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._ <br />,,. APPLICATIC� FOii COI�OSTRUC7 .JW PERMIT�,�}� <br /> s ' . ` CITY OF EVERETT•BUILDING DIVISION ���.•r <br />� �'?`� • 3200 CEDAR STREET•EVERETT,WA 98201 •259•BB10 ��J—"" <br />� j ❑ DEMOLITION G COMBINATION ❑ BUILDING ❑ MECHANICA, � PLUMHING ❑ SICaN <br /> PROJECT ADDRESS: iti ' S L't�� � � ' '�` y(! �I/6 <br /> � `t'1� �t� C�, � !'�, �m x 3 yo y _ <br />!��. . ' �Ep M I�OD�E55 Cliv tiP VMp1E <br />��,,•. ___"— _' <br /> 1F.N�Nt MNl�DOf1F.55 G1Y t�� 1'nOME <br /> 1''�.. <br /> � MiL111TCCTOR0E510NER M�II�Dd�E55 <br /> CitY !�n P�IpIF <br /> tiFa,rh.r[ �c tSllurrio�• / �� --- -- <br /> � uul��F55 a�r nr runee $I�ICIICFNSE� <br /> � . OENERN GON MCIOn <br />':'.'! <br /> q`.i�` ' S,A I17 C - --- ST�TE IIGENSE� <br /> - .. MECN/�MC/M1COMiR�CTq1 M�Il�D0�E55 f.11Y 7�� PIIONE <br /> � i '� � s� p.� .0 ._ . __-- <br /> W — <br /> � �� , ����a���q�fpq MMlA70f1E55 CI�Y !In PIqNF STAIEIICFNS[� <br />� ,�i� <br /> I';"� — <br />��, � , car�rw�errwceawonK HEATING SYSTEM: ❑GAS ❑ ELECTRIC ❑ <br /> . � pEgCp�lEVNf11f�MU50U�REfOOTIWEM�VOIVED f.f)NI�crITnSCN,�Nf>v/10NFN0 <br /> � I HEREBY CERTIFY THAT I HAVE fiEAD AND EXAMINED THIS <br /> � .V APPLICATION AND KNOW THE SAME TO 8E TFUE AND CORRECT ALL <br /> rauroseouse or euaara PROVISIONS OF IAWS AND ORDINANCES 60VEHNIN6 THIS TVPE OF <br /> WORK WILI. BE COMPLIED WITH WHETHER SPECIFIED HEREIN OP <br /> iEako�sc�xPt�or+o�vnq�p�•�s�qwnnEipwp�����cNrvacaaesi NOT. TNE 6RANTIN� OF A PERMIT OOES NOT PRESUME TO 61VE <br /> LOT B`�� a AUiHORItV TO VIOLATE OH CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LO(:AL LAW REODUTINQ CONSTRUCTION OR THE <br /> � PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTNOii1ZED BV THE <br /> OWNER OF TNIS PROPEfiTV TO PERFORM THE WORK FOIi WHICH <br /> APPLICATION IS MADE AND 1 COMPI.Y WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 298.200 WAC. <br /> PNIGEI Tl1%I.D.MMER /� /J <br /> WNSTINICTIONIONlLENOER.�OOAESS.TEIEIMIOHEMUMlER X -' ��' • ' � " r�d / - � � �/ <br /> 51(iN�11111F O�IE <br /> dIY BU9NFSS IICENSC NO <br /> �V�� MECNANICAL <br /> FEE N0. TYPEOFECU FEE <br /> Np, TYPE OF FlIITURE OR ITEM _ � <br /> WATER CLOSET(TOILET) � A/C—A/MNDLQ UNITS <br /> BATHTUB ' FORCED AIR SVSTEMS �_ <br /> i <br /> UVATORV(1NASN BASIN) � HEAT PUMP ' <br /> SHOWER � UNIT HEATEFlS % <br /> KITCHEN SINK 6 OISP ; CLOIHES DRVERS ' <br /> DISHWASHER � MNGE HOOD � <br /> � <br /> � WATER HEATER � <br /> IAUNDRY TRI1V � <br /> CLOTHES WASHER � WOOD STOVE � — <br /> � MEfAL FIREPLACE(WOOD BURNINQ) <br /> "3 URINAL <br /> ' FIREPIACE INSERT(WOOD BURNINd) � <br /> DRINKINO FOUNTAIN ' <br /> � GAS FIREPLACE � <br /> FLOOR DRAIN � <br /> BACKFLOW PREVENTERS ; GAS RANGE ' <br /> � SINN(SERVICE—BAR.ETC.) � GAS PIPING � <br /> EXHAUST FAN <br /> — i <br /> � � <br /> � ; <br /> i � <br /> SUBTOTAL S ' SUBTOTAL S ' <br /> - PERMIT S � <br /> PERMIT S � TOTAL FEE 3 � ' <br /> TOTALFEE f ' <br /> FOR OFFICE USE ONLY: �,f nrcrmrrw <br /> fqpNTSEtR�LK PF.MSF1pACN SIpE5E7B�CM <br /> rieu urzcK�uunrn <br /> USFZOME IOtARE� V�C�NISIfF <br /> FEES VALUATION FE�_ <br /> � <br /> ❑YES ❑�� p111lOIHf � <br /> 1 <br /> HEIONT UMITATION NO 0�INVEtUN6 SIiE Or PIIXi�1 ---- i <br /> IINIip PIIIMPINIi —T <br /> .______.___.�-- � <br /> �� 1 <br /> OCl'UP�NCV NO M SIMY[S IX:CUPIINI lW0 R�SEMENI MfOleMt.M " . '_ <br /> 011d1P ❑YES ❑ND ---._"_____---_-- -- � <br /> �pfNIION�I R�NCM�f.M <br /> i <br /> RPESPfMNNIERflEO'U nF�SON -- ' � <br /> murn ' <br /> � <br /> � <br /> FIREAURMHEO'� pE��� � <br /> SUIE IIUrtU�N�15U�f.lUflM i <br /> �_ �.�_ <br /> _� i <br /> rrreaca+sr rines�rvrroveoer CITYOFEVERETT runiK'.wnnns ___�_ <br /> LOCAL SALES 70TA� � <br /> i,��E TAR COOE IS�105 ____ _ <br />