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�. - <br /> APPLICATIL.�1 FOR CONSTRUC7 .ON PERNIIT�w�� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT WA 98201 •259-8810 <br /> ❑ DEMOLITION ❑ COMBINATION � BUILDING ,`❑ MECHANICAL ❑ PLUMBING �SIGN <br /> PRWECTAD�ESS: �3aC7 /e dow GIJa VP�I WR 9S%d � <br /> .uce o�-feau ..t,v 'a�� 93�A9c4 a� �{7�+v �✓c2e��� �Zo6� 3s�-�66s <br /> OWNEP MNL1100RES5 a�Y � IIP � PNp1E <br /> SR7�-£ a-d- O WN�2 -- <br /> TENNIT MIJlM0ilE55 f.IfY 71F IM�OME <br /> �11LMRCTOR�ESIGNFR Mu1MpiE55 CItV lll` �IqNF � v b <br /> suM-A-,P,a.Ha io��� cv���ulrv�r��y £vo�c�A 9s�oY l�o> 3s3-yr�3 <br /> GEHER CONiMCT011 MAII�ODRE55 �T_GIIY ]IP PnONE [UIEIICCNSE• <br /> MECN1WiC0.Cp�TMCTOR MAILIiD!MiE55 Q7Y 111` �'��ONE ST�TEIICENS[• <br /> PIUMBMKCOMTN�GfOR 4A1LADpiE55 GITY I�P ��+E ST�tE1.ICENSE� <br /> CONTMGT PRN:E O�Wp�K � <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> oescmee wowc r,w RE T�1(iif.MVOL H N� � c ucr� no ra � 3 — / 7 <br /> U0. � <br /> 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALl <br /> �o as'^ PROViGIONS OF LAWS AND OR�INANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE CAMPLIED WITH WHETHER SPECIFIED HEIiEIN OR <br /> ��o�spwr�oao�anopEprr�uqwnaE�oww�n�cNrwocovies� NpT. THE 6RANTINCi OF A PERMI7 DOES NOT PRESUME TO GIVE <br /> �oT �� � AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATIN6 CONSTRUCTION OF THE <br /> (Cj e C ���v� � FERFORMANCE OF CONSTRUCTION.THAT I AM AUTNORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PEHFORM THE WORK FOR WHICH <br /> �- APPLIC�TION IS MAOE 11ND I COMPLY WITH TME STATE <br /> ►NICEL VJ!I D.MIGlER CONTRACTORS LAW 1B2 RCW AND 296200 WAC. <br /> - o' 3 6 /I �../� q-y <br /> CONSIRUCf10MlWHlEND:R.A00RE55.TElEA�d�ENUMEEN X �W lJ �"' � Z.'I g� / / <br /> SION�TURE D�i[ <br /> Q���� <br /> pTY BU5INESS IILEN:::110 <br /> p�V��p MECNANICAL <br /> NO. TYPE OF fl1(TURE OR I1EM FEE NO. T'i'E CF EGNPMENT FEE <br /> T <br /> WATER CLOSET(TOILE� ' IVC—�MN��� � <br /> g�TMNg ; FOHCED AIR SYSTEMS � <br /> LAVATORV(WASH BASIN) � HEAT PUMP ' <br /> �Ep � UNIT HEATERS ' <br /> KITCHEN SINK 6 DISP � CIOTHES ORVERS � <br /> DISHWASHER � RANGE FIOOD ' <br /> LAUNDRY TRAY � WATER HEATER i <br /> CLOTHES WASHER � WOOD STOVE ' <br /> URINAL ' MEfAI.FIREPLACE(WOOD BURNING) ' <br /> DRINKIN6 FOUNTAIN � fIREPUCE INSERT(WOOD BURNING; � <br /> FLOOR DRAIN � CaAS FIREPLACE ' <br /> BACKFLOW PREVENTERS ; GAS RM1GE � <br /> SINK(SERVICE—BI1R,ETC.) GA!i PIPING ' <br /> IXFiAUST FAN <br /> � <br /> � ' <br /> SUB TOTAI f ; SUB T0T.1L f ; <br /> PERMIT f i PERMIT S <br /> TOTAL FEE f ' _ TOTAI �FE f __ _ `.,._ <br /> -- -- ------- ----...--- ...__ _._ ' <br /> FOR OFFICE USE ONLV: <br /> iRONTSETPACH PEARSF.TB�CK SIDESETB�C1c Pl�NC11EtMMUM9Fi1 fEF �r RFCOPINO <br /> r ,Yyf <br /> �./n rn �vr S�ZS� � i-- <br /> usE z 1�RE� veteNr SirE FEES VALUATION FEE _ _ <br /> �� Z .L (� t� ❑res s'wo nuuniw� 2 ��U <br /> IIEIONTIIMIf�T10N NOOGpWELLINO SIIEOrBIOGRI � <br /> Liti1L ireirs r1A rwMaivc --- ---��—_ <br /> � <br /> pCCIN�MGY NO(If51(wq5 OCCUPANTLO�O EASEMENi M[G��NIf.M. <br /> GNOIA - — —" <br /> ❑vE5 i]NO <br /> �bdllONµM�N CHFCK � <br /> FIRESPR�NNLERREO'D �FASON �— <br /> ov�en <br /> i <br /> FIREAUPMREOD AF�SfX! <br /> SI�IE BUIlO�Nf.511RLHMiGE �J`� <br /> TYPE Or f,ON$T �L�NS�P O BY CITY OF EVEREIT �11911f,WORItS � <br /> LGCAL SALES —— ; C�) <br /> p�i�� � „ + . 1 TAX CODE IS 3105 TOtAL <br />