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(;u�� i,�.�v �h�:� �� �� ;, ,� •�y�> -d.�y>' <br /> APPLICATION FOR CONSTRUCT�JN PERMIT <br /> CITY OF EVERETT• BUILDING OIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259•8810 <br /> f 1 DiEMOLITION f I COMBINATION I � BUILDING i 1 MECHANICAL � � PLUMBING I ! SIGN <br /> PROJECT ADDRESS ��S �jt, ��i.� o � O '� <br /> ovmFn Mui�[mness arv rm r�wr+r <br /> �"'�M �.�-�sT•vucTt�,. _yv9 5�Msi ��e.ec� �ac,3 aSS — Y6�S" - <br /> iFN�NT uMl �nOnr55 f.lir 7ir r11oNF <br /> n S'cv�c 6 3 <br /> �PnniS /Cs�(��Lf4m /Jh�ac-' f�E�O i�ts7.r�el< �hry�f�� 9$„7u�f <br /> •ncw*ccron�s�cr+o� men�nnness nrv �m rr�omF <br /> „te��- wci^ casine Rtl «e'ter <br /> aeruenei cor+rnecton u�n�nnn[ss cnr — �m m�oNr sure ucrNse� <br /> SAm� <br /> MFCN�NICA1 f.ONIn�CT00 M��l�D[1PF55 t.itv 7iv PIIONF �1�iF t�CENSF� <br /> �iqn � SRa ccs O�o• '�6 �/3 L��RrT 98zo / 7yj- 56a�/ ,(3nRn��so '"oC B <br /> �uuu�w�r,or+ta�r,roa 4�II�f1�RE55 arv rm rrroNe su�ei.icFNse. <br /> �aocr� '" <br /> coNrp�cc rmce a rmnK <br /> HEATING SVSTEM: I i GAS � I ELECTRIC f I <br /> DESCPIBE YqRN�NU SOU�RF FOOT�OE INVdVED CON1�C1 PF�SON�Nfl PI�ONF NO <br /> ✓�[G� .Vc� s!n/1iniA•/cot e � �l <br /> �1I`f� >/CC NREn OVt GJAOZCjIJ4 <br /> I h1EREBY CERTIFV THAT I HAVE REAO AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREC? ALL <br /> PRq`OSEDUSE Oi A111L01N0 PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TVPE OF <br /> WORH WILL BE COMPLIEU WIiFi WHETHER SPECiFIED HEf7EIN OR <br /> LEO�l0E5GRIPTIONOFPROPERTV151qWN0ElOWpi�Ti�GH7W000iME5� NOT. THE QRANTIN6 OF A PERMI7 DOES N0T PRESUME TO GIVE <br /> io� fli�K _� AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATIN6 CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERiV TO PEHFORM TNE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PId.CEL TM 1 D NUMBER CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> �G� ez/�/y� <br /> LONSTRUCTION 10�N IENDER �IXMESS.iFIEPNONE NVMPFf1 � LL7u �A � <br /> �� �ir <br /> CITV PUSMESS I�CENSf.NO <br /> PLUMBIN6 MECHANICAL <br /> NO. TVPE OF FlI(TURE OR ITEM FEE NO. TYPE OF ECUIPMENT FEE <br /> WATERCLOSET�TOILET) � A/C—AMNDL6UNIiS—H.P. ' <br /> BATHTUB � FORCED A!R SVSTEMS—B.T.U. M F.A. ' <br /> � <br /> LAVATORY(WASH BASIN) i HEAT PUMP � <br /> SHOWER � UNIT HEATERS—B T.U. M ' <br /> KITCHEN SINK 8 DISP i CLOTHES ORVERS � <br /> DISHWASHER VENTILAiION FAN ' <br /> LAUNDRVTRAV � RANOE HOOD i <br /> CLOTHES WASHER i WATER HEATEFi ' <br /> URINAL � WOOD STOVE � <br /> DAINKING FOUNTA�N METAL FIREPLACE(WOOCI BUHNING) � <br /> FLOOR DHAIN � FIREPLACE INSERT(WOOD BURNING) ; _ <br /> BACKFLOW PREVENTERS ( GAS FIREPLACE _ i <br /> SINK(SERVICE —BAR.ETC.) GA. RANGE _ <br /> GAS PIPINO <br /> — i EXHAUST FAN � <br /> i ' <br /> — � <br /> � ' <br /> � <br /> SUB TOTAL E SUB TOTAL E ' <br /> PERMIT E i ['ERMIT S �_ <br /> TOTAL FEE E ' TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: <br /> f110NT5FiP�CN Rf�f15fTp�CF SIpESFiP�f.lc �I�NCIIFf.NN11M11fj1 �f�� �FCfIPINO <br /> ^ �� <br /> J.��_ <br /> uSFz�N� i����a� v���N�snF FEES VALUATION FEE <br /> urEs n Nu nnnOiNa j <br /> IIEIIi11T lIMI1�TION NO Of UWRIING SRE Of 9lU(141 i <br /> IINII$ p111M01N0 � <br /> —"'—_— _— _ —_�__' <br /> _ ' <br /> pg��p�ry�,ry µ�01 Slt�ni�S [ri:f,u��Nl 10�0 P�SFMENi Mf����NiUI � <br /> cnour — — __.-- —.____ ' -_ <br /> IIYFS �� N!1 — � <br /> fIRE�U�Mf1E0� 11F�50Y �Ofn1iON<I �I�NO�Ef.N � <br /> ---�'— <br /> 1 <br /> mr�rn I <br /> 11f1F$PniNqFRnF00 np�so�+ ' <br /> Sl�l E FIOI DM(i$UfiCllnpfpC � <br /> � <br /> ____ _—__--�— <br /> trrForcor+si rinNs�rrnnvrnnr CITYOFEVERETT rnpncwonKs I <br /> iM" � / LOCAL SALES —-- — --- -------- '--- <br /> i„�� /JjqJl��. TAX CODE IS 3105 TOTAL __ y__ <br /> •� ---� ----- <br /> -- _ ----f-- ---- <br />