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APPLICATI� FOR CONSTRUCTAN PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETf,WA 98201 •257•8870 <br /> .^� DEMOLITION ':l COMBINATION ❑ BUILDING ❑ MECMANICAL f7 PWMBING !' SIGN <br /> PHQJECT ADDHESS <br /> JC �A EYL Wa 207 - 200 <br /> aw/ Mui�ooness ci*v m mqxe <br /> _.M,4R� wN�h...., �W�� a �c,� r.�s�r �n.K e�2Y�tTT 9xz ? nw yzt-zr+-z3y� <br /> lEtUNi M.ULq0�RE5$ CIiY IIP PXCNE <br /> MCXILECTd10E5GNEF N>ILTODIiE55 LILY EW %IONF <br /> GENEt�CMiW�CiCP MULPODFE55 CiiV ZiP MIONE SiRiELICENSE� <br /> ���ti� _ <br /> NECMANIC]LCCNIFI.CiOR MPILFO�FE55 CIiY Z�P %IONE SiPTELICENSE� <br /> GLVMBINGCONifl1LiOR NAIIAO�PES$ LIiV ZIP PNONE SLPTELICENSE/ <br /> corirwtim�csovxroee HEATINCaSYSTEM: ❑GAS ❑ELECTRIC C�. <br /> DESCPIBE WORR4105W�REFWT>GEINVClVEO CONTACTPERSONPNOPMONENO. <br /> !/U– "CLl / i'�� __ <br /> �`��� _.{.. 1 HEREBV CERTIFV THAT I HAVE READ AND EXAMMED THIS <br /> �-- APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> aAovoseo vse o�em�oiuc PROVISIONS OF lAWS ANO ORDINANCES GOVERNING THIS TVPE OF <br /> WORK WILL BE COMPLIEO WITH WHETHER SPECIFIED MEREIN OR <br /> �ecuoescuirrroxwvaover+nisnownee�owor+e*rncXxmcovies� NOT THE GRANTING OF A PERMR DOES NOT PRESUME TO GNE <br /> w* e�ocK ov AUTHORRV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CANSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AVTHORIZED BV TME <br /> OWNEP OF THIS PROPERTY TO PERFORM THE WORK fOR WHICH <br /> NPPLICATION IS MADE ANO I COMPLV WITH THE STATE <br /> vnnce�*u�i o vuMee 9 CONTRACTORS LAW 182]RCW AND 296 200 WAC. <br /> CONSTP{1CTIONLO�LEN�EP,FpOfl�.iELE%IJNENUMBEflO_ �O�O X �`/(�V�/�/�--� ,Jl/�/Ov <br /> SIGNPiVPE �AiE � � <br /> GiY BUSINE$$LICENSE NO. <br /> PLUNBING MECHANICRL <br /> NO. TYVE OF FI%TIIHE ON ITEM FEE NO. TYVE OF EOUIPMENT FEE <br /> WATFR CLOSET(TOILET� aC—A/MN�LG UNITS <br /> BATHTUB ' FORCEDAIPSVSTEMS <br /> LAVATOFV(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> NITCMEN SINK 8 DISP CLOTHES DFYERS <br /> DISHWASNER RANGE HOOD <br /> LAUNDRVTRAY WATEP HEATER <br /> CLOTMES WASHER WOOD SiOVE <br /> URINAL METAL fIREPLACE(WOOD BURNING) <br /> DflINKiNG FOUNTAW FIREPLACE INSERT(WOOD BURNING) <br /> flOOR DRAIN ' GAS FIREPLACE <br /> BACKFLOW PREVENTEHS GHS RANGE <br /> SINK(SERVICE—BAR.ETC.) ' GASPIPMG <br /> E%HAUSTFAN <br /> SUBTOTAL 3 SUBTOTA� $ �' <br /> PERMIT $ PERMIT $ <br /> TOTALFEE 5 TOTALFEE S S � <br /> FOR OFFICE USE ONLY: C 0003—OO <br /> GPONTSELBFCN RFARSET9PCN � $IpE$EiBRCM PIANCHECFNVMBEP FEE ocCEIPTM,�. <br /> osezoNe iornn�n vncarvrsire FEES VALU�'TION FEE <br /> .�ves nrvo eoimixs . I <br /> �[icrruunnrrox ruo orowe�unc szEae�ocrti <br /> �wrs � �G - x�uewc <br /> CCCuprvGV M1OO�Si0PIE5 OLLUGANiLORD BPSEMENi MECHFNICFL <br /> . f:vES ONO � <br /> fiRESGFiKKiERREOp REn50N B�Dlilql>LPUNCMECM <br /> OtXER <br /> iIPE�VRMPE00 AE�SON <br /> SLALE BIIILDING SUPCXRPGE <br /> tweorcons* vur�savveweoev CITVOFeVERETT vueucwonKs <br /> LOCALSALES <br /> �,*E 3 pp TA%CODE IS J105 TOTAL <br />