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� � c� � on � <br /> Au� +�'I�ATIG.1 F <br /> OR CONSTRUCI .JN PERMIT <br /> _ <br /> _.••_ CITY OF EVERETT•BUILDING DIVISION � <br /> CITY OF EVERETT 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> �DE�v[I710N rks De�t• COMBINATION <br /> �� ❑ BUILDINO ❑ MECHANICAL ❑ PI.UMBING <br /> PROJECT AODRESS: ❑ SION <br /> X2S2� Cuv<c_,qn71� ,q �'E <br /> I�IIARD .K� NwO�- � � zS r..��-•c� <br /> En- uuiwa+ess �n 119ND /�pc= LV�7Z�TT- 98201 2) 3 C �'3e.r <br /> PNONE <br /> TENNII MNlnppqE55 <br /> GTY IIP pN� ��� <br /> 11RC1111[CT OR OES�GNER M�II�ODRESS GItY <br /> IIP PNp1E <br /> OENERµCp11TR�CTOR M4l�Dd1E55 b�Y <br /> l�� ��roHE St�TE 1qEN5E� <br /> GNR�ea .R. Y��F 2�i5 ee..tve��iD �✓E e�Ex�, l.��l 9?� � 2�� 0l3'�- <br /> �lrtcNMncucoum.cton N/uI�ODNE55 ran <br /> IIP P110NE iGTE IICENSE� <br /> PlU4lRqCONTR�CTpi N�Il�Op1E55 LIfY <br /> Ilo PIqryE SUfE IICENSE� — <br /> CONTRII�T VRIC[pi yypry� <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑_ <br /> ��lE MO'Mf�MO SOU�IIE FOOIAOE MVOl1lEU <br /> ' CONTIICT VEf150N�Np PIqNE tp — <br /> I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> warosEu�aF mn�omo APPLICATION AND NNOW THE SAME TO BE TRUE AND COqqECT ALL <br /> PROVISIONS OF UWS AND ORDINANCES OOVERNIN(3 THIS TVPE OF <br /> ������PT���pTMis��e�iw+w�rt�cNnwcori¢s1 �RK W��L Bk COMPUED WITN WHETHER SPEGFIED HEREIN OR <br /> �oi •� �-�;s,��5F2r0-0o �/��YCME�.- L Np AUTHORITY� TO VOLATEAOR CANCDEEiHE PROVSON OF AINY <br /> �� OTHER STATE OR LOCAL LAW REOULATINO CONSTRUCTION OH THE <br /> �� �'�' 'f �'�� A �� PEHFORMANCE OF CONSTRUCTION.THAT I AM AUTHpqIZE�BY THE <br /> ONMER OF THIS PROPERTV TO PERFORM THE WORK Fpp YyH�CH <br /> APPLICATION IS MADE ANO I COMPIV W�TH TME STATE <br /> �r�i.o.Mswcq CONTRACTORS LAW 18.27 RCW AND 298.200 WAC. <br /> � Ir� 'S L•00�� OOoU � � <br /> .71X1LI�ONIdWlEN0EP.110d1E55.lElfolqNEMNIIER , 4 ^/Z�/ <br /> /\ �� Q� <br /> N�TUNE O�IE <br /> CITY lUSINES$IICEHSE Iq <br /> ��� MECMAIMCAL <br /> NO. TWE OF Fl1fTIME OII ITEM FEE NO. <br /> WATER CLOSET(TOILEn ���E�M FEE <br /> BATHTUB � �—NiMDL0UNR8 � <br /> ' FORCEDAIRSVSTEMS � <br /> LAVATORV(WASH BASIN) � HEAT PUMP <br /> 8HOWER � <br /> ' UNIT HEATERS , <br /> KITCHEN 81NK 8 DISP , . CLOTHES 07VERS � <br /> DISHWABHER � <br /> • ' RANOEHOOD �— <br /> CLO oE3 WASHER � WATER HEAIER i <br /> URINAL W�D STOVE � <br /> ' METAL FIHEPLACE(INOpD BURNINO) � <br /> DRINKINOFOUNiAIN � FIREPUICEINSERT�YVppDBURNINO) <br /> FLOOR DRAM � OqS FIREPUICE "— <br /> BACKROW ppEVfNTER5 ' OAS RANOE � <br /> � ' <br /> SINK(SERVICE—BAR,ETC.) � <br /> � (3AS PIPINO <br /> � <br /> ' IXHAUST FAN — , <br /> i <br /> i <br /> � _ <br /> � � <br /> � <br /> SUBTOTAL f ' SUBTOTAL f <br /> PERMIT f � PERMIT t , <br /> TOTALFEE f � TOTALFEE f <br /> FOR OFFICE USE ONLY: <br /> F�T�TS'� NE�R SFTCM:N SID[BFTl�Ck PI/W CIIECM NUYBER <br /> FFF Rff.E1PTN(1 <br /> �_� ior�nra v�c�Nrsrte fEEB VpLUAT10N FEE <br /> ❑rea ❑ No — — <br /> HEqNT LIMIT�lqN BULpIN(1 <br /> INf�DNElLINO BIZEOilIONfI <br /> V1111ABIN6 i <br /> Q���MC� MD d SI(q[S OCCWANf IO�D S��yF�'T _-1'— <br /> 4FCN1fNCIiI � <br /> ❑YES ❑NO � <br /> FlREBPRIM4ERRE0'0 RE49p/ �DdIION�LPUNCI�[CR i — . <br /> i <br /> —�__ I <br /> iN1ENARMqEO'D qp��pq OiNEN � <br /> � <br /> FTqE EUIlOtN6 5119CH�OOE � <br /> TYPEOif,pNSf P��y$MpROVE�OY -- � <br /> CITY OF EVERETT ruaur,woa�s <br /> LOCAL SALES _;_ <br /> o�TE TAI(CODE IS�105 To1AL _�O <br />