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�� <br /> APPLICATIO.. FOR CONSTRUCT►.�N PERMIT <br /> CITY OF EVERET7•BUILDING GiVISION � <br /> 3200 GEDAR STREET•EVERETT,WA 98201 •258•BB10 <br /> ❑ OEMOLITION ❑ COMBINATIO�N,/ L9 BUILDING �MECHANICAI Q PtUMBIN(i ❑ SIGN <br /> PROJECTADORESS: �l N/rtZ�L ��` <br /> owr�[n wn�oonEss c�rv :m r� <br /> �,�,.-�E,� �ow��a Po.fEGx 3zce9 �i21�v�.ap w�'� q�63 (2oco� '�8�-9406 <br /> lFww1 uw�opiEss Grv nv w�oME <br /> MIGMRCT pI pESqHFR IMN�OORE55 G1rV IIP PIqNE <br /> Tiw�. cr..��=���J Yo• t�v� �z�9 K�+2Kua���� w.a 9�63 (204) �63-9W6 <br /> aer�[,wcanrwicron wui�ooncss cnr nr r�wr� su�ei�r�. <br /> T�^�t. GA�FI�t-� G.ANS�. ,[N(.. N i� � �� !� I� Ti.tic��Lo"I'ic�A <br /> 11ECN11NILK CON�NACTpI WM�DDAE55 CAfY ZIV VIqNE ST�TE LICENSE� <br /> %UMIp({CpNiMG70P YNL�0011E53 CItY IIP VIIONE STAfELICENSE� <br /> taMm/cr mca a won� � �--�— <br /> HEATING SYSTEM: IJ GAS ❑ELECTHIC O <br /> oe�wdwunsawnarooT�avdveo CONI�CTPER50NNqV110NEN0. Hw c�. <br /> w�v W G�+ �.. � a.ac.E T G.[aNr��E zoc. 63�9c.o <br /> Rc�c (20�.) 995-'�'7 <br /> 1 q2.� S.r-, 2 �AlL R2A �n M Z.ob '71 - "7 <br /> 1 HEREBV CERTIF` THAT 1 HAVE REAO AND E%AMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> �����°Nq PROVISIONS OF UWS AND OHDINANCES 60VERNING THIS TVPE OF <br /> WORK WILI BE COMPIIED WITM WHETHER SPECIFIED HEREIN OR <br /> i[auoEsrnnna�avnaaEnnis�qvmee�oww�n�cxrwocov�s� NpT. THE 6RAMINO OF A PERMR DOES NOT PRESUME TO 61VE <br /> ioi �j �� a AUTHORITY TO VIOLATE OR CANCEI THE PROVISION OF ANV <br /> OTHER STATE OR LOCAL LAW REODUTIN6 CONSTRUCTI(Ni OR THE <br /> p P/�fL.✓�5 i O� ��ST�� PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPEiiTV TO PERFORM THE WORK FOR WHICH <br /> 2,0 �q�.�c(L ST. APPLICATION IS MADE ANO I COMPLV WITH THE STATE <br /> ����.o. p CONTRACTORS LAW 18.27 RCW AND 298.200 WAC. <br /> 1 ME <br /> 852 - o00 - oo� � / /u!� 'I . <br /> CONSl11UCIqMIdWLENOER.�Op1E55.TELERI0NEMIMlER x 2�.X �� 29•�ICo <br /> GI�1Y��1Y� •• SNIaATURE WTE <br /> qTY BUSNIESS IICENSE NO. <br /> ���{ MECNANICAI <br /> Np, TYPE OF FlIITi1RE OR ITEM FEE NO. TIPE OF EOUIPMENT FEE <br /> 'S WATER CLOSET(TOILEn ' A/C—AMNDLO UNRS ' <br /> Z g��Ug � '� FORCEDAIHSVSTEMS i <br /> IAVATORY(WASH BASIN) � HEAT PUMP � <br /> � �pyyEq � UNIT HEATERS ' <br /> KITCHEN SINK 8 DISP i CLOTHES DRVERS � <br /> � DISFiWASHER � FiANGE HOOD ' <br /> UUNOHY TMV � WATER HEATER i <br /> CIOTHESWASHER � WOODSTOVE ' <br /> URINAL ' MElAL FIREPLACE(WOOD BURNINQ) ' <br /> ORRN(IfMa FOUNTAIN i FIREPLACE INSERT(WOOD BURNING) � <br /> ROOR ONAIN GAS FIHEPLACE ' <br /> BACKPLOW PREVENTERS � � GAS RM1GE � <br /> SIM((SERVICE—BAR,ETC.) 'S GAS PIPING <br /> � � IXHAUST PAN <br /> � <br /> � <br /> SUB TOTAL S ' SUB TOTAL f <br /> PERMIT S � PERMIT f <br /> TOTAIFEE f ' TOTAL FEE f ' <br /> FOR OFHCE USE ONLY: �� <br /> FI10NT SEiBIGK / REM SE�N S�U�SET&1C�/ ilN1 C11ECN�� FEF�Q � RFCEMi N0 <br /> 7a o «% <br /> �Zprt ipr,u�� v�c�ursire FEES VALUATION FEE <br /> /7� O�FS O I+o � (� <br /> —LG BUtDINC. � 6 �S <br /> IIEIOMTUM1T�tlp1 / IX11TOiDWEllIN6 S1 ys!L /�/�O� <br /> I�Z2 ��. Li�w4 + vu»eema 7 <br /> 52 S,f. ArtAC� <br /> oecuv�r1ev raaeuwes occuvu/rio�o e�se�xr � � MecN•rac�. loOl00 <br /> �r.•3 J• 2- ❑r[s B'Fo � . <br /> 11pd11(NI�L�'t�N CMF.CK <br /> FNIEBPRIMqER1Ed0 ��9� , <br /> � <br /> O�HER � <br /> v�K�aM�ao at�sa+ I <br /> ST�lEB1XlDM(i51)RCHMKiE � �nJ <br /> trve av towst ttnNs�vvno��Lv CITY OF EVERETT ruai x:wonK� ZC i�c i� <br /> � �-� Q IOCAL SALES �,� <br /> '-'J� OATE �� TAX CODE IS 7105 roTAL � <br />