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�,�: i.ICATIt _1 FOR CO�ISTRUC� .JN PERMIT <br />CITY OF EVERETT • BUILDING DIVISlON � <br />3200 CEDAR STREET • EVERETT, WA �8201 • 259•8810 <br />� IGN <br />(7 DEMOUTION i COMBINATION BUILDING ' i WIECHANICAL PLUMBING 1 S <br />PROJECT ADURESS � 7�� �� ,L <br />YIU��1 — <br />oWNER rfa�lPODnE55 'J CItV zir rr1oNF <br />i <br />�"(/rn<-ri G'��� 1'7Si G�'-�� e.� c�'lie�hvrr �!',�-� / .:L� 1-Y�% <br />q1FNANT MPILAODPE55 �n rCI1Y lir PHO��F <br />Skoi'� �i.�. l.n.•„v .i7l2 �/�aa}'�1J� CJN if �-(%0.IN10I �33Y- �� �Syy <br />�ooness <br />ruv <br />3Fh�EiiRLCOViRRCTdi MAILR�DR[55 CITV ZIP PHONE S1ATElIC[NSE� <br />(jL.�iydrL <br />MECNANICALC�NTRACTOR NAILpODRE55 JITV ZIP �'��ONF. STATELICENSE� <br />PWM9INGCONTi1nCTOR MAILAODRE55 fltt ZIP FNONE STniELiCENSE� <br />�,J� o — <br />DESCRIOE WORKpN!) SOUARF. FOOTPGE INVOLVED <br />�li�l %-n LL �� 1 ILIr- d� _ <br />` PROPOSED USE OF pl➢IDING <br />�- LEGAlOESCRIPTION OF PROPEFTY ISMOYJN BELOW OR RTfPCH <br />ior 17 eiocK �2 � or �_0 1 <br />`I3q1-4z3-oi�_ c��o�f <br />PARGELTA%ID.NUMBEA <br />CONSTRUCTIONLORIIFNDER.ADURE55.TElEPHONE NUMBER <br />PLUN9ING <br />NO. TYPE OF FI%TURE OR ITEM <br />WAT�R CLOSET (TOILET) <br />BATHTUB <br />KITCHEN SINK 8 DISP <br />DISH\'lASHER <br />LAUP!DRY TRAY <br />CLOTHES WASHER <br />FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOW PREV <br />SINK ;SERVICE — <br />HEATING SYSTEM: fL�AS i 1 ELECTRIC fl <br />CONTACiP[R��pANOP1104 NO <br />i"' /_ ani , n i.�..., e r. �C//i <br />I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. AlL <br />PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHEfi SF�CIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PNESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CP.NCEL THE PROVISIOIV OF ANV <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OP. THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COIdPLY WITH THE STATE <br />WNTR TORS LAV: 7827 RGW AND 296.200 WAC. <br />��� , d��;_ <br />� i� - � - %y <br />x OATE <br />si nrun� <br />CILY Bil$WE55 UCENSG NO <br />MECHAN;CAL <br />FEE N0. TYPE OF FIXTURE OR ITEM <br />AIC —AMNDLG UNITS — H.P. <br />� FOFCED AIR SYSTEMS -- B.T.U. M E.A. <br />� HEAT PUMP <br />� UNIT HEATERS — B.T.U. M __ <br />' CLOTHESDRYERS <br />' VENTILATION FAN <br />RANGEHOOD <br />� WATfR HEATER <br />� WOOD STOVE <br />� METALFIREPLACE(WOOD BURNING) <br />i FIREPLACE INSERT (WOOD BURNING) <br />� GAS FIREPLACE <br />i GAS RANGE <br />GAS PIPW� <br />. EXHAUSTFAN _ <br />:iUB TOTAL 5 � <br />PFRMIT 5 i <br />TUTALFEE $ ' <br />FOA OFFICE USE ONLY: <br />fPONT SF.Tf1�CK REPR SETpACN 510& SETB�CK <br />V<[ ZONE I OT pREA VACANi SITE <br />f1YES �l W <br />NEIGMTLiMITATION UNT�OWELU��G SIZFti�OI.OG/.•.1 <br />oaTE <br />❑VES ❑ NO <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE iS 3105 <br />PLAN <br />(v3 <br />OUILDIFG <br />PVJ�IBING <br />MECNANICAL <br />�pDI710NAL PLAN 4MFCK <br />OTHER <br />SUIE BUILUING SURCHRRGE <br />!'UPLIG WOfiKS <br />iOTAI <br />SUB TOTAL S <br />PER�dIT S _ <br />TOTAL FEE S <br />FEE R[CEIPT NO <br />FF.E <br />