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APPLICATI� FOR CONSTRUCT�N PERMIT� <br /> CITY OF EVEFETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVEFETT,WA 98201 •257-BB10 <br /> f'. DEMOLITION f�l COMBINATION 'J7�BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS 1 I(n ZS ��e I�oCT �� SU�?E � �Verf"R' <br /> cj E3ZU4 <br /> OWNER Y/.R5WPE55 CIIY( ,' ZIP PHONE <br /> iENM1Ni ' aM��OFE55 I�4���� �UC � �''��� ��O�NE 7�_�� <br /> .Sr�nr�sF- (� �nanFi 11(,2S l��kk+l.i Qd �'vC¢tT 4dzdy87�3 355=4i24 <br /> 9RCMIIECIOFpE$qNE��WPF55 CIiY ZIV PNONE <br /> iF�.ncL� DcS,��u �c]�ir-s �� .nvs �J �yuuwrrc,( 9�03� �7�-9coa <br /> GfNENKCONiP1CiOfl MAIIA�ORE55 CIiV JIP pNONE SL1TfLICENSE� <br /> (.�,g_+l..,s-C�,,..I � I�,.c � Id..c S�19 wb"P� s•..__�dnw.cl SEczG Noeri+aNd4.�c�1C <br /> MECMANICALCQYTP4C10P MFILPODRE55 CIiV I-.P PHONE $iPtELICENSE/ <br /> 7�{3' /�/79 <br /> PIGUBiNGCOxiF4CiOP MULnDJFE55 CIIV bP GnONE S.PiELILFNSE+ <br /> CONIPA�:lPfliLEOf WORN <br /> HEATING SYSTEM: ❑GAS f]ELECTRIC i- <br /> JESCRiBE WOPIt 4N0 S9;R}E fCOiTC�E INYIXVEO CONT<LL PEPSON PN�PN(��iG I!J <br /> 3aG rr� _ _ <br /> I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> ' APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> vrrcwos[o ose oc ewimrvc PROVISIONS OF I.AW S ANp ORDINANGES GOVERNING THIS TVPE OF <br /> � WORK WILL 8E GOMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> ie�uoexai>norvacvaovenrvisnowrveewwoanr*ncr�rnacoviesi NOT THE GFANTING OF A PERMIT WES NOT PRESUME TO GNE <br /> �pr ZZ e�o.;x 4 or �T OF FP �eu.,i� AUTHORITV TO VIOLHTE OR CANCEI THE PROVISION OF ANY <br /> OTHER STATE Ofi LOGFL LAW RFGUL4TING CONSTRUCT!ON OR THE <br /> PERFORMANCE OF CONSTqUCTION.THAT I AM AUTHORIZEO BV THE <br /> OWNER OF TMIS PROPERTV TO PERFORM THE WORK FOR WHIC4 <br /> APPLICATION IS MADE AND I COMPLY WITH TME STATE <br /> vna�si r,u i o muueee CONTRACTORS LAW 1821 RCW AND 296200 WAC. <br /> LONSiFVCiiONLOFNIENOEF.>�O�1E55.tElEPIqNENVMBEfl � y� ���` y�s'C/ <br /> 51G RE �AiE <br /> LIiY 6USME55 LICENSE N0. <br /> PLUM&NG MECNANICRL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> � WATERCLOSET�TOIIET) NC—NHNDLGUNITS <br /> BATHTUB FORCED NIR SVSTEMS ' <br /> tAVATORY(WASH BASIN� HEAT PUMP ' <br /> SHOWER UNIT HEATERS �' <br /> KITCHEN SINK 8 DISP CLOTHES DRYERS <br /> DISNWASHER RFNGE HOOD <br /> Ll+UNDRV TRAY WFTER HEATER <br /> CLOTMES WASHER WOOD STOVE <br /> UR�NAL METAL FlREPLACE(WOOD BURNING) <br /> DRINKRlG FOIINTAIN FIREPLACE INSERT(WO00 BURNING) <br /> FLOOR DflAIN GAS FIREPLACE <br /> BNCNFLGW PREVENTERS GAS RANCE <br /> SINK(SERVICE—BAR,ETC.� GAS PIPING <br /> E%HAUSTFAN <br /> i SUBTOTAL S SUBTOTAI. $ �' <br /> PERMIT 5 PERMIT $ <br /> �— � TOTALFEE $ TOTALFEE $ <br /> FOR OFFICE USE ONLY: <br /> FaONiaEigPCY REPRSF.tBnLN � $IpESEiBPCK PUNCHECxNVMBER fE[ flECEIPTNO. <br /> Y <br /> vsezcae io*nae vncar�rsi*e iEES VALUATION FEE <br /> �7 r..res m rva euiwiric . � <br /> �Eicr*umrtario� rvr+o owEiu�; srzeo�ei Ti —' <br /> UNI:$ ) � p�VMBING <br /> J � <br /> OLCVPPNCV lqOF5i0PIE5 OCCUV.1NiLGip BPSEMEN! MELH>NILAL I <br /> ov <br /> nves o rvo <br /> Esnawx�/Er+A`eo� acaso� / .00mo�+a�vwnc�cc� �, <br /> 2 ) `c � 5 f "1 orH[a <br /> ciaenuamawo eeuon — — <br /> 5 ,K �.t `� 6iaiE BUiL�irvG 6UPLMnAGE I <br /> rvveo co�is* =iaxsnoaF9�coar CITVOFEVERETT vuaucwoans � <br /> � //_ �/Iy LOCALSALES <br /> oprE TAX CODE IS 3105 TO1AL � <br />