <br />NO. TVPE OF FI%TURE OR ITEM <br />3 WATER CLOSET (TOILET� <br />3 BATHTUB <br />j LAVATORY�WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />3 DISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK (SERVICE — DAR. ETC.) <br />SUB TOTAL S <br />PERM17 S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />rno�ir scrnnck nrnn srrnntK <br />usr 7oNr <br />��UO111 LIMII�LION <br />OCCIIP�NCv NO (D <br />cnour <br />nnr �unrn neo 0 <br />r�ne srniNKien nri <br />�vre oF covsr <br />iornne� <br />NJ (XI1WFlLII�G <br />11`!II G <br />uni� <br />�< <br />coriesi <br />FEE <br />sioe srrn�cK <br />vnr,uu srtr <br />�irES ii Nu <br />SIIP OI plfA;'II <br />P��f MFNI <br />(1YE5 fl NO <br />HEATING SYSTEM: I I GAS f 1 ELECTRIC f 1 <br />f.ONiAC t PFf60N 4��p PIIONF NO <br />I HERE�V CERTIFV THAT I HAVE READ AND EXAMINED Tl115 <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNINCa THIS TVPE OF <br />WORK WILI BE COMPUED WITH WHETHER SPECIFIED HEREIN OR <br />NO'. THE GRANTING Cr A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHOPITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PE:iFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED �Y THE <br />OWN[R OF THIS PfiOPERTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CnNT'iACTORS LAW 18.27 RCW AND 296.200 WAC. <br />x �/-�M ��..�1� S-(9•°��� <br />SI(;NAIUPE D�TE <br />piV pU5R1[SS I�CCNSE 110 <br />MECHANICAL <br />N0. TYPE OF FIXTURE OR ITEM FEE <br />A�C — AMNDLG UNITS — H.P. � <br />FORCED AIN SYSTEMS — B.T.U. M E.A. ; <br />HEAT PUMP �— <br />UNI7 HEATERS — D.T.U. M <br />CLOTH[S DiiYERS � <br />VENTILATION FAN � <br />FANGEHOOD � <br />3 WATER HEATER � <br />METAL FIREPLACE �WOOD BURNING) <br />FIREPLACE INSERT (WOOD BURNING) <br />GAS FIREPLACE <br />GASRANGE <br />GAS PIPING <br />EXHAUSTFAN <br />PERMIT S <br />TOTAL FEE S <br />r�nNcriFr.KNUMnrn �rrF �nEr.�irrNo <br />p11RpIN0 <br />ri uanw , <br />ufr��eNic�i <br />noui nnNa� ri nN cuccK <br />onrzn <br />sinii nunort+a sunc�uncc <br />CITY OF EVERETT runncwonKs <br />LOCAL SALES <br />TAX CODE IS 3105 TOTAL <br />