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APPLICATIOrI FOR CONSTRUCT�JN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEOAR STHEET•EVERETT,WA 98201 •259•8810 <br /> ❑ DEMOLITION ❑ COMBINATIOM �Bu�LDINO ❑ MECHANICAL ❑ PLUMBIN(3 ❑ SIdN <br /> PROJECT ADDRESS: I q Z(Q L�}�s����,— <br /> 01M�ER 4M1�00RE55 CIiY iIP <br /> P��OME <br /> �V�� =5o?Al0 19Zra CNcSTn�uT �vE2Cy7' �•/q q$�p/ 258 - 32�/ <br /> 1FN�NT Y4L11pp1E55 GITY l�p <br /> SQML PIpNE <br /> IlRL1MTEGTdiDE5i0NFR MIulMM1E55 LITY ?I� Prqr�E <br /> OENER�IGONTpl1CTOR M�IIIIDOpF55 CIfY lip <br /> PnONE Sf�fE IICENSE/ <br /> 1ACIFiC CaA1a4Gf5Ta,c (,i6 �.a�ae� D.e. Eve��r GJA- 9b2o� Z5`3�3�1 P.4CiF�i ofrfrJ�J <br /> ueau�cuca+tn�cton uui�oonEss an Iir <br /> PIIONE SiRE UCENSE� <br /> PLUMSMqCONTR�lOR MAll�00RE55 CIfY 21P �� <br /> P�E SUIE IICFNSE� <br /> CONTq�T q N <br /> /1 S72S_oU HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> OfBpMlE Wdllt A1q$pJ�pE FOp1d6E MVOlVEO CONT�LT PERSd/11Np PNpHE�q <br /> _ .��?�4ui L� h 2J,. Z y [�q�� �/ <br /> � c. >`-o�.wcuno•� EO OLs d.v zs9-�3�� <br /> - 1 HEqEBV CERTIFY THAT I HAVE HEAD AND EXAMINEO THIS <br /> waroscousc a eu�ara �1�� APPLICATION AND KNOW TME SAME TO BE 7RUE AND COpRECT ALL <br /> G��vy�a+�- PROVISIONS OF UWS AND ORDINANCES OOVERNIN6 THIS TYPE OF <br /> lE0Al0E5CRIPT10NOiPIqPERry�51qy��pE�pWp��n�N}yq�pqEg� WORK WILL BE COMPLIED WITH WHETHEF SPECIFIED HEREIN OR <br /> NOT. THE ORANTINO OF A PERMIT DOES NOT PRESUME TO OIVE <br /> ��T ��" � AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR IOCAL LAW REODUTINO CONSTRUCTION OR THE <br /> PERFOFMANCE OF CONSTRUCTION.THAT 1 AM AUTHpqIZED BY THE <br /> OWNEq OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE 6TATE <br /> wac[�nut i.o.r��n 5632 -39S-� S-G�(, ��RACTORS/LA�W�18.27 RCW AND 298.200 WAC. <br /> CONS1rMICTIONIdWlENOER.l1pq1E53.TE1ER10NEM14sER �y�/A y0�.� � /ZZ/9� <br /> z- � vo - � f <br /> ���� D�IE <br /> Ci}5 N <br /> cin euar�ss��ceNsc rro <br /> ��� MECNANICAL <br /> NO. TYPE OF flIfTU11E OII ITEM FEE NO. TYPE OF EOIINMEM �E — <br /> WATER CLOSET(TOILEn � A/C—AMNp�O UNITB <br /> BATHTUB ' FORCED AIR SYSTEMS � <br /> LAVATORY(WASH BASIN) � HEAT PUMP <br /> BIIOWER ' <br /> ' UNIT HEATERS , <br /> KRCHEN SINK 8 DISP ; CIOTHES DRYERS � <br /> DISHWASHER � RANOEHOOD <br /> � <br /> LAUNORV TRAV � WATER HEATER � <br /> CLOTHES WASHEH � WOOD STOVE — <br /> � <br /> URINAL � MEfAL FIREPLACE(WOOD BUHNINO) � <br /> DRINKINp FOUNTAIN , FIREPLACE INSERT(WOOD BURNINO) � <br />� FLOOR OqAIN pA5 FIREPIACE � <br /> BACKFLOW PREVENTEFS � ��QE , <br /> SINK(SERVICE—BAR.ETC.) �P1P1N0 ' <br /> � <br /> ' IXHAUST FAN � <br /> r � <br /> i <br /> i <br /> � <br /> � � <br /> i ' r <br /> BUB TOTAL { � BUB TOTAL / � <br /> PERMIT f � PERMIT f � <br /> TOTALfEE 1 ' TOTALFEE i <br /> FOR OfFICE USE ONLY: y �p <br /> i/ld1T!IETEACN f f1E�p5FiM1C1! / 610E$FTldC1(/ P��NCIIECItNUMBEP fEF qECE1PTN0 <br /> '— �f�/O <br /> 7�'. <br /> usElow �^ �OTl1qF� V/iC11NT51fE FEEB VALUATION FEE <br /> Li ❑rEe ❑No C � � /� <br /> RNlDINO � \/. � ��"(�� // � I Ol.' <br /> 11EIOHt 11MlT�tl� � NO pi pW[ILINp 81IE OF E�I � �'(O � <br /> �j UHIfC O J <br /> riuuewr � <br /> O�C�11NCY Iq Of SI(MY[S OGCUP�Nf�p�D lASFIAENI MECIUNIG�I —�— <br /> � ' I ❑YES NO � <br /> Fl1IEBPRINI(LERPEO'D RF�SON �WIIIONILMIINCRF.Ck i <br /> - � – <br /> OIIIER � <br /> FIREMARMREO'D PF�FpN <br /> i <br /> ST�iEBUILDIN05�111CN�lIOE ! �-� <br /> ��V <br /> rrreorr.or�sr vinNserrnovener CITYOFEVERE7T runir.wonRS � <br /> �/.f �� LOCALSALES ___ _l__ <br /> oeTE - j- �(� TAK CODE IS�105 TOTAL /_� `��-� <br />