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APPLICATIO : FOR CONSTRUCT, lN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT, WA 98201 •259•8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING O MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS: )b �� L'. M a��n� ✓�'�„� J�r. <br /> OMMER�ypr.,rt�n ST�C7a MNIADOREss cItt Ilr PIIONE . <br /> Sl,.r{- Mid,l 5.... (�o. 4ox /Sof[ F✓'rr��f' 4f�.�a6 ,'2S�t-al�y <br /> TENANT � /MIt11DORE55 GTY �1P PIIONE <br /> MC111TEC70ROESIGNEa r.WI�DORE55 clfY 7iP MpNE <br /> OENEMLCONTMGTOR MIJL�WRE55 CIfY 71!' PIIONE $UTEIICEHSE� <br /> C'.1or. <•ns�. P.v •b�K I�YV ��v,e'� `i�.to6 .�S$•s6f� Co-6R-hC • �2Mo62 <br /> MELNMUCALCONTRACTOR MNL�DONE55 CI7Y 21i` PIIONE ST�TELICENSEr <br /> PLUMBk1GCONTRACTO{i MAIL�OORE55 CI1Y IIP PIqNE $TATELICENSE� <br /> ����E 0� HEATING SYSTEM: ❑GAS ❑ ELECTRIC ❑ <br /> o¢scneEwoac rasou�� r�wvoweo cowucrveasoriiwo �ra <br /> ..j't w ,'I ( �r s c e �Y ' 2 �i • 1 <br /> I HEREBY CERTIFY THAT I HAVE FEAD AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> °����°F°�0"� PROVISIONS OP LAWS AND ORDINANCES GOVERNING THIS TVPE OP <br /> WORK WILI BE COMPIIED WITH WHETHER SPECIFIED HEREIN OR <br /> �oEscAwnonovpiapean�sqwnee�owon�n�cHiwocaries� NpT. THE 6P.ANTINO OF A PERMIT DOES NOT PRESUME TO OIVE <br /> ioT etocx t� AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REODUTINO CONSTRUCTION OR iNE <br /> PERFOHMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV TFiE <br /> ONMEH OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> wwcE�T�x i o MIr�R CONTRACTORS LAW 1827 RCW AND 298200 WAC. <br /> � 3a3 o a/os <br /> CONSTIXICTIONIOANIENDER.A0011E55.lELEP/10NENWEER x � G� +Pi�.�—t�at� 6• l 1-96 <br /> SIGN�T O�TE <br /> CI7V BUSINESS IICENSE NO <br /> PLUMSINO MECHANICAL <br /> �:U. TYPE OF FlXTURE OR ITEM FEE NO. TYPE OF EGUIPMENT FEE <br /> WATER CLOSET(TOILEn � A/C—I1MNDl0 UNITS � <br /> BATHTUB � FORCED AIR SYSTEMS ' <br /> LAVATORY(WASH BASIN) � HEAT PUMP � <br /> SFqWER � UNIT HEATERS ' <br /> KITCHEN SIPM 8 DISP � CLOTNES DRYERS � <br /> � DISHWASHER � RANGE HOOD � <br /> UUNDRY TRAY ; WATER HEATER ; <br /> CIOTMES WASHER � WOOD STOVE � <br /> URINAL ' METAL FIHEPLACE(WOOD BURNING) ' <br /> DRINKINO FOUNTAIN i fIREPLACE INSERT(WOOD BURNING) i <br /> FLOOR DHAIN � GAS FIREPLACE � <br /> BACKFLOW PREVENTERS ; OAS RANGE � <br /> SINK(SERVICE—BAR,ETC.) � GAS PIPING � <br /> � El(HAUST FAN ' <br /> � <br /> � � <br /> � � <br /> i � <br /> � � <br /> SUB TOTAL S ' SUB TOTAL f ; <br /> PERMIT S � PERMIT f � <br /> TOTAL FEE f ' TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: <br /> �RONTSETB�CI! REM SET&1CK SIOE SFTB�CN Pl1NG11EC1f NUMOCf1 fEF RFCEIPf NO <br /> S l� <br /> usEzor� ioreaE'e V�C�NfSIiE FEES VALUATION FEE <br /> q T <br /> ❑YES ❑ NO BUIIDIAC. I J 0�� � � 1i� <br /> 1 � � ` <br /> IIEI6Nt LIMIIATION HO OF DV/ELLINO S�IE OF BL�1 -- � <br /> unirs N riuMm::o � <br /> T <br /> OCCUVANGY NO Of SIMES OLCUP�NT 10�0 BASEMENT MEC11eNiC�l � <br /> 01q11/� /� ^ �✓ A <br /> '� �� ❑YE� HO � <br /> FIRESPfUNKLEflflEO'D REASON ����nNM PI�NCMfLN � � _ <br /> N� � <br /> on�[n <br /> FlREAIMMREO'D FEACpN � <br /> N V STAIE BUIlU�N6 SUf1C11�I16E �.0�7� <br /> __ �525� <br /> TYPEOFf,ONSf PL�N P EOBY CITYOFEVEREIT �IIp11CY/011K5 � <br /> �oN[ . � r� LOCALSALES — r— <br /> wA LL „TE - /G TAX CODE I'+ 3105 TOTAL ! �v.� <br />