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,.. - <br /> APPLICATIOA fOR CONSTRUQTI�.�1 PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAfl STREET•EVERETT,WA 98201 •259-BB10 <br /> O DEMOUTION p COMBiNAT10N I� BUILDINO ❑ MECHANICAL ❑ PLUMBINO ❑ SICiN <br /> PROJECT ADOFIESS: 3 0 0" G✓. C/�{-S/N o /L-J� '�T�O—e7 <br /> 6oErr�6. <br /> ov�n u,u�•oa+ess cm z�r rNONe <br /> �jo C�/nl 6� <br /> lf1UNT u�RMdRss Grr 7io o110NE <br /> �oLril��, <br /> MLN1[CTp10F510NEN /MiI+DUfIfSS CITI 7�� PNONE <br /> /F_"N�/L/�(, _ <br /> OENEMI COMifUCTUII MUl ADM�E55 C11Y l�� PI10NE SGTE IILFNSf� <br /> AI(�IIMMCALCpNiFALiqi MAIL�DDNE55 CAtt !�i` PIIONE AfATEI�CEN$E� <br /> RUWIN6C�111RACTOR 1/u1A0011E55 CIfY 11P P110NE SfATElKENSE� <br /> CONTMCT'RILEOfWORK �O <br /> HEATINfi SYSTEM: ❑OAS ❑ELECTRIC O <br /> OEUC11Mf W.111K�NO 60UARE FOOT vaveo cw+r�cr rcnsoH u10 rNo�[ra 2(� `—q 1..1? <br /> J r <br /> �i,�sE �}�r.�,� � A�D poe,�. G�n�a�rt-D r��o�r.swr <br /> �005� 1 HEREBV CERTIFY TNAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE BAME TO BE TRUE ANO CORRECT ALL <br /> rnorof[oua[a w�wa PROVISIONS OF LAWS AND ORDINANCES 60VEiiNIN6 THIS TVPE OF <br /> C �"Yh (GA*— .ST77/fi E WpqN WILL BE COMPLIED WITH NM1IETHER SPECIFIEO HEREIN OR <br /> �[aiLLOcuwrnwa►iwr[an'�a��ow�e[�rnaaa�T7�cNnvoc�Es� NOT. THE aRANTIN(i OF A PERM�T OOES NOT PRESUME -PO OIVE <br /> �oT K� � AUTHORITY TO VIOLATE OR CNNCEL THE PROVI610N OF ANY <br /> OTHER STATE OR LOCAL LAW REOULATINO CONSTRUCTION OR 1HE <br /> PERFORMANCE OF CONSTRUCTION.TMAT I AM AUTHOp12ED BY THE <br /> OWHER OF THIS PROPEHTY TO PEHfORM THE WORK FOR 1MIICH <br /> APPLICATION IS MADE AND I COMPLY WITH TME STATE <br /> M110ELiM1.QM1►MER CO CTOR5UW1B.21RCW�WAC. <br /> CON6TIIUC110NlON1lEN0ER.11WAE5l.TElFi110NE MM/!ER Y���i��'�� I' I�,/J // � <br /> �bqry TUE lr WTE <br /> qTl�N1gp/E89lICENSE NO <br /> K�p AIECHANICAL <br /> N0. TY►[OF FlXTUIIE OII ITEM FEE NO. TrR Or[OIM/MMNT FEE <br /> WATER CLOSET(TOILEn � NC—AMNOI(i UNRB ' <br /> ���g ' FORCEDAIRSVSTEMS ' <br /> UVATORY ryVl18H BASIN) � HEA1 PUMP � <br /> g�pyy�p � UNIT HEATERS ' <br /> KITCMEN SINIf L DISP � CLOTHE6 DRYERS � <br /> , DISHWASHER � RAN6E HOOD ' . <br /> LAUNORY TMY ; WATER HEATER � <br /> CL01HE8tMASHER � WOODSTOVE ' <br /> �q� � MEfAL FIREPUCE(WOOD BURNINfi) ' <br /> DRMAfIN6 FOUNtA1N � fIREPUCE INSERT(WOOD BUNNIN6) � <br /> FLOOR ORAIN � GAS FIREPUCE ' <br /> BACKFLOW PREVENTERS ; OA3RANOE � <br /> SINK(SEiiVICE—BAR.ETC.) � d�P�P�Na � <br /> � IXHAUST FAN ' <br /> � <br /> � ' <br /> � ' <br /> � ' <br /> � ' <br /> SUB TOTAL f ' SU8 TOTAL f ' <br /> PERMIT S � PERMIT t � <br /> TOTAL FEE t � TOTAI FEE f ' <br /> FOR OFFICE USE ONLY: <br /> iqpyl9ETMt1( pEMSETlKN BIpEBETMLk PIN/GIEGKNUYBFR fEf PfFE1PTN0 <br /> usE tprrt �Ot�� v�cu�t��E FEES VALUATION �E <br /> OYES O ip OUIlDiNO D <br /> NEqNTUMT�TION NOOFDwEWIq !�lEOFKOM� � <br /> VNIIF u, VIUMUiMi � <br /> pCCU►ANCY MOdl�l�ff OLCWAMflO�D N��NT MfC11uaL�l <br /> OROIIr � I Z <br /> OrFS O N� <br /> •FMIE [pqEO'0 REASON Applil(MI�L�'l�MC11F.LM � <br /> S �1.51��• omen � <br /> iKEMARM11E0'D NFnSON �� <br /> Yrt F �(fl� STAIEOUIlO�N(ISIIOCIUO(IF -- <br /> {. J � <br /> rvvear,oNsr PL�NS nov¢our CITYOFEVERETT �I1911f.WqIKS ; <br /> 1 1 _. � �Ip, LOCAL SALES —'�� <br /> wrE � • I'4 L TAX CODE IS J105 TOTAI � <br />