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� - <br /> APPLICAT16.1 FOR CONSTRUCT.JN PERMIT <br /> CITY OF EVERETT•gUILDING DIVISION � <br /> 9200 CEDAR STREET•EVERETT,WA 98201 •259-8870 <br /> ❑ DEMOUTION ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUINBING ❑ SIGN <br /> PROJECTADDRE&S: °dq �� Cjc�Q <br /> . <br /> ��ER MNLAOIXIE55 <br /> f6W CC�U s GITY ZIP PHpryE <br /> �Pc—er� P[/_S �9,�� R �t�l F�,� /,c� Ar ���� �,�a as�a� <br /> uut�oo„ 55 y <br /> ZIP , vNONE <br /> �RCM�CCTOqDE51GNER AWlADp11E55 <br /> �(l 1 � � � CIIV II� <br /> rNor,e <br /> ` -- CONiMCTOq M�IlAppqE55 <br /> CRY IIP PIIONE <br /> Sf�iE IILENSE� <br /> MECNNIILkCQYTqACTOR M/JLADpiE55 <br /> ��ry Z�P PNONE <br /> ST�TE LILENSE� <br /> %UMBMGCONTPACTqi M�ILAODqE55 <br /> 1 �.. G`� ��TM ziP PHONE ST�TE LILENSE• <br /> j�J <br /> CdITRACT pPoC.E pF Wp11K <br /> HEATI�IG SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> oEsewee�wmc� sou roor�we wvaveo �.� <br /> � CONTACTVERSON�VlpPHONENO <br /> — /� ���A( �" � �..V <br /> I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> P���� a���d� APPLICATION AND NNOW THE SAME TO BE TRUE ANO CORRECT qLL <br /> — . 0 C (� U PROVISIONS OF LqWS AND ORDINANCES GOVEFNING THIS TYPE OF <br /> �cuo�sc� ana+Ocmoveqn�$�qWqgE�pWpp�R�H�Nq�ppES� WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> �or AU HOR TOT O V OLATEAOq CANCELETHE PROVISION OF AINY ' �.�� ;� <br /> eioc�c � `, � , <br /> PERFORMANCE OF CONSTpUCT ON.�TH TG AM ASUTHOqIZED BY THE - <br /> ��i[� <br /> A FL CAT�IONHI SP MADE AND PERCOMPLYHEWI HRKT ER ST TE <br /> M11LEl TNI I. ,A��Eq CONTRACTORS LAW iB27 qCW AND 296200 Wp <br /> �a �7� no o�� f� <br /> CONSTAUC iION/LENDER.A0ppE55.TElEP1qNEM)ygEP 9,� /n ,-� � rl(� <br /> x "v�/�A�a.t� -rtv��.� J J <br /> SM.NATURE <br /> OATE <br /> CITV BIISINE55 LICENSE NO <br /> �V��� <br /> � MECHANICAL <br /> TYPE OF flXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT <br /> WATER CIOSET(TOILEn FEE <br /> BATHTUB � /VC—NHNDLf3UNRS , <br /> UVATORV(�yASH BASIN) ' FORCED AIR SYSTEMS � <br /> � HEAT PUMP ' <br /> SHOWER � , <br /> KITCHEN SINK 8 DISP � UNIi HEATERS � <br /> DISHWASHER ' CLOTHES DRYERS � <br /> UUNDRY TRAY � �NGE HOOD � <br /> CIOTHES WASHER ' WATER HEATER � <br /> � WOODSTOVE � <br /> URINAL � , <br /> MEfAL FIREPLACE QNOOD BURNING) � <br /> JRINKING FOUNTAIN ; FIRFPLACE INSERT(WpOD BURNING) <br /> PLOOR DpA1N � GAS FIREPLACE � — <br /> BACKFIOW PREVENTERS i ' <br /> � GASRANGE , <br /> SINK(SERVICE—BAR,ETC.) GAS PIPING � <br /> ' IXHAUSTFAN , <br /> � , <br /> � <br /> � <br /> � <br /> � <br /> � , <br /> � T <br /> SUB TOTAI S ' SUB TOTAL S , <br /> � <br /> PERMIT f � � <br /> TOTAL FEE S � PERMIT S , <br /> TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> ��T�Tp�K PE�R SF.TB�CN SIDE SETB1C1t <br /> Pl�NC11ECRNUMB[q fEF f1ECEIPTNO <br /> USE20NE IOTARE� S�I.�'� <br /> VACIINTSIiE FEES VALUATION FEE <br /> ❑VES ❑Np <br /> HEIGNTLiMIUTION NOpFDWELUNG SIIEOFBl06?� BUIIDMG � OG � <br /> UNIfS �� i �7 <br /> �lU4pING � <br /> ����V �qp�5i(tW[a OCCUPANTl0�0 B�SEAIENT � <br /> MECII�NI��� i <br /> ❑YES ❑NO i <br /> FlRF.SPRINKLERqEO'� RE�SON �DDIiIpN�LI`UNCIIf.CK <br /> i <br /> FIREAUpMREO'D qp�SpN 0111EB i <br /> i <br /> SGTEOWLDINGSIIRpU11GE ;C. ` <br /> IYPE Of f,ONS� PLANS�PPROVEO BY -- � � <br /> CITY OP EVEREI'T ruour,vronKs — <br /> LOCALSALES <br /> o.iE TAX CODE IS 3105 TOTAL --;— <br />