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•'�!"t APPLICATIOAFOR CONSTRUCTI�N PERMIT� <br /> e CITY OF EVERE7"f•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201•258-8810 <br /> 1 DEMOLITION f 1 COMBINATION I'1 BUILDIN6 fl MECIdNICAL I'1 PLUMBINO "7Q SKiN <br /> PROJECT ADDRESS <br /> /C'�g2Z I-I� i �I�1 V t�l� �e !�� wr9 9R�r_��-1 NaS- 3S= 3`i��' <br /> m�rtn uu� ss an nr r�aue <br /> �n �,,,�.,n� c, i gdG j�`t� 11r N'c hc �u.lAwq 9�25� Hd1-.25.3 ' �4u1) <br /> �E �Fmncw c+m ar vxoxe <br /> �c�mt uS n���er <br /> Y1CIYiECTOR0E5bNEP MIJLMdIE% ��T' T�� P��E <br /> ]EryEqyCpllq�Cip1 4NlMC(+ESS LY1Y lll' %10NE S1AlElILEH9E1 <br /> �µ� L. 1 ' >.1n ILLGTeIC ��D't i��'" St 4 -tic� •�1 �l��Ol 1ti44DA�'i�(,�G <br /> car�m�cton uu��nor�Ess c�n xin r�a�e STAtLUCENS_• <br /> YWRMOCpIIP/iClq1 MNL�OCi1E55 CIfY tIP PIICNE STA1ElILENSf� <br /> :onmecirwcea�wnn , Cy� HEATING SVSTEM: ❑OAS ❑ELEC7RIC ❑ <br /> u0U <br /> �xneEv.pruusou�n[�m*rc¢x�vav[o cor�*�crr[nsoH vwue _ <br /> •,�'� � � l a.��� <br /> � � . <br /> I HEREBY CERTIFY THAT I HqVE PERD RND E%AMINED THIS <br /> � RPPLICATION AND KNOW THE SAME TO BE TRUE AND CARRECT.ALL <br /> �qras[n use avew�owa �) � ' PROVISIONS OF LAWS AND ORDINANCES OOVEPNINO THIS TVPE OF <br /> R� 1�'�-�� 1 �017)i))!'i i WORN WILL BE COMPLIED WITH WHETHER SPECIFIE�HEREIN OR <br /> .EOALOESCqPTqNOF1%Af£P1Y151OKNEFIOWM�TT�tN1Vl000�1E51 NOT. THE ORAN71N0 OF�PERMI7 �OES NOT PRESUME TO GIVE <br /> pi ��� ; � q���(�i�l �r - ( AUIHORITV TO VIOLATE OR C�NCEL THE PROVIS�ON Or ANY <br /> OTHER STATE OR LOC�L LAW PEOULAT�NO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION TNAT I AM AUTHORIZED BY TME <br /> OWNEfl OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> �/L � . � � .� APPLICATION IS MADE ANO 1 COMPLY WITN THE SUTE <br /> w¢etuz i o rnw�e[n CONTqACTORS LAW 1827 RCW RKD 296.200 WAC. <br /> .YMISINUCTIXl101JllENOEfl.MOf1E55,TE1E1'IKKIEMIMBEII K���/.L.VVN �1(1�`�� <br /> aICAIA VP �� OAIE <br /> bLV BUSMESS IICENSE NO <br /> PLUNBINO MECHANICRL <br /> NO. TYPE OF FlIRUPE OP ITEM FEE NO. TVPE UF il%TURE OR ITEM FEE <br /> WATER CLOSET(TOILET) A/C—AS:NDLO UNITS—H.P. <br /> BATHTUB fORCE0AIR5Y5TEMS—B.TU. M E.A. � <br /> LAVATOPY(WASH BASIN) HEAT PUMP <br /> SHOWER UNITMEATERS—B.T.U. M <br /> KITCHEN SINK 6 DISP CLOTHE5 DRYERS <br /> DISHWASHER VENTILATION FAN <br /> LAUNDRYTRAY RANGEHOOD <br /> CLOTHES WASHER WATER HEATER <br /> URINAL WOOD STOVe <br /> DRINNINO FOUNTAIN METAL FIREPLACE(WOOD BURNING) _i _ <br /> FLOOR DRAIN FIREPLACE INSERT(WOOD BURNING) <br /> BRCNFLOW PREVENTERS GAS FIREPLACE <br /> SINK(SERVICE—BAR.ETC.) OAS RANGE <br /> GAS PIPING <br /> EXNAUST FAN <br /> SUBTOTAL S SUBTOTAL S <br /> PERMIT S PERMIT S �— <br /> 70TALfEE f TOTALFEE S <br /> FOR OFFICE USE ONLY: „S Q� ' OO <br /> r�H*setn�r.x nE�nsrro�cK eiocscio�cK �c. aECEmrxo <br /> �Ol � <br /> usezor�e �o�nn�e wcev�g�e FEES V�LW710N FEE <br /> nres nHo ommwc <br /> IIEIGIIilIM1�APON 1qClIIWCIIING SlEWBl�dfl � <br /> IIN'I$ 1'111u0pIG � <br /> O qrA11CY IO(If5�Mf5 CCLIIP�Nll01p B�SEMENI MECIIYLGI <br /> IIT6 11NO <br /> RPE0.AIMOE011 �F.ASIXI Apoll(NULRANCOELM <br /> O111ER <br /> fIPE51'OINI{tE0PE0U RE65p1 <br /> SLtE BIIiNiNp SU�L�u110E <br /> ttv[oscoxs� runsevrnw¢oar CRVOFEVEHETT runurwanKs <br /> LOCAL SALES '�— <br /> ���i TA%COOE IS�I05 iO7AL <br /> I <br />