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A�+PLICAT14r�1 FOR CONSTRUCI .ON PERMIT�w%� <br /> CITY OF CVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDINd � MECMANICAL ❑ PLUMBING O SIGN <br /> PROJECT ADDRESS: y/7 F. �aS �r o Ro 4�/- <br /> ltlQnda a. �'�sh�,a� . 9� y .�� a�sino /��/ ,FbPR�t� f✓�0. ��3 C �oG)3.r�=GaiSi <br /> OWHER Mulepp1E55 CItY 7�� ' PIqNE <br /> IEN�N7 u��l�Odl(.55 CI�Y !IP PIIONE <br /> ♦fILMiEGTd10E516NER Ml1tl�WI1E55 C�TY 7�� P11pNF <br /> �ts�he � � _ <br /> OENEMICONTMClOi1 M�ILAp00E55 Cilv !�P AiqNE SI�1ElIC[NSF� <br /> MECHAMC�I CONTR�f.T011 M�II�OOIIf:55 f.ITY 7�� PIIONE STAIF IICENSE� <br /> IRUIMNIOCONTR�CIOR M�IIAUUPE55 CITY I�P PNONE Si�IEIILENSE� <br /> LONTMLT PPoCE Oi w01IX <br /> HEATING SYSTEM: O GAS ❑ ELECTAIC ❑�— <br /> OE PolEMV�K�MUSW�REFOOTIbE1NVOlVEO rnar r soe�rror�No <br /> ,�e Reo(t a�d 'V <br /> .dV� � � <br /> I HEREBV CERTIFY THA' I HAVE READ AND Eic.iMINED THIS <br /> APPLICATION AND NNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> n�oaououse aeu�ana PROVISIONS OF lAWS AND ORDINANCES GOVERNiNd THiS TVPE OF <br /> WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED NEFIEIN OR <br /> lE0AL0EEC1UPTlplOF1'f10PERtt1�p�sELOWORI1TT/iGNTW000VIE5� NOT. THE aRANTINO OF A PERMIT DOES NOT PRESUME TO OIVE <br /> �oT e�ocK or AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTFIER STATE OR LOCAL LAW REODUTINO CONSTRUCTION OR THE <br /> PERFOHMANCE OF CONSTRUCTION.THAT I AM AUTHORI2ED BV THE <br /> — OWNER OF THIS PROPEAtV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> PNILEL bUl l D �ro ER CONTRAC �RS LAW 18.27 RCW 288.200 WAC. <br /> �rl 0�3 �3� ,�//� �y <br /> fANSTRUCT�OMIWNLENDEP.110p1E55.TELEP110NF.NVMB R �� Il/ I q I�p(�� <br /> 510N�I.1RE - ��E <br /> Cltt SUSINESS IICFNSE Iq <br /> PLUMlINO MECNIINICAL <br /> NO. TYPE OF fl1ITURE OR I1EM FEE NO. TVPE OF EWIPMENT FEE <br /> WATEF CIOSET(TOILEn � NC—AMNDL�UNfT3 ' <br /> BATHTUB ' FOHCED AIH SYSTEMS ' <br /> LAVATORY(WASH BASIN) i HEAT pUMP � <br /> 5HOWER � UNIT HEATERS ' <br /> KITCHEN SINK 8 OISP i CLG�IHES ORVERS i <br /> DISHWASHER � RANOE HOOD � <br /> UUNORV TRAV ; WATER HEATER �_ <br /> CLOTNESWASHER � WOODSTOVE � _ <br /> URINAL � METAL FIREPLACE(WOOD BURNINO) ' <br /> DRINKINO FOUNTAIN i FIREPIACE INSERT�WOOD BURNINQ) i <br /> FLOOR DRAIN � OAS F�REPIACE ' <br /> BACKFLOW PREVENTERS ; ��4E ' <br /> SINK(SERVICE—BAR,ETC.) � GAS PIPINQ � <br /> � EXHAUST FAN ' <br /> � <br /> - - - ' � <br /> SUB TOTAL f ' SUB TOTAL f � <br /> PERMIT f r PERMIT i � <br /> TOTALFEE S � TOTALFEE S ' <br /> FOR OFFICE USE ONLV: <br /> fRONT6fTlAGlI PEAq6F.Tl�CM S�DESFTB�C� PIANCnFC �F� fEF AFf.E1PIN0 <br /> �,�s� <br /> USE SONE l07�RF� ��C�N161IF. FEES VAlUAT10N t�EE <br /> �YE9 O NO ounroNrt �C/ �.�C� <br /> ` <br /> NEIOHTLIA11fAilON NOOFDWFlUN6 517EOFlL00?I j <br /> UNIIF P�114BIN0 � <br /> �F'� <br /> pLCVP�MGY Wp51M(f OCCW�NTl0�0 BASEMEHI � <br /> IAFCH�Mf.M � <br /> ONd1P <br /> OYES O MO j <br /> FIRESPRINNIERREU'U 11E�9d1 �D0111(NIMM�NC��fGK � _ <br /> i <br /> 0111En i <br /> FIIIE/3AHMREO'D pE��OM <br /> ST�IE 01hlDIr+O SO�C1U11(IE i�� <br /> _' j'— <br /> troEovr,ousr rinNs�Prnov[oer C�TYOPEVERETT rimnr.vrones ' <br /> LOCALSALES " — — �— <br /> „�rE TAK COI�F �� 9105 TOTAL �=� � �'� <br /> _ _ _ _ _. . . ______""_'--' '.______ '- — _'i . . <br />