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APPLICATIO ' FOR CONSTRUCT�.�N PERMIT///��/''�� <br /> CITY OF EVERETT• BUILDING DIVISION \� <br /> 3200 CEDAR STREET• EVERETT,WA 98201 •259•BB70 <br /> ❑ DEMOI.ITION O CCMBINATION � BUILDING � M[CHANICAL ❑ PLUMBING p SIGN <br /> PROJECTADDRESS: CvlCl ViP _ �Y7i�r1G¢ "Dr <br /> 5�,�,l-1�, 11����„�, (��4 V� c �.-, "R,� c �FVe r� 4� �Q,�o � � 2C 7 -N �� . <br /> ON'1rER M�il�OOTi[5$ �ifY li� P��ONE -- <br /> v- <br /> TEN/.N1 uuiennnrss cnr no PHDNE <br /> �RGMIiCCTORDES�GN[A M�II�DDRE55 CiiY 7in PHONE <br /> GEHFn�^��OHinA�ION M�IIADDRF55 CRY )iv PiIONE 51AiElICENSE� <br /> � <br /> MECH111:LALCONTp��TOR MAq�DDRE55 f.ITY Zli` PIIONE SiAtEUCENSE� <br /> PIUMBINGCONfR��f0i1 MAq�ppqESS CItY 21P PHONE SIALEUCENSE� <br /> CONiq���pq�LE OF WppN <br /> L.�SC�_, "" HEATING SYSTEM: (2IGRS ❑ ELECTRIC ❑ <br /> OESCRIBE NORR ANO$OU�RE FOOT�GE INVOlVEO CONL�CI 1'COSON�NO PNONE NO <br /> I HEREDY CERTIFY THAT I H4VE READ AND E7CAMINEO THIS <br /> vaorosEDuSe or Buuort+c APPLICAT�ON AND KNOW THE SAME TO BE TRUE AND COFREC7 ALL <br /> .S � R PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK Y�ILL BE COMPLIFD WITH WHETHER SPECIFIED HEREIN OR <br /> LEG�LOESCRiPTIp10FF{10PEI1tt�5110NMBELOwOAArt/.C11TWpWA1E5� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ��T e�ocK or AUTHGRITY TO VIOLATE OR CANC'cL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCiION OH 1�HE <br /> _ _ PERFOHMANCE CF CONSTFUCTION.THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STAT'c <br /> PMCEL U%ID.NUMBER CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> CONSTRUCTId1lOu/tENDER,/�ppRE55.IElEPI10NENUMBER X 1. ...._ 11 pl� L` p�_ �1'C'r .l <br /> �1 ll-� l 1 �J "J '1 1 <br /> SIGNAIUIIE D�TE <br /> Citt BUSINESS VGENSE NO <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE OF FlICTURE Ofl ITERI FEE NO. T/PE OF EpUIPMENi FEE <br /> WATEF CLOSET(TOILET) � A/C—AMNDLG UNRS �— <br /> _ BATHTUB ; FORCEDAIRSYSTEMS <br /> UVATORY(WASH BASIN) HEAT PUMP <br /> SH(1WER � :JNIi HEATERS i <br /> KITCHEN SINK 6 DI5P i CLOTHES ORVERS � <br /> DISHWASHER � I7ANGEHOOD �— <br /> UUNDRY 7 HAY ' WATER HEATER <br /> CLOTHES WASHER � WOOD STOVC � <br /> _ URINAL � METAL FIREPLACE(WOOD DURNING) � <br /> D�iINKING FOUNTAIN FIREPIACE INSERT(WOOD BURNING) � <br /> FLOOR DRNN � GAS FlR[PLACE i <br /> BACKFLOIN PREVENTERS � GPS RANGB � <br /> SINK�SEFVICE--BP.R,ETC.) 1 ::AS PIPING <br /> EXHAUSTFAN <br /> i <br /> _SUB TOTAL S SUD TOTAI S ' � � � <br /> _ _ PERMIT S PERMIT S �—� <br /> T0T.1�FEE f TOTAL FEE S /n�' <br /> FOR Oh;iCE l'SE ONLY: <br /> FRONTSETB�CN RE�RSETBA�K SIDESETM1�.'N Pl�NC1ICCNNUwOf11 fEf RECFIPiNO <br /> r�� , . _ <br /> usEtor+e torene� v�en�rsrtr FEES VAIUATtON FEE <br /> ❑res o�a nonniNr. �— <br /> � <br /> HEIGNT UMUTION r+0 Or OwEtIiNG 54E OI BIOGrtI -- �_ <br /> VNII$ PlUM01NG <br /> On�P�NCV NJ(%51(MiES OCCVPAM:L0�0 B15EMENT MEf,11nNiCaL I <br /> J ❑res a�o __ <br /> FIqESPRIrvKLEflRE00 i1EA50N ADOIiIONq,PInNC�rtCK <br /> �— <br /> on+En <br /> FIqEA1dPMRiO'D RN50N � <br /> $iAIE OW101Y0 SU�CIUpGE <br /> rrreo�cor+sr rinu5�rrnovFoer CITYOFEVERETT runur,�vonns <br /> LOCAL SALES -- — _—_L_ <br /> n�rt TAX CODE IS 3105 TO7�L � <br /> ._— —�_ —_.. —__—_ _—�— <br />