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APPLICATIV�1 FOR CONSTRUCT�ON PERMIT/ <br /> CITY OF EVERETT• BUILDING DIVISION ec���o� <br /> 3200 CEDAR STREET� EVERETT, WA 98201 • 259-0R10 � <br /> I 1 DEMOLITION I I COMBINATION ; ' BUILDING ' i MECHANICAL ' PLUMBING f ' SIGN <br /> pROJECT AD R�jSS <br /> � ��(n �U C� - � �� <br /> owNen C � uen�nnnrss urr nr rrwnr <br /> .JA,uEiJ��Y-[i6�:ai `�OG uv Q 5� �iiee� �BZ�X_ ZoG�353 S�S4_--- <br /> 1(N�NI M�II �OO�F55 bIV li� P��pNF <br /> ��CHA[�ipRDE510NE11 MUI �OpnE55 alv /m P��pN! <br /> CENEP�L NiMCfOQ YMl�INNIESS CI1V Ji� PHONf Sl�if IICENSF r <br /> UI 20/ 25{l-335G IMOC�`b4SNM <br /> CHANIf,�I f PIQO M�It��� S Cltt Ti� P�IONL clnif IiCENSF� <br /> ` m o � �'-z� �- �S <br /> PtIIMlIINGCONiN�CIOP M�ILA�URE55 Cliv zIP P�IpNf SUlFIIf.FN.iF� <br /> CONTP/iCf�•R10E 0�WOf1N <br /> � HEATING SYSTEM: I i GAS � i EIECTRIC I i <br /> OEc�yq�gE WOi1N�ND SOIURE fppGOE IN 01�'E� f.ONI�Ct PFf150N�N01'IIONF Np <br /> �p�Qw� o� /�G Fr o ,c <br /> ��?if,• tA � c �n.�Z�c �3 -�755� <br /> I HEREBY CCFT Y AT I HAVE READ ANO E%AMINED THIS <br /> - APPLICATION AND KNOW THE SAME TO BE TPUE AND CORRECT ALL <br /> rnoroseo}y�e or nun.owa PROVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS TYPE OF <br /> CaAR+QG�_ WOPK WILL BE COMPLIED WITH WFiETHEF SPECIFIED HEREIN OR <br /> Tec��oe nirnor�ov vnorenrv�s� nwwa,e,�iowunerrec�nwocorie N07. THE GPANTING OF A 7ERMIT DOES NOT PRESUME TO GIVE <br /> ioi ,�_eta:KQ�Y�e�er� /�1 IQ AUTHORITV TO VIOLATE OR CANCEL iHE PROVISION OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATIN6 CONSiRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCiION.iHAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV 10 PERFORM THE WORH FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> P�Rf:EI��%I D MINBER CONTRACTORS LAW 827 RCW AND 296.200 WA . <br /> �(� -000 -�00 � — 00 Z I N`— <br /> GONSTRIIGTIf.NlO�NLfNOER �M19F'S5 tFIEPMONEN11MpFR x ' • `.�"' �� �-�= `^ lI I " _ <br /> 51�N IIRE , � �T= <br /> ! <br /> GTV BUSW!ti5 UCF.NSC NO <br /> PLUMBINO MECHANICAL <br /> NO. TYPE Of flXTURE OH ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATERClOSET(TOILET) � A/C—A/HNDLQUNRS—H.P. ' <br /> BATHTUB � FORCEDAIRSVSTEMS—B.T.U. M E.A. �_ <br /> —r <br /> LAVATORV(WASH(IASIN) i HEAT PUMP � <br /> SHOWER � UNIT HEATERS—B T.U. M <br /> KITCHEN SINK 6 DISP i CLOTHES DRVERS i <br /> DISHWASHER VENTILATION FAN � <br /> _ LAUNDRVTRAV � RANGE HOOD _T_ <br /> CLO7HES WASHER i WATER HEATER � <br /> URINAI ' WO�D STOVE <br /> DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNINO) <br /> BACHFLOW PREVENTERS � GAS FIREPLACE � <br /> —T <br /> SINN(SERVICE—BAR, ETC.) 6AS RANGE <br /> GAS PIPINO <br /> i EXHAUST FAN <br /> � <br /> � <br /> � <br /> — — — <br /> SUBTOTAL E � SUBTOTAL S i <br /> PEFMIT S --�- PERMIT 5 —� <br /> i <br /> TOTAL FEE S TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: <br /> f110NT5RPACN NF�fiSFTfl�f,k SIpESFifl�f.N PI�Nf.11 NNIIMPffI f(f � f1FCfIPfNO <br /> ��� �� �5- `�-- y�� <br /> usF7u�° io�enr• v�r.uasrtF FEES VI!1UA710N FEE <br /> ��^ � T^—� <br /> —l—/— i'vF5 Nn PWIOiN, ���5— —�iOl! <br /> I�EiC11111MIT�LUw� NO Of I)WEIIING SKF Of qlfM.9 i — --- � <br /> r./� IINIfC / /7� r� PIUMflIN(i -- _ _ ___{__ <br /> d <br /> [X;CUP�N[.Y 1M' M Sli�ail5 (N:I:IIPANI 10�0 P�SF4ENt i <br /> GPOIIP � � MFfnnW11111 i <br /> V� � � _ u/YA �I\FF_IVNn -- _— —-- —"----- i- <br /> PIRF�UN4RFOP fIM�OY Af1U111pN�1 �lANCNFCM <br /> ____ --.____�. . <br /> nu�En <br /> nnrcrnwKiFnnr�in nresa+ --------- -- --- -- ��---- � -� <br /> CrnlfflNlnMC.sUnrlQrMf � � <br /> ___ .__.. _.—___—_ _ i V <br /> i�rForcor�s� r�nHsnrrnnvrnp• CITYOFEVEqET1 �'��ri���wnm� ' <br /> / `JH LOCALSALES ----- � - -- �-� - � <br /> _ /�/_ �„�F 11/I 3 /`?� TA% CODE IS 3105 TOTAL _ � <br /> —. _— . _""' _. ____. _ _ _�. . _ <br />