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� __ <br /> APPLICATIG.! FOR CONSTRUCTrJN PERMIT� <br /> CI1Y OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259•8�.t10 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ dUILDING �l MECHANICAL ❑ ryPLUMBING ❑ SIGN <br /> PROJECTADDRESS: ' ` ' E I �\ �C. ��—;� C(J���T� �d�'�` � 1 ' ^�/� <br /> �. 74 � �� �LLV �I D�.J'��1 )!�� rHOHE � l�� �Y �.�GIJ <br /> p R M�4• E55 Pn' <br /> ���� p�,�i�r �`� �fl.n�G <br /> IEN�HT Mul�1C55 Grv 71> PnONE <br /> ��iCNRCCT OR DESiGH[R MMt�OPRE55 CIiV 7�� �Hp�+E <br /> _ �OK�/1�.��0�l2 � _ <br /> c Neneiconrn.cton u�a�ooness cnv eir ruor+e sr�icuctr+se• <br /> I��_1_i IA� �el-I�A-r�� �Roo �}������'�-�°��I z�� ���ao <br /> MECH�NICAL CONiR�GTOR MMl ADDRE55 ^ C�TY 2iP P110NE ST�iE UCf.`��E� <br /> ���7 � <br /> PIUA�BINGCONiF�CfOR M�IL��OPE55 � CI1Y Z�P 1'MONE STAIELIGENSE� <br /> J <br /> coNrancrnn�ceorwo � _ HEATING SYSTEM: �GAS ❑ ELECTRIC ❑ <br /> DE$�PIBENVRKANDSOU�AEFppT�GEiNVOlVEO CONiACTI`CRSOHANOPHONENO/� , 1 �1� <br /> l._ � � j��' 1L. <br /> ! •� i � " � � � V <br /> I IiEREBY CERTIfY THAT I HAVE READ ANO EXAMINGD THIS <br /> APPLICATION AND KNOW THF SAME TO BE TRUE AND CORRECT ALl <br /> VpOPO5EDU5E OF BUIIDING PROVISIONS OF LAWS AND ORDINANCES GOVCf1NING THIS TYNE OF <br /> WORK WILI 6E COMPlIEO WITH WHETHER SPECIFIED HEREIN OF7 <br /> LEWLOESGRIPTIONOFPRO4ERtt�5110wNBElO�'�'OpATT�GNTWOCOFIES) NOT. TNE GRANTING OF A PEHMIT DOES NOT PRESUME TO GIVE <br /> lOT _BLOCN or AU7HORITY TO VIOLATE OR CANCEL TIiE PROV�SION OF ANY <br /> OTHER STATE OR LOr,qL LAW REGULATIN(i CONSTRUCTION OF THE <br /> PERFORMANCE OF CONSTRUCTION.TNAT I AM AUTHORIZED BY THE <br /> OWNER OF TNIS PROPE RFORM THE WORK FOR WHICH <br /> APPLICATION IS E AI COMPLY WITH THE STATE <br /> PNiCELTA%ID.MIMBER CONTRAC70RS 19. Af:� 96.200WAC. <br /> /��(Q � GCG 0�� � /��( � � <br /> CONSTRULTIONLONIL NUER,eODRESS.TEIEPNONE NUM EB x <br /> SIGN�NRE DAfE <br /> CI7Y BUSINE55 LICENSE NO <br /> PLUM81N6 MECHANICAL <br /> NO. TVPE OF FlICTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � NC—lVHNDLG UNRS ' <br /> EATHTUB ; FOPCED AIR SVSTEMS � <br /> LAVATORY(WASH BASiN) i HEAT PUMP � <br /> SHOWER � UNITHEATERS <br /> KITCHEN SINK 6 DISP i CLOTHES DRVERS <br /> DISHWASHER <br /> � RANGEHOOD ' <br /> ' UUNDRV TRAY � WATER HEATER _�,_ <br /> CIOTHES WASHER � WOOD STOVE <br /> UIiINAL ' A1EfAL FIREPIACE(1W00D BURNING) ' <br /> DRINNINC�FOUNTAIN i fIREPLACE INSERT(WO0I7 BURNING) i <br /> FI.00R DRAIN GAS FIREPIACE ' <br /> BACKFLOW PREVENTERS i GASRAN.^-� i <br /> SINK(SERVICE—BAR,ETC.) � GAS PIPING ' <br /> � EaHAUST FAN <br /> � <br /> i <br /> SUBTOTAI E � SUBTOTAL S ' <br /> PEFMIT S � PERMIT S � <br /> TOTAL FEE E ' TOTAI FEE E _�C� ' <br /> FOR OFFICE USE ONLY: <br /> fRONTSEiBACM PE�fISF.iBALK SIOESETB�CN �UNU�L��NU�fIE9 fEf nEf.EIPTNO <br /> USE20NE tor�n¢e v�c�nrsire � FEES VALUATION FEE <br /> QYES ❑ NO p���piNf, <br /> NEiG11iL�M1UTION `100FOWELUNG S12EOFBLDGRI � <br /> UNRS PlUuOMG ' <br /> —�— <br /> OCGUP�NGY NOOf510mE5 OLCV�AHiIO�D 6�SEMENT MEf,rfnNiGl <br /> GRWP -- — <br /> ❑YE$ ❑v0 <br /> AOpI I IONA�PII�H CN[CN <br /> FlRESPRMNLERREO'D �E�SON -- <br /> OLIER <br /> FIFENARMREO'D AE�GON <br /> Sl�i[OIIIl�IN6511liC11�RC•E <br /> fYi'EOff,ONSt �lANS��PPOVE�BY CITYOFEVCRETT �IIqI�f,WOfiKS <br /> LOCAL SALE:.' — <br /> o�tE TAl( CODE 1S 3105 TOiAL <br />