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.aP�LIGATiI �1 FOR COl�STRUCI _dN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION �CMr�e� <br /> 320Q CEDAR STREET•EVERE7T, WA 98201 •259-8810 <br /> ❑ OEMOLITION O COMBINATIC�N ❑ BUILDING Q MECHANICAL J PLUMBING ❑ SIGN <br /> PROJECT ADDRE}SS: �9 2 u U e. <br /> ���^�• 1��lut.— �9a b �,,n a , q 1 -023� <br /> OMMER /1 MML110pRE55 G IIP PNONC <br /> ll <br /> 7ENIu/T MNl�OOt1E55 <br /> LITY 11P p�.p�E <br /> --^�r�m�+cmum- , M�II�DOpE55 . CITY 71P I'MONG . <br /> 1 • <br /> C+EMER�IfANfRACfOii M41�00Pf55 ��pY � 11P MpNE SGiGIICCNSE� � <br /> MECN�M�C fbNTRACTpR M1111.d00f1E55 CI1Y yyy��� MI�P PNONE�1 ST�TE UCENSE� <br /> ri'�,\ 1 1���Q ty�—Y�I-�LLIfllQ��J /U 1 /�VQ7H Wf��� 2 <br /> PLU�MRIGCONfR�CTOR MM(AOOqE55 fY =IP PNpNE STAfELICENSE� <br /> C4VfMCTPRI�(pr Wpry( <br /> HEATING SYSTEM: GAS ❑ELECTRIC ❑ <br /> waM�rm sau��rooT�wvaveo mc rrAsow uro r 1.0 <br /> _ s e4 _ 7 . ; <br /> I HEREBY CERTIFV THAT I HAVE READ AND E%AMINEO THIS <br /> rnoroseo use oF eie�prq APPUCATION AND KNOW THE SAME TO BE TRUE l.ND CORRECT ALL <br /> cJ PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE CAMPLIED WITH WHETHER SPECIFIEO NEREIN OH <br /> �aKo¢scnwraNaPiavEntt�sawnee�owwAn�cHrnocawes� NOT. THE 6RANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> wr e�oac � AUTHORITY TO VIOLATE OR CANCEI THE PROVISION OF ANV <br /> OTHER STATE OR LpCAI.LAW REGUUTING CANSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNEH Of THIS PROPERTY TU PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE ST�TE <br /> Tut iD,r��a CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> �w9 - �,�� - Orj9-� �� (� 1 /�, <br /> LONSTPI/CM1N LONI LENOEn.�ODpE55.TELEPNONE NIMBEq Z��L.WJL�. �QLI Y� .A� �II�1 ' G� <br /> SIONAiURE D�IE � <br /> qTY BU$IHE55 LICENSC NO. <br /> �V�� MECHANICAL <br /> MO. TYPE OF FlIRURE OR ITEM FEE ICO. 7VPE OF EOUIPMENT FEE <br /> WATEq CLOSEi(TOILE� � NC—NFiNDLG UNfTS � <br /> BATHTUB ; FORCED AIR SYSTEMS � <br /> LAVATORY(WASH BASIN) HEATPUMP � <br /> SHOWER � UNIT HEATERS � <br /> KITCHEN uINK 8 DISP i CLOTHES DRVERS ; <br /> DISHWASHER � RANGE HO00 , <br /> UUNDRY TAAY ; WATER HEATER � <br /> q.OTHESWASHER � WOODSTOVE � <br /> URINAI MEfAL FIREPLACE(WOOD BURNING) � <br /> DRINKINU FOUNTAIN � FIREPLACE INSERT QNOOD BURNING) ; <br /> FIOOR ORAM � GAS FIREPLACE � <br /> BACNFLOW PREVENTERS � GASRANGE � <br /> � <br /> SIMK(SERVICE—BAR,ETC.) � GAS PIPING � <br /> EXHAUSTFAN <br /> � , <br /> � , <br /> � , <br /> � , <br /> � T <br /> SUB TOTAL f ; SUB TOTAL f ; <br /> PERMIT S � PERMIT S � <br /> TOTAL FEE f � TOTAL FEE S <br /> FOR OFFICE USE ONLY: <br /> �ROMtSfTBApf PEMSET'uC1c 90ESETB�C1( P�ANGIGCKNU3Eij� / fEf- RECfIPiNO <br /> CJ L <br /> uSEip+e �O�eeE� y��ANi51fE FEES VALUATON FEE <br /> _ ❑res ❑ rw nUio�r+r. ; <br /> � <br /> HE10HTlIAnTATION NppFpWEWry(: SIZEOFBLDG/fl � <br /> UNITS <br /> Pl1iMBINO � <br /> OCCUPANCY Iq M 51(Mb[$ OCCUPANT 10�0 BASE4ENi MECII�NICAi I <br /> G1101IP <br /> ❑YES ❑NO � <br /> FIPESPRINKLERPEO'D RE�SON �f�at�ON�LPUNC11fCN <br /> �-- <br /> o�Nen <br /> FIRE�WiMREO'D RFASON <br /> St�IE BUIIDINR SIInQuflfE i <br /> trveovr:ousr rinvserrnovener CITYOFEVERETT nuxnr.won�s T <br /> LOCALSALES — — --`- <br /> oeTE TAX CODE IS 3105 TOTAL <br />