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APPLICATIVrI FOR COPISTRUC'�N PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION �./ <br /> 3200 CEDAR STFEET• EVERETT, WA 98201 •259-8810 <br /> �l DEA�OIITION f I COMBINATION I 1 BUILDING j� MECHANICAL f 1 PLUMBINf3 fl SI(3N <br /> PHOJECT ADORESS . <br /> �'��s �v. Ca����a t"3ood. S�c, . �F Eyei�tC, 62-ft �IS's�'� <br /> owrven N�a�noness arv 7m rNorvE <br /> C'L[Shinq (r0[[.b a�/� lv. /'as�i�v nd, E. ucr�7t 9PavA l�) 7�✓- �'39� <br /> IENANT Mnn enonrss r:nr vm T PIIONE <br /> �/C� /V/fe'. ���k2y.i:� �v/.� 11' r i75//)L� '*�F E ac'��tf {'V/'i rIB.?Oq ��� a9o-87yy- <br /> �ne�a*rctont�si�r+Fn uui.�nnnes� r.nr m —�vMor+r <br /> _ � <br /> oErvEMLcoNtMcrql M�II�DME55 Gir llr rrloNr sr�TE110ENSE� <br /> MECN�NILQCONTR�CTOR M�II�DORi55 (:I1V �/le P110NE ST�7EUCENSE�NORT� <br /> Nnr-!h c'n-,�n�r•,;; f-Nn �i��A�G /1���/ � dn�oi��' 11,�R i /li3u nedir�on�'' 9805.� ��'�' <br /> PWMBINOCONTR�CTOR MRIL ESS Cltt 71P 9�ONE ST�TELICFNSEI <br /> CONTR�C7 PRICE O�YIOIIK <br /> �,� ,Jn HEATING SYSTEM: f I QAS i 1 ELECTRIC fl�A <br /> OESCRIBE WORk�ND SOU�RE FOOUGE INVOLVEO CONT�CT PERSON�NOONONE NO <br /> � � yl _ <br /> .�8 <br /> I HCREBY CERTIFY THAT I HAVE READ AND EXAM�NED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TFUE AND CORRF.Ci.ALL <br /> PRM'OSFO UCE OF BIrLDINd PROVISIONS OF L,�WS AND ORDINANCES OOVERNIN6 THIS TYPE OF <br /> /n�. � C ' WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HERE�.J OR <br /> �ea��oescFmnorvoFrao Rtt�SNOWVBELOWOR�If�CNTWOCOPIE51 NOT. THE ORANTINO OF A PEFMIT DOES NOT PRESUME TO OIVE <br /> �ot BIOCN or AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHEF STATE OR LOCAL LAW RE(iULATINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. ih�f 1 A�A AUTHORI2ED BY TNE <br /> OWNER OF THIS PFOPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> P�RCEL7A%10.NUMPER CONTRAC70RS LAW 1827 RCW AND 286200 WAC. <br /> CONST1111CTION LO�N lENOER.�D[N1E59,TEIEVHONE NIIMPFR x �/t', �j'/.� ifi/f�'/ �[ '3li' —/ ¢ <br /> SION�tUflE D�TE <br /> on�� �nr <br /> CI�' USMESSLICENSENO <br /> PLUMBINO MECMANICAL <br /> N0. TVPE OF flIfTURE OR ITEM FEE NO. TVPE OF flXTURE OR ITEM FEE <br /> WATER �LOSET(TOILl:T) � A/C—A/HNDLO UNITS—H.P. � <br /> BATHTUB ; FORCED AIR SVSTEMS—B.T.U. M E.A. ' <br /> LAVATORV(WASH BASIN) i HEAT PUMP � <br /> SHOIvER � UNIT HEATERS—B.T.U. M ' <br /> KITCHE��31NK 6 DISP ; CLOTHES DRYERS � <br /> DISHWASHER � VE�ITILATION FAN ' <br /> LAUNDRVTRAV ; RANGEHOOD i <br /> CLOTHES WASIiER � WATER HEATER � <br /> URINAL ' WOOD STOVE ' <br /> DRINKINd FOUNTAIN i METAL FIREPLACE(WOOD BURNIN6) i <br /> FLOOR DFAIN � FIPEPLACE INSERT(WOOD BURNINO) ' . <br /> BACKFLOW PREVENTERS ; OASFIREPL4CE i � <br /> SINK(SERVICE—BAR,ETC.) � OAS RANOE � <br /> � OAS PIPINO ' <br /> i EXFIAUST FAN � <br /> i � � <br /> � <br /> SUB TOTAL S ' SUB TO7AL E ' <br /> PERMIT E � PERMIT E ~ � <br /> TOTALFEE S � TOTALFEE S � '� <br /> FOR OFFICE USE ONLY: <br /> FRONTSETB�CK RE�RSETB�CN SIOESEiB�CN �UNQIECNNUMOFII fEE RFCEIPTNO. <br /> USEIONE ioteAee waursne FEES VALUATION FE� <br /> f1VE5 I1NO BUIlDINO <br /> NEIOIITUMIT�TIOH NOOFUWEWNO SREOfBl00rtl � <br /> UNITS pLU1APIN6 � <br /> IX:Cl1P�NCV NO 0�SIORIE� OCCIIP�M tO�D P�SEMENf MECII�NICQ <br /> OROUP <br /> I1vF5 I1 NO � <br /> ADDIIION�L i'LAN GIIECR � <br /> IIRE�LARM{iE0'D �F�SON _ <br /> O7NER <br /> iIRESi'HINMIERPE00 RF�SON � <br /> SiAIE BUII(11N0 JUAf.lUR3E <br /> TYPEOFCONST �L�NS PpROVEOBY -- � <br /> CITY OF EVERETT runuc wonKs _ � <br /> �M LOCAL SALES <br /> o�iE � � " �o" 9 TAX CODE IS 3105 TOTAL <br />