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APPLICATIO.� FOR CONSTRUCT.JN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 9EI201 •259-BB10 <br /> ❑ DEMOLITION O COMBINATION � BUILDINO O MECHANICAL ❑ PLUMBIN(i ❑ SIGN <br /> PROJECT ADDRESS:__ I LI I 3 A I 1 �/l0 � � � �� <br /> Clrv tm n�oHE <br /> �IKS 4i1� 4��73/ Ruckr'B �/. [v�a,r�(' q�i�c� l .2 yl 79 <br /> IEIMNT Y1Ul M1DIIf.55 fJ1Y IIP ��qHE � • <br /> �Cu-���,rt� R���� 4� P��rz <br /> �RCMRCT0110ESIONER M�II�OIX1E55 cirv nr rrqNF <br /> OENEMI CONTMGIOR MMl�OOIIE�5 CIIY 71P PupqE SUIE IICCNSE• <br /> Co(iea c.ow�,���r�o�� Pd-t�ix ii4Q ��irn�M9yz�-�e s��� co•ae-AC,C1�obZ <br /> MECN�NiC�I CONTN�CTOR MM�DOf1E55 f.1T1' ]Ii` 1`IqN[ Sf�fE UCFNSE• <br /> �YUAMMqCONIRA�IOR Y41L1100RE55 GfV IIP PIqNE Sf�IELICENSE• <br /> CONTMGT Pf110E Oi Wpllt <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> o¢ woaK ua sou�at roouae n+vaveo � Cd1T�1Cf PCRSON�NO PNONF NO <br /> P <br /> , d �. — <br /> � 1 HEREBV CEqTIFY THAT I NAVE READ AND EIf�MINED THIS I <br /> qqpgp�p���p�p APPUCATION AND IfNOW THE SAME TO BE TRUE AND CORAECT ALl �� <br />, PROVISIONS Of LAWS AND ORDINANCES 60VEHNINO THIS TYPF.OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIA; OR <br /> iea!a�o�e,x�w�rn�a,r��avnorcm�r��s��a_w�n�e[L�owon�rt�cNiwocooies� NpT. THE ORANTINO OF A PERMIT DOES NOT PRESUME TO OIVE <br /> ��t'1Z71—L`L e�oc�fF�2lL`�r AUTHORITV TO VIOLATE OR CANCEI THE PROVISIqN OF ANY <br /> OTHER STATE OR LOCAL LAW REOUTATINO CONSTpUCTION C�ii THE <br />� PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOpIZED BV THE <br /> OWNER Of THIS PROPERTY TO PERFORM THE WORN FOR WHICH <br /> APPLICIITION IS MADE AND I COMPLY WITH THE BTATE <br /> rw¢n iu��o.ra�acn CONTRACTOAS LAW 1827 RCW AND 288200 C. <br /> �L39� — �� � —��i � — <br />� Cd4 110NlON/lE1AER.Mq1E59.TElfM/ONENUlA0E11 x � \ G_ (�/ <br /> 5 pE ��Lb <br /> � TE <br /> I CIIYlU91NE55lICENSE NO � <br /> K��� MECHANICAL <br />� N0. TY/E OF FlIITUIIE Oq ITEM FEE NO. TYPE OF EOINPIiEENT FEE <br /> I N <br /> WATEH CLOSET(TOILEn � NC—NHNDLO UNRB �— <br /> BATHTUB ' FORCED AIR SYSTEMS � <br /> LAVATORY(WASH BASIN) � HEAT PUMP �— <br />� $��R ' UNIT HEATERS i-- <br /> KITCHEN SINIf 6 DISP ; CLOTHES DRYERS ; <br /> 018HWASHER � MNOEHOOD , <br />� UUNDRV TRAV � WATER HEATEq <br /> � <br /> � <br /> CLOTHES WASHER � WOODSTOVE , <br /> URINAL � METAL FIREPLACE(N100D BURNINa) � <br /> DRINKINO FOUNTAIN � FIREPLACE INSERT QNOOD BURNIN6) ; <br /> fLOOR DRAIN � OAS FIREPLACE � <br /> BACKFLOW PREVENTERS ; pqg q/wpE � <br /> 61NK(&ERVICE—BAR,ETC.) � pqg p�p�Np � <br /> ' EXHAUSTFAN � <br /> � , <br /> � , <br /> � <br /> � ; <br /> � , <br /> SUB TOTAL f ' SUB TOTAL t ' <br /> PERMIT f � PERMIT f , <br /> TOTAI FEE f � TOTAI FEE S � <br /> FOR OFFlCE USE ONLY: <br /> iN011T4ETPAp! REMSFTMCk SIOESETB�CM Pl�NC11ELkNUMBf11 fEF flff.ElPfNO <br /> ` <br /> us¢7a� ior�aF� V/�C�NISIfE FEES VAIUATION FEE <br /> ❑YE6 ❑NO BUIlDINO 1 3 ` � � <br /> NEIONTLIMIf�fION 1qOiDWELlIIq 91IEOfM0OR1 <br /> i <br /> ur/rts gqcAoE on1� riuuewa � <br /> oc�wuicr �a a sirn[s occur�Nt�o�o e�seueNt � <br /> O MFC11�11�U1 � <br /> OYES ❑1M — � .- <br /> f111E8PRINKLEqREOD 11F119p1 �(HMIIONMI'I�NCnfCM � - <br /> —_i_- <br /> mnen ; <br /> iIRENMMPEO'D RF�SON <br /> SI�IE BUIl01N0 SIIIICIUfiCF — � i ^� <br /> }�.L�� <br /> ncear.oasr MI1NSArqovenev CITVOFEVERETT �IIq11f.WOPNi <br /> V_ � / � �!� LOCAL SALES —_�_ <br /> V oe�E 3- S- S TAI( CODE IS J/05 TOTAL ;, - � <br />