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/1PPLICATI�..�1 FOR CONSTRUG7.JN PERMIT <br />CITY OF EVERcTT • E3UILDING DIVISION � <br />3200 CED�R STREE �• EVERETT, WA 98201 • 259-8810 <br />� DEMOUTION � COMBINATION : i B,UILDING I MECHANICAL r` PLUMBING i SIGN <br />PROJECT ADDFIESS <br />7�1 �7+� SF SL ��,�_,aIF ��J? V��I� li�, <br />��rn ,_ r,�nn nnonrs: � �i� �,� <br />��I.,�l`:�C��. �J���� .0 �i"� l�.I "1)'�� SS 5 t c <br />� � '- ------ ----- -- l �.. R.r i�_i <br />iCNAl11 �--� -U� Rp011�S�: illr —/�---�- )u' <br />�RCI�rtfCiOROF516NER MRII Appq[55 <br />ceNrnnicor�rn�cton r�nunnnne <br />nr <br />; ir <br />� <br />;�ZI I�I `jy/ <br />i <br />rnm:r <br />i•" <br />—� f'nf1NF <br />r��ove <br />VICqLCUN11UClOf1 MA11,11p(%IE55 CI}Y ]IP <br />1eJ ��1C, 11(�f;15- 14��4A�t A�L =�,�I��u�, (,�u��4�.:.,��llc <br />Mml AbORE55 <br />CONfR�GT {'RICE Of WOfiN <br />oEscmae vronK nNo saunnE roo.�ae iNvoiveo <br />I�c'i,.i.. j}ot ci' l..lL� �,(��w. Ii��i,� <br />ieca oesceivnon or rnorenrv isNowr� eeiow on enea� Two eories <br />ioT oiocK __ or <br />PRRCEI T�K I D NIIMBER <br />CONSTR4GilONLO�NIFNDGR.�DDRESS.TEIEPHONE NUMPFR <br />NO. TVPE OF FI%TURE OR ITEM <br />WATER CLOSET (TOILET) <br />N BATHTUB <br />'I LAVATORV (WASH BASINI <br />KI7CHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRVTRAV <br />CLOTHES WASHEFi <br />URINAL <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL $ <br />PERMIT $ <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />rnoNTsrmnce nrnnsern�cK smcsrtn�eK <br />useror+e I���•nc� <br />NEIOIITUMIT�LION NOOfpWfllM4 <br />ur�rts <br />oCcur�Ncr rro oo s�anic5 cx:curnrn �onu <br />cnour <br />REOU � RFRSON <br />IYPG Of CONS7 <br />FEE <br />P110NF. SUtE LICENSE � <br />r��a+e St�rFueeNse. <br />v�;•. �.,�., ���i<� �yyti'r- <br />PI�ONE STA1F IICENSE � <br />HEATING SYSTEM: I GAS ' I ELECTRIC f� <br />r.omrncr rrnson nnn ruoNr va <br />I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL <br />PROVISIONS OF LAWS AND ORDiNANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPUED WITH WHETHER SPECIFIE� HEREIN OR <br />NO7. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />IIUTHORITY TO VIOLATE OR CANCEL TNE PROVISION OF ANV <br />OTHER STATE OR LOCAL LAW REGULATINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSIRUCTION. iNAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY i0 PERFORM THE WORK FOR WHICH <br />APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br />CONTRACTOfiS LAW 1827 RC1N AND 296 200 WAC. <br />I � � � i <br />X�t,�,� , � � ;- �f - 2�-�r5 <br />P(:NRtORE � D�TB <br />t <br />pLV pUSiNFS51�CEN5C NO <br />MECHANICAL <br />NO. TVPE OF FIXTURE OR ITEM FEE <br />A/C — A/FiNDLG UNITS — H.P. � <br />FORCED AIR SYSTEMS — B.T.U. M E.A. � <br />HEAT PUMP � <br />UNIT HEATERS — B T.U. M <br />CLOTHESORVERS <br />T <br />VENTILATION FAN <br />RANGEHO00 ; <br />WATER HEATER <br />WOODSTOVE . <br />FIREPLACEINSE <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL 5 <br />PEFMIT E <br />TOTAL FEE 5 <br />ri�Nc�¢cKr� �n, �' I rrr I nFr.rmrNo <br />vncnr+r sne rtts <br />i� Yf 5 I 1 NO PIIqpINO <br />SIPE O( A/IXiR I <br />rwNnn�r, <br />B�SEMFNI y��p�ryi�N. <br />IIVES I1 NO <br />' �DDI110NAL PI AN CHECR <br />Oi11ER <br />ST�iE OUILOIN(I SUPC/1nqC[ <br />CITY OF EVERETT runur, wonKs <br />LOCALSALES <br />TAl( CODE IS 3105 TOTAL <br />�1 <br />