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APPLICATIOed FOR CONSTlRUC7 �ON PERIMIT <br /> CITY OF EVERETT• BUILDING D�VISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> �l DtMOLIl:OM � 1 COMBINATION pQ BUILDING I 1 MECHANICAL f l PLUM�ING f l SIGN <br /> PROJECT ADDRESS � _ . <br /> � <br /> owr:en Mui�oinr.� � r�rr �in rr�or+e <br /> l,'.�>Idn�c�rk G�/e��-�.�ses R'is�;�c�.. �'d l-ake���t�,s 33�1�- q;�s� <br /> reN�nr unanooF�ss - arv r�r r�wr+e , <br /> •pC11RFCTOROF5IGNF� M�II �pUR1:.`C CIIY )IP p110N4 <br /> 6ENEMlCONtI1�CTIX1 MML�OOfIE55 61fY )IP PIIONE STREUCENSE� �I <br /> .�D1�.Gt-+'k F-n�fe+'vr�cps �'i�s.51� K� �aP.L ak�.$�ivb �1s� .�3�I-- 9(n.�-C� <br /> MECH�NIC�1lCONTP�CT011 M�IIM RE55 CI1Y 11P p110NC SiREUCENSE� <br /> '�olctrh��oq� <br /> PLUMBINO CONTR�CTOP M�II��DFE55 CIIY ]IP pNONE Si�1E UCENSE� <br /> �q, 000 � W <br /> CONiF�Cf PRICE OF Ypf11( " <br /> ,2 Z5� B �{� '1-�ln � pQ,r Aq� HEATING SYSTEM: fJ (iAS f� �ELECTRIC f7 <br /> DlSCRIBEWORN�NDSOU�PEFOOi�OEINVOLVE CONI�CTPf�50N�NOP�NO <br /> kri5 :�r J,QCu'1'�nP� �-�YL1ns-h 6Y� <br /> a3�3 - 00(n�. <br /> � �� I HEREBV CERTIFV THAT I HAVE READ AND E%AMINED THIS <br /> PilOP05 DUSE OF BUIldNO APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.,1LL <br /> PRGJISIONS OF I.AWS AND OR�INANCES OOVERNINO THIS TVPE OF <br /> ' �vORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEO�LDE CRIPiIONOFI'ROPEPTY�SMONNBELOWpI� �CIITWOC7OPIES� IJOT. THE ORAN71N0 OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ior e�ocK or�� d ��� � AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTViER STATE OR LOCAL LAW REOULATINO CONSTRUCTION OR THE <br /> �lC�j4 f-�- �� G` FERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOHIZ:.D BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORh�. FOii WHICH . � <br /> APPLICATION IS MADE AND I COMPIY WITH TN'c STATE � <br /> PMCEL TA%I D NUM9ER CONTRAC�ORS LAW 18.27 RCW AND 296 200 N�AC. '� <br /> / /� 1 <br /> COtI�TRUCTIpIIO�N LENDER.�D�f1F.55.TFlEP110NE NUMBER ����J�(^/w��/`J 31 i a q5 � <br /> 1-n���� 50.v� ✓Yh`_� ll�S3.41� - 31dr+�rune o�re r <br /> CIiV BUSINESS IICENSE NO <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF FI%Tl1RE OR I7EM FEE <br /> �,y WATERCLOSET(TOILET) � A/C—lUHNDLGUNITS—H.P. � <br /> BATHTUB � '�-- FORCEDAIRSYSTEMS—B.LU. M E.A. ` I <br /> LAVATORY(WASH BASIN) � � HEAT PUMP i ' <br /> SHO'vVER � UNIT HEATERS—B.T.U. M '�� <br /> � KITCHEN SINK 6 DISP i _ CLOTHES DRVERS i � <br /> DISHWASHER � VENTILATION FAN � ' <br /> LAUNDRY TRAV � �^ RA�iGE HOOD � <br /> a. CLOTHES WASHER � 'NATER HEA7ER —�— <br /> URINAL � WOOD STOVE ' <br /> DRINKR�O FOUNTAIN i METAL FlREPLACE(WOOD BURNING) i I <br /> FLOOR DRAIN � FIREPLACE tNSERT(WOOD BURNINI;) � �i <br /> BACKFLOW PREVENTERS � pASFIREPLACE ; I <br /> SINK(SERVICE—BAR,ETC.) i pAS RANOE � I <br /> ' OAS PIPINO ' <br /> � EXHAUSTFAN � � <br /> --�— <br /> ' ' i <br /> � I <br /> � � <br /> T -T <br /> I 1 <br /> SUIJ TOTAL E ' SUB TOTAL E <br /> PEqM1T E � PF.RMIT f i <br /> TOTAL FEE S ' TOTAL FEE E ; <br /> FOR OFFICE USE ONLY: <br /> fPONT SFTP�CR PF.KI SFTR�CN SIOE 3BIBrCIc PLAN CIIECR NIIMOFR FEE RECEIPi NO I <br /> ".�c� � _ •5 Rt"rr ,7 73 �. ,�J�"' //.� ��'G' i <br /> USEIDNE LDt�tIEA V�G�Ni51IE FEE9 VALUATION f�EE ii <br /> ---�� 8970 �,ES �, No A������o _ —,, ,— � � <br /> NEIANi IIMITFiJN NO OF OWFll1N0 RIIE OF BL00/il -- <br /> S UNIIS Z .SY 5 P ��v,.,�q }' PU1MBIkO I <br /> l <br /> Cp(n,�UPINCY NOOt510iM1E5 O^.CUPI,NiLOAO BASE�ACIII � MEC�I�NICAL � ,I <br /> Z �1� 17YE9 I <br /> FIRE�UfIM P[U� RF�5�1N �DOITIONAL OI�N CNE�N <br /> � __.. _�. OTNER I � C' �C.)� � <br /> FIRESP INRLEfIRfO❑y� NEl1. ` - �! I <br /> n J / _��_ Si�iE PURpINO SURCIUM3E /. {!�% <br /> J (� <br /> -�n.r— � - -� uNservnoveonr CITYOFEVERETT runucvronKs � <br /> LOCALSALES � <br /> � � o�TE 3 Z 9 " TAX CODE IS 3105 TOTaI. � '� (J , <br />