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APPLICATIi�1 FOR CONSTRUC'► .ON PERMIT <br /> CITY OF EVEHETT•BUILDING OIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS: '�+ (��,�o� (� ,o E�,,��� ✓ qy� � � <br /> �� c14t� � JJ Itial µ,,,�k•, a � E� ..��- �i3�a� �tia- �(�d� <br /> ��'rt � wlul�Op1E55 qtt 7�r p�qryE <br /> TEHM/T M4LMME55 �ITY )IP pIIONE <br /> NiC�MTE�TOA�ESM+NER WUTAD01iE55 tltt �II• �IqVF <br /> OENEIUIGONttUGTOR YYI�WBE55 f.ltY /ll� PnoHf. 51�iE11CFN5E� <br /> �AECNNlICALCONTIUCtt7N MN1110011E55 QTY 1rt`� Pl10NE Sf�7E IICENSF� <br /> Q� -n'� P�.�,�.6'�. ._ �-�.l�..i P. ��x /o21�,q�,l,e.�_ Ur�. �1 3�l( - IO� 1 <br /> aiu,.ewacoNrn�cton �ooaess dn em ri� St�TELICENSE� <br /> a � <br /> CONTMC P ILE pF Wpf1 ' <br /> „ � pl� �as .P��„u, ���y{� n��)_ HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> o¢scw wonauosou�rooT vaveo QOCJOQ �K r.c»�u�:�ruis�umv�rorrtra <br /> O <br /> - I HEREUY CERTIFV TNAT I HAVE READ AND EXAMINED THIS <br /> waros[o usE or eu APPLICATION ANO KNOW THE SAME TO 8E TRUE AND CARRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES f30VERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> �aro¢saurraNarrorcantuawNeeiowaa�n�cnTwocov�s� NOT. THE ORANTINO OF A PERMIT DOES N07 PRESUME TO OIVE <br /> �oT eiouc or AUTHORITY TO VIOIATE OR CANCEL THE PROVISION OF ANY <br /> OTHER SiATE OR LOCAL LAW 19EQULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTIIORIZED BV THE <br /> OWNER OF THIS PROPEHTY TO PERFORM THE WOHN FOR WHICH <br /> . APPLICATION IS MACE AND I COMPLY WITN THE STATE <br /> � PNICEL T/a 1.D.NtMSER CONTRl1 TO 5 LAW 1B27 RCW AND 296200 WAC. /J <br /> CONS7IMICTIONIONILENOEP.Mp1E53.TELERqNENUMBER ��y� � OV _ / 7 <br /> X <br /> SNi11AIU11E W/E <br /> CITY pU51HESS IILENSE Iq <br /> P���� MECIIANICAL <br /> N0. TYPE OF FlXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILEn � NC—MiNDL611NITS � <br /> BATHiUB ; fORCEDAIRSYSiEMS � <br /> - UVATORY(WASN BASIN) � HEAT PUMP , <br /> SHOWER � UNITNEATERS � <br /> KITCNEN SINIC 6 DISP � CLOTHES DRYERS ; <br /> DISHWASHER � RANGE HOOD � <br /> UUNORY TRAV ' WATER HFATER � <br /> � <br /> CLOTHES WASHER i WOODSTOVE , <br /> UHINAL � METAI.Flfi[PLACE(WOOD BURNING) � <br /> DRINKINO FOUNTAIN FIREPLACE INSEFiT(WOOD BURNING) � <br /> FLOOR DRAIN � GAS FIREPLACE i � <br /> BACKFLOW PREVENTERS ; GASRANGE � <br /> SINK(SERVICE—BAR,ETC.) �GAS PIPING , <br /> ' EXHAUSTFAN <br /> � � <br /> � , <br /> � — � <br /> � <br /> —— � <br /> SUB TOTAI S ; SUB TOTAL S <br /> PERMIT f � PERMIT f / Ti— <br /> TOTALFEE E � TOTALFEE f � <br /> FOR OFFICE USE ONLY: <br /> iHONTSETBACN RF.�RSETBACIf $IDESFiB�Ck PI�NpICC�;MIMPfII fEF RFCEIPTNO <br /> ���� <br /> USEIONE IOTFRF� Y�C�NISIt[ � FEES VAIUATION FEE <br /> ❑YES ❑NO qpIIOMC i <br /> � <br /> IIEIGNTUW/ATION raaowc�uac SIIEOFBIDGRI ; <br /> UN175 <br /> �I IIM111Nf: <br /> _.______ _{__ <br /> OCCUPANCY Iq l%SI[xbfS UCCUP�NI10�0 B�SEMENI <br /> GROUP I MF�n�HIf.N <br /> ❑YES ❑NO - — - — <br /> FIPESPflINKLEflflBO'0 AF�SON �DDIIIONqP1�NC�Iff.N � <br /> —_ �__ <br /> ou�En ' <br /> fIPENMMREO'D RE�[fN� -_._. <br /> Sl�l l f1U�1 U���f.Su11f,iUPGE <br /> rrveoFr.or1s� Pl�NS��PROVEDBY CITYOFEVERETT ruanr.wonns <br /> IOCAL SALES ------- —— --�— <br /> o�ie Tl.X CODE IS 9105 TOTAL <br />