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APP61CAT1 N FOR CONSTRtlC'. .ON PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETf, WA 98201 •259-8810 <br /> ❑ DEIAOLITION ❑ COMBINATION 1$ BUILDINO O MECHANICAL ❑ pLUMBING ❑ SION <br /> PROJECT AODRESS: U � <br /> �� Z � /Z � � l,c 9Pze <br /> OWNER ,Yul E55 CITY Im PIqNE <br /> �Q/r�-I\. <br /> 7F1UN7 YNL�DORE55 CIIY 11P PIWNE � <br /> MIGIITCCTd1OESIGNER YAIIINOqE55 LIIV rll' PNONF <br /> D-�I�,O�rk.�7�f corlsT co �+lc f34tc 734��__ .� zo/ 2sy-7z�'� <br /> GENEMlCd11P�Cid1 MNt�D01iF55 CIIY !m MpN SGIEIICENSE� <br /> s�cnuutucowTiucroa MAIIADbf1E55 ��n. DI�OL��C$oZ1�S <br /> IiP PIqNE S��TEUCENSEI <br /> MU�IN6CONTR��1]Cr�TO-�i1 4AILADONESS LIIY ZIP PIqNE STRELICENSEI <br /> ,�7`'1l�–a� <br /> CONIMGIP EOGYIOIIN <br /> FIEATING SYSTEM: ❑OAS ❑ ELECTRIC ❑ <br /> UE6CPoSEWORN�NDSpU�pEfOOTAO WVOIVED CONI�t�PERSONANIIPHONENO <br /> uc d z3�cz�� <br /> ' r� 2s� a�' -�z� <br /> G �QJQg-Jr I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> rnao!,�ouse amuprm APPLICATION AND KNOW 7HE SAME 70 BE 7RUE AND COAHECT ALL <br /> PROVISIONS OF LAWS AND ORDIMANCES 60VERNING TMIIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIEO HEREIN Oq <br /> �E��u�T���pry���+��°�°a+�n'�c�itw°�or�Es� NOT. THE aRANTINQ OF A PERMIT DOES NOT PRESUME TO 61VE <br /> �oi e�ocK or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> —�, pGO� � � �,� OTHER STATE OR LOGLL LAW RE�ULATINO CONSTRUCTION OR THE <br /> 6' PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOqIZED BY TFIE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR 'NHICH <br /> aoa9- o� `� Q7 Z—�00 APPLICATION IS MADE ANO I COMPLY WITM TFIE 6TATE <br /> PNICEL TAII 10.MMMER �'— CO��� 7 qC ND 298.2D0 WAC. <br /> COIL4TPlILTiplLOANlENOER.�00f1E54.TElEPIqNfNU�IBER x �/� �L7� <br /> SIfYf11iURE OATE �� <br /> pT1'BUSINE54 LICEHSC NO <br /> P����� MFCiIANICAL <br /> NO. TVPE OF Fl)RURE ON ITEU FEE N0. TYPE OF EpUIPMENT FEE <br /> WATER CLOSET(T014ET) � A/C—q/HNDLO UNRS T� <br /> BATHTUB � FORCCDAIRSYSTEMS � <br /> UVATORV(WASH BASIN) � HEAT PUMP �— <br /> SHOWER � UNIT HEATEf75 � <br /> KITCHEN SINK 8 DISP � CLOTHES DRVERS ' <br /> DISHWASHER � HANGE HOOD , <br /> LAUNDRY TRAY ; WAT[R HEATER � <br /> CLOTHES WASHER � WOOD STOVE , <br /> URINAL � MEfAL FIREPLACE(YVOOD BURNIN6) � <br /> _ DRINKINO FOUNTAIN ; FIHEPLACE INSERT(WOOO BURNINO) � <br /> FLOOR DRAIN � (3AS FIREPLACE � <br /> BACKFLOW PREVENTERS ; (3AS RANGE � <br /> � <br /> SINK(SEHVICE—BAR,ETC.) � GAS PIPING , <br /> EXHAUSTFAN � <br /> � � <br /> � <br /> � � <br /> SUB TOTAL f ' SUB TOTAL f ' <br /> PERMIT f � PERMIT S � <br /> TOTALFEE f � TOTALFEE f � <br /> FOf, �FFICE USE ONLV: <br /> f110MT5ETB�C1( REMSFTOACK � SIDESf7B�CN n�AN[IIECNNUMAf ffF OEf.LIPiNO <br /> Zo 3-7 d5� �U3d� . � <br /> USEIONE �oT�nF�`-�r� WCANISIE / FEES VALUATION FEE <br /> � � j✓� ❑YE$ �7� OlII1MNf. � T '� <br /> NEqNTlIW7�TION NOOfDwEWHO 512EOfBlDOq1 �� <br /> IiNiIA i <br /> Z I � S ������N. — --- i <br /> OGCUP�NCY Iqq51MF5 OCCUPANTlO�D B�SEMENI � <br /> 6{Iq1P � MFCII/mif.�l i <br /> �I ❑YES _—__ –_____ � <br /> _ <br /> FIIIESPRINNLERREO'� PF�fiON M1piIONM MANC�R[• � <br /> 011�f11 � <br /> FNIEMMMREO'� RF��ON <br /> i <br /> S1�IE BU�IDINC.SIi1N:tlM16E ��� <br /> IYPEOFf.ONST PIANSMPqOVFDBY CITYOFEVERETT rueur,wonKs ' <br /> LOCAL SALES - -- --1_ <br /> - J uaE S/9�97 TAX CODE IS�105 TOTAL ; <br />