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APPLI��ATlt�rd FOR CONSTb3UC7 �ONI PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 • 259-8810 <br /> f"1 I)EMOUTION f 1 �COMBINATION � i BUILDING ' I MECHANICAL ' I PWMBING I ! SIGN <br /> PROJECTADDRESS �9 7 � �j. <br /> �7�� ��f',m^. �l�li. �Y�c C'-t'� ���J� ���� <br /> owmrn M•n•oone;s arv r riro�¢ <br /> .�;r� Z/�vn7- yv� .r��'�'1�c. �`/o� ��e�l.c.�c �P�'�� l7�/- ���'� <br /> iFN�Nt / NML�DW1F55 firv )iP P��ONI <br /> �`� <br /> �RCHI1Ff.T Ofi MSIfNFt1 MNI�DORESS GiV )IP PNONF <br /> �eL� <br /> G(NFfUI CONIMfiOq MRR�OUfIG55 (.ilv !il` Pnr)4f. SGTf IIC[NSE� <br /> I ✓ <br /> MECHRHIC�I CONiRRf,tO� MMl�OpRF55 f.liV AP PnONF 4ATF IICFNSE� <br /> I —� <br />'I PLIIMpMG('OUIR�f,1pR M�il AOUpE55 CIt1' IIP P��ONF SGiF.LICFNSf� <br /> jCONTR�C VIULF Of VIORK µ <br /> � Q � � pSOo. � HEATING SYSTEM: i � GAS � I ELECTRIC f I_ _ <br /> DE SCRIBF W]RK�ND SOU�RF f00T�GE INVOI VE0 f,Of1i�C f PFNSON ANO CI�ONF NO <br /> e h , ; lel '-S �� 7 •� �7'7�/-'7'/Sd <br /> � r, v �G r,�`�"l feic l+."f t --- <br /> � I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED ?HIS <br /> M r6 � �C'�n�� I� DdiN r✓ qpp�ICAT10N AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> 9o�ro��seo use ar eun wc PqOVISIONS OF LAWS AND ORC�INANCES GOVERNING THIS TVPE OF <br /> CXIi�/,1z11s I�✓ • /.°tP ! � � WORK WILL BE COMPLIED WI7H WHETHER SPECIFIED HEREIN OR <br /> �ea�ioescmrnworrno enttis�mwnaeiowor+erucHTwocories� NOT. THE GRANTING OP A PEFlMIT DO[S NOT PRESUME TO GIVE <br /> �oT � aiocK or___._ AUTHORITv TO V10L4TE OR rANCEL THE PFOVISION OF ANY <br /> L OTHER S7ATE OR LOCAL LAW FEGULATING CONSTRUCTION OR THF <br /> -��/[�.LL1L PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THF WORK FOR WHICH <br /> APF'LICATION IS MADE AND I COMPLV WITH THE STATE <br /> v�RCEi ux i o NuuaeR - CONTRACTORS LAW 1�B 27/RCW AN�296.200 WAC. <br /> CONSTRUCf10NlOANIENpER.�pDRE55.iFlEPHONE NIIMBER --�C'%/%!�K ��/S/�!p . <br /> SIGN�111NE CQF <br /> CIiY OVSINF.55 LICENSE NO <br /> PLUMBIN6 MECHANICAL <br /> NO. TVPE OF FlI(TURE OH ITEM FEE NO. TYPE OP EOUIPMENT FEE <br /> � -T <br /> �VATER CLOSET(TOILET) A/C-A/HNDLO UNITS-H.P. <br /> BATHTUB � FORCEU AIR SVSTEMS-B.T.U. M E.A. � <br /> LAVATORV(WASH BASIN) HEAT PUMP � <br /> SHOWER _� UNIT HEATERS-2.TU. M ; <br /> KITCHEN SINK 8 DISP . i CLOTHES DRVERS __�_ <br /> DISHWASHER VENTILATION FAN � <br /> LAUNDRY TRAY ; RANGE F�OOD i __ <br /> CLO7HES WASHER � WATER HEATFR � <br /> UFlINAL WOOU STOVE <br /> DHINKING FOUNTAIN i METAL FIREPLACF (WOOD BURNING) i <br /> FLOOR DHAIN � FIREPLACE INSERT(WOOD BURNING) ; <br /> BACNFLOW PREV[NTERS ; GAS FIREPLACE � <br /> SINK(SERVICE-BAR.ETC.) GAS RANGE <br /> GA i PIPING <br /> E%IIAUST FAN � <br /> —_�,__� <br /> � ' <br /> T <br /> SUB TOTP L E � SUB TOTAL E � <br /> PERMIT E PERMIT E � <br /> TOTAL FEE E ' TOTAL FEE S <br /> FOR OFFICE USE ONLY: <br /> rnor+rsFrnnrx nunsrrn�cK smesFTe�cx riei�a r+uunrn rrr nFcrirrNo <br /> usFzoNr io��nee v�uNrcnr FE� VALUATION FEE <br /> -__ _.__ _ —r— <br /> i�vrs c w� f l ' <br /> flllilf�iry, / _ �(�� <br /> i <br /> ❑EICIII IIMIU110N NO W UWf111NG 9lF Of fltfX�l I � <br /> u"ns ri uunwr, � <br /> __.___ __--___ _ _�___. <br /> _ i <br /> OCCUP�NCV 1!�O� l�0uM15 (%;GIP�Nf IOAD P�SEMENI MFf11�NiCAI � <br /> GROIIP il'rF5 �� NO -----"'—___ --____- —__-----�- . <br /> fIRF.�Uf1MnE00 I1f�5fNJ �DOIIIONAI I'IANCIIf.CM — � <br /> i <br /> __ _ — —__�__ ' <br /> qiNFn i <br /> lIqFS�RINI(IFI1PFQp �F�<ON �-- <br /> <iN111ililDi4f511RGURGC �� � , <br /> _ _"___ ___ <br /> ���- <br /> __..._ p��niicwnnva <br /> rvrForcor�s rinNs�rrnnvanm CITYOFEVEflETT � <br /> LOCAL SAI.ES �- -- -"—"------���— <br /> ------ <br /> TAX CODE IS�105 ITOTnL n � ; `�'1 <br /> pAIF __ ___1_____. . . _. _. . _ _ . _4_C- -�1'��' <br />