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.� <br /> APPLICATIG.� FOR CONSTRUCT..1N PERMIT <br /> CITY OF EVERETf•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA BB201 •259-8810 <br /> ❑ DEMOLITION p COMBINATION O BUILDING � MECNANICAL ❑ PIUMBING ❑ SIGN <br /> n <br /> PROJECT ADDRESS: �J'/'�i� /�>�//[/, J/G'J= ���J <br /> OMMEP MUL110W1E65 CIIY !iP PNONE <br /> IEN�NI MMlA0pPf55 CIIY 7io PIqNE <br /> I111GpT[CTp10E510NER M�rt�DORE!5 C�tY )iP PMONE <br /> 6ENER�I iMCTOR M�I1�00�F55 CIfY )m PIIOHE SGTEIICENSE� <br /> �� Z.�i9n/� 1���; �r;�l��'c/2 �,�%�7C� <br /> MECNhMC0.CONTR�CTOF MULADDRE55 f.ltt !iP PIIONE STQEUCENSE� <br /> %UNlNIO CONTR�CfOR M�II A0011ESti GIIV IIP PIpNE STATE IICENSE� <br /> CONfMCTPPoCEOFWpf1N ,p HEATING SYSTEM: O GAS ❑ ELECTRIC O <br /> Pll2C�' <br /> DEECMlE Wd1N 111q RE iO0T�0E INVIXVED CONT�CT 1'C1140N�Nfl PMONE NO <br /> �� � � <br /> I HEHEOY CERTIFV THAT I HAVE READ ANO E%AMINEO THIS <br /> vnOro=eo us[or euipra APPIICATION AND KNOW THE SAME TO BE TRUE AND COHRECT ALL <br /> PHOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIEO HEREIN OR <br /> LEOALOEBCItlP110NOiP110PEPfY�51qWNBEIOWORATT�LN7VR1COV1E5) NOT. THE ORANTIN4 OF A PERMtT DOES NOT PRESUME TO GIVE <br /> wT eioc� or AUTHORITY TO VIOLATE OR CANCEI THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REODUTINO CONSTRUCTION OH THE <br /> PERFORMANCE OF CONSTHUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV TO PEPFOPM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND ,Y COMPLY WITH TME STATE <br /> vence�nw i o.eur�e¢n CONTRACTORS LAW 18.27,RCW�f�1D 298.200 WAC. �� <br /> � /// <br /> CONS/I111G110NLOANIENDE11.�00HE54.THE1'1qNEM14BE� x/`i�..���CILL� //L/ ��� <br /> 610/�E j D�IE <br /> �� <br /> CIfY pU51NE5S LICENSE NO <br /> PLUIMINO MECHANICAL <br /> NO. TYPE OF Fl1IiURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WA7ER CLOSET(TOILET) � A/C—NHNDLO UNRS � <br /> BATHTUB ' FORCEDAIRSYSTEMS ' <br /> UVATORY(WASH BASIN) � HEAT PUMP � <br /> SHOWER � UNIT HEA7ER5 � ' <br /> KITCHEN SINK 6 DISP ; CLOTHES DRYERS � <br /> DI6HWASNER � RANGEHOOD � <br /> UUNDRY THAY � WATER HEATER � <br /> CLOTHES WASHEH � WOODSTOVE � <br /> URINAL � MEfAL FIREPLACE(VJOOD BURNING) ' <br /> DRINKIN6 FOUNTAIN i FIREPLACE INSERT(VYOOD BURNING) i <br /> FLOOR DRAIN � GAS FIREPUICE � <br /> BACKFLOW PREVENTERS � OAS RANGE � <br /> SINK(SERVICE—BAR,ETC.) OAS PIPIN6 � <br /> ' EXIIAUST FAN <br /> i <br /> i � <br /> SUB TOTAL f ' SUB TOTAL f ; <br /> PERMIT S r PERMIT S � � <br /> 10TAL FEE f � TOTAI FEE f �� ' <br /> FOR OFFICE USE ONLY: <br /> f110NTSETB�GM RE�115ETB�LM SIUESET6�Ck Pl�NC11ECKMIMpFR �EF �Ff.EIPiHO <br /> ��r�di <br /> uSE IOUE lOi�nF� WI�Nt S�tE FEES VALUATION FEE <br /> ❑YES ❑NO pUII��Nf• � <br /> NEIONf UMIT�TION NO Of UwElUNO SIlE O�O100R I — <br /> UNIIA PIUMqiN(1 i <br /> _�_ <br /> OLCUP�NC� Iq 0�SI(MefS OCCUP�Nf 10�0 B�SEMENf MFpuNiCM � <br /> O OUP <br /> ❑VES ❑NO � <br /> FlNE6PRIlMIEflPEO'0 �F�SpI �DUiI10N�Li'I�HGRCK <br /> OIIIEfi � <br /> iIREAlA11MREQU AF�AfM� <br /> ST�IE OIOl0�N6 SIIOf.IIAp(lE i <br /> _—_ �� <br /> TYPEOfCpNSI nine�ser�nOvtner CITVOFEVERETT runnr.wones <br /> LOCAL SALES — --`— <br /> oniE TA% CODE IS 9105 TO7AL � <br />