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APPLICATI�..J FOR CONSTRUCT_JN PERMIT <br /> CITY OF EVERETT•BUILDING OIVISION � <br /> 3200 CEDAq STFiEET•EVERETT,WA 98201 •259-8810 �� <br /> ��EMOUTION ❑ CO�RBINATION ❑ BUILDING ❑ MECHANICAL O PLUMBING ❑ SIGN <br /> �PROJECTADDRESS: " � '� CC=I � � v�_ <br /> -7 G s ; <br /> �UM'MF.N MML�DOf1E55 TY ZIP p11pIE _ <br /> �5`� /� 1� <br /> TEM/�M YNLI100RE55 qTY �ryqNE <br /> �RGiM*CCTOROE51GNEq MMLADORESS ptt Zm pHpyE <br /> CENER/�ICONTMGTOR M4L/�OORE55 GTY Ilf` Pi1pNE cf�fEllC[NSE• <br /> ���.�n� � <br /> MECHANIG�L Cp/Tq�CTOR MIJI�00HE55 G1Y =IP PNp1E ST�TE UCENSE� <br /> PLUI�NGCONTNIICTOR WIL�WNESS piY ZIP P11pNE ST�iEtKEHSE• <br /> CONTMCT PR10E pF WORK <br /> HEATING SYSTEM: ❑GAS ❑ E�ECTRIC ❑ <br /> NIOE WOi11t�ND50UAREfOOTI�GERIVOL D �� I COHi�LTPENSONIV11PNdJENO <br /> 00 nA�5 ro <br /> I HEREBY CERtIFV THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CARRECT ALL <br /> vnoroseo use a ein�ara PROVISIONS OF LAWS AND ORDtNANCES GOVEHNING THiS TYPE OF <br /> WORK WILI. BE COMPLIED WITH WHETHER SPECIFIED HEREIN OH <br /> GKOESCRwf10NOFPIqPEp1Y�51qWq9ELpwpp�R11CHTWpCOPIES� NOT. THE ORANTING OF A PERM�T DOES NOT PRESUME TO GIVE <br /> tot e�oac uF AUTHORITY TO VIC�LATE OR CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR LOCAL LAW pEGULATING CANSTRUCTION Oii THE <br /> — PERFORIAANCE OF CONSTRUCTION.THAT I AM AUTMqiIZED BV THE <br /> ONMER OF THIS PROPEiiTY TO PERFORM THE WORK FOR WHICN <br /> APPLICATION IS MADE AND 1 COMPLY WITN THE STATE <br /> t nmc�o.Mw� CANT. TORS LAW 1827 R ,M AND 296200 WAC. <br /> �i 3�1, - '� '�'-I -D at - Uao . �%. -- <br /> � ewsrmicnai iaw�enoEn.�ooaess.te�er��wie rnw�een <br /> ��T � / DATE <br /> / <br /> CITV BUSINE55 LICENSC NO <br /> PLUMSM6 MECH�NICAL <br /> ii0. TYPE OF FlXTl111E OR ITEM FEE NO. TYPE OF EOIMPMENT FEE <br /> WATER CIOSET(TOILEn � NC—NHNpL.G UNRS � <br /> BATHTUB � FORCED AIR SYSTEMS � <br /> UVATORY(WASH BASIN) � HEAT PUMP � <br /> SHOWER � UNIT HEATERS � <br /> KITCNEN SINK 6 DISP � CLOTHES DRVERS ; <br /> DISHWASHER � RANGE HOOD � <br /> UUNDRY TRAY � WATER HFATER ; <br /> CLOTHES WASkER � WOOD STOVE � <br /> URINAL � MEfAL FIREPIACE(WOOD BURNING) ' <br /> DRINKINr FOUNTAIN i FIREPLACE INSEF7T(WOOD BUHNING) i <br /> FLtlOR DRAIN � r,qS FIREPLACE � <br /> BACKFLOW PREVENTERS ; GASRANGE ; <br /> SINK(SERVICE—B�R,ETC.) GAS PIPING T <br /> � IXHAUST FAN <br /> � � <br /> � � <br /> � � <br /> SUB TOTAL f ; SUB TOTAL E ; <br /> PERMIT S � PERMIT S i <br /> TOTAL FEE S � TOTAI FEE f ' <br /> FOR OFFlCE USE ONLr: <br /> i110NT SETAhCI( REI1R SEiBALK SI�E SFTB�CN %IW CIIECI(NVMO[R fEE RfCE��T NO <br /> USE 20NE LOT 11REA VAC�NT 51TE FEES VI.LUATION FEE <br /> _ ❑YES ❑NO BUIIOIN(7 � <br /> HE16NT LIMT�TION NO O[OWELLI/q 51�pi BlDO?I <br /> UNIfS pLVMpIN6 i <br /> { <br /> OC�P�NGY NOD�SIOW[5 OCCUPANiLOW BASEMENT MECNRNIC�L � <br /> ❑YES O� i <br /> FIRESPRINKLERREO'D Rf�50N ADDIIION�LPUNCHfCR � <br /> � <br /> —�— <br /> 01NFR � <br /> i <br /> FlPEAIARMREO'D RE�pp1 � <br /> SIQE BUIIDING SURCH�RCE i� <br /> �- Y <br /> Trveorr,ovsT r�nNS�rrnovEoev CITYOFEVE7EIT rueiir,woaKS <br /> LOCAL SALES �— <br /> o�tE TAX CODE IS 3105 TOTAL <br /> --_ — <br />