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� � <br /> APPLICATIO.� FOR CONSTRUCTION PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT, WA 98201 •259-8810 <br /> ❑ DEMOLITION Cl COMBINATION ❑ BUILDINO � MECMANICAL ❑ PLUMBIN(i ❑ SIaN <br /> PROJECTADDRESS: �09 C�S �NJ ,Cp �-�y � T' <br /> MMl W�RE55 . GIIY 71P PNpIE / <br /> � a, PS U>a>.,0 /I!+ ��,� -/,.t'' ��v /y�,�v y,. � �>r'i,� � %%'- " - �� � � <br /> t�NT Vu1�0011E55 LITr 7�P n��ONE <br /> I111CM1ECTOROE516NER MMI�DDRE55 CIIV 7��' �NONF <br /> 6ENE11KGO4fP11GTOf1 MMLAODRE55 CItY J�P PiIONE SGTEUCF� [Rio�'w3 <br /> IQ/�NDy �Qt'iLLy �_.��..� TR�cti✓.-+ Lq�2ti .$�cJ ii'o Bu�f�Lr� w,a Q�t�✓OYI�CZ <br /> MECH11MC14 CONTR�CTp1 M/'1�R:n'L55 CAIY IIi` �IqNE SiRE LICENSE� <br /> .S/In� ft✓:;�c p� �/isi�,-� �9- 9�00 <br /> PIUMDINOCONTR�CTOR MMI�Dd�E55 LItV !IP P110NE SUfEIICENSE� <br /> cwrw�cTw+�orwam HEATINO SYSTEM: GAS ❑ ELECTRIC ❑ <br /> J 3, S�v <br /> oescaiee wonK�No sou�ae�ooT�a[wvaveo ccx�uc,T.,_rFasor+uro rNorrt ra <br /> a.l /� i9c �I `.l C; D"1 <br /> i s 72a 'A f - /�aF Z v - �9�� <br /> � I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> /ht�d�/%CrZ� '� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PIIOrO D USE OF EULpNO PROVISIONS OF LAWS AND ORUINANCES 60VERNING THIS TVPE OF <br /> e- rA / WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> �oµoescrorr�or�amorcan�s��owr+eeioww�ir�cnrwoeov�esi NOT. THE OqANTINO OF A PEHMIT DOES NOT PRESUME TO OIVE <br /> ioT �� a AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> � OiHER STATE OR LOCAL LAW REODUTINO CONSTRUCTION OR THE <br /> PERFOHMANCE OF CONSTFUCiION.THAT I AM AUTMORIIED BY THE <br /> OWNER OF THIS PROPERtY TO PERFOHM THE WORK FOF WHICH <br /> APPLICA N IS MADE AND I COMPLY WITIi 7HE STATE <br /> vu��rµi.o.ruuaEn CONT C RS LAW 18.?.7 RCW AND 298.200 WAC. <br /> GpNyTIXIGTqNLWNlENOER.MOf1ESS.TEIEMqNEM1M11FR X ♦ � Z'S�'S� <br /> Sq TE <br /> CI BUSINEcSIICENSC NO <br /> p����p MECHANICAL <br /> N0. TYPE OF FlIfTURE OR ITEM FEE NO. 7YPF OF EWIMh1ENT �E <br /> WATER CLOSET(TOILET) � A/C—AMNDLO UNfTB ' <br /> BATHTUB ' FORCEOAIRSYSTEMS .�_ <br /> UVATORV(WASH BASIN) � HEAT PUMP � <br /> 6HOWER � UNIT 4EATERS ' <br /> NITCHEN SINK 8 DISP i CLOTHES DRVEPS � <br /> DISHWASHER � RANGE HOOD ' <br /> LAUNDRY TRAV � WATER HEAIER � <br /> CLOTHES WASHEH � WOOD STOV[ � <br /> URINAL � M[TAL FIREPLACE(VJOOD BURNING) �_ <br /> DRINKINd FOUNTAIN _y_ fIREPIACE INS[R7 pNOOD BURNINO� � <br /> FLOOR URAIN � GAS FIREPLACE ' <br /> BACKFLOW PREVENTERS � GASRANOE _ i <br /> 61NK(SERVICE—811R.ETC.) OAS PIPIN6 ' <br /> � EXHAUST FAN ' <br /> � ' <br /> i ' <br /> � <br /> � , <br /> � <br /> � <br /> SU9 TOTAL f ' SUB TOTAL f /(p U ' <br /> PERMIT f � PERMIT S � <br /> 70TAL FEE f � TOTAL FEE f ' . <br /> FOR OFfICE USE ONLY: <br /> •-noutsere,�cx RENISfiB�f.k sioesrTa.cK �l�Nfllff,MMMINff1 rrF nrcnrtra <br /> � OJJ <br /> USEIOME �ot�n¢� V�C�NISIfE FEES VALUATION FEE <br /> ❑YES ❑M� pItl101N6 j <br /> 11EqNi IIMIT�TION NO O�DVIFllINO SIZE Or tllO6R1 � <br /> UNIfS Pl11MpIN6 � <br /> � � <br /> pCOUV/�NCY IqM51MfS OLGIM�NIIO�D B�SEMENT MFCN�NIUI � <br /> O�dIP � <br /> ❑rE5 ❑HO � <br /> FIRE6P111NRlERBEO'D aF�Sp� �����N�IM�N[��fGM � <br /> T— <br /> � <br /> 01NE11 � <br /> FIREMMMpEO'D AF�Sf1N � <br /> S1�IE BUIlO�N6 SIIfICNMICE � <br /> rvv[ar.or�sr pi�NSerrnoveoer CITYOFEVEREIT r��p���:��s � <br /> LOCAL SALES - — --j— <br /> n„�E TAX CODE IS 9105 TotAL ; <br />