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APPLICATILA FOR CONSTRUC7 .JN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259•8810 <br /> ❑ DEMOLITION p COMBINATION ❑ BUILDING I�MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS: _�32 Q� I L�CA C 1 � � )/(� � <br /> o�+ER MUL/�W��155 CITV yiP PIiONL <br /> (lt��pe.r� 4�ryCC .�3 2 � t�����i� C�/r_2�l T 5�2�'S ZSZ- ��i73 <br /> IENANI M�4lAD0i1F.55 GIIY II� 1'110NE <br /> �f1CNITF.CT OR pE51GNER M�II�DDf1[55 GIIY IIP PIIONF <br /> GENEMI CONiMGiOii MAIUDORE55 CIIY jIP P110NC 51eiE I IC[NSE� <br /> MECNANI�AL CpNTRA�TOR M�II�DDRE55 f.1iY 21P PII�NE SUTE UCENSE� <br /> �FC iNc. �u (�o,t 1602 �S��n'1�SN u/R- S'Ez4/ SC.�-7a29 FC-E�-�/�LzG t3 t� <br /> PIUUBINGCONiRACTOR MMLADDRE55 Cltt Z�P PIIONE STAfEIICENSE� <br /> CONTMCI PRiCE OF WOAN ��t� <br /> HEATING SYSTEM: GAS ❑ EIECTRIC ❑ <br /> DESCRIBE N�ND 50 RE FOOtAGE INVOIKD LYX) �' CONT�C VEIISON NONE N <br /> C�If}�l O�L �q�t /�!A 7. .,fl-5 �ctr-f- .el�-e i.-r 6}3- oz <br /> C nlL+'vu.�- �'C�c�: �tlr-�-rT 7`� ,�c�� Gn-S <br /> iII�STA'LL Z G{}S �- � HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> Pnoroscovse oF nw n�+c PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> � ���C� WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEWLOESCRiPT10N0 PfKWEPtt�SNOWNBEIOWOR�TT/�CMiNqCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> iot aiocK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE <br /> PEFFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PEHFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> PN10ElTA%I.D.NUMBER CONTRACTORS lAW 18.27 HCW AND 296.200 WAC. <br /> � � <br /> CONSTRUC11OHlOM1Lf:N0Ef1,A00f1E55.iELEPlId1ENUMPER x ��� ,���Lyv^� . ?r�/`�� <br /> SIGNATURE OAfE <br /> CITY B1151NE55 LICENS[NO <br /> PLUMBINfi MECMANICAL <br /> NO. TYPE OF FlXTURE OR ITEM FEE NO. 7YPE OF EOUIPMENT FEE <br /> WATEH CLOSET(TOILET) A/C—ARiNDLG UNRS ' <br /> BATHTUB ; FORCEDAIRSYSTEMS ; <br /> UVATORV(WASH BASIN) � HEAT PUMP <br /> SHOWER ' UNIT HEATERS <br /> KITCHEN SINK 8 DISP i CLOTHES DRYERS i <br /> DISHWASHER RANGE HOOD � <br /> . UUNDRV TRAV ; WATER HEATER <br /> CLOTHES WASHEH � WOOD STOVE � <br /> URINAL � � MEfALFIREPLACE(WOODBURNING) ' <br /> DRINKING FOUNTAIN i FIREPLACc INSERT(WOOD BURNING) i <br /> FLOOR DRAIN � GAS FIREPLACE <br /> BACKFLOW PREVENTERS ; GASRANGE � <br /> SINK(SERVICE—BAR,ETC.) GAS PIPING 'J`OT19- <br /> IXHAUST rAN <br /> ; G 5 o Sz J � <br /> � � <br /> � <br /> SUBTOTAL S � SUBTOTAL S <br /> PERMIT S PERMIT S <br /> TOTALFEE S � TOTALFEE 3 <br /> FOR OFFICE USE ONLY: <br /> fRONTSETP�LN PE�PSFTB�CR SIDESfTB�CK PUNGIIECNNUMflfli fFF �Ff.f��iNO <br /> USE 20NE lOT�fIEA v�c�nr 5itc FEES VALUIITION FEE <br /> OYES ❑MO OUIlDIN6 <br /> NEIGIR UMIUTION NO Oi DwEILING SIZE OF BlD6Rl <br /> UNII$ PtUlA01NG <br /> T <br /> OCCUPAHCY 1q p 51(MMFS OGGUP�Ni 10�U BASEMENT M[CNeNIUI <br /> GI1WP _ <br /> �vES ❑N� — <br /> FIRESPRINKlE11RE0'D RF�SON �DD�IION�IPlANC11CCN i <br /> ��_��_— <br /> omtn <br /> flPEAWIMREO'D RE�SON <br /> $TAIE BUIl01NG$IIRCIUf1l.E <br /> trreovr,o�+sr rinrusenrnoveoor CITYOFEVERETT ruHur.wOnres <br /> LOCALSALES — — --— <br /> o�iE TA% CODE IS 7105 TOTAL <br />