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<br /> APPLICA'1'ION FOR CONSTRlJCT1aN �ERMIT ~ , I
<br /> CITY OF EVERETT• BUILDING DIVISION
<br /> 3200 C�DAR STREET• EVEHETT, WA 96201 •259-8810
<br /> f"1 DEMOLITION l I COMBINATION I I BUILDING fl MECHANICAL I I PLUMSING f t SIG
<br /> PROJECT ADDRESS
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<br /> 14tCN4YICAt CONiRACTOR MFII A�fiRF$$ f,lT\' 71P PHOKE G14T[IIC�II^f 1
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<br /> 19UGEI�IOCU.'+Inn�1Ui1 MNI.AODPf.:F � CIiY 71P FHp11F SIPILLICLNSIY
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<br /> oo�+m�ci rnic� i wonn
<br /> �� 1��.v ,�'� HEA7ING SYSTEM: - GAS IJ �L�CTRIC ('{
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<br /> -� /} , (, C ' I H:F;BHY CERTIFY TI-IAT I HAVE READ AtJU EXAMINED Tlil
<br /> ��`=��'V- 'Cs��._- --.__ APF'LICATION P.ND KNOW TFIE $AME TO BE Tf1UE AIJD CORRECT.AL
<br /> rnurosco uar or nuu rau, PROVISIONS OF LAWS AND OR�INANGF.S(;OVFRNING THIS TYPE O�
<br /> .. . . . . �VORK VlILL BE COMPLIED WITH WHF.THEfi SFECIFIED NEfiE1N C�f�
<br /> IF.C�AlV65C�111'IIVNUI1MIVl'hllll'(SHV1YNtlClCIYOMTTAC.MTIYOCOFlfS) NOT. THE GRANTINp OF A PfiRM1T p0E5 NOT PRESUME TO GIV[�
<br /> ioi __ o�ocrc.... ._.... ._.ar � ._. AU7HORITY TO VIOLATE OR CANGEL THE FROVI�ION OP AN5'�
<br /> ��� OTHEA 57ATE OR LOCAL LAW REGULATING CONSTHUC710N OR TNEi
<br /> PERFORMANCE OF CONSTRUCTION.THA1 1 AM AlI7HUR17F.b Bl'THE�
<br /> ' ���- �WN[R OF THIS PROPERTY '10 PERFpqM THF WO�iK FOR WHIGI-1
<br /> ApP1.ICA71pN IS MADE AND I COMPLY WITH THE S7ATE
<br /> i�Aiicu rns i o.t�uus�n -� � '' " GONiRACTORS LAW 1827 RCW AND 2�J6200 WAC.
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<br /> C11Y tlUSINhSS IIUtNSE NO.
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<br /> PLUMBING MECHANICAI
<br /> _.._._.._.._....._. . . ..... .."'_�.".. . . . ... _ _- ' —
<br /> NO. TYPE OF F!%TURE OR ITEM FEE NO. TYPE OF FIXTURE OH ITEiJI FEE
<br /> . .._.- -- - . ..._-- - -.._.... . . . . ._
<br /> WAl EH C%LOSET(TUILET) � A/C-AMNDLG UNITS-H.P. i
<br /> _ . .-- --
<br /> .._ i.__... '---` —
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<br /> �AT!{TUb � FORCEDAIRSYSTEMS-B,T.U. \i E.A. ;
<br /> -'- __..._.,.. . ._.'--'-_....., .._ . . . �
<br /> LAVATOFlY(WASH DASIN) � HEAT PUMP �
<br /> . .. .. _-- -.'-- ""-' --- ._._.._... _._.....�
<br /> SHOWEH ' UNITHEATERS-B.T.Ii. M '
<br /> --'- -.. . . . . __._.._..'-'--- .� '-- -�._._.�-...
<br /> KITCIiCN SINK 8 DISP i CLOTNES DRYERS i
<br /> . . - ---'- "- . .-"--- � . . - - -
<br /> CISIIWASHER �� ' ' '' '" ' �� VENTILATION FAN �
<br /> .._._.... L ..... . . ... .. .... _ . . ..._�J
<br /> I AUNpRY TFAY � RANQE HOOD i ... _
<br /> '--._ _.. . .............___'_"--...'--'
<br /> CLOTHES YJASlI[R � �.-......-..�..... ..... . .
<br /> WATER NEATER �
<br /> . - --- , . ... -
<br /> UHINAI. � WOOD STOVE '
<br /> — --'..._ , _,._.. ....._.."'....._._. .-'-- --_"'_---"-^..._...... . . . .
<br /> D(tINKIIJG fOUNTAIN i METAL FIREPLAC[(WOOD DURNING) �i
<br /> . . . . _ .. . _._.__ . .. _
<br /> RpOH UHAiN ; FlFEPLACE INSER'T(WOOp 6UHNING)_� !
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<br /> EACKFLOW PREVENTERS .� GAS FIREPIACE __ i _
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<br /> •----- .. .__._._ ;. __ OASRANGE �
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<br /> � EXHAUSTFAN �
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<br /> SUD TOTAL S � , ; SUP TOTAL S ;
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<br /> PERMIT 5 � ?ERM � i
<br /> .__...... ......__..._ i - ..'----...�.— TOTAL FEE S '-
<br /> TOTAI.FF.F. 5 -_._. ...�
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<br /> FOR OFFICE USE ONLY:
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<br /> fROhT FFTOf.f.K PFGq CF1PA(:K $�UL StItlACK I'UN CHECH NUMPFR �CG /j� f1LCLlf9 NU.
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<br /> osr7ur+r IOIARFA YACANIgI1L' FEES VALUATION F
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<br /> Np qull UNIIAiIUN NO.Of OIYCILING SIZC Of OlOC41 -" 1,�� —
<br /> o�ms �G(31. 1 . Fiurmu�c �
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<br /> �-i71; , CJM LOCAL SALES -- ---� • - � '�
<br /> �" TAX CODE IS 3105 707AL �� � .��
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