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APPLICATI� FOR CONSTRUC7'�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 C[DAR STREET•EVERETT,WA 98201 •257-8810 <br /> ❑ DEMOLRION O COMBINATION BUILDIN6 � MECHANICAL C] PLUMBING ❑ SIGN <br /> PR IJErJCTOADDRESS � 3 �„`iQ ST <br /> OWqEN MNLApqiE55 \ CIiY ZV %IONE <br /> S M Su�z,�,�� <br /> rewwr uu�•ow�ss cm zc rr�or+E <br /> MCHI}ELTOqp[� MAII�DO�P 5 CIiV ZV PNpIE <br /> '�s'f"�"►/ Vn� ��9�H <br /> 6EHEMLfANiPAGT0f1 M�it/.ODNE5�5 ✓� CrtY ZW VNONE 6T�tElILENSE� <br /> �i� � F <br /> MELWWIC�LCONiRACTpq MNLAppPE55 CRY ZV PNONE ST�LEIICENSE� <br /> PLUMBIIqCONiMGttM M�ILAppPE55 CITv 2W PIIONE SiA1EL6EN5EI <br /> LONTIIALTPPiCEOFWONM1 r, <br /> � HEATING SYSTEM: GAS ❑ELECTflIC ❑ <br /> ESCHIBEWORNANOSOUAPEF�VEO /� x � LONiACiPEPSONNIDPHONE1p. <br /> 8 �ce su � <br /> Zu - �zsz �5'�S� <br /> . I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED TNIS <br /> APPLICATION AND KNQW TME SAME TO BE TRUE AND CORRECT.ALL <br /> rno eo us qEpuu.oi PpOVISIONS OF LAWS AND ORDINANCES GOVERNINQ TH'S TVPE OF <br /> ��� WORN WILL BE COMPLIED WITH WHETHER SPECIFIED HEPEIN OH <br /> LEp0.�E5CFRiqNCiPROPEFtYISMpWNBELOWdiAiTACNiVIOf,CpIES) NOL THE 3RANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> tot eiocrc or IS AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL UW REOULATINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONS?RUCTION.THAT I AM AUTMORIZED BY THE <br /> OWNER OF THIS PROPERiY TO PERFORM THE WORK FOR WriICH <br /> APPLICA710N IS MADE AYD I COMPLV WITH 7HE STATE <br /> wwce�r o.rvuueen CONTRACTORS lAW 18.27 pHCW A�N,D 296200 WAC. <br /> - 0� • � �c+-„r�ar ��tC�-e. T-12-o� <br /> CIXISTHUCTIONL ANIENpERA0�RE55.tELEPIqNENIIYBER <br /> PE O�iE <br /> CIiY 9115iNE554LEN5E 1q. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TUpE Ofl ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILEn A/C—AMNOLa UNITS <br /> BqTHTUB ' FORCEDAIRSYSTEMS <br /> LAVATORY(WASH BASIN) HEA7 PUMP i <br /> SHOWER j UNITHEATERS j <br /> KITCHEN SINK 8 DISP i CLOTHES URVERS <br /> DISHWASHER RANGE H000 <br /> LAUNDRYTRAV WATERHEAT'eR <br /> CLOTHES WASHER i WOOD STOVE <br /> —�— <br /> URINAL i METAL FIREPLACE(WOOD BURNING) i <br /> DRINKING FOUNTAIN FIREPtACE INSERT(WOOD BURNINCa) i <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACNFLOW PPEVENTERS (3A5 MNOE i <br /> SINK(SERVICE—BAR,ETC.) GAS PIPING � <br /> I E%NAUSTFAN ' <br /> i <br /> _ i <br /> i <br /> SUBTOTAL E SUBTOTAL S <br /> PERMIT S PEFMIT 5 <br /> TOTALFEE S TUTALFEE S <br /> FOR OFFICE USE pNLV: p _ [5 � <br /> FP011ISETB�CR PF�PSEIBALN SiDESEIBIiCN PLNI NECNNV40EH FEE �/ PELEIVTNO. <br /> '�io 20 3^ 'd/.5 .� <br /> usezor� iorevc� vecu�tirte PEES VRLUATION �EE � <br /> �— / a.es o o� e�nunxi `1 q <br /> IIEqNTUMITAtqN fqTaMICLLIfM SIZEOFBLIXVf.I. p�UMBlIq <br /> 8 y S,f. <br /> IX,`�p�NCV IqLfSRWFS OLLUOµTLp.�O B�SEYEHf YECMNOC�L <br /> v r ES ❑NO <br /> 'V�ESCPiNNLE11PE0U PfA50N MORpN�LPWILNECK <br /> OtHER <br /> 111iE4URMREQO PE�SOC <br /> SiAiE BU0.0WG SURC1WiGE <br /> TYFEOFCONSt PUMSAVPqpVE�BY CIT'OFEVEpE7T WBlCHV1Yl$ <br /> � G LOCALSALES _ <br /> wre /3 00 'fq7(CODE IS 7105 TOTAL <br />