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APPLICATI�1 FOR CONSTRUC'�":bN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259-8810 ����'' <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDIN(i �� MECMANICAL ❑ PLUMBING O gKiN <br /> PROJECT AODRESS: I � <br /> rn " '�1AE1 r�(-�C 1Pi� 4l'� �:v���ihl►:����=i' C.�i�CU= e�'ciZf-T 13����, �`l���`11�1 <br /> qN1Ep ^ MIJ111001�E55 att ziP v�wr+E <br /> (�n�f��= . <br /> T�NT M/J1�00i1E55 GTY 210 PIIONE <br /> I1RCM2GTOROESIGNER WI1M011E55 CITV 71P P110HF <br /> GEMEqqCOMTMGIOR MIUI�WRE55 pfY T�� PnONE SGTEIICENSE� <br /> 11`= 1 \ <br /> MEpUWICQCONTR�CTOP Mqt1D011E55 Cltt 71{' PNONE ST�tELILENSE/ <br /> PLU�lINGCONtN�CTOR MIUL�DORE55 Gtt 21P PNONE STATELILENSE� <br /> CON�T��`� � ��-� `�li HEATING SYSTEM: GAS O ELECTRIC O <br /> pEyCirlE WOlrf AND SOU�RE FOOT�pE RIVOlVEO CONiAtT PERSON AHD P11pNE 1q <br /> ��� , , '= A�;tN ��'�'r, <br /> J, � . v �v� _ � `�- �� <br /> I HEREBY CERTIFY THAT I MAVE READ AND E%AMINEO THIS <br /> APPLICATION AND KNOW THE SAME TO BE TPUE AND CORRECT ALL <br /> �o�a�� PHOVISIONS OF UWS AND ORDINANCES GOVEHNING THIS TYPE OF . <br /> WORK WILL BE COMPIIED WITH WHETHER SPECIFIED HEREIN OR <br /> �p¢ScwrqNOFaarenrrisrqvme¢�owon�n�cNnvocov�si NpT. THE ORIINTINO OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �ot �� � AU?HORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL UW REGULATINO CONSTRUCTION OR TME <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTIIOi1RED 8V THE <br /> OWNER OF THIS PROPERN TO PERFORM TME WORK FOfi WHICH <br /> APPLICATION IS MADE AND 1 COMPLY WITH TNE STATE <br /> ���p M�p ,C � CANTRA PS UW 1827 R W AND 296200 WAC. <br /> . \ � / <br /> CONSiR11CT1011101WLEN0EN.11W1�ES5.TELERId1EMAIlER f "� 7" L " N b <br /> � 7 D�TE <br /> CITYBUSINESSI�LENSCNp ;J� <br /> K�nq MECH�NICIIL <br /> N0. TYPE OF FlIfTIME OR ITEM FEE N0. TVPE OF EOUMIAENT FEE <br /> � WATER CLOSET(TOILEn � NC—NHNDU3 UNfTS ' <br /> ���g � FORCED AIR SYSTEMS � <br /> LAVATORV(WASH BASIN) � HEAT PUMP ' <br /> — gFpy�p � UNIT HEATERS <br /> KITCHEN SINIC 6 DISP i CLOTHcS DRVERS <br /> DISHWASHER � RANGEHUOD ' <br /> UVNDRV TRAY � WATER HEATER � <br /> CLOTHES WASHER � WOOD STOVE <br /> URINAL � METAL FIREPLACE(WOOD BURNING) ' <br /> DRINKINO FWNTAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> ROOR DRAIN � GAS FIREPLACE ' <br /> BACKFLOW PREVENTERS � GASRANGE � <br /> SINK(SERVICE—BAR,ETC.) GAS PIPING _ <br /> IXHAUST FAN ,_ <br /> i <br /> � <br /> ! __ <br /> � -- <br /> SUB TOTAL S ' SUB TOTAL f <br /> PERMIT S � PERMIT S r� . <br /> TOTALFEE f TOTALFEE f . <br /> FOR OFFlCE USE ONLY: <br /> FRONTSETR/�CI( PEMSF.TBM:1f SIDESETB�CN �LANCIIECK�+u4)fR �CF 11fC.lmfNO <br /> �� . � <br /> usEnac ior�aEn v�c�Nis�rE __ FEES VALUA�ION FE_�_ <br /> OYES O MD BppGnG i <br /> 11EIGHT LIMITATION NO OF ON'ELLIN6 SIZE OF BLOGR I <br /> UNIIS p�UMBING <br /> �_.�— <br /> OCCUP�NCY 1p Of S�MFS OCCUPANi t0�0 BASEMENi MECHeNIGI. <br /> GNOUP — <br /> ❑YES ❑NO <br /> �ppI110NAL i`l AN CNf GM � <br /> FlNESPflINKLEHREO'D AFASpJ — T— <br /> O1HER <br /> FIREMAPMPEO'0 RE�GpI <br /> S1�lE BU�IUMG SUfIC1URGE <br /> ttveorr.or�sr rinNs�rraovEoer CITVOfEVEREIT runi�r,wonKs <br /> LOCALSALES — —-- <br /> o�TE TA%CODE IS 7105 TOTAL <br />