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APPLICATIG _1 ��R CO�ISTRUCT.JPI PERMIT <br /> CITV OF EVEREiT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •258•8810 <br /> ❑ DEMQLITION ❑ COMBI ATI�O / L�S ByILDINfi �MECHANICAL Q PLUMBIN6 p SIGN <br /> PNOJECT ADDRESS: �� r//�G(i1 (� <br />( �K� y�y��pp�ay cirv !m P110NE <br /> vq„���E� �o�•n�s Po.fdo� 3zte9 1=�21u.•'+�J�� vvra �1�63 �2oto� �0�-9406 <br />� j(�� WJl�00RE5S GlY T�P o��OME <br /> MILMTCCtp1DE51fiNER WNMp1E55 CI�'/ 71P PIqNF <br /> Tw�, c_rs..��=���J Po. t9cv� 3zm9 K�2.K-�✓+^��"� Wra �I�B3 ('t.�.) �I93-9W9 <br /> (�11�IW�pNTM[T�p yy��pp�Esg GIfY 71f PIIONE Sf�IEIICENSE� <br /> �i - CA�f� u� C.ANST LN�- d �� r �� n h TWG/�C=O'-!"70A <br /> IIEpYNICK�ON7p11C7pq y/��pp�s$ CI1Y ZIV P110NE STATEIILENSE/ <br /> n�����T�p y�y��pp�u ��ry i1P VIqNE SpTEIIGENSE� <br /> CONtINtT PMCE OF YY0111t �� � �/ — <br /> HEATING SYSTEM: IJ GAS O ELECTRIC O <br /> oEx�wE won�ua SaMnE sOOuaE wvav¢o CONi�CT VERSON M!D PHONE NO Hw o�. <br /> N�v W � � �� � �eatE , ��E zcc.. 61��1(�0 <br /> pt��t �Loa) 995-�'I <br /> 1 �l?J� S.F. 2 cra� wr•..w � � w� u�) '7i - ') <br /> 1 HENEBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPlICA710N AND KNOW THE SAME TO BE TRUE AND CARRECT Y1LL <br /> �����p'iO PROVISIONS OF UWS AND ORUINANCES GOVEtiNING THIS TVPE OF <br /> WORK WILI BE COMPLIED WITH WHETHER SPECIFIEO HEREIN OR <br /> �Ey�LpE5Up7pNpip�qpEpT/�yqWl�lELpWp1ATi/i'MTWOCONES� MpT. THE ORANTIN6 OF A PERMIT DOES PmT PRESUME TO 61VE <br /> i �T�_�� � AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR LOCAL UW REGUTATINO CONSTRUCTION OR THE <br /> W PA2K.S I��E �A ST�� PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNEH OF THIS PROPERTY TO PERFORM THE WOHK FOR WHICN <br /> 2 A�-�E2 ST. APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br /> �1�i p p CONTRACTORS UW 1827 RCW AND 298200 WAG. <br /> 852 - o00 - o0'j. <br /> COMSIRUCTqN Ldw LENOER I10MESS.1ElEP110qE NU4lER ��_� y� � 'Z9•�ICO <br /> Gi'TYLi��JIC - s�aur� wre <br /> CI7Y BUSINESS IICENSE NO. <br /> p�y�Np MECHANICAL <br /> NO. TYPE OF FlICTURE OR ITEM FEE NO. TfPE OF EGUIPMENT FEE <br /> 3 WATER CIOSET(TOILEn � A/C—NHNDLO UN(TS ' <br /> Z BATHfUB ; FOHCED AIR SYSTEMS ' <br /> UVATORY(WASH BASIN) � HEAT PUMP _ � <br /> SHOWER UNIT HEATERS ' <br /> KRCHEN SINK 8 DISP i I CLOTHES DRYERS � <br /> � <br /> � DISNWASHER � 1 �7�q HEATER � <br /> � UUNDRV TRAY � <br /> CIOTHES WASHER � WOOD STOVE ' <br /> URINAL ' MEfAL FIREPLACE(WOOD BURNINq <br /> ORINKING FOUNTAIN � FIREi'IACE IN3ERT(WOOD BURNING) <br /> FLOOR DRAIN � GAS FIflEPLACE ' <br /> BACKfLOW PREVENTERS ; GAS RANGE � <br /> SINK(SERVICE—BAR,ETC.) '3 GAS PIPIN6 ' <br /> IXHAUST FAN <br /> � <br /> , � <br /> SUB TOTAL S ' SUB TOTAL f <br /> PERMIT S PERMIT S <br /> TOTALFEE S ' TOTALFEE S ' <br /> FOR OFFICE USE ONLY: ��"� — <br /> i110N�lE1p1EK 11EM9EiMGN SWESFTrinClc� PIANGECRN)X�ER � FEF ��'.1 REGEqiND <br /> 7i� ! ��/��� J �.r�% <br /> ustia� IOT�NE� v�uHrsiit fEES ALUATION FEE <br /> � <br /> ��/ ❑TES �no aummrt /� ' C� <br /> irta�n ur�i�rwr� / uNOr«ra oweww sae or xoari �� i�6 <br /> ZiS'� ���s� AR�+ ouniemo <br /> o cw�r1cr wo a s�oaEs occwa+r�ao s�see�r+r � <br /> MECN�NICM �fD i� <br /> C�3 r 2 ores tY+�i ' <br /> � <br /> rmesonr.aEw�ao AEFSON <br /> •od�roru�na.c�sc� ; (� <br /> OINER <br /> � <br /> iNEMARMREO'D RE�SON i <br /> ST�IE BU1MM(I SIIRCNMNiE � �CJ <br /> - �� <br /> nveaco�st VUN4�PPp0VE0lY CITYOFEVtRE7T ���M��a T����� '�� <br /> J� TAX COD@ SL3 05 TO7AL � % ' s� <br /> �'n� D�7E 5�28 6 <br />