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APPLICATIf�y FOR CONSTRUCt ON PERMiT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET�EVERETT,WA 98201 •259•8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDINO �'] MECMANICAL �PLUMBIN4 G SIGN <br /> P�ECT D RESS: ��1 S� E- ��� K� �iv�4.IT <br /> �f�i i� �(.(/1LO�U �r7lr1P <br /> ER M�4�DUIE55 f.lrv 7�r MqNE <br /> �� `�hv� 3„ 16f a5�r0 2� (,�;� Y4o - SL-S 7 M '7�� -"i L� <br /> 4TFN�NI Y41M10f1(55 f.IIY )IP pIqNE <br /> �11�1tlTCCT fXl pESIONEII Mell�0011E55 CrtY )n` PNONE <br /> �G+EN"E�fUICONIfUtipl •' MMlApp11F55 CIIY l�� PIqNE 51�fElICFNSE� <br /> /w�KHi QwMw,�l�r� �N�_ �loo� �td*,tn�[ Y�C�.�n�ti�x�� qh.t� zST.•t5'61 «+/EfHOS7SSr <br /> �]MELIIANIGILCONiR�LTOR GAIUDME55 f.I�Y )IP �IIONE SGI@�ICENSE� <br /> /� ll \� 1� r� 1\ ll <br /> RU1AUMqCONfR�CTd1 M�ILADONE55 QIY I�a PIqNE ST�fElKENSE• <br /> CONIMCf PPoCE O�WpUt <br /> ���3 '� HEATING SYSTEM: ❑GAS ❑ ELECTHIC ❑_ <br /> OESCPoBE YIOf1K�NO SOVAiIE FOOIAOE WVOlVEO f.ONil1G1 rf.R9 W1�Il�Pl�plE NO <br /> I NEREBY CERTIFY TNA7 I HAVE iiEAO AND E%AMINED TH�S � <br /> vnorolfo us¢or eu�oua — APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNINO THIS TYPE OF <br /> . WORH WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> �coaocecnrnwaPnoreniris��ovmee�owanenecurwocories� NOT. TNE ORANTING OF A PERMIT DOES NOT PRESUME TO OIVE <br /> ipt µp�K p� AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REOUTATINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BV THE <br /> — OWNER OF THIS PROPERiV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> ru¢ei tex i.o.M»�sen � CONTRACTORS LAW 18.27 PCW AND 298.200 WAC. <br /> � <br /> . <br /> ca/smucnu�iou�iermen.�oon¢ss.reier��orrt auueen x 1 L�L'��4(� <br /> 510N�fU11E D�IE <br /> D3b/ SL <br /> CITY BUSINE55 tICENSC/q <br /> PLUIMINO MECNANICAL <br /> NO. TYPE OF FlI(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET ROILEn � NC—NHNOLO UNR3 ' <br /> BATHTUB ; FORCED AIR SYSTEAIS ' <br /> UVATORV(WASH BASIN) � HEAT PUMP � <br /> SMOWER ' UNIT HEATEAS ' <br /> NITCHEN SINK 8 DISP i CLOTHES DRYERS i <br /> DISHWASHER � RANGE HOOD � <br /> LAUNDRY TRAY ; WATER NEATER ; <br /> CIOTHES WASHER � WOODSTOVE � <br /> URINAL � ME7AL FIREPIACE(WOOD BURNING) ' <br /> DRINKINCi FOUNTAIN i FIREPIACE INSERT(WOOD BUHNIN6) i <br /> ROOR ORAIN � GAS FIREPIACE ' <br /> BACKFLOW PREVENTERS � '� � GASRANOE i <br /> �. SINK(SERVICE—BAR,ETC.) � GAS PIPING � <br /> EXHAUST FAN <br /> � y�c � <br /> � � <br /> � <br /> � <br /> � � <br /> SUBTOTAL f ' SUBTOTAL f ' <br /> PERMIT f � � � PERMIT f � <br /> TOTALFEE t ' TOTALFEE f ' <br /> FOR OFFICE USE ONLY: <br /> LIIONTSETB/iCN RE�R6ETBACII S�OE6FIB�CN �lANC11kLItNU411f11 (EF PPf.FIPfNO <br /> USE7p/E IOIARE� wcer��a�e FEES VALUATION FEE�_ <br /> OrES O MO p�lDwa ' <br /> i <br /> IIE1011TU41UTION NOOFDWEIUtq SIlEOfBlD6�il � <br /> UNIIF rwum�n� __ � <br /> a�COmPANCY NOd51Mff OCCUPANIl0�0 l�SEMENf MFCIUMf.M j <br /> ❑YES ❑M1n ___ ; <br /> fi11EbPRINKLEHREO'D �E�SON �DDIIIONq fR�N[ufCx � <br /> �__ <br /> amEn ' <br /> � <br /> FIIIEMMMREO'0 RE�AON � — <br /> SI�IE O11110�N0 51111CIIM16F � <br /> �_ ��_ <br /> nr¢orr.or�sr Pl�NS�PPPOVFOBY CITYOFEVERETT PIIflI�f.WfMRS ' <br /> IOCAL SALES --- ----�— <br /> D�tE TAI(CODE IS 3105 TOTA� � <br />