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APPLICATI�..�i FO►R CONSTRUC7 .ON PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 • 259•8810 <br /> �l DEMOUTION f I COMBINATION �BUILDING f 1 MECHANICAL i PLUMBING I ! SIGN <br /> PAOJEC Aq DR S � <br /> l�0�4 l��, le v �ve �ve rc �� � ;�,/i� -��Zo3 <br /> OWNER � M�II ApORE55 CItY )�P PIIONC <br /> l�'�;kC�i'eec�cn f y�u�a xQWOfla�A �iO3/ BBtJ, St " 4t1 `Jd ;£Po WA 9�1�5' 1206)3ss-2(�T <br /> IFNANT M��I�pORF55 f�1V 7�p C��pM1F <br /> rcl, h �ao &,;1�,� A�e �vere�t: wA �82�_ rzob� s¢g-sBctiP <br /> �nd�n[GTonoF.SicNrn M�nenoness � ❑rv n� rHovF <br /> " Lf � lf/S- lhAo� i�.-�,, �t. Eder¢� IN/� 98�43 (ZOC��;s'3—OS3/ <br /> GFNE1Ul ONIMf10n M9l�t)l�nE55 fqr ;ir rnppr SUtfIICfRSF. <br /> MFCH�NIGI G(NJTR�f10� MAl�DORF55 f.ITY )IP PIIONf GIQF LiCFNSF• <br /> ��� <br /> PLUMBING CONIR�r,�pq M41L �pDRE55 fltY )IP PIIONE SiAtF IICkNSE• <br /> I�N/� _ <br /> coHrn�cr vn�cc or rronK Y, — - <br /> � C%:1G HEATING SVSTEM: I i GAS i i ELEC�RIC I 1 <br /> DESCRI9F N'ORN�NO SpU�RE F�p T�GE INVOlVEO CO AC f PpP50N R!p 1'll(Nlf NO <br /> CAn�IKL� Sing/G CQ►' ��t [ � 'kG �r��i, Nin (2��3SS 21�� <br /> Lf¢ �•�. Wil� (206 7�-34.? <br /> I HEREBV CERTIFV THAT I HAVE READ AND E%AMINED THIS <br /> r�p�Ip�� 5Eu us Oi[.:.ttpNG y/-n APPUCATION AND KNOW THE SAME TO BE TRUE AND CORNECi ALL <br /> VEL�. C�Pi LPJYk�nA �y (/C I7CJ n � PROVISIONS OF LAWS AND ORDINANCES GOVERNiNG THIS TVPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEFEIN OR <br /> LEG�LDESGRIP/ION vrrorenrv �avmeeiowonetueNtwocoviesi NOT. THE GRANTING OF A PERMI7 DOES NOT PRESUME TO GIVE <br /> �.ot eia:K, or AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATiN6 CONSTRUCTION OR THE <br /> __ PEFFOfiMANCE OF CONSTRUCTION.THAT 1 AM AUTHURIZED BV THE <br /> OY:NER OF THIS PR•7PERTV TO PERFORM iHE WORk FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> PARCE�u D wi een CONTRACTORS LAW 1827 FCW AND 296.20D WAC. <br /> r�9 00� ��/ cooc� , - [, , • / � , . <br /> CONSi1N1GTION IO�N L[NIJER.�pONE55 TElEP110NE NUMpFR /]]]���//{����/',��/ . (� l.�. C t �� /� L� � <br /> X K—�--.� � _ <br /> SIONAtURE // D�tE <br /> ✓ <br /> CILY pU5ME551 ICCNSC NO <br /> PLUMBIN6 MECHANICAL � <br /> NO. TYPE OF FlXTURE OP ITEM FEE NO. TYPE OF EOUIPM[NT FEE <br /> WATERCLOSET�TOILET) A/C—AMNDL�UNRS—H.P. —�— <br /> BATHTUB ; FORCED AIR SVSTEMS—B.T.U. M E.A. ; <br /> T <br /> LAVATORV�WASH BASIN) i HEAT PUMP <br /> SHOWER � UNIi HEATERS—B.T.U. M <br /> KITCHEN SINK 8 DISP � CLOTHES ORVERS <br /> DISHWASHER � VENTILATION FAN � <br /> LAUNDRY TRAV ; RANGE HOOD � <br /> CIOTHES WASHEF � WATER HEATER �- <br /> URINP.L � WOOD STOVE ' <br /> DHINKING FOUNTAIN METAI FIREPLACE (WO B R 1 i <br /> FLOOR ORAIN � PIREPLACEINSEFT(W R IN ) � <br /> BACKFLOW EV NTE S ; GAS FIREPLACE T_ <br /> SINH(SERVI E— AR,ETC.) GAS RANGE � <br /> GAS PIPING <br /> i EXHAUSTFAN � <br /> '_ � �- <br /> i <br /> i <br /> SUB TOTAI E � SUB TOTAL E <br /> PERMIT S � PERM�T E � <br /> TO'IAL FEE f � TOTAL FEE f � <br /> FOR OFFICE USE ONLY: <br /> rnoNr�rnerw / �unsvre�c� � smcs� er. � ri�ao�r� uMnrn� r�r���J ncctmiruo <br /> 7-O 24 !! .�' �� 31� -- <br /> usFr �ounF� v .�N�snr FEE5 VALUATION FEE <br /> �� / _ --__ - T-- <br /> ��.rs �� un mmoiHr ��Gj� I 0� <br /> NEI6�If IIMrt�i:pN NO O'UWfIL�NG SIIF Of p�p(:q I -- — i <br /> / IM�I$ ��L 1`IIIAIPIN. _"__ '_________ __—__.__ ' _ <br /> 1 <br /> nOU^ANCv NnOiS�"�ni15 (%:f.11P�NtLO�U P�SF4fr:� MtC11�NIC�1 i <br /> 1 <br /> �I � � Yf S .� ________ _ _ ___ � <br /> v�aEeunMnFOn nresnN _ -- nnumoaeiriANurtr.r <br /> ---- ----�--�--_._ <br /> mr�Fl� ' <br /> fIfIF5P1UNMIFORFOb �f��fN+ — ---i--- <br /> �14�f flilllO�Nf SUl1f.lUf1.! -- _—�_�� � <br /> --_—_— _ �__ <br /> _ —' — <br /> irreorroHc� ninaserrnn 'iLnv CITYOFEVERETT runurwnnva � <br /> \ f� LOCAL SALES --- -- - ----- -------'--- <br /> ____ -- <br /> . /,.I „��F 7 - TAX CODE IS 3105 TOTAL _ _ �� � '��,� <br /> — -- —9 _ /95_— - --- E----�-- <br />