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APPLICATI( � FOR CONSTRUCI _�NO PERMIT <br /> CITY OF EVEFETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-BB10 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDINO ❑ MECHANICAL ❑ PLUMBING ❑ SIGk <br /> PROJECT ADDRESS: ?_V 0� t'Jar�oarn, L.,,,,nr <br /> 0.,ctiG«� N�1�,, . zo9 t',�.��,�.�d 1��„e E�re 98ro$ Zo6 - 34� - SoSZ <br /> OYMER MiUI�WRF55 �IlY =m ' r��o.rt <br /> 1ENWI YIUI/JN%IF55 GIIY 7iC PIIONE <br /> MLMTf.LiOR0E5�GN(H MSIIMORE55 ❑ry �ip p�pNF <br /> OENEIWI CONIIUGIpi qAll�(M�RE55 ❑IY )ip pllONf GG�E IIC(HS[� <br /> �rf!rnn 1i <br /> MEGHANICFI GONIR�C70R M�II�IXNIF.SS f.ItY )IP �110Nf FIATE 11CFNSE� <br /> PLUYBINGCONiPAl;TOR M�Il�00HE55 CIIV ZIP PIqNE SGIEIILFNSE� <br /> cow�w�crrmcEorwon� �/(/� <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> Of SCNNIE wOnK�rro SquRE fOnTME wvOIVLD � r.or1uc�Pr�nsor��rm r�Nu <br /> 0.ee,a�..J c� c1d Canc:eLc _ �� c �Ir. ivicel i„tU5 ZOb-ZSZ-(oSBy <br /> lx.S — �r.,.5ltvcl.e�. a� tia �c� ��.. ..��a. <br /> �e� — OPt�C �5 q ea iBZSq �� Qcct 'S a ��a ZC'L� ,;'1 � HEREBY CEHTIFV THAT I HAVE READ AND EXAMINEO THIS <br /> PR01'OSED USE Oi RUIldNO � � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GJVEFlNING THIS TVPE Of <br /> WORK WILL BE COMPLIED WITH WHETNER SPECIFIED HEREIN OR <br /> lEOALOESGPoPTIONOiPIqPERfY�$HpWNBEIpWpR�f7/�CHTNqCpP1E5� NOT. THE ORANTINt3 OF A PERM�T DOES NOT PRESUME TO (iIVE <br /> ior eiocK a AUTHOHITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR LOCAL LAW REOULATINO CANSTRUCTION OR TNE <br /> _�/T IAZ �I7�� PEFFORMANCE OF CONSTNUCTION.THAT I AGA AUTNORIZEO BY THE <br /> /' � ��,� OWNER OF THIS PROPERTV TO PERFOHM THE WORN FOR WHICH <br /> 4c C APPLICATION IS MADE AND 1 COMPLV WITH THE STATE <br /> vu�ce�r�i o e � CONTRACTORS LAW tB 27 RCW AND 298.200 WAC. <br /> ������rJ '/�fJ ` � <br /> CdSIRUCTION lON1lEN0ER.�DUf1E55.TElEP110NE NWlER x �i��iL� �'1 /����I�.J �'�U�/`.' <br /> 6qN�lURE O�IE <br /> CITY Bd51NE55 LICENSC NO <br /> PLUYEINO MECHANICAL <br /> NO. TYPE OF FIXTURE OR I7EM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CIOSET(TOILET) � A/C—/VF{NOLO UNRS � <br /> BATHTUB ; FOFCED AIR SYSTEMS ' <br /> UJATORY(WASH BASIN) � HEAT PUMP <br /> SHOWER � UNIT HEATERS � <br /> KITCHEN SINK 8 D�SP � CLOTHES DRV[RS <br /> DISHWASHER � RANGE HOOD � <br /> LAUNDRV TRAV ; WATER HEATER ; <br /> CLOTHES WASHER WOODSTOVE <br /> URINAL � MEfAL FIREPLACE(VJOOD BURNINO) <br /> DHINKIN6 FOUNiAIN i FIREPLACE INSERT(WOOD BURNINO) i <br /> FLOOR DRAIN � GAS FIREPLACE � <br /> BACKFLOW PREVENTERS ; GASHANGE ; <br /> SINK(SERVICE—BAR,ETC.) GAS PIPING �— <br /> _._ <br /> E%HAUST FAN <br /> _ � � <br /> i � <br /> i <br /> i <br /> i i <br /> SUB TOTAL f ' SUB TOTAL S } <br /> PERMIT f � PERMIi f � <br /> TOTALFEE f � TOTALFEE f <br /> FOR OFFICE USE ONLY: <br /> iNONT SCiRAf.N PF�n SFTB�Ck SIOE SFTBdCk PI�NGICCM NUMI(fi IEF � /� �Ff.flPl NO <br /> ZO >D' <br /> � <br /> U9EZOME ioi�nc� v�c�Nrs�rF FEES ALUATION ►F.E <br /> 2-I .t�-f ❑res nunnwa (�(o 'OIJ <br /> NE10NI LIMIT�TION NO Of MYELUNG SRE Of BlD6R1 � <br /> ZS UNIfG I t �'IUMBM6 � <br /> I �Z Sr. _-__ _�_ <br /> aCIIF�NCY Iq M 51(wf5 OCCUP�NI LO�D BASEMENT MfCN�HICM � <br /> I101p - / <br /> .� f ❑YFS �� -___ _-___ _" <br /> FIPESVRINKLCRRE00 �F�SON �ADiIIONM 1Y�NC�6GK <br /> _____�___ <br /> omen � <br /> fIREMMMREO'D Af��(k� �-//�i <br /> SI�IC B1nWmf Si10GN�11fh -- ---- L/ � � <br /> _L — <br /> rrvEovcpr15r rinq5�rnnovt�nPr CITYOFEVEREIT ruwncnnnKa ; <br /> �' LOCAL SALES --'-- <br /> _ �—/� �,,,,E 8 2� � TAx CODE IS 9105 loiAL _ __2a���] <br />