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� � <br /> APPLICATIa.� FOR CONSTRUCT�JN PERMfT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> _ 3200 CEDAR STREET• EVERETT,WA 98201 •259-8810 <br /> O DEMOLITION ❑ COMBINATION ❑ BUIIDING O MECHANICAL ❑ PLUMBIkG ❑ SIGN <br /> �PROJECTADDRESS: ayaC,�' l�f �;� ��� <br /> �+�p MMIM%XIE55 att im P� <br /> �'_�� �i� � -���� �.►�r�r� � Gy �� F���� «�r� �sa� � CaoEl3tis��8 <br /> iEwwi uu111001K55 <br /> y, i`IWHE <br /> 'F i I-F� B�C; 1�1R i[c ,Z—��i`�`� <br /> �ncM*ccronnes�enEn MNI AOOnE55 ciTr —�m o„o,+e � n f� �CJ� <br /> CENEMICONIMGfOq MM�00{1[55 p1Y IO' M�ONE Sf�TEIIC[NSE� <br /> wFCN�MiC�LCONTR��TOR MNtA�pRE55 pTY IiP P110N[ ST�TELICENSE� <br /> PIU�►MCONTRACTOR MMtA�ORE55 / GTY IIP PNpNE ST�fELICENSE� <br /> �CONTMC7 MIILE Oi YYOPI( <br /> j � .�- o HEATING SYSTEM: ❑GAS O ELECTRIC ❑ i <br /> ����MDSOIIMiE TAp�NVaVED CWI�CTKRSpN�NpPMONENp <br /> �' � —I� � C <br /> I HEREBV CEHTIFY TNAT I HAVE REAO AND E7(AMINED THIS <br /> viqppsEo use ar eu�prq APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> �Ea�pESrnvTpNavno�E�m.�gqwt�e�iowoq�nkNiwo��nES� WORK WILL BE COMPLIED WITH NMET}1ER SPEC�FIED HEREIN OR <br /> NOT. TNE ORANTIN(i OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ��T �� ov AUTHORITY TO VIOLATE OR CANCEL THE PHOVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATH6 CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSiRUCTION.THAT I AM AUTHOAIZED BY THE <br /> ON7JER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br /> wwc�Tuc�.o.M�n CONTRACTORS LAW 1827 qCW AND 296.200 WAC. <br /> COMSiRUt'ION IOIW LENOER./�UDRE55.IELEP110NE M/MEER / ) <br /> SKWIITURE D�TEIU O{C <br /> G7Y EU9NESS IICENX N0. <br /> ���� MECHANICAL <br /> N0. TYPE OF FlIRURE Oq ITEM — <br /> WATEN CLOSET(TOILEn FEE ' NO. �_NHNDI.fi UNETS PMENT FEE ' <br /> BATHNB ; FORCED AIR SYSTEMS � <br /> LAVATORY(WASH BASIN) � HEAT PUMP , <br /> SHOYVER ' UNIT HEATERS � <br /> KITCHEN SINK 8 OISP i CLOTHES OHYERS ' <br /> DISHWASHER � RANGE HOOD � <br /> UUNDRY TRAY � WATER HEATER � <br /> CLOTHES WASHER � WOOD STOVE , <br /> UR�� ' METAL FIREPLACE(WOOD BURNING) � <br /> DRINKIN6 FOUNTAIN ; FIREPUCE INSERT(WOO�BURNING) � <br /> FLOOR DRAIN � GAS FIREPLACE � � <br /> BACKFLOW PREVENTERS � �qqN�E , <br /> SINK(SERVICE—BAR,ETC.) � GAS PIPING <br /> ' IXHAUST FAN � <br /> i � <br /> � � <br /> � � <br /> � � <br /> i � <br /> SUB TOTAI S ; SUB TOTAL f ' <br /> PERMIT S � PERMIT S � � <br /> TOTAL FEE f � TOTAL FEE S � <br /> FOR OFFICE USE ONLY: <br /> �1101�tSE1B�CK RE�RSF.iBACK SIDESFTB�CIt M�NCIIEGNN��� � fE��O � RECFlPfNO <br /> �v <br /> usel0t� ioTsaee VAC�Ni51fE PEES VALUATION FEE <br /> ❑YES O HO BUILOIN(: � <br /> NEIGNTLIMITATION NOpFWIEWN(3 SIZEpFBIDOR.1 � — <br /> UN�i$ PIUMpING � <br /> G���MLr MO 01 SIOWES OCCUPANT lOAO BA5EAIENT MEGN�NICAL � <br /> ❑YES ❑NO ' <br /> � <br /> � <br /> FlRESPRINKLERREO'0 �EI150N �UDIIIONMi`L�NC��f.CN <br /> �— <br /> OiNER � <br /> FIREAURMREO'0 PERcpH � <br /> SiAIE BWLDM6 SIIfIC�URf.E �;��� <br /> N <br /> TYPEOFf,pNST PLANS�PPROVEDBY CITYOFEVERETT �IIOnf.WORM.S <br /> D�TE <br /> J� � � TAX CODE SL7 OS TOTAL —_�— <br /> I <br />