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APPI.ICATION FOR CONSTRUCTIa�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259-8810 <br /> ❑ DEMOUTION p COMBINATION ❑ BUILDINCi f�MECHANICAL ❑ PLUMBINO p SIf3N <br /> PAOJECT ADDRESS: ,��C.Q A L�F]2F:���1)n �,���C� ( <br /> pWp[A MulA0p1E54 CIT' IIP 1'MOME <br /> CS(� ��F �Cfl ���nl ��fl �1�-�l��c� �S°�- o� 1 FS <br /> TENNIT YNl 55 CIIT f�� T PIqME <br /> ��1m�. - <br /> MCMTCCTOROESIONEH 4u11100Rf55 C11Y 711' VMONE <br /> �i��Ta�A���,�� � �-(�L�nl���( t�C�a���t nIn $�ri`i`A�i� �n 3R� <br /> 1�'I1NG1L CpNTP�L ON Mlul SA� LIiY 26' ��P110NE��f ST ( LIC�� <br /> � «� <br /> RUYNIOCONTRACTOR M�IL�WNE55 Lltt ZIP PNONE STATELICENSE� <br /> ca�rn�cr►ncEawarc �. � HEATIN(i SYSTEM: AS ❑ ELECTRIC ❑ <br /> pp/C�I1�(MqMI1ND60UAREFWTi10f W�WIVED CONTIICTPERSON�NOP/IONEIq <br /> �N ��,�E. <br /> — . � z z- �oo <br /> I HEREBV CERTIFV THAT I HAVE HEAD ANO EXAMINED THIS <br /> APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> nioroKo uae a�uxw�a PROVI610NS OF LAWS AND OR�)INANCES 60VERNINO THIS tVPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> icaKa�asnaarwr[nrrts��eeioww�n�wTMio�aa�Es� NOT. THE ORANTINO OF A PERMIT DOES NOT PRESUME TO OIVE <br /> �m _�� � AUTHORITY TO VIOLATE OR CANCEL THE PROVI610N OF ANY <br /> OTHER STATE OR LOCAL LAW RE6ULATINO CONSTRUCTION OR THE <br /> PERFORMANCE OP CONSTRUCI'ION.THAT 1 AM AUTHORIZED BY THE <br /> — OWNER OF THIS ERTV TO PERFORM THE WORK FOR WMICH <br /> APPLICATIO AND I COMPLV WITM THE BTATE <br /> �TM I.D.M14\[II COHTRA R6 AND 206.200 WAC. <br /> CON611MICTIOM lOM'lEM0E11.110D11ES�.fElFM10NE M111KR x ( �� ` "L " �(( <br /> lIONI1TIM1E —� � <br /> CITY NISINE84 LICFNSE NO <br /> K�p MECMANICAI <br /> Np, TY�!Of FlIITIM!OII ITfM RE NO. TYM Of[0111rM�MT FEE <br /> WATERt,'LOliET(TOILEn ' N'C—MWDLGUNITB � <br /> ��� ' FORCEO AIR SYSTEMS ' <br /> lAVA10RY(WASH BABIN) � HEAT PUMP ' <br /> g�qyyEp � UNIT HEATERS ' <br /> KITCHEN SINIf 8 OISP i CLOTNES ORVERS � <br /> OIBIIWA9MER � RANOE Fi00D ' <br /> IAUNORY TMY i WA7ER HEATER i , <br /> CIOTHEB WASHEN � WOOD STOVE � <br /> �� � MEUL FIREPUCE(YYOOD BURNINQ) ' <br /> DRMIKNKi FOUNTAIN , IREPLACE IN OOD NURNIN(i) � <br /> fIOOR DRAIN <br /> � OAS FIREPLACE ' <br /> BACIfFIOW PREVENTERS ; OA5 RAN6� i <br /> BMVK(BERVICE—BAR.ETC.) � GAS PIPINS3 ' <br /> � EXHAUST FAN ' <br /> � <br /> � <br /> � ' <br /> � � <br /> 6UB TOTAL f ' SUB TOTAL f ' <br /> PERMIT f � PERMIT f � <br /> TOTAL FEE I ' TOTAL FEE f ' <br /> FOR OFFICE USE ONLiI: <br /> i110MTSEi�ACk PfM4ElBACM SIUflE7B�CK M/JlCIIECKNUMSF� iFF 11Ff:EIPI1q <br /> uSiiar[ iot�n[n WGWTB�IE FEEB VAIUATIOM FEE <br /> ❑res o ra ouinwa <br /> NLqNT UMTATqN w a owcwrro an a xoart.i � <br /> U//IfA PIUMBINO ���_� <br /> OLLU►N1CM /qpflM[6 OCQNANflO�D ����NT YFC���Nit�l � <br /> OIIOUr <br /> OvF4 O� � <br /> •Dpl IION�I�R�N CIIf.CM � <br /> ffElPNNIRERREQU RE�SON �- <br /> � <br /> OI11E11 i <br /> fIAEMAPMREO'D NF�FON � <br /> ST�iE BUIl�INO SURCII�II(lE � <br /> - ��� <br /> nre or r.awsr v�nNs�nrnoveo er CITY OF EVERETI' ruaur.+von�s I <br /> LOCAL SALES —'�`— <br /> o�iE TAX CODE IS 7105 TOTAL � <br />