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APPLICATI���OR CONSTRUC"-�ON PERMIT� <br /> i,ITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> f7 DEMOLITION Cl COMBINATIOW 11 BUILDING MECHANICAL fl PLUMBING Cl SIGN <br /> PRO�C��RESS �g,{ ��VaRE <br /> ���, Z�p PNONE <br /> OWNER M�IL�DRESF <br /> TEN�NT MRII./�ODRESS <br /> LITV 21P PIIONE <br /> � ��ry ip PNONE <br /> AP M17F.Ci DESIGNEA MNL/�UORE55 <br /> �� �S� PHONE STAiE u�ENSE� <br /> MML�DDRESS ��� Z�P <br /> GENERAL CONfiUGiOR ___ <br /> ��rv 1�p PIIONE SiAiE UCENSE� <br /> MECH�NILALCONTRApTOfi MMUODRE55 � ���� _ <br /> �NIF..�3 T Y � �� �� L�:._3�L'�3.�IWrMc �3N�t <br /> �� � �� � '11 � -�~' '��� pMONE SUTF UCENSE� <br /> P�VMBINGCONTN�CTOR M�IL�ODHE55 <br /> ���c�aice oF wonK � HEATING SYSTEM: fl GA5 f-i ELECTRIC C]___ __— <br /> OE R BE WORR�ND SOU�PE FOOUGE INVOIYED <br /> LONLACT VEPSON�NO PI:J�IF NO <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT.ALL <br /> PROPOSEO USE OF BUIlDINO PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILI BE COMPLIED WITH WHETHER SPECIFIED HERE':+ OR <br /> IEGAL0E5LRIPTIONOFPROPERTY15M0YMBE10WO�AITRGNiWOGOP1E51 qUTHORITYTOTVIOLATEAOR CANCELETHE PROVISION F(At1Y <br /> �oT eLaK �F OTHEF STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.ThIAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERfORM THE WONK FOR WHICH <br /> APPLICATION IS MA�E AND I COMPLY WITH THE STATE <br /> CONTRACTORS AW 1B. W AND 296.20C WAC. <br /> PARGELTA%�D.NUMBEH � <br /> �• � <br /> GONSTRUGTION l0��ENDER.ADDRESS.TEIEPNONE NUMBER SJVJ UR OATE <br /> CITY 01151NE55 LICENSE NO. . . <br /> PLUMBING MECHANICAL FEE <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF FIXTURE OR ITEM 1 <br /> WATER CLOSET(TOILET) � A/C—AIFINDIG UNITS—H.P. <br /> � FORCED AIR SYSTEIdS—B.T.U. M E.A. � <br /> BATHTUB � HEAT PUMP � <br /> LAVATORY(WASH BASIN) ' <br /> i UNIT HEATERS—B.T.U. M � <br /> SNOWER � CLOTHES DfiYERS ' <br /> KITCHEN SINK 8 DISP � ' <br /> � VENTILATION FAN � <br /> �ISHWASHER i RANGE HOOD ' <br /> LAUNDRY TRAY � WATER HEATER � <br /> CLOTHES WASHER , WOOD STOVE <br /> URINAL � METAL FIREPLACE(WOOD BURNING) ' <br /> DRINKING FOUNT�IIJ ' ' _ <br /> � FIREPLACE INSERT(W000 BURNING) i <br /> FLOOR DRAIN i (iAS FIREPLACE ' <br /> BACKFLOW FREVENTERS ' ' <br /> � GASRANGE � <br /> SINK(SERVICE—BAR,ETC.) � G�g p�p�NG <br /> i <br /> ' EXHAUST FAN — <br /> i i <br /> �� <br /> � � <br /> � -�— <br /> - � SUB TOTAL 5 , <br /> � 5��0 TC�TAL S � PERMIT S � <br /> oE�iM�T S ' TOTAI FEE 5 <br /> TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: "'""'""" <br />