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APPLICATIC 9 F�i�it CONSYRIJCT"`�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT,WA 98201 •259-8810 <br /> ❑ DEMOUTION ❑ COMBINATION �BUILDIN(i L7 MECMANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS:�,/� � ..IaG��b/F�o'� <br /> ��ia��.� /.+r�ln('�ua�M woi+ess `� (r /�/ � �•�b�`���T 7T ul/� �'l�.71J I <br /> f1n.� C� ess ,�iyb s��/ a�/ 7 (b�I�KS'� �✓P�tJ �.lA �i S�o � �S-$�2o �--- <br /> 1EN11�/� wNIMDRE55 f.IIY 7�� — ���ONE <br /> 11RLM�CLT OR DESM.NEN Ml1tl MOf1E55 GIIY Jil� �HONF <br /> ����� <br /> 6ENEfU1Cq�i^psGlOn MAIIMDRE55 Gir 7�� ��10NE 51�TEliCFNSE� <br /> MECN���/ CONTR�CTIXI M�IL��ESS f.l1Y TIP PIIONE St�TEUCENSE� <br /> /V //I <br /> PIUMEIqO IN/itTpl N�Il�W�1E55 LIIY I�� P11(N+F Si�fELIGFNSE� <br /> ca. PPoCEOr��0� HEATING SYSTEM: �3f GAS ❑ EIECTRIC ❑ <br /> oesc�nee woa�e Ho wu•ne vooT �vavEo rer�ucr ri nsa+�nn r�rorrt rro <br /> _r,�t,-r� io� � .� �,,�,-�, i 7,,,� ,�:� nTy , <br /> , ' I �,r�r�.- ;r F .., <br /> I HEREBY CERTIFY THAT I NAVE READ ANG E%AMINED THIS <br /> --- APPIICATION AND NNOW THE SAME TO BE TF.I IE AN�i CORRECT ALL <br /> rnorose/ouse or euidra ,� PROVISIONS OF LAWS AND ORDINANCES GUVERNING THIS TYPE OF <br /> SL/Lod/ ' �E-!/i � /i �e WOHK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> �[���nEsc�r�onar nir�s��ovm 1fT40f1�t1�LN7WOCOrMF51 NOi. THE GRANTING OF A PERMIT DOF5 NOT PRESUME TO 61VE <br /> ioT aiocK a AUTHORiTV 70 VIOLATE OR CANCEL THE PROVISION OF ANY <br /> , OTHER STATE OR LOCAL LAW REOULATIN6 CONSTRUCTION OR TNE <br /> J�7 H Y-' PEf1FORMANCE OF CONSTRUCTION.THAT I AM AUiHORIZED BY THE <br /> �3 OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> w�cE�T�uci�r�w�e�p CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> - - • OJO 0 - - � /A <br /> CON^SIIPUG710MlONILENOER.�00RESS.lElE1'110NENU40EA , �Q oft ✓ J _ <br /> //� �1�1 a __ .1 1 RE DME <br /> dTY BUSINESS IICENSC NO <br /> PLUMBINO MECHANICAI <br /> NO. TYPE Of Fl%TURE OR ITEM FEE NO. TVPE OF EGUIPMENT FEE <br /> WATER CLOSET(TOILET) � � A/C—AMNDLO UNRS ' <br /> ` BATHTUB i FORCEDAIHSVSTEMS ' <br /> , UVATORY(WASH BASIN) � HEAT PUMP � <br /> \SHOWER � NITHEATERS ' <br /> KI CHEN SINK 6 DISP � Cl THES CRVERS � <br /> DISHWASHER MN E HOOD ' <br /> UU �RY TR/�V � WATER FIEATER i <br /> CLOTHES WASHER � WOOD STWE <br /> URINAL MEfAL FIREPLACE(WOOD BURNING) ' <br /> DRINKINU Fd11NTA1N i FIREPLACE INSER7(VJOOD BURNINO) � <br /> � GAS FIHEPLACE � ' <br /> FLOOR ORAIN ' <br /> BACKFLOW PREVL'NTEHS ; GASRANGE _�_ <br /> SINN(SEAVICE—8 H,ETC.) GAS PIPIN� , ' <br /> EXHAUST FAN � <br /> � <br /> � � <br /> � � <br /> i <br /> SUB 70TAL f ; SUB TOTAL f, _�_ <br /> PERMIT f ____ PERMIT S <br /> TOTALFEE S ' TOTALFEE S _ <br /> FOR OFFICE USE ONLY: <br />� fRONTAFTR�LIt RFMSFIP�f.N SIDESETB�Ck �I�NCIIECNNUM0111 fFF RFC(IPINO <br /> ��� � c7 _'�c�� � — <br /> use za+e �m ence vec�Nr snv __ FEES __VALUATION __ FEE�_ <br /> i <br /> pvES ONU OUili�wq � /� .. <br /> IIEIOIIIIIMIT�110N NO Of UWEIIINO 512EO�Bll�nl — — --- -�-� ������ <br /> UNIIS PIUMOMfi 1 <br /> �✓b . — — --- -----+-- <br /> OCCUPFNCY NJ M 5���[5 OCCUP�NI IO�D P�SEMENI MH:IIeNICM <br /> G / t� 5�! —` <br /> .!. r[5 ❑wn - _ -� -�. . <br /> RflESPflINKLERREO'0 �f�5(k! �DO�IIONM PI�NCnICK ' — —_ ' <br /> —_.' "_ _'__�_-"_ <br /> /� on�rn - - <br /> flRENARMREO'D RF�FON --"_'-_�- - --- --"-- � <br /> A� SUl[l1111101NRSIIIII.II�fIOF--- ___--_ — — ____. -�� <br /> /W r' <br /> tYPEOfCON51 rinNserrnovrnm CI?VOFEVERETT ����m�cwrnas 1 <br /> JM LOCAL SALES ------ - "-� �----- -�-- <br /> ^tT {�}Q ---- -- ' <br /> -V- ` I'�' ` i���E � ` TAX CODE IS 3105 tOTAL ._. . . ' <br /> -1- --- --- ---- - -- - <br /> _. _ -. . - ----. ._i—_ <br />