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APPLICATItrN FOR CONSTRUC7 �ON PERMIT � <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETi,WA 98201 •(425)257-8810 <br /> ❑ DEMOLITION ❑ COM8INATION /��DI G ❑ MECHANICAL ❑ PLUMBINO O SION <br /> PROJECT ADDRESS:_2� 3 / Gf�¢S n S� <br /> ��E / / M�1�10ppE55 � / D� V1qNE <br /> W+/.f � So�7(n.sh "�! (�Y•ZS ��(9!�r h �i,o��� � � � ��iZ� �0 �/3�'�69' <br /> TEN�Nt MNI�tlOFF55 h� �h � � <br /> 71P PNONF `r . <br /> �RCIMTICTpR�51GNEf1 M�II��DRES$ ❑tY )iP PN(»�F <br /> OENEp�I f.O�CTOq M��I�ODRE55 C17Y )II` PnlJYf 541E IICCNSE� <br /> SR� <br /> MF.CNINIC�ICONiN�GTOR M�IL�ODNE55 f.ITV )IP P110Nf S1�TFUCENSE� <br /> PIUMBMGCONiR�CTOR M41�00NE55 CITY IiP PHONE STATFtICENSF� <br /> 2� . b <br /> GONiR�G pPoCE OF WORIt <br /> HEATING SYSTEM: ❑GAS ❑ E�ECTRIC O <br /> bE5CRl8E WORK�Np SOU�NE FOpTIOE M1VOlKD CONT�CT VfRSON�N�1'NONF Np <br /> - ro n <br /> I HEREBY CERIIFV THAT I HAVE READ AND EXAMINEO THIS <br /> Pa01'OSFO U E OF RUIlDINO APPLICATION ANU KNOW THE SAME TO 8E TRUE AND CORRECT q�� <br /> � PHOVISIONS OF UWS AND ORDINANCES GOVEflNING THIS TYPE OF I <br /> WORK WILL BE COMPUED WITH WHETHER SPECIFIED HEREIN OR � <br /> ieaeioescairnor+arnovcnnis�rowNaeiowon� �cN eo s� NOT. THE �RANTINCa OF A PERMIT DOES NOT PRESUME TO ONE <br /> �aT _BLOCN or S�ef ��'+ AUTHORITV 70 VIOLATE OR CANCEL THE PROVISION OF ANY <br /> / / OTHER STATE OR LOCAL LAW REOVLATINO CONSTRUCTION OR THE <br /> 6Q(p� Uh Q� � �o/d Nk� !�(�� PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORI2ED BV THE <br /> ,� OWNEH OF THIS PROPERTV TO PERFORM THE WOHK FOH WNICH <br /> Z IQ APPLIGATI N IS MA E AND I COMPLV WITH THE STATE <br /> PMCEL uUl I D M/MBEq CONTRAC RS W 1 27 qCW AN�296.200 WAC. <br /> '�O 290 S /- - <br /> CONSTqlIC710NlOANIENfIEP.Affp1E59.lELEf`�IONENUMBfP x s � ��� <br /> 7 <br /> SIfiN�tURE p�T� <br /> CITY BI/SINESS IICENSC NO <br /> PLUMBINO MECHANIC�L <br /> NO. TYPE Of FlIITURE OR REM FEE NO. TYpE OF EOUIpMEM �E <br /> WATER CLOSET(TOILET) � NC—AMNDLO UNfTS � <br /> BATHTUB ; FORCED AIR SVSTEMS � <br /> _ LAVATORY(WASH BASIN) � HEAT PUMP � <br /> _ SHOWER � UNITHEATERS � <br /> KITCHEN SINK 8�ISP ; CLOTHES DRVEHS ; <br /> DISHWASHER RANGE HOOD , <br /> LAUNDRY TRAV ' WATER HEATER � <br /> CLOTNES WASHER � WOODSTOVE , <br /> URINAL � METAL FIREPLACE(WOOD BURNING) <br /> DRINNINO FOUNTAIN � FIREPLACE INSERT(WO00 BURNING) � <br /> FLOOR DRAIN � GAS FIREPLACE i <br /> BACKFLOW PREVENTEHS ' GASRANGE � <br /> � � <br /> SINK(SERVICE—BAR,ET(:.) � GA3 PIPING , <br /> ' E7(HAUST FAN � <br /> II 1 <br /> ' � <br />' — i <br /> — � � <br /> � , <br /> 5U8 TO'AL f SUB TOTAI f � <br /> PERMIT f � PERMIT f <br /> TOTAI FE�� S � TOTAL FEE S � <br /> FOR OFFICE USE ONLY: <br /> fR(HlTS(Tp�CM FF�PSFipACK :IDESFfB�Ck P��NCIIECNNUMflfR IfF OFf.F��INO <br /> I15EIONf IOI�qE♦ v.c�Nrsrte FEES VAIUATION FEE <br /> ❑YES ❑ NO � <br /> PIIIIpINf• <br /> NEION7I�MITMION NOp�OWFllIN6 SIIEO�lOOT -- -- — <br /> IMiI: PIUMPIN6 � <br /> OGCUP�Nf.Y INf Ot S�PRikS IX:GIP�NI IO�D B�SF IENI "__�'- --�---_ _� - ���__�__—+-- <br /> OROVP MfC1UNiU1 <br /> C'vF5 ❑NO '—'-- —' "'."'__._ � <br /> _ .__ <br /> iIRE51'NINML[PPEO'� AF�SON �DD�I�ONq PI�H(l�Cf.N � <br /> ___ __— �_ T'_ <br /> on�en � <br /> FIPEIIURMREO'0 � RF�SOV _ . ��� <br /> SI�1fflU�lUM(i5ilnGUq<:f "- — —�- '" ' <br /> irreorr,oNsr r�nNserrac.arnm CRYOFEVERETT runnr.vmnKs <br /> LO�:ALSALES — -- ----- --------� <br /> oerE TAI(CODE IS 3105 io7AL __ �_ <br />