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APPLICATI�..� FOR CONSTFiUC1.ON PERMIT <br />CITY OF EVEFETT • OUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />i� DEMOUTION ' CUMBINATION BUILDING i I MECNANICAL i PLUMBING i�IGN <br />PROJECT AD�RESS <br />�S� ��,Z ilJ Si S.0 CUe (Q /l W �} � `� ��V� <br />OW/�Nff1 M�II PPUR[55 ( I�Y yiP f`nOd! <br />M X I<�M d�VFNifI �lU(�✓✓� CPNiCii I�(%•�OX GGUS Ly,v✓l�rtJ wQ. 98'03� ��H 7o�.-dsao�77 <br />1rN.•�• E�a� nnunccs rnr )m —_.1-�-- ����nmF— <br />f��vi�l �n/_ `�j%R�c/C c� //d �s'Sc cver2� Wa 9d2og - 2�v-3y8� v3oo <br />nnamrcr on nesir,�irn vnu en� ra. ;, - r.�7v m� rr�oNr� - <br />r,cNennicoNrnncinn Mnnnnnm�s - �.-n. —iu�� ri�nr�r surFucrr+sr. <br />�-f�tx,u> �Z�,,1 INIZI-IL•�' d� �,.1 J'�Afz4SJI��,q�7� 6�Z3'dZ`� APD�L.N�q(,I.T� <br />MFCIUNICAI CONIqACiOR M411 �DP�E55 UtY )ip PIIONE SiRiF II�ENSf • <br />PI UMPING CONiti�C70R 6�eq �O�PESS fllY )iP PuONF Si�TF UCF.NSE • <br />"finC! PPICF. O! V/OfiN <br />Z�3ti,u� <br />�niee vronK aNu sounne roorncr irvvoiven <br />bTlii.� DN.4 U� Y/U� S� <br />rnoroseo usE or <br />i.eo�i. oesr.a�rnor� or rnori <br />LOT ALOON <br />PRPCR U% 1 U NIIMAER <br />HEATING SYSTEM: i GAS f t ELECTRIC I 1 <br />coNrnc r r+i nsnq nNu rnor+r Nu <br />L��N sb'�"� 1 I HEREOV CEHTIFY THAT I HAVE REA� AND EXAMINED THIS <br />—L AAPLICA710M AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING ThiIS TVPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />�tiRLHIW000�lE51 NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF AN'! <br />OTHER STATE OR LOCAL LAW FiEGULATIN(3 CONSTRUCTION OR THE <br />PEFlFORMANC[ OF CONSTRUCTION. THAi I AM AUTHORIZED BV ThIE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MA�E AND I COMPLV WITH THE STATE <br />CONTRACTORS LAW 1A.27 RCW AND 296.200 WAC. <br />CONStRUCTION �D�N LFNOEf1 �pORF.55. TElEP110NE NUMflEfi <br />PLUMBINO <br />N0. TVPE OF FIXTURE OR ITEM <br />WATER CLOSFT (TOILET) <br />BATHTUB <br />IAVATORV(WASI!BAf <br />SHOWER <br />KITCHEN SINK 8 D�SP <br />DISHWASHER <br />LAUNDRVTRAV <br />CLOTHES WASHER <br />URINAI <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />67GCR.9� PI[d� <br />SUB TOTAL E <br />PERMIT S <br />10TAL FEE S <br />FOR OFFICE USE ONLY: <br />ff10Nt SFTPRCN PfM SfiP4fN 90[ SiTB�CN <br />FEE <br />UFF 10HF. p IOi�nFA Vnrnrn �nf <br />L�-' SZ� S�C�w/ � vfc r:, <br />NEIGI IIMIT�TION NO pf UWCIIING Sitl nf pI1N;li <br />�` 1Nr UNITS � <br />nFan <br />J( 7L�i-.�1...� S�L1-`j 5 _ <br />sr��eiur�e o�re <br />arv nusiHess i.rt.r��<i: Nn <br />MECHANICAL <br />N0. TVPE OF FIXTURE OR ITEM FEE <br />A/C - AMNDLG UNITS - HP <br />FORCEDAIRSYSTFMS--B.TU M E.A � <br />HEAT PUMP -�— <br />� <br />UNIT HEATFRS - B.T.U. M � <br />CLOTHES ORVERS i <br />VENTIlA110N FAN � <br />.— <br />RANC;E NOOD <br />WATER HEATER —T- <br />WOOD STOVE <br />METAL FIREPIACE (WOOD BURNING) i <br />- —�- <br />FIREPLACE INSERT (WOOD BURNINO) _`_ <br />GAS FIRI°PLACE ' <br />GASRANGE <br />�-- <br />GAS PIPING <br />EXHAUSTFAN � <br />SUBTOTAL E <br />PERMIT S <br />TOTALFEE E <br />ffF � �FfF <br />. ��l / / <br />nuuln�un 1 [ <br />♦ <br />P�irl9uNrf <br />I,q I I�NIIC�I <br />�IXntION�I %�N CNECK <br />OTIIER <br />StMC OUIIDINA $URf.H�ROE / <br />n�nserr���yeum f.ITYOFEVERETT rneni�.wi,nns --- � - <br />�J � LOCAL SALES -- - ---- <br />�,,,❑ � _I 1-�� TAX COOE IS 3105 TOTAL _ ___ � '•.� �_ � <br />t <br />