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pppl.ICl►TI �N FOR �CONS4RUC"�ON PERMIT���� <br /> CIN OF EVERETT•BUILD:NG DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259-BB10 <br /> ❑ DEMOI�TION ❑ CUMBINA�lION ❑ BUILDING �LSMECHANICAL ❑ PLUMBING O SIGN <br /> �G����- Q R zo ( <br /> PROJECT ADDRESS:_�9 Zo � ILTo� � <br /> cm n� ria�e <br /> OWNER 4M'.�OORE55 G C7���r � Z�S <br /> `� l.0 1�--�!J- <br /> /� p'F}nn Z�l ZO V lL'f� P�Y � l�F ���Or�E <br /> IEN�NT YIJI�DORESS <br /> �� 1C � '� <br /> AOf:1�ITCCTORDE �GNER M�IINDPE55 <br /> clir 7ir ruo�. <br /> PIIONf SI�IyE�ICCNSE• <br /> f.ilv /"l lif' y �1�/�/ �,. �. � <br /> GENEII�L COMif11�C10R .��" <br /> ��MML�DOPE55 CE ��� \ �6� " O /[��� <br /> 1��A� �/�A'�" �tffr �L Zg00 tL�_ ri�a+: sr.ic ucir+sE. <br /> MELHANICALCONIP�GTOR M�R�OORE55� -/� <br /> rnv rm <br /> /v`� t� PIIDNE STQF.UGE�6E� <br /> Pl UM91NG CONiRI1CiOR <br /> MIJI�WRESS Clf Y <br /> �y��"'�—� �GAS ❑ ELECTR�C ❑ <br /> �ca+rw�ctvroceoFww+K . HEATING SYSTEM: <br /> ���SU r.ouur.rr[n;or�u+nrr�a+Fr+oLy�� „ \ <br /> pESCPIBE�NMM�NO SWARE FO0IAGE 1NVOLVEO 1� <br /> 2SSZ" �� Od <br /> �1 �� W4� !L6('C_�1�1�T — <br /> � HEREDY CERTIFY THAT I NAVE READ AND EXAMINED THIS <br /> pPPLICATION AND KNOW THE SAME TO BE TRUE AND CORREGT ALL <br /> raorosco use a euaar+n PROVISIONS OF LAWS AND ORDINANCES GOVERNiNG THIS TYPE OF <br /> WORK WILL BE COMPLIED N:ITN WHETHEFl SPECIFIED HEREIN OR <br /> IEGKfJES��PT��a�ATM���NBELOWO�i�Ti���T�����5� p�THGRITY TOtVIC�LAOTEAOP CANCELETf EOPROVISION OF AINY <br /> iot e�°CK °F OTHER STATE OR LOCAL LAW REGULATIIiG �ONSTRUCTfON UR THE <br /> PEFlFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS F'ROPERTY TO PLRFOFlM THE WORK FOR WHICH <br /> APPLICATION IS MADE N A I Z96.OOLWAC.ITH �IIE STATF <br /> - CONTRACTOHS <br /> PAi1LEL TA%I D.M1M9ER � <br /> SS3i ooC0009 ��� , <.�_� <br /> o•i� <br /> COHSTRVCTION IONJ LENOER,�Od�E55.TElER1"MG ri�rTE11 xICN�IIIfiC —_ <br /> _ —� <br /> CIIV OUSMESS It�CNSC NU <br /> �-�-_' <br /> MECH�NICAL FEE <br /> PLUMFIN6 FEE NO. TYPE OF EOUIPMENT �— <br /> NO. TYPE OF FlXTURE OR ITEM ,-- : — <br /> NC—MiNDLG UNITS � <br /> WATER CLOSET(TOILE� -- � I FORCED AIR SYSTEMS ---�— <br /> BATHTUB HEAT PUMI' � — <br /> UVATORY(WASH BASIN) � UNIT NEATERS <br /> SHOWER � CLOTHESDRYERS _ � <br /> KITCHEN SINK 8 DISP � RANGE HOOD , <br /> DISHWASHER i t WATERHEATER � <br /> LAUNORY TRAY � WOOD Sl OVE ' <br /> CLOTHES WASHER � MEf4L FIREPLACE(WOOD BURNING) — <br /> URINAL �-�— FIREP:ACE INSERT�MOOD RURNING) ' <br /> DRINKING FOUNTAIN � GAS FIREPLAC[ � <br /> FLOOR�RAIk i GAS RANGE —� <br /> BACKFLOW PREVENTERS —� GAS PIPING <br /> SINK(SERVICE—BAR,ETC.) �(HAU51 FAN - <br /> — �_ <br /> i —�-- � <br /> � <br /> T <br /> i <br /> — SUBTOTAI � � <br /> SUB TOTAL S T �qM1T S -- <br /> �— PERMIT f � --TOIAL FEE E � <br /> TO�fAL FEE t � <br /> FOR OFFICE USE 6NLY: rrr ncami r+o <br /> SIDESElO�f.k PI�NCIICCMNIIMfI(n <br /> �qtN1i5FTPACK REARSETP�GK — <br /> VALUATION FEE <br /> FEES _ T <br /> l01�RE� V�C�NI S�If � <br /> USEIOME ❑VES CI ��U f1111b�Nf. _ �- <br /> ❑EIGIII IIMITRION NO OF DWEIIING $IIE O!BIUG�I ��IUMO'^,•. --. __---- 'T <br /> UN11G _ __ � <br /> B�SEMENI MfC11RN1(�I __ ___ I � 1� <br /> pnC��NLY MO d 51(Nu6 OCCUP�NI 10�0 - _____— --- � <br /> n1L5 ❑Nn '—_�_ -{ ' <br /> AOUI IIONAI.1'1 AN CIII LK _ _ -T- <br /> FIR[SPRINKL[RNEO'U �HSON -- � <br /> Op�C❑ —__ � <br /> ROEMNIMREO'D AF���� S1A1P�UilOiN651111CBM1G( —__ _ ___�__ — <br /> r�nr+s�rrnov[ner CITVOFEVERETT ���������nKs _ _._..__--;— <br /> -..—_—_.__ <br /> trre or r.o�+sr _.---------—-- <br /> LOCAL SAIES TOiRL <br /> TAX CODE IS �705 ___-- --- --�'--- <br /> —1 c.�� — <br />