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APPLICATI� FOR CONSTRUCT�N PERMIT� <br /> CITV OF EVERETT•BUILDING DIVISION <br /> 3200 GEDAR STREET•EVERETT,WA 98201•257-8810 <br /> fl DEMOLITION lwi�:OMBINATION fl BUILDING ❑ MECHANICAL f7 PIUMBING rl SICaN <br /> PROJECTADDRESS Q��� � <br /> M/JL��E55 �-. �� �Lfi1Y ZIP �KK� <br /> ow.aP Q � 02�4 �'}'� C�/�"� Q�.�Ca �ir"a� <br /> a+e <br /> lE�VNT MML�COPES$ <br /> I{1CXIlKIpROE51GNEP MP4�OCPESS GI1V ZIP ��E <br /> OExE C llTW_diOJPe � <br /> M/JLA��FE55 CITY ZIP V110NE $1PlElICENSE� <br /> �Iwv CrtV ZiG iCNE SiRIELiLENSEi <br /> MELXRNFFLCONIPPfTpp MFILACOFES$ <br /> ���� jp PMONE SiRIELIGkNSE� <br /> PLIIMBIIIGCONIPPCiOP MPRA�M�E55 <br /> <���TVP1LEOFNO"" HEATINGSYSTEM: ❑GAS ?(ELECTRIC i i <br /> Gq1ti.CiVEfl50N PMONENO. � ^C —� <br /> pE$LPIBE WOPN.W�SOV4RE FWLAGE INV0.VE0 OfJ <br /> `� p e. _ �, ,c� � <br /> I HEREBY CERTIFY THAT I HAVE READ AND E%HIdMED TNIS <br /> APVIICATION NND KNOW THE SAME TO BE TRUE NND GORFlEGT ALL <br /> vr+ovoseouse or ewmrzn PROVISIONS OF UWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> WORK WILL BE GUMPLIED WITM WHETHER SPECIFIED HEREIN OR <br /> �Eu¢oescaiv�wxorvnor[a���s�awrvee�owaeeirwnrnocoviesl NOT. THE GRAMING OF A PERPIIT OOES NOT PPESUME TO GNE <br /> a <br /> Lor aL�N o` AUTMORITV TO VIOLATE OR CANCEL THE PPOVISION OP <br /> OTMER STATE OR LOCFL LAW REGI�LATING CONSTRUCTION OR iHE <br /> PERFORMPNCE OF CONSTRUCTION.THAT I AM AUTMORRED BV THE <br /> OWNE'i OF THIS PPOPEPTY TO PERFONM TME WORK FOR WHICM <br /> APPLICAiION IS MADE AND I COMPLV WIiN THE STATE <br /> CONTRACTORS lAW 1B2]RCW AND 296200 WAC. <br /> v,wcE�*u�o xuue �/�J_��/ ' O/O —OC� /J// .�q[J� <br /> LONSiPVCiIONtO�NL�iAEF..�CqiESS.TELEVNONENIIMBER z // ////� �S� O/ <br /> S • RE O4iE <br /> CIiV BUSMIES$LIf.ENSE NO. _ <br /> GLUM8ING MECHANICM. _ ___ <br /> NO. TYPE OF FI%TUPE OR ITEM FEE NO. TYVE OF i.0U1PMENT fEE <br /> WATER ClOSET(TOILET) :JC—NHNDLG UNITS <br /> BATHTUB FORCEDAIRSYSiEMS <br /> LpVA?ORY(WASN BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISP CLOiMES ORVERS <br /> DISHWASMER RANGE HOOD <br /> LAUNDRY TRAV WAiER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINA� METAL FIREPLACE(WOO�BURNMG) <br /> DRINNING FOUNTAIN FIREPLACE INSERT(WOOD BURNING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> BnCKFLOW PREVENTEFS GPS RANGE <br /> SINK(SERVICE—BAR.ETC.) GAS VIPING <br /> E%HAUSTFAN <br /> SUBTOTAL 5 3VBTOTAL S <br /> PERMIT 5 P=RMIi S <br /> TOTAIFEE S PJTpLFEE E �_ <br /> FOR OFFICE USE ONLV: G� '�� — <br /> 11ECEIPiIA <br /> FRONLSEiBACIt PE�flSEiB�Ck $IOESEil.�CR PVNLMC'.MIMBEP F�'f <br /> useiorvE �maaEn <br /> vecnxrsrte FEES V111U�T10N FEE ' <br /> n.es n�a aunaxc <br /> XEIGNiLIMIi�TION NJO[pWELLING SIZEOFBtOG!!I <br /> VNII$ PWM6MC _ <br /> � -� <br /> pl:CIIPANLY NOGfS�ORiFS OLCVP�NiLOFO BRSEMEN( ��HRfNC�I <br /> GPOUO [�VES f]NO " <br /> �ppIiIC4LRMlCXEP <br /> fiRESPPIMLEFRE00 PERSON <br /> OiNER _� <br /> FIpE�1.�AMFEO'0 AEPNW <br /> SLATE BUM1DING SINCMRKKIE I <br /> ,vveorcorvsr vuns�warncoev CITYOfEVERETT �iF�s � <br /> LOCALSALES --- <br /> o��E <br /> Tl1X COOE IS 3105 *otA� <br />