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APPl.lCATIvN FOR CONS'�RUC'. .ON PERMIT/ <br /> CITY OF EVERE77'•BUILDING DIVISION I��Mr�e� <br /> 3200 CEDAA STREET• EVCFETT, WA 98201 •259•B810 C <br /> ❑ DEMOLITION ❑ COMBINATION � BUI�DING O ME�HANICAL p pLUMBING ❑ SIGN <br /> PflOJ ^TADD9 SS: ,�O// �-�j <br /> ' 'e �'{S� —��� � <br /> OWM MML�DIXIESS LITY ZIP PMONE <br /> IEN/JIT 4/JIADOR[55 f.IIY IIP PIIONE <br /> ApCN,/ITCCTOfiDE51GNCR M�IIADORE55 ��Jy <br /> �f�i'�h-,�2. .ac_. �>7'J� rx�z<. 790 3 -3o x����'. �'!x r� ,�C� 3 �. � <br /> G�NLRAICONTRACIdi M�IIADDRE55 CIIY rIP PIIONE $I�iEUCFNSE� <br /> 9�� ��- 3�y- ,�s`c-.3 <br /> AIECNANIGLCONiG!CTOR MAq��pqE55 CIfY 16' PIIpNE SI�TELICENSE� <br /> PIUNBINGCONIB�CTOR MAIIADpqE55 CIfY IIP PHONE SUtELICENSE� <br /> CON(R�Ci PRICE OF WOI1K •'-G <br /> "�2 0 0 , — 7�I HEATING SYSTEM: ❑GAS ❑ ELECTRIC ❑ <br /> OESLFIB�W(){i1(ANp$O�ppT��'yO�VEpi '� CONi�CiPC��50NANOPNONENO <br /> 70z.---r�% � <br /> �..�f1' <br /> 'IC�LC� C�iliXt�G.o� J"t <br /> i� � I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS <br /> PHOPOSEDUSE OF BUIL APFLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT ALL <br /> PpOVISIONS OF IAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILI OE COMPLIED WITH WHETIIER SPECIFIED HEREIN OR <br /> LEG�LOESGBIPTIONOFPROPERtt(5110WNBELOWOHR1FG11TWpCOPlES� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �or �S— G aiocK��a1 S or ��h� _ FRF AUTHORITY TO VIOLATE OR CANf,EL THE PROVISION OF ANY <br /> O7HER STATE OR LOCAL LAW REGULATINCa CONSTRUCTIOk OR THE <br /> PERFORMANCE OF CONSTqUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WfiICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PMLELTA%I.D.NUMBER CONTRAC70RS IP.W 1021 RCW AND 2962'JO WAC. <br /> y3�o - y�s a �,.s� s� �� .3-��-�5�-3 <br /> CONST{IUCTIDNI.ONILENDER.Ap0f1E55�fELEP110NENWBER X j��'o���h�l?..-��p-c.� r'1�/ �Y� <br /> sir �iURE —`� ' oere <br /> CRY BUSME55 UCEHSC NQ <br /> PLUNiBING MECHANICAL <br /> NO. TVPE OF fl7(TUpE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CIOSET(TOILE� � A/C—MiNDLG UNRS <br /> BATHTUB ; FORCED AIR SYSTEMS � <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER � UNIT HEATERS � <br /> KITCHEN SINK 8 DISP ; CLOTHES DRYERS ; <br /> DISHWASHER � RANGEHOOD � <br /> LAUNORY TRAV ; WATER HEATER <br /> CLOTHES WASHER � WOODSTOVE , <br /> URINAL � MEfAL FIREPIACE(WOOD BURNING) <br /> DRINKING FOUN7AIN i FIREPLAC'c INSERT(WOOD BURNING) � <br /> FLOOR DRAIN GAS FIREPIACE � <br /> BACKFLOW PREVENTEP.S ; GAS RANGE � <br /> SINK(SERVICE—BAR,ETC.) � GAS PIPING i <br /> IXHAUST FAM <br /> i ' <br /> i � <br /> SUBTOTAL f ; SUBTOTAL E ' <br /> PERMIT $ � PERMIT E —,r— <br /> TOTALfEE 5 � TOTALFEE S � <br /> FOR OFFICE USE ONLY: <br /> fRONT5E7BFCN REeRSFfBACK SIDESETB�CR PlANC11CCNNUMpCf1 iEF RCCFIPTNO <br /> usEza+e iorenen vec�r+rsne FEES VALUATION FEE <br /> ❑res ❑ no nunnwr, 2 Z � '_ <br /> NEIG11f UMIT�iION NO OF DwEIIiNG SqE O�elp(iRl -- <br /> UN115 PlUM01NG <br /> OCCUP�NCY Np IXSIfNLfS OCCVPANiLO�D BASEMENf — � <br /> GROUP MCCNSNiGI <br /> ❑VES ❑NO – <br /> FlRESPRINKLERflEO'D �FASpJ �DOIIIONA�PUNCN(GIt <br /> on�En <br /> FIqENNiMPEO'0 AE�SpN __ _ <br /> SiAIE BUIlDINO 511n�1U0f.E " <br /> TIPEOIf,ONST PLeNSM{`AOVEOBv �`)–� <br /> CITY OF EVERETT runnr.won�s <br /> LOCALSALES � <br /> o.rE TAX CODE I5 9705 TOTAL � '�j� '{�IC� <br />