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APPLICATIt"N FOR CONSTRUCT'ON PERMIT/ <br /> CITY OF EVERETT•BUILDING DIVISION L��C� <br /> 3200 CEDAR STPEET•EVERETT,WA 98201 •259•8810 � <br /> ❑ DEMOUTION � COMSINATION � BUILDIN� G MECHANIC�4 G PLUMBIN� ❑ S!ON <br /> PRWECTADDREBS �l JO�> � <br /> �-l' �n v� U�2� <br /> O/V�MUI M�VLWORE66 CITY DpP PIqN!�+�. <br /> n��Afci�S�- `V�or�es �l s�n../`/.� CE✓�if.J� l��O� �N�717 i��4��(.� <br /> .!A/fl� <br /> Al1CNRfCTpP[Il�1ONEo M�I���9 CITV zIP P110HE <br /> GENEMLCONTI�RCTOA J IL !9 CITV ZtP PHf,WE lTATELICEN9f� <br /> O�+cu' �u./� <br /> Mi:NAMCKCOMA�C1011 4WLAD0lIEif CI1Y ZIP PHONE STATEVCEN6E� <br /> �PLUMEINO CONnUCTOA uL ooll!!! C�n' Dv PHONE STATE LICEN6E� <br /> Al/A <br /> CONIMCT Pf11Cfi OF Wp11c <br /> � NEATING SYSTEM: C GAS '� EIHCTRIC � <br /> pEiCNI�d YARK ANO lWME FOOT�OE INVCWE7 CONdCT VER30N ANO PXOY?N0. <br /> a �/ <br /> fl�i++ ��r/�wr �w ,Grc �� '` �i�� aJ � �EBY CERTIFY THAT I HAVE REAO AN� EXAMINBD THIS <br /> rAovoseo�e r�uiwirq APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVI910N6 OF LAW6 AND ORDINANCEB OOVERNIN0IHIS TYPE OF <br /> woRK WILL 0E COMPLIED wi7H WHEniER SPECIFIED HEREiN OR <br /> LHi�toquimonorvnoranrv;6HOWNK�oWOA�rfICHTWOCOME51 NOL THE ORANTINO OF A PERMIT OpES NO'. PRESUME TO OIVE <br /> �or�eixrc oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> �,mT ,�%�y0[�q fl..f/M7f �J i�r�P:fT'rT lM u'�/f�a d OTHER 6TqTE QR LOC�L LAW REOUu71Na COVBTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> h // .�) �y/���E [or � �•r �en � OWNER OF THI6 PROPERTV TO PERFORM THE WORK FOR WNICH <br /> i �� � ��� �T APPLICATION IS MA08 AND I COMPLY WITH THE STATE <br /> PMCFLTA%I.D.NUM/4A CONTfiACTORS LAW 1 27 RCW AND 26e200 WAC, / <br /> �9 <br /> CON6.TRrUCnONl0�41lNOER�OORE9S,TElfYMONENIlUBER � � "C.:/�1/ZQ- � � � <br /> �{/ONG IONATUPE �% D�TE <br /> CITY DU&NE89 LICEN6E N0. • <br /> PLUY�INO MECHAN�CAL , <br /> N0. MQ OF FlXTURE 011 ITlM FEE NO. TVPE OF FlXTUl1[0111TEM FEE _ <br /> WATEH CL056T(T04En � A!C—AMNDLG UNiTS—N.P. � <br /> BA7NTU8 ; FORCED AIR SY6TEMS—B.T.u. M E.A. ' _ <br /> LAVATORV(WASM BA91N � HEAT PUMP i _ <br /> SHOWER ' UNITHEATER6—B.T.U. M ' _ <br /> KITCF'IEN$INK S DISP i CLOTHE3 DRYERS i _ <br /> DISHWA6MER � VENTILATION FAN � _ <br /> IAUNDRV TRAV ' RANOE HOOD � _ <br /> CLOTHEB WA6MCR � WATER HEATER � _ <br /> URINAL � WOO�STOVE ' _ <br /> ORINKINQ FOUNTAIN � METAL FIREPLACE(W000 BURNINOJ � _ <br /> FLOOR DR111N � FIpEPUCE INSERT(WOOD BURNING) � _ <br /> BACKFLOW PAEVENTEqS i GAS FIFEPLACE I _ <br /> SINK(9ERVICE—BAR,ETC.) � OA3 F �NOE _ <br /> � QAS PIPING ' <br /> � ExHAUST FAN � _ <br /> i ' <br /> 1 ' <br /> ' � - <br /> � ' ' <br /> 9U9 TOTAL S ' gUi TOTAL 9 ' _ <br /> PERMIT S � � PERMIT S � _ <br /> TOTAL FEE S ' T07AL FEE S ' _ <br /> FOR OFFICE USE ONLY: _ <br /> FRONTSffTe�CK RE�RBETBACK Si�sEieACK PUNCH��G �MBER .`� FEE � /� � �AEGE/pjNf���� + <br /> ,y , oC� /ld � <br /> bSF i0�:e tor nnen V�CANi SITE FEEB VALUATION FEE _ <br /> ❑�F6 D No 8mtoiNa � ��� - <br /> MEWMTUMITAiION NO.ORDWELUNO S�lEOFlL�GRI `�VC�' � <br /> UNITS O C t PLl1YlMQ � <br /> J �� <br /> OCCUPNCY NOOF7MD�E! OCCUMNTLO►D B�SEMEN7 MECXANICAL _ <br /> OIIOU <br /> �I ❑VE] NO � <br /> FIlIEALARMflEO'� REi ADpT10NAlPlANLMECK � � <br /> 0 OTHER I <br /> FIRF6M11NKLfiqREO�D RE�60n <br /> , 5*ATElUILDINp 9URCweR06 � � <br /> TYPE OF�ONBT. PLANB�PROYED 6Y CITV OF EVERETT PUBUC WOAKS ^ <br /> J; �ocn�s��Es <br /> �N o�Tc i 5S TAX CODE IB 3106 TorAL _ <br />