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APPLICATI�1 FOR CONSTRUC�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVEFETT.WA 98201 •257•8810 <br /> �--- <br /> fJ DEMOLITION ❑ COMBINATION f7 BUILDING ❑ MECHANICAL ❑ PLUMBINO SIGN <br /> PROJECT ADDRESS <br /> 4�i �'' E E, � <br /> 015MEP F�1 iL�D�PC55 . I ���� �� V � [�� �� — <br /> � v <br /> tEN� M�iUWpE55 CIIV 11 %qN[ <br /> � Z C�iK�A�+� (P�rAL �091I 19�"'A�E S 6�sa�-9Bzc� 4zs)3s�-�9y9 <br /> ePCnIlEcroROES�GNEn ueitn00n65 c�rv Zm h�oNE <br /> GE P0.CONiPACiOR MI.LL�DOP[55 C�iY ZiV PNONE Si�1ELCENSE� <br /> oc�o IJ�,rJ INc ly�z� /�y^,4vE�rw t w,.� 9l17/ T6o16sz�:y ,(i5![.Nioyi{oD <br /> MECNq1iULCONiP1C104 NEiI�[1�RE55 LI1Y TiP RIO E 5 A1ElKENS�-- <br /> VLUMBINGW111P�C10O MMLAOCP65 LItV IU� RION[ 9�t[LCCNSE• <br /> LO i PiCf O�j'pNN <br /> ��p�— HEATING SYSTEM: ❑GAS ❑ELECTHIC ❑ <br /> DESCRiBEVlO�N�N 50'JAqCF�i�GEI1NQVE0 COII lpp�50f1�NDP10NC <br /> �- 1 S� �.EiRs2S C 'f�L /'PoLtO �l6oN <br /> mn� I.NM-t- 5l. 36o bs -3C2 <br /> I HEREBY CERTIFY TMAT I MAVE READ AND EXAMINED THIS <br /> anovosco use o�awm�r�c APPLICATION AND KNOW THE SAME TO BE TPUE AND CORRECL ALL <br /> O �� PROVISIONS OF LAWS AND ORDINANCES GOV�RNING TMIS TVPE OF <br /> WORK WILL BE COMPLIED WITH WNETMER SPECIFIE� NEREIN OR <br /> �emioesca�rna��r�craore ttisr�owne[iowoanruc�nv:owwcs NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO G�YE <br /> �or mocK or PUTHORITY TO VIOLATE OH CANCEL THE PROVISION OF ANY <br /> OTHEF STATE OR LOCAL LAW REGUUTING CONSTRUCTION OR THE <br /> PERFOflMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTV TO PERFORM TME W�RK FOR WHICH <br /> APPLICATION IS MAOE AND I COMPLY WITH TNE STATE <br /> r�nce�rex io r+uuecr+ CONTR RS LAW 1827 R AND 296200 WAC. <br /> LOIISIRUCiIONIOANI@IDEP.ADDNESS.IEL:PNON[NUM1I9EN � � �r � S/�S/OI <br /> SIG111t ' � 1iE <br /> 031� I r <br /> Crtv OUSiH[55 LiCENSE <br /> PLUMBING MECHANICRL <br /> NO. TYPE OF FIX7UFE Oq�TEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET� A�C—A/HNDLG UNITS <br /> �ATHTUD FOPCED AIR SVSTEMS <br /> LAVATORY�WASH BASIN� HEAT PUMP <br /> SHOWEP UNIT HEATERS <br /> KITCHEN SINN fl DISP CLOTHES ORVERS <br /> DISHWASMER RANGE HOOD <br /> LAUNORYTRAY WATER MEATER <br /> CLOTHES WASHER WOO�STOVE <br /> URINAL METAL FIREPLACE�WOOD BURNING) <br /> DRINNING FOUNTAIN FIREPLACE INSERT�WOOD BURNING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> i-- <br /> BACKFLOW PR�VENTERS GASRANGE <br /> SINK(SERVICE—BAR.ETC.� GAS PIPING <br /> E%HAUSTFAN <br /> SU�TOTAL 5 SUBTOTAL S <br /> PER611T S PERMIT 5 <br /> TOTALFEE 5 TOTALFEE 5 <br /> FOR OFPICE USE ONLY: � <br /> fRONiS[iBACM IiEAq5E10�LG S�C[SRDELN PLI�4��CCM11U�0[II LCE RECflViNO <br /> N� ,�r� .Jk J C�5 GY> <br /> usezor+e n-� ior�acn wc.r+rsrt[ FEES VALUATION FEE <br /> ( nras awo eunona <br /> .Ni.N�urniwa.� rwovwicumc sizcoco�ocn <br /> r ���,_ <br /> ��oF l_��� Nr� viuuxn+c <br /> OCCUnqtpY I:OOi5IDaF5 OCCOPeAiIO�D OAS[�ENI MCpuNIGI <br /> LROUP <br /> ,^.res r.ria <br /> FlRESCRNRL[RREOD AEASON M�IIIONLLP4NCNLCIt � <br /> Ou�E� <br /> liaF.�UPMP[O� REA5011 <br /> 5`41G 11W W'VG SIINCI�ARGE <br /> rrceottarvs*. viu�s�avnov or CtTYOFEVEflETT vuniceon,i <br /> / LOCALSALES — <br /> c.re �� TAX CODE IS 3105 TOTAL <br />