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� APPLICATI .� FOR CONSTRUCT►'N PERMIT <br /> • CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259-8810 <br /> ❑ pEMpUT10N ❑ COMBINATION C7 BUILDINO flf MECHANICAL fl PWMBMKi fl SKiN <br /> PROJ��ESS ��N <br /> � / <br /> � � �r— <br /> oyyr�p r��oo�ss cm zm r� <br /> No �,�. 3ao r�� - csv�r�rT r� � �' <br /> � w�rA�na�ss cirv nv v��a+e <br /> �iJe iu"�i � 177�7�L1)Yl � <br /> �����a yM,�pq�$$ CITV 11P R7AIE <br /> OflEMLCONTMCTOR MML�OORESS CITY 21P PIIDNE ST117El10EN9E� • <br /> ��� yµ�pp��yy CITV ZIP %IOHE STATELICEN9E� <br /> �i.i.aod ilfa7d .u. �i��O i�+��;, f✓ /,�' T.r �;or�- ?9�/�// �Gs'MJ�'/1f1'JTQo1 <br /> owrra�ron M�n�od+�ss an no Rarrt st�teucEr�• <br /> °ON7R"OT -' —' HEATINd SYSTEM: AS ❑ELECTRIC ❑ <br /> o[ecw� uro wor�Mvaveo ca+r�cr a+o o�ror� <br /> � � <br /> i � �' .� <br /> � I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPIICATION AND KNOW THE 311ME TO BE TRUE AND CORRECT.All <br /> � pqppolEpulE lUanMO PROVISION8 OF U1W3 AND ORDINANCEB OOVERNINO THIS TVPE OF � <br /> t S WOFiK WILI BE COMPLIED WITH WNETfiER SPECIFlED HEREIN OR <br /> ',. i� � ��rp��rr�wTwocor�s) NOT. THE ORANTINO OF A PERMIT DOES NOt PRESUME TO OIVE <br /> � � � AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL lAW REOULATINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOFi1ZED BV 7NE <br /> OWNER OF THI9 PROPERTY TO P6RFOFM THE WORK FOR MM�CM <br /> APPLICATION 18 MADE AND I COMPLY WITH THE STATE <br /> ' CONTRACTORS LAW 1827 RCW AND 288.200 WAC. <br /> 1 PNIC6TIUf1.D.M11AlER _I� <br /> I _ !� /•��� <br /> � pONlIIMIC110N LOAN LENOER.Mp1E89.TELERIONE MMlER �� �' DA�E <br /> ",° ol9�6d <br /> , �������. <br /> • ' �� MECHANICAL <br /> ' Np. Tt/pE OF qXTURE OR ITEM FEE N0. TYPE OF FlKTURE OR ITEM FEE <br /> WATER CLOSET(TOILET) � MC—AMNDLO UNITS—H.P. ' <br /> � I ��� � FORCED AIR SVSTEMS—B.LU. M E.A. ' <br /> � UVATORY(WASH BASIN) � HEAT PUMP ' <br /> ' $��R � UNIT HEATER —B.T.U. M ' <br /> � ' CIOTHES DRYEHS � <br /> � KITCMEN SINK 8 DISP � <br /> DISHWASHER � VENTILATION FAN � � <br /> LAUNDRY TRAY ' RAN6E Fi00D � <br /> CLOTHES WASHER � WATER HEATER ' <br /> �m�� � WOOD STOVE � <br /> DRINKINO F011NTAIN � METAL FlREPLACE(VYOOD BURNIN6) � <br /> . FLOOR ORAIN � FIREPLACE INSERT(WOOD BURNINO) � <br /> gAq(FLOW PREVENTERS ; OA3 flREPLACE � <br /> SINK(SERVICE—BAR,ETCJ � OAS RANOE ' <br /> � QAS PIPINQ � <br /> , EXHAUST FAN ' <br /> i � <br /> SUBTOTAL S <br /> � SUB TOTAL S ' <br /> PERMit S � PERMIT E � <br /> TOTAL FEE S ' TOTAI FEE S ' <br /> FOR OFFICE USE ONLY: �c�mtNo. <br /> ��g�/�q( qEqp gEtg�1LK SIOE SEiB11CK PLAN CHE MMbER FEE <br /> O <br /> use zo� �or�a� v�c�+r s�tE <br /> �Eg VALUATION FEE <br /> nves ❑ No euaoMo <br /> � <br /> xeKx�t u�at�noa u�r+ira owewr+o sizE oF e�avri. v�uu�emo <br /> p�(;�pM1�Y lq.OFSTOPoES OCCUFI�NTLOAD BASEMENT �CH�NICAI <br /> OROUP ❑YES fl NO <br /> �pp7�qUL pIAN GHECN <br /> FlRE NNiM REOD REIISON <br /> 07HER <br /> ��A�O9 ��� STA7E BUILDM4 SURCNAR6E <br /> T'PEOFCONSL PlAN9MPROVEDBY CRVOFEVERETT �����'mg <br /> LOCAL SALES <br /> o�� TAX CODE IS 3105 TOTAL <br />