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APPLICATIC J FOR CONSTRUCT. JN PERMIT <br /> CITY OF EVEFETT•BUILDING DIVISION � <br /> 3200 GEDAR STREET•EVERETT,WA 88201 •259-8810 <br /> ❑ DEMOLITION ❑ COMBINATION I�BUILDINO ❑ MECHANICAL ❑ PLUMBINfi ❑ SION <br /> PROJECTADDRESS: 9f4 E C25r,�o �� <br /> �u �athb�n . Y14 C CQ«„ �,./ Ev�M yg263 u� 347 • 1�2$- <br /> �j MNl�Op1E55 Cm tm p�qrK <br /> .4/'�l`7 <br /> 7EN�NT YNl1ppRE55 GIY I�P pIpNE <br /> D�vne� <br /> •RLMRETp10E510NFR M�II WOnE55 CRY )m PNp+F <br /> �4l n v.r <br /> OENERAI CONTP�A011 M�ILIIIXMIE55 CiIY liP M�ONF ifQE IICFNSE• <br /> //7 Hin n�� <br /> MECM�M�C^rCpu1^TR11CTpi M�I1110pIF55 f.ITV )11` PIqNE S1�fE 110ENSE• <br /> /V/I ! <br /> PIUMNN6CONTR�GTOR Y�IIAWRE54 Clrv Ilv PNONE ST�IEIICENSE� <br /> LONTMLf PiMC[pf WpNI <br /> ,�3 3(p HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ o�a <br /> OE9pME WpY!111q��q[fO0Tl1pE MVOIVED f.ONTACI PE115d1 Mlp PIqNE Np <br /> �"�!" � 1 <br /> I HEREBY CERTIFY THAT I HAVE READ AND EI(AMINED THIS <br /> vnoroeto vse a euidra APPLICAfION ANO KNOW THE S�ME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF UWS AND ORDINANCES 6QVERNIN(i THIS TVPE OF <br /> Z �a L WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> �E����qNO� RTM �1OW��n"�N�COP�g� NOT. THE ORANTINO OF A PERMIT WES NOT PRESUME TO OIVE <br /> im e�opc or AUTHORITY TO VIOUTE ,QR CANCEL THE PROVISION OF ANV <br /> 1 .// /� OTHER STATE OR LOCAL LA1N REOJUTINO CONSTRUCTION OF TME <br /> Lr 42� �L fCY10 f.�+vt Q//aC{��� PERFORMANCE OF CONSTRUCTION.TMAT I AM AUTHOq2ED BV THE <br /> OWNER OF THIS PROPERri TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WIThi TME STATE <br /> rw�cEi tuc�� 3 � � CONTRACTORS LAW 1827 RCW AND 291t200 WAC. <br /> � ��� Q'�' / <br /> GONSiR11CIlON ION/LEN�ER.110011ESS.TELEI'llp1E M14lER X�[�.f� i���_� 7/j /'/� <br /> SIONIII L� <br /> U�IE <br /> CITY BUy1NE85 LILENSE/q <br /> K�d MECN�NICAI � <br /> NO. TYPE OF flXTU11E OR ITEM FEE NO. TYPE OF EOIN�MIEM FEE <br /> WATER ClOSET(TOILET) � �_�N�Q�� <br /> � <br /> �TM� ' FORCED AIH SVSTEMS � <br /> UVATORY ASH DASIN) � HEAt PUMP i <br /> BHOWER ' UNITHEATEHS � <br /> KITCHEN SINI(6 DISP � CLOTHES DRYERS ; <br /> DISHWA9HEF � RANGE HOOD � <br /> LAUNDRY TRAV ; WATEH HEATEH � <br /> CIOTNES WASHER � WOODSTOVE , <br /> URINAI � MEfAL FIHEPUCE�WOOD BURNINO) � <br /> DRINI(INA fOUNTAIN i FIREPUCE INSERf ryVOOD BURNINa) � <br /> FLOOR DRAIN � (iAS FIREPLACE � <br /> BACKFLOW PREVENTERS � pA$qqNpE � <br /> SINK(SERVICE—BAA,ETC.) � pAg p�p�Np � <br /> ' IXHAUST FAN <br /> � , <br /> � <br /> i � <br /> SUB TOTAL t ' SUB TOTAL f ' <br /> PERMIT f � PERMIT f � <br /> TOTALFEE t � TOTALFEE f � <br /> FOR OFFICE USE ONLY: <br /> �IqMT 7Ei��G0. REM SFTd1tk 610E 6FTl�CK PI�N C�IFCK NIIMSFR fEF f1Ff.E1Pl lq <br /> Zo � ,5' ' 2/�jJ 3'J D� <br /> �usE r ioT�n[�j� v�cu/t s�r¢ _� FEEB VALUATION FEE <br /> �/ �L �6s OYEtl �MU BUIMNO 212 ! f� <br /> IIEIOHTLI41MTqN NppfpW(LLllq BIIEpMD0li1 `� <br /> I IINIfF 3�,p S,F. ' <br /> �� ������� <br /> OCCU711MC� Iq d SI[MYFf OLCUPANT 10�0 lASEMENT MFCH�NIC�I -- I <br /> OROIX• <br /> U�I ❑YES ❑NO - <br /> FIREBPRIMfIERREO'D RF�SON �Ddll(N1�LIR�NC1HCIt � V- <br /> ---_i_" <br /> 0111EP i <br /> FINEAIMMRFO'D AF�cp1 <br /> 1 <br /> � <br /> SI�IC PltlldNO 51111f.1U110E 'l--� <br /> � <br /> rvre or r.or�sr PI�NS M{'rpv�Fo er CITY OF EVERETT runnr.wnnKs --- -�— <br /> J�� LOCAL SALES <br /> �-.� ----;— <br /> o�rc B R5 L TAR CODE IS 3105 TOTAL ;J�-) <br />