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APPLICATIO�i FOR �ONSTRUCT�ON PERMIT <br /> CITY OF EVEAETT•BUILDING DIVISION � <br /> 3200 CEDAR STRFET• EVERETT,WA 98201 •259•8810 <br /> fl DEMOLITION f i COM8INATION �'�BUILDING ;1 MECkANICAL � i pLUMBING � I SIGN <br /> PP.JJECT ADDRESS <br /> /.SZ� CD�/,'y Avc, <br /> O'MIGR MMIApUnE55 r„�E <br /> L iY p�p <br /> r�, �.�oc�o�i��c is-�� cacar A��, � ��r 2 Sz -� sa , <br /> TFNIINT MRI�q(�[55 TY 71C <br /> rNor+E <br /> ANCNITCCTORpE�IGNF.q M�11110pRE55 i:ITV 71P <br /> f'NONF <br /> GfNCMLf.OYif1ACiOR MFILADUt1ESi Cifv 7�P P��:)NC ciRtEIICFNSL� <br /> MnLa� �'G„bT /S' 32i lnul AuE', n1 G�r MSc'C l�':)/ 4 S1 fCa; /h�[r y� �a77o.a <br /> !�f CNpN1Ut CONTRAfTptl IU<IL A(Y,)PF.55 CITY <br /> ���' P�IONC ciATF.1�CEN5E• <br /> PIUM9MIGCONiPa�iOF M4i140DtIf5S ���y Z�p <br /> PHONE SLAIEIICENSE� <br /> CONiqI�GT�MCF Of Y/OnN <br /> �2��7 � � � HEATING SYSTEM: f �GAS !"1 ELECTRIC f I <br /> uescaie�woav�No souane rooTn,r wvavto r,o�irncr rrasov nrm v��or+e vo <br /> EP i /S T/N � _ 1 �'� /KC ALC - _3�6 (�S� -S(,A� <br /> Atio Aoo n!t w 7 'Xzo ' Wa�� 1JEc� <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> rnpqsFo use or emw��+o APPLICA710N AND KNOW THE SAME TO BE TFUE AND CORRECT ALL <br /> ��//JLC�(�S PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEG�LDESCRIPfIONpi'pRp�q7y�5N01N�PELOWORaT1ACNiWOCOMES� WORK WILI BE COMPLIED WITH WHETHER SPECIFIE� HEREIN OR <br /> N07�. THE GRAfJTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ��t eL�K a AUTHORITV TO VIOLATE Ofi CANCEL 7HE PROVISION OF ANY <br /> O?HEFi STATE OR LOCAL LAW REGULATING CONSTRUCI'ION OR THE <br /> PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOR12ED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM TME WORK FOP WHICH <br /> APPLICATIOIJ IS MADE AND I COMPLY WI7H THE STATE <br /> PeRCEL TIUf I D MIMBER CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> �j /n/ F !,� <br /> CONSfRVQIOq f O�N I.F.NOEq,qpDqE55.TElEM10NE NVMBER �.�[� L�y� I1� `-" /S <br /> o _� <br /> �W SIGNa�UPE DnTE <br /> G�/�� 1" �J CITVOUSMESSLICENSENO <br /> PLUMBINfi MECHANICAL <br /> NO. TYPE OF FIX7URE OR ITEM FEE NO. TVPE OF EQUIPMENT FEE <br /> WATERCLOSET�701LET) � A/C—A/HNDLGUNITS—H.P. —i-- <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> i <br /> LAVATORV(WASH BASIN) � HEAT PUMP —T— <br /> i <br /> SNOWER � UIJIT HEATERS—B.T.U. M � <br /> KITCHEN SINK d DISP i CLOTHES DRYERS <br /> DISHWASHER � VENTILATION FAN � <br /> LAVNDRV TRAY i pANGE H�JOD � <br /> CI.OTHES WASHER WATEP HEATER � <br /> UFINAL � WOOD STOVH i <br /> DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) ' <br /> PLOOR DRAIN r FIFEPLACF INSERT(WOO�BURNING) � <br /> BACKFLOW pREVE1JTERS � GAS FIREPLACE � <br /> SINK(SERVICE—BAR, ETC.) GAS qANGE � <br /> ' GAS PIPING i <br /> � EXHAUSTFAN <br /> � � <br /> � <br /> SUB TOTAL $ � SUB TOTAL E ' <br /> PERMIT $ � PERMIT $ � <br /> TOTAL FEE S TOTAL FEE $ � <br /> FOR OFFICE USE ONLY: <br /> fROHiSFTPnfK _ /♦ qF.�pSFTpn�/ SIOESFTBACIS ) Pl�NC11FCNHUMpfR f[� / p n(f.FIP1N0 <br /> /US / � <br /> t% .. r .' ;,". � <br /> us¢ior2 ioi nnea VRCAM SITE J FEES YALUATION FEE <br /> _ �_� (I YES f t N0 Bl11LDMC � <br /> i <br /> NEIGIIT1rrTIipTION J NOOFpWRIING S12EO�BIpG71 �— <br /> UqItS '^^ S � O�C� PluM91N0 � <br /> 3(N <br /> OGG111'ANr:Y N'+P��tnnpS OCW�MITLO4D BASEMENT '� <br /> OROU�' � MfCNANILAI � <br /> -/ �. � /� fi�'ES !Wf10 � _ <br /> FlRERLA�MqEOD tIF�StXJ PI101LION�LM�NCNECN � ��� <br /> -� <br /> q111ER <br /> flpFgPRINK1ERpFOD PFAepry . <br /> i <br /> Flni[BUIt�MC SUfICMARCE � <br /> trvEo�r,ovsT n�n��snrrn�v�Pr CITYOFEVERETT rupur,wr,mKS � <br /> -�7• J LOCALSALES —� ' <br /> Y -/� onrE / �Y TAX CODE IS 3105 TOTAL (�L/_i�/1 <br /> I 1 <br />