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APPLICATIt,.� FOR CONSTRUCI .ON PERMIT <br /> CITY OF CVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259•8810 <br /> ❑ DEMOUTION ❑ COMBINATION BUILDING �MECHANiCAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS:_ /�� � �. .�? ���{������,,/ <br /> ��ER YMLADDRESS <br /> /� IiY 7�1P.�/ PIIONC <br /> �•'S7r'�/� �`�D� i"/��v ->L''7'�- �/'t�2�%c / �?O/ ��7 7 7 3 Z <br /> � TEIUNT uNlA00PF5S 71P PIIONE <br /> ARCMTECTOqpE51GNEf1 M�III1pDf1E5S �Itt )II' PIIONF <br /> GENE011lCONiR��idi MAILIIDOPE55 piy �P PnONE SI�TEII�[NSE� <br /> � ' �`� ���J« .�'i�-r.��5' 3S'///��-� ��Zo/ z53'�rssv O�rr ��ssoi�s,r�3 <br /> MECNANIC�ICONTR�CTOR M�ILApDRE55 (:ITY jlP PIIONC SUtFLI�ENSE• <br /> PIUMBMGCONiR1CiOR M�ILAODRE55 �I1Y IIP pIpNE $UTELICENSE• <br /> LONTRACTPPoCEOFMq <br /> C�U HEATING SVSTEM: .�GAS ❑ ELECTRIC ❑ <br /> OESCRIBE WORNAND SW�RE FOOT/WE LYVOLVED COHT�Cf PEOSONANO PIIpNB NO <br /> � � - � � I,cJ � <br /> I HEREBY CEATIFY THAT I HAVE READ ANO EXAMINED THIS <br /> vnoroseo use oF avaanc �� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT qLL <br /> � f— � PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> IEG�LLDE$GPoPTIpNpFIMppEpry�gpWH��pWOq�n/�N7WOCOPIES) WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �ot eixK or AUTHORITY TO VIOLATE OR CANCrL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGUU7INO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> � OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICF! <br /> APPLICATION IS MADE AND 1 COMPLV WITH THE STATE <br /> PNICEL LV(ID.NUMBEP CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> CONSTRUCTIp1LOlWLENUER,�ppqESS.TELEPNC:�ENUAI�q x /��j)Z/�d��.��C�� �n � � <br /> v� ,!/L' �TY <br /> SIGN�TURE DAi[ <br /> CITY BUSINE55 LICENSC NO. <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FlXTURE OR�TEM FEE NO. TVPE OF EGUIPMENT •FEE <br /> WATER CLOSET(TOILEn � NC—qMNDLG UNfTS � <br /> BATHTUB ; FORCED AIR SYSTEMS � <br /> UVATORY(WASH BASIN) � HEAT PUMP , <br /> SHOWER � UNIT HEATERS � <br /> KITCHEN SINK 8 DISP ; / CLOTHES DRYERS ' <br /> OISHWASHER � RANGEHOOU , <br /> LAUNDHY TRAY ; WATER HEATER � <br /> CLOTHES WASHER � WOODSTOVE � , <br /> �RINAL � METAL FIREPLACE(WOOD BURNING) � <br /> DRINKING FOUNTAIN ; FIREPLACE INSERT(WOOD BURNING) ; <br /> FLOOR DHAIN � " GAS FIREPLACE � — <br /> BACKFLOW PREVENTERS ; GASRANGE � <br /> SINK(SERVICE—BAR,ETC.) GAS PIPING , <br /> ' � EXHAUSTFAN <br /> � 0. � � <br /> � � <br /> i � <br /> � , <br /> SUB TOTAL S ; SUB TOTAL S ' <br /> � <br /> PERMIT = , PERMIT S �— <br /> TOTAL FEE S � TOTAL FEE S � <br /> FOR OFFICE USE ONLY: <br /> FRONTSETPACK pE�RSF.TB�CK SIDESETB�CN PUNCIIFCNNUM(Iffl fEf fIPf.FIPINO <br /> USE 20NE �Oi ARE� V�C�NT SITE FEES VALUATION FEE <br /> _ ❑YES ❑NO pUIl01Nf. � <br /> 1 LIMITATION NO OF OWELLING SIZE OF BIOGR.I <br /> � <br /> UNIfS p�pMOMO <br /> OCCUFANCY NO M S�OPo[5 OCCUP�NfLOAD BASEMENT � <br /> GRWP MFC1UNIf.ei <br /> ❑YES ❑ Np — - -- <br /> �DDI I IONAL Pl AN CI If GN � <br /> FIRESPPINKLERREO'0 RFASON , � <br /> —_--�— <br /> omrn <br /> FIflEAIMMREO'D REAGq1 <br /> $TAIE BUILDINO S�IRCIUfibE <br /> i <br /> _' ' �'_ <br /> 1YPEOFf,ONST n��N5MPf10VEOBY CITYOFEVERETT �IIpI1f.WORNS <br /> LOCAL SALES ---- -- --�— <br /> D�tk TAX CODE IS 3105 TOTAL <br />