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APPLICATI�.�nl FOR CONSTRUC7 .JN PERIIAIT <br /> CITY OF EVERETT • EIUILDING DIVISION � <br /> 3200 CEDAR STRLF.T •EVERETT. VUA 98201 •259•8810 <br /> � i DEMOLITION f 1 COMBINATION f i BUILDtNG r+�MECHANIGAL � ' PLUMBING I i SIGN <br /> PRO.IE_CTq�pRESS � ' —'�" pd� <br /> _ �,CD(7'� IgA�!l= 2 � t�rf'fTl- —l(�Q � <br /> 01NIER MI11L ADOfiF55 f.l.V ,p^ � ' PiP 1`IIpNC <br /> �v N1,,� c�c:� [�2�i c��.K�1 �!c, , �LX�KE�,-�9�_GJ���;�t—`��a Sa�-n�ti� <br /> 1FNANl M�II�UDfI(SS �T- ❑IV <br /> APfqI1FC�pf.51fi11[p M�II�DONESS � f,ilv �ip p������� <br /> ONCIUILON �CI(NI M�ilM10R[SS �iiY �-----"-'- ;i�--o— /pyqq�qf Sf�tfIICENSf• <br /> MFC/IiINIC�ICflhl Af,ICfi " MAit�,)(M�Sy ^' --�^��^f-Y-Y' � +V 1 ! Y�S...�.f�y.�J ��/��� <br /> f.rtV l�! NIpNF GTRiF I ICf-NSi� <br /> ���/'�\ ► <br /> PIUMBM1Gf,ONiR�f,tOR t'�A" I�NE,95 f1�Y � )IP PI�pNF SIAIF.IICFNSF• <br /> r <br /> corrtnnc r rmr,e oi-� r�d- �_ —� — -- <br /> rv � '�( —" HEATING SYSTEM: y!GAt; ' ' ELECTRIC f 1 <br /> DESCR19E WOf1R�NO SOU�RF FOOUfiF INVIXVEb COqi Ci Pf q50V�NU P��ONF NO <br /> i P� – –�c.vF--�—l�-�nln� n <br /> - _ �i--- �1(�s" �� �I� <br /> �� I HEpEBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> r Enpv s��SE o�Bunw APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN Ofi <br /> LEOIlDE5C01Pf10NpiPROPERTV�51qWNREIOWpiAfUCN1WOCO01E51 NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �aT eiocK or AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REOULATINO CONSTRUCTION OR THF. <br /> PERFORMANCE OF CONSTRUCTION.TNAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS AilE M I COMPLV WITH THE STAiE <br /> P�RGEL TIUf I D NUMBER CONTRACTOR C A D 296200 WAC. <br /> y��� �n0 �_ � <br /> CONSfRUCTION10�N1ENDER�OORESS.�FlEfM10NE NUMPEN X— � <br /> __ SIGH�t F O�IF <br /> f.IfY PIISINESS IM.CNSC NO <br /> PIUMBINO MECHANICAL <br /> NC. TYPE OF flIRURE OR ITEM FEE N0. TYPE OF EpUIPMENT FEE <br /> WATERCLOSET(TOILET) � A/C—A/HNDL�UNITS—H.P. <br /> BATHTUB �_ FORCED AIR SYSTEMS—B.TU M E.A. � <br /> LAVATOHV(WASh BASIN) —� HF.AT PUMP , <br /> SNOWER —� UNITHEATERS—A.T.U. M � <br /> _ KITCNEN SINK d DISP i CLOTHES DRVERS � <br /> DISHWASHER � VENTILATION FAN i <br /> LAUNDRV TiiAV � RANGE HOOD �— <br /> CIOTHES WASHER WATER HEATER <br /> UHINAL � WOOD STOVE <br /> _ DRINKING FOUNTAIN � METAL FIFEPIACE (WOOD BURNING) i <br /> FLOOR ORAIN Y�— FIREPLACE INSFRT �WOOD BURNINO) : <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE ' <br /> SINK(SEFVICE—BAR,ETC.) GAS RANGE � <br /> ' OAS PIPING <br /> � E%HAUSIFAN � <br /> --+— -- ' <br /> i � <br /> � --- i <br /> T <br /> I <br /> SUB TOT/.�_ f � SUB TOTAL E <br /> PERMIT y PERMIT 5 <br /> TOTALFEE 3 __� TOTALFEE f ! <br /> FOR OFFICE USE ONLY: <br /> fRONTSFTPMtK RF�f15Fip�f.N SIDESFiN�te PI�HGI�CNNIIMBfR (Ff RFCiIPTNO <br /> u5eia+r ia��aee wc�r�rvi�� FEES VALUATION FEE <br /> i�rt5 �- Nn - -- —r— <br /> — flU11f11N�1 � <br /> 1 <br /> HEI611t IIMIT�tiON NO Of 1)WFLLING Si7F O�PLLif T i ------ -- -- <br /> IINItS <br /> ri nunw�� <br /> JGCUP�IM.V NO M�IPui15 IX:CIIPANI 101A P�SFINFNI -- -�—"- �- �—� - - ��----�- � ... <br /> GROUP M!�'I4NIf.11L <br /> �irFS � Nn __'_-____—_- "__-"_-'_ '_"__�_.. <br /> fl(iEA1.UIMRFOD� �-� - f1i�G(M� --- PPWIIt�hMP1�NCNfCM <br /> ___._ __-�7. _ . <br /> qiNFil <br /> fIOG 51`IXNKIFRBFOO RF�c(N! -� -_.__- _ . _ <br /> �ul f PII�I D�q,SI IiN:ll�lir[ <br /> imrorrovsr rinucerrnnvFnBr CITYOFEVERETT r��nurwnn�c <br /> � <br /> LOCAL SALES _ _ _ _..__ — _ — - t <br /> n�rt TAX CODE IS J105 To7AL <br /> _ -- — <br /> -- ---- ----_. --------- . ._ . .— ----- --------1- -� -- <br />