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APi�LICATIG.d FOR CONSTRUC7 .JN PERMIT� <br /> CITY OF EVERETT• Bl11LDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> f I DEMOLITION f I COMBINATION I I BUILDING I 1 MECHANICAL I i PLUMBIN(i I I SIQN <br /> PROJECT ADDRESS <br /> p�vr�en n uu��oonFss r.irv rm r�wr+e. <br /> �HNON Manuhn��.;,4a r�7GlS �� �c�G L`i��,e�7`/ `�4.�ny <br /> 1ENPNT � �II�DDRF55 f.IIY 71P PIIONF. <br /> RICHITCCiORpE51GNFR MNI �f10f1E55 LIIY TIP PIIONE <br /> OENERQCONTR�CLIXi iAAIL�IXN1E55 (:Itv llP PIIONF. ST�TELICENSE• � <br /> MECN�NIC�L CONiR��0f1 M�II��DRF.55 CIIV 71P PIIONE SUTE LICENSE� <br /> A litl/ /Y,vt-(�,ts //.�.s aac. lsi�iv s,� I�r��,�e`h.,)/0 A,elaa�.,i SQaa3 GS8 ibs� VA//,ENc OssBt - <br /> PWMB aCONTR�CTOR �IL�f�RE55 � GIIv ZIP PIIONE STATEl1CF.N5E• <br /> CONTP�CIPRICEOi WOIIN nr� HEATING SYSTEM: f 1 GAS fl ELECTRIC fl <br /> �.��[7 <br /> DESC/y�p EVIORN�NDSOWREFOOT�pFiNVOlVEO� CONT�CTP(RSON�NOPIION[NO <br /> L'� � �' �nr' �(� �FF�it� <br /> Va�-+ � t ti . <br /> I HEREBV CERTIFV THAT I HAVE READ AND EKAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND COHRECT.ALL <br /> PROPOSEfI USE OF Bi11L01 PROVISIONS OF LAWS AND 9RDINANCES OOVERNINO THIS TVPE OF <br /> Mf�itU A�>t�R!NC•; WORH WILI BE COMPLIED WITH WHETHER SPEGFIED HEREIN OR <br /> LEO�LOESCRIPTIplOFAi01'ERTVISNOWNBELOWOR�TT�GNIWOCOPIES� NOT. THE ORANTINO OF A PERMIT DUES NOT PRESUME TO OIVE <br /> tot e�ocK or AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR LOCAL LAW PEOULATINO CONSTRUCTION OR THE <br /> PERFORMANCE Of CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV 10 PERFORM THE WORK FOF WHICH <br /> APPLICATION IS MADE AND 1 COMPLV WITH THE STATE <br /> PMCEL TAM 10.NUMBFN CONTRACTORS LAW iB27 RCW N�296200 WAC. <br /> CONSTRULTIDN LO�N LENDER.�IXME59,TEIEPNd1E NUMPER X/p�� � / / � � <br /> SIO '/TUf1E OQE <br /> CITY BUSINESS IICFNSE NO <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FlKTURE OR ITEM FEE NO. TVPE OF FIXTUPE ON ITEM FEE <br /> WATEH CLOSET(TO�LET) � AIC—AMNDLG UNITS—H.P. � <br /> BATHTUB ; FORCED AIR SVSTEMS—B.T.U. M E.A. ' <br /> LAVATORV(WASH BASIN) � HEAT PUMP � <br /> SHOWER � UNITHEATERS—B.T.U. M ' <br /> KI?CHEN SINK 8�IFP i CLOTHES DRVERS i <br /> DISHWASHER � VENTILATION FAN ' <br /> IAUNDRV TRAV � RANOE HOOU i <br /> CLOTHES WASHER � WATER HEATER � <br /> URINAL ' WOOD STOVE ' <br /> DFINKINO FOUNTAIN i METAL FIREPLACE(WOOD BURNINO) � <br /> T <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNINO) � <br /> BACNFLOW PREVENTERS i GAS FIREPLACE i <br /> SINK(SERVICE—BAR,ETC.) OAS RANOE ' <br /> � OAS PIPINO � <br /> � EXHAU57FAN � <br /> i ' <br /> ' ; — <br /> � <br /> � <br /> SUBTOTAL S ; SUBTOTAL S ' ` <br /> PERMIT S � PERMIT S / � � <br /> TOTAL FEE S ' TOTAL FEE S S� '' <br /> FOR OFFICE USE ONLY: <br /> fRONl SF.TB�CH REM SETB�Ck SIDE SE7B�CN PUN CIIECK NUMNFP FEE RECF.IPT NO <br /> � <br /> use zor+e �ai�ne� v�c�Nr sire F ES VALUATION FEE <br /> �IYFS I1 NO PIIRDINO <br /> HEION7 LtMIT�TION NO Or�WEllINO SIIE OI BIIXiRI � <br /> UWtS PWMPINO <br /> OCCUP�NCY Iq pi510PoE5 OCCUP�M L0�0 B�SEMENT MECN�NIC�I <br /> OPWV <br /> f1YE5 fl NO <br /> �DDIIION�I PIAN CNECK <br /> qRE�URM REOD R[�SON <br /> on�en <br /> FIRE SPRINkLEP RFO'D Nf�50N <br /> Si�IE PIIILpING SIIRGN�IN3E <br /> tme o�coNsr vuNs�rrnoveo ev CITY OF EYERETT runur,wonKs I <br /> IOCAL SALES "—— I <br /> ,,,,� TAX CODE IS 3105 TOTAL _ ' ' <br />