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APPLICATIO.� FOR CONSTRUCT.JN PERMIT <br />CITY OF EJERETT • DUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259�8010 a' <br />/ <br />DEMOUTION COMBINATION � BUILDING I i MECHANICAL �I� PLUMBING i' SIGN <br />I PROJECT ADDRESS , _ <br />,_� �� . <br />04V4CIj j MNI APOIR':• f�I� i��• • <br />�'I ' ..,.,�L_ "� 111-1--�— �� l �_.. � �( ' l! f � ` 1 <br />_ . � <br />. ,.�- -�-- � . `-. <br />�ninrn ��nnnun�irc< <�i�- ;u�... <br />1910Nf <br />, �. S --k_� 7 <br />rin..r <br />nriamecranoesmNen uui.nooness att rir m�or+e -- <br />crNcnnicoNmer.tc� unn.�ooness r.i�r nr mior+e S1AiELICCNSE. <br />irra�nvicucoNmnrron Mnitnonness <br />crv <br />PIUMBIN6CONiPACTO� MRIU�IXIESS qTY Ji� PIIONE $T�IEJLENSE� <br />i� <br />i�iJ./S'/LirC L a i i�o NC / li��(%���I� <br />CUNiRA L PI�iCE Of WO(1k - <br />�'� � �, �; .— HEATING SYSTEM: ( l GAS fl ELECTR�C rl <br />or.scnio nK nNo <ou�ne Foor�ce rt+voiven rrnrtncr rrncoN�vn r�roue ruo <br />iot eia;K or <br />rnnce�*�xio Nur+eEn <br />GONSiRULT10NlOANIEN�[I1.ROD�E55 LftfPHONENUMPER <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET�TOILET) <br />BATHTUB <br />� LAVATORV (WASH �ASIN� <br />KITCFIEN SINK 8 DISP <br />DISHWASHEfi <br />LAUNORYTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />F�70R DRAIN <br />BACKFLOW PREVENTEFS <br />CWK /SF[]VICf- — RAR Fi <br />SU�TOTAL 5 <br />PERh11T 5 <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />fRONi5f1FlAlN RfnO SFLP�CN Slp[ SFipnf,N <br />usr zoNt: <br />❑[IGIIT UMIi�TION <br />OCCUPANCY tq f <br />r,nour <br />nf1F. �LMM BEa 0 <br />fIRF SPRINNIFR RI <br />rvrF oF coNsr <br />I OI AP( � <br />NO Of OWLLIING <br />InULti <br />RF�SON <br />DntE <br />� '.�C ANl y t f <br />.< < <br />e zr or ni oe �� <br />FEE <br />� <br />M[NI <br />IIYES fI �.l <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS 3105 <br />I HEREOV CERTIFV THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SA! IE TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND OPDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITFi WHETHEF SPECIFIED HEREIN OR <br />NOi. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONS?RUCTION. THqT I AM AUTHORIZED BY?HE <br />OWNER OF THIS PROPFRTY TO RFOHM THE WOFK FOR WHICH <br />APPLICA?ION -� MADE AND � COMPLV WITH THE STATE <br />CONTRACTOfiSIAW 1B27ACW AND 296200 WAC. <br />/ <br />. <br />x �— '��'.. r 'v�c:' � � <br />S�GN�IUPE �A1C <br />/> �1 �°)y' <br />arr nuswess ur.r.r+sc No � <br />MECHANICAL <br />NO. TVPE OF FIXTURE OR ITEM FEE <br />NC —AMNDLG UNITS — H.P. ; <br />FORCED AIR SVSTEMS — �.T.U. M E.A. � <br />T <br />HEAT PUMP � <br />UNIT HEATERS — B.TU. M <br />CLOTHES DRVERS i <br />VENTILATION FAN � <br />PANGEHOOU i <br />T <br />WATEf; HEATER y__ <br />WOnDSTOVE <br />METAL FIREPLACE (WOOD BURNING) i <br />FIqEPLACE INSERT (WOOD BURNING) i_ <br />GAS FIREPLACE � <br />GAS <br />SUBTOTAL $ <br />PERMIT $ <br />TOTALFEC E <br />rinuc�¢cKrvuunn rrr nccrv��No <br />C/(v � � ��i <br />nwini�+a <br />Pl11MflING <br />MfCIUWGI <br />�DO�T�ON�� PUN GNECN <br />OINFF <br />StAlf OUILDMC SVBCII�fICE <br />runi ic wonKs <br />TOTAL <br />