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� .-T _�_ <br /> ,.., _ <br /> APP�.ICATI�.�1 FOR CONSTF�UC1 �ON PERMIT <br /> CITY OF EVERETT • BUILDING DIVISION � <br /> 32J0 CEDAR STREET• EVEFETT, WA 98201 •25�•BB10 <br /> f l DEMOUTION I 1 COMBINATION i�[ JILDIN(3 !✓MECHANICAL •''PLUMBING I ' SIG�J <br /> PROJECT ADDRESS � <br /> (/y /o J �-� 5�c <br /> OVME M�111DfN1r55 Grv lm runvr <br /> � � <br /> IfN�NT M�1111DfN�f55 ❑tv IiP ��unHF — <br /> �M:II�TEGIOROES�ONFA M�q �fd10E55 GTY yip p��p <br /> fiFNfn�L CONfMGttM N�II�01111[55 f,ilv --' �ip Ih�pNl--- SI�tF IICFNSF� � (� <br /> ��e�i�+.... ..¢«a i 33�-y��'�c% lf��kiL�z' �75� 7�/JJti�i M���A�,/r iv�ws <br /> MFCN�NIf,�L CONTP�CTOR MRII��DnF55 f.IIY 7�P PIIAN� SuiF I�CFNSF• <br /> PUTAI(UYGCONiP1f,TOR MVI�pIME55 fll\' IiP PNONF SGiF11CFN5F• <br /> f,ONfR�G/PMCE Of M/OpK � <br /> HEATING SYSTEM: I�fGAS � i ELECTRIC I � <br /> DESCRIPF.WqiN�NO SqUqF FOOT�OE INVCLVEU f.ONT�LT PFRSON�ND PIIpNF NO <br /> —�✓ %��(� i r' <br /> IL ll7C> I HERElV CCHTIFV THAT I HAVE RFAD AND E%AMINED THIS <br /> raprosFn use or nui iNa APPLICA7ICN AND KNOW THE SI1ME TO L� TRUE AND CORRECT ALL <br /> �_� _%_ PROVISIONf OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> ��'����� WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED H[REIN OR <br /> LEO�LDFSGRIPTI(MIO�PRpPERtY�51qWNBF.IOWqUtt�CHIWOCOPIES� NOT. THE 6RANTING OF A PEi MIT DOES NOT PRESU.dE TO OIVE <br /> �oT�nia:�__or_ AUTHORITY TO VIOLATE OR �ANCEI THE PROVISION OF ANV <br /> �//��� `�� _�n /-.-Ly OTHER STATE OR LOCAI LAW qE6ULATINO CONSiRUCT10N OR THE <br /> _..[L %+««G4 PERFORMANCE OF CONSTqUCTION, THAT I AM AUl HORIZED BV THE <br /> � OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> � APPLICATIUN IS MADE AND I COMPLY NITH THE STATE <br /> � P�NCEL T�R 10 NUMBER CO4TRACT�O S l�:Y 1027 RCW AN�296.200 WAC. <br /> �30Z ^uo ., - � • / 1 <br /> GdJSIAIICTION IO�N LENOEq,11D[1(IE3S.TFLEPNONE NIIMPFR � �i <br /> x , o�-�� Z� / Y.� <br /> sm une o�iF <br /> CItV flU5WF.5S UCFNSf NO <br /> . PLUMBINO MECHANICAI <br /> N . TYPE OF FI%TURE OH ITEM FEE NO. 7YPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILET) � A/C—A/HNDLOUNRS—H.P. � <br /> y BATHTUB � � FORCED AIR SVSTEMS—B.LU. M E.A. � <br /> � LAVATORV(WASH BASIN) T- HEAT PUMP � <br /> SHOWER � UNIT HEATERS—�0.?U. M � <br /> � KITCHEN SINK 8 DISP � ' —i-- <br /> _ i / CLOTHES ORVERS <br /> / DISHWASHER _ VENTILATION FAN � <br /> IAUNDRV TRqV � � , <br /> � / RANCEHOOD � <br /> _ CLOTHES WASHER � / WqTERHEATER � <br /> _ URINAL � . WOOD STOVE � <br /> _ DRINKINO FOUNTAIN � METAI FIREPLACE(WOOD BURNINC-` � <br /> FLOOR DRA!N � FIREPLACE INSF.R7(WOO�BUHNING) � <br /> BACHFLOW PRFVENTERS � / GAS FIREPIACE � <br /> i <br /> SINH (SERVICE—BAq,ETC.) i OAS RANGE � <br /> OAS PIPIN6 <br /> i E%HAUST FAN � <br /> i <br /> --�— <br /> ( J � —_--_ � <br /> ' T <br /> SUB TOTAL E �� SV9 TOTAL S � <br /> PERMIT S � PERMIT S � <br /> _ _ TOTALFEE S � TOTALFEF f � <br /> FOiI OFF!CE USE ONLY: <br /> rrxwrsFrpecK nrensFraecK SIbFSFfP�fN PUNCIIFCNNIIMpfP rrr nrr.nriHo <br /> 2t� � [m -- _'- - � �'�(�_3 "lJ <br /> asv�oev � ^ un�nte v.r�ua snr PEE5 VALUATION FEE <br /> — l�-- i F'�� Si �S ,.� �„ ��������N�;- --- - - � - <br /> ueia�rt uMnenoN aa �uwrwr+r, sur or ei ia�n i --- - - _�Q`g��.� -- � ' � �i.�' <br /> 2 � ur�ns � I �B�S/° L�P4`+ rinrnruNi� _. _ .. ...-- - �--�/�i <br /> OCCUP�NCY HOnIS���Milc p'[IIP�NIIOeII P�SFMFNf ; .. <br /> ❑f1011 MFCIIANIC�I <br /> L$ U•I 'L 'i� �.r< �Y� ---- - -- _ _ ---�i✓r <br /> nnFu�nMneon� - nrncnru _._ ___—____ ennninNeirievo�ec� � <br /> -- ----- - - ------f__ . <br /> onifu ; <br /> fifllSPpINNIFRP�fIb 11fAq�N ____ _ � <br /> GLPI! 1111qf��9�1 qlqf.11�f1(iF � � �� � / <br /> IYPFOlfpN51 f'I�NC�PPf1llVFppy � � �� -� �-�LJ <br /> y CITV OF EVERETT �������" ��,�.��� -- -�L ' <br /> --- <br /> �,J� -/.f ����� 3 J fSb TAA CODE SL3 05 roia� . ..---- - --__-- � - -� ��3 77; - <br /> ---- _ . -� - - - � - - �_ -' <br />