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APPLICATIG.1 FOR CONSTRUCT ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT, WA 98201 •259•8810 <br /> f l DEMOLITION f I COMBINATION f I BUILDING i 1 MECHANICAL i 1 PLUMBING I i SI(3N <br /> PROJECT ADDRESS ��j�� /, ) ����� �� <br /> L,IJ <br /> oVmEn M�IL�CM1F55 � ry/rv^�q�� nr ri�oNC. /� �/ <br /> irNn� �AMNif55 ��� �4 '(y1.�N��O�1L�1rL�� 7� IU J <br /> l�✓ �U�strn�J �D Z��(l_t2�.�Zh�✓f�'j��O <br /> e ccronoesir,nrn uui�.noness r.irr �m r��ovr � <br /> aeHeiui Lr.�rne� � �n eam�cs�y���/�r �n1Y[�� ��_ r�s�.. nn�/. �ui�r qiicrNse. <br /> � /M �nv�.S'1� � I/7 ��1�� )�IJ /_ S Z^A .J/?�lt2f n— �� <S�v�U� <br /> MFCII�N�C�Lf,ONIf1�,TOR M�'IAbM1f55 ' aTV 7m PuON[ StntfUCENSF• <br /> �%3" ��•u.,,��.1�� �i --- — ��'��•�{�JL/�. <br /> P U flINGCON7R�CTOP M�II.QIIN1E55 OfY ]In p110NE 5 � -IICFNSF• <br /> /�+/-1 P1�w��1�+/L. 7�05 Jj�fi"' Sr.Si <noy,�s�/—yr,r_LB1Sb L_(1����/3 <br /> coTirA �r rmcF or wonK <br /> a��� � NEATING SYSTEM: I i OAS I 1 ELECTHIC f 1 _ <br /> DESCRIBE WOpN 1NP SOU�RF FOOtAOF INVIXVEO CONT�CI^fR50N�NA PIIONF NO <br /> I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> rnqroseouse o�euaoiuo APPLICPTION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIGNS OF LAWS AND ORDINANCES GOVEFNING TNIS TYPE OF <br /> WORK WIU. 9E COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> iewiasemrTiar�or�onenTv�s�+owr+ee�owonuTecNivrocoriesi NOT. THE ORANTING OF A PERMIi DOES NOT PFESUME TO OIVE <br /> �oT_ e�ocK_ .or AUTHORITV TO VIOIATE OR CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR IOCAL lAW REGULATINO CONSTRUCTION OR iHE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF ?HIS PROPERTV TO PERFOR�1 THE WORK FOR WH�CH <br /> APPLICATION I MADE AN I CONPLY WITH THE STATE <br /> PMCEL T�M 10 M14PER CONTRACTOji W 1827�296200 WAC. <br /> /(/ <br /> GONS1RlIC110NIO�NIfNDERQttN1E55.TFlFPHONEMIMPFR x_ ^ Z ^�J <br /> 9ON�IlIRE D�IE <br /> f.liY pU5MF5S IICENSf.NO <br /> PLUM81N0 MECRANICAL <br /> NO. 7YPE OF Fll(TURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> T <br /> WIITER CLUSET(TOILET) A/C—A/HNDLO UNRS—H.P. ' <br /> BATHTUB ' FORCED AIR SVSTEMS—B.TU. M E.A. ' <br /> LAVATORV(WASfi BASIN) HEAT PUMP �_ <br /> SHQWER � UNITHEATERS-8.?.U. M11 ' <br /> KITCHEN S1NK 8 DISP i CLOTHES DRVERS i <br /> DISHWASHEF VENTILATION FAN � <br /> LAUN�RV TRAY � RANGE HOOD i <br /> CLOTNES WASHER � WATER HEATER � <br /> � <br /> UHINAL WOOD STOVE ' <br /> Ofi1NKING FOUNTAIN METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVEN7EF5 ; GAS FIREPLACE �_ <br /> SINK(5EFVICE—BAR,ETC.) OAS RANGE <br /> ' OAS PIPINQ <br /> i EXHAUSTFAN � <br /> —L_ _ _ � — - � _ <br /> � <br /> , � � <br /> _ T <br /> — ' <br /> SUB TOTAL E L � . SUB TOTAL E _J��_ <br /> PEHMIT S PERMIT S � <br /> TOTAL FEE E TOTAL FEE 6 ' <br /> FOR OFFICE USE ONLY: <br /> (RONTSFTP�CR Nf�fiSFTPACk SIpESFTP�CN MANf.11FfNNIIAIPffi fff f1FC.FIPINO <br /> usF zoNe i oi enrn v�c•r+i srtv FEES YALUATION FEE <br /> ---— — — --r-- <br /> iiyFS � N�i � <br /> nuu rnnr, � <br /> HEI(lllT IIN111TION NO (M UWCLlINO SITF Of pLl%i�� -- —- - —' —----�---�- <br /> IINIII pII1M111N. � <br /> ___—___ .—_.___— --- __ _._�_._ . <br /> -- 1 <br /> OCCUPANf.v M�MSN�iI( IX:CIIP�NIIq�D P�51'MENI ufi'nANit�.Il � <br /> anam ---' ---'---.. <br /> i nrs �i qn _.__.__ __—_--_ __ <br /> FRf�UnMnFOn_--- nfnSnN. '—. nPD�llapnlPlnNGnfCN ___ —_ . . <br /> —.— i— <br /> --- — � <br /> ou�rn ' <br /> rmv srmH.irn nvr�n nr��oa---- — — ---- - -- —��—i-- --- <br /> r�.in�r nimnivr sanr.rum;e � <br /> ------------ �---- —'— --� �-- - <br /> ---�----- ' <br /> �rrrrnrn��ci - rinNs�rrrwvrnnr CITYOFEVERETT ���m�rwnnrs 1 <br /> LOCALSALES ... ..._. .. - ---- --- -�- � -- . . . �-. <br /> „�,� TAX CODE IS 3105 toTAl _ _ _ _ ;_ __ <br />