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APPLICATI�1 FOR CONSTRUC�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3?00 CEDAR STREET•EVERETT,WA 98201 •257•8810 <br /> �DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING O SIGN <br /> PROJECTADDRESS �Og�9 �9i� A._ SE �UPY21`� W�} <br /> r�rc <br /> OWNEF MUL�00RE55 LRY Iro pqpyE <br /> R.,4f R�e(o�«b- C�.,�ti� iioC,� u� a�' sf., s.,�k zao R�el �,� �4zr� �.�t-P�Lo <br /> iEN�N! Y�i�A00P[55 Cltt ZIP p11q1E <br /> eRCNrt[GtOPp[S�GNCR MeRe00PE55 LIiY ZW Rql¢ <br /> R�dd �+rl.�„�.nl- (�"^e� Ruopez 0Y4 t-F <br /> GENER.LLCON(fl�CTO1i MAILID�HE55 CItY IIP %1Qry[ Si/�IELCENSE� <br /> MECH�NICALC0111MCiCF 411L�OD1165 OtY $I� pNpry[ yGiEll^.ENSE• <br /> RIIMBINGLONtP�GIOfl M4tAppFE55 CIiY ZIV i'NON[ SiAiEIILENS[• <br /> COMPALi FflLE OF WCRN <br /> kI— (p�UO� HEATING SYSTEM: ❑GAS Cl ELECTRIC ❑ <br /> OES IBEWOP8INRSOtAP[�O'J�AfEINVQVED Cq�tACIPERSCNANOPIIONE1q <br /> `'�w..,c�s�, t25-o sF s� �'aw� �k w zt-} zoa-Yrl� <br /> vr'r�dtU�O �'k�"� P.�dc( zoG Cdc�fz9i <br /> ..y�,� ��(��J�tl-J I MERC-Bv CERTIFV TMAT I NAVE READ AND EXAMINED THIS <br /> APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> vnunoseouse a ewmu�, pppy�SIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> WORK WILL BE COMPLIEO WITH WHETHER SPECIFIE� MEREIN OR <br /> iece�oescaia*ioeannoaennis�rownoewwoa?**�<Miwo �es� NOT. THE GRANTING OF A PERMIT OOES NOT PREEUME TO GIUE <br /> �or F{�� �'�1 aioce or `� U IrLd� AUTMORITV TO VIOLATE OR CANCEL THE PFOVISION OF pNY <br /> OiHER STATE OR�OCAL LAW RE�ULATING CONSTflUCTION OR THE <br /> PE(iFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM TME WORK FOR WHICM <br /> �J� -007--A'�I—U�{ OC APPLICATION IS MADE AND I COMPLY WITH TNE STATE <br /> ren<[�t:x i o r�uuuen CONTRACTORS LAW 1827 RCW ANO 296.200 WAC. <br /> �.JONti A P'I" �'� � <br /> cor+sinucrioxiou1ivrom.,�ooacss.�ncaHo��cr+uuaca X 77�'/�,f�`��y G�A(A✓( lL.✓.�i� �� 0/ <br /> sarv��une o�re <br /> CIIY BIISIH[55 LICENSE!q <br /> PLUMBING MECHRNICAL <br /> NO. TYPE OF FI%TUNE Oq ITEM FEE NO. TYPE OF EOUIPMENT fEE <br /> WATER CLOSET�TOILET� P/C—NHNDLG UNITS <br /> BATHTUU FORCED AIR SYSTEMS <br /> LAVATOPY(WASH BASIN) HEAT PUMP <br /> SHOVlER UNIT HEATERS <br /> KITCHEN SINK 8 DISP CLOTHES DRYERS <br /> DISHWASHER RAk3E HOOD <br /> LAUNDRV TRAY WATER HEATEfl <br /> CLOTHES WASHER WOOD STOVE <br /> UniNAL ! METALFIREPLACE�WOODBURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT(WOOD BURNING) <br /> FLOOR DRAIN �AS FIREPLACE <br /> BACNFLOW PREVENTERS GAS RANGE <br /> SINK�SERVICE—DAR.ETCJ GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL 5 SUBTOTAL 5 <br /> PEflMIT 5 PERMIT 5 <br /> TOTALFEE S TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> ff10��i5Ei90CN PE�FSEiBaCR SID[SEIBACN PLANCHECItNOM9ER '/ iEE RFCEIPTIq <br /> � ���r' - c�0 Y <br /> usezor+c io*�au vnuHrsne FEES VpLUATION FEE <br /> ❑res �rw �i��� <br /> .¢�:.r�ruui.nir�r� rrooranc�uHr; sizcoreiocTi <br /> uxns <br /> ttUMB�NG <br /> GaOUo��Y �a«SIpa�S OCCUv1N}LOM O�SEI�ENI M[CNANiL.LL <br /> nvES ❑ryo <br /> �iPESPPRIxIERPE00 PEA$p11 AppI1qNA�P�µCNECN <br /> Oi11Efl <br /> FlPE�U4IMPEOO PE450�1 <br /> 9�1E 00'LOING SUIICNAPGE I <br /> rroea�cous ' vurvs�rvnoveoar dTYOFEVEflETT weiwwonxs <br /> LOCALSALES <br /> o•ie TAX CODE IS 3105 TOTAL <br />