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APPLICATIIA FOR CONSTRUCTSN PERMIT <br />CITY OF EVERETT R BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257.8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />NowL.L <br />TENAN1 YIII Y%%Y 55 <br />a <br />MECHIN,CII CONTRACTOR 4IlL+DCtESS <br />CITY <br />llr <br />IF, 1(nC <br />[urf LICENSE <br />M EIa MG CON <br />INAf. TCa MAII AWRESS <br />CIiY <br />Itr <br />PNC4F <br />$1/.rf IICENSf I <br />t0 /rl 5 / A <br />co.RRICwRICF of vmlM _ <br />r aw <br />HEATING SYSTEM: ElGAS ❑ ELECTRIC ❑ <br />pEsta xnPwAm souAFE 1por+cE vavu <br />- 12m 706 <br />co4rncl HRsa+ANR rr,cwF No <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME 10 BE TRUE AND CORRECT ALL <br />Ml FD USE GF RUAaNG <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />IEGa OEsrmruou OF VPOPERTY IS1 RGOW OR AIIACH TKO COMES) <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />lol pEoa._.—DF <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACT S AW 27AND 200 WAC. <br />�/2z/4E <br />vANCD. rIR o FRA�n <br />,df d Dsy o.) o cool <br />CChlg7A GTM LOAN CENI1FP. ApDRE$S. TEI Ell NIM,FR <br />X p11I <br />$4iNAT�Z `-7 -7 <br />C,TY M1$INE55IILFNSC Hp <br />PLUMBING <br />MECHAKICAL <br />NO. TYPE OF EQUIPMENT FEE <br />NO. TYPE OF FIXTURE OR REM FEE <br />WATER CLOSET (TOILET) <br />_ <br />_ <br />NC—ANMDLG UNITS <br />FORCED AIR SYSTEMS <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE MOOD <br />WATER HEAIEfl <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />WOOD STOVE <br />METAL FIREPLACE (WOOD BURNING) <br />URINAL <br />FIREPLACE INSERT OVOOD BURNING) <br />DRINK,NG FOUNTAIN <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR, ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />TOTAL <br />SUB TOTAL S <br />REgMITSUB <br />f�'— <br />PERMIT S <br />- <br />TOTAL FEE S <br />TOTALFEE S <br />FOR OFFICE USE ONLC <br />IPOM YYPACK <br />PFAPSfIll <br />LCE SFIIWA <br />rInN CH[ft NU4MR �� <br />F211 /7J <br />/I/VA-,//LUATIJON <br />KrFFR NG <br />I15E IONf <br />Fol .m+ <br />,ICAll, SlE <br />❑Vf$ D.,RUIMrx: <br />FEES <br />T <br />_% <br />ry114R!4(i <br />4F1'l1+NXN <br />dpl <br />pC• iE0v <br />__ i <br />, <br />I <br />Nf IONt 11VIlAl1ON <br />NDI IOF"EIEING <br />"PE u BIRGRI <br />777-N;Y MIry 1117" <br />GPOUr <br />CCf11rnN1101D <br />PA_SF MEW <br />GYF$_—O NO <br />MMNIRW., MINCINCK <br />FIFE SMMIFEP PEOU <br />NFI1M <br />OINEP <br />SIAIF al"O!NG SIN4UIPGF <br />1 <br />IIRE ALARM PEO0 <br />RF ISD4 <br />nIPI r..Mw"s <br />_ <br />,—pr rONsr <br />rin4s Ar PY <br />CRY OF EVERETT <br />nllt /Y{ <br />LOCAL SALES <br />TAIL CODE 15 3105 <br />TOTAL <br />