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,��. --,_ <br />APPLICATII.nI FOR COI�ISTRUCI.ON PERMIT <br />CITY OF [VERETT • �UILDING DIVISION � <br />3200 C[DAR STREET • EVERETT, VJA 98201 • 259-�810 <br />DEMOLITION COMBINATION � BUILDING 'x MECHANICAL k PLUMBING � i SIGN a <br />PROJECT ADDRESS <br />nvrNrn <br />MRII. AI)Ilqf <br />CiIY IIP � 1'NnVf <br />t` <br />�i G ^ �Il�,:\ ^ � <br />n1iOUlfCiOflf)ESIGNfl1 MIIII.R1[tt1G55 �IIv 21P PMONF <br />��� <br />f.fNIRALCONfMf,i(NI MRII.�OOf1E5S [;IIV 71P PHON[ SIRTEI.ICENSE• <br />�. \ <br />N[C1IANIGRLCON7M^TOl1 MRIIADpRE55 C17Y 71� PIIONF STR1fLI�ENSE� <br />\ \ <br />PUIMBIN6CONIMCi011 MnILA[1DPE55 (;liY IIP PIIONE Si�TEIICENSE� <br />C NiR�CT PRICE Of YIOfiN <br />�� Z(9d.� <br />orscmnE v7onv nHu Sounne roorncE iNv�ivcn <br />� �w.n v •L G� �.a.S_ Yp���, <br />�_ Zc C� ` t <br />i.ccni oescnirnor� or rno <br />ior n�ocn <br />� '15�� � \�(� <br />PARCF.LiA%ID NIIIAPF.R <br />'--���� — u� � — vc <br />cor+stnucnon�o�H ieN�ei,. �ooness. <br />NO. TYPE OF FI%TURE OR ITEM <br />1 WATER CLOSti (TOILET) <br />j_' DATHTUB <br />LAVATORV (WASH BASIN) <br />SHOWER <br />' KITGHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />URINAL <br />FLOOR DRAIN <br />OACKFLOW PREVENTERS <br />SINK (SERVICE — BAR, ET <br />SU� TOTAL S <br />PEPMIT S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />rnoNT �rtnacH nrnn srinnrK sme sFtA�cH <br />ucFmNe iotnnFi, <br />11fICdR LIMIUtION NO �N �WELIING <br />UNIIS <br />pCCpPpNCY 112 01 9nP',ES OCCIIV�NI IORU <br />�IPOUP <br />f IIIE AUf1M NCO f1 111 �SON <br />Fmr�rnrtait�.,�ean ne�soru <br />ivrr orcoNsr rinNsnrrnovrn <br />-- iinn <br />V�CPNI [I�F <br />nvcs <br />sv[ or muuq i <br />FEE <br />�m <br />HEATING SYSTEM: I� GAS �iELECTRIC f 1 <br />r.oNr�cr rFnsoH �Nn rnorvr No <br />I HEREBV CEP.TIFV THAT I HAVE READ AND E%AMINED THIS <br />�� APPLICAiION AND KNOW THE SAfdE TO BE TRUE AND CORqECT. �LL <br />�� PROVISIONS OF LAWS AND OFDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPEGFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOl PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATIN6 CONSTRUCTION OR THE <br />PERFOFMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICA710N IS MADE AND I COMFLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />- X 1^�,�.;� �; .�����-., � 1 I � ; <br />SIGNAIUP[ � �Tf <br />CRV pU51NE55 UCENSf. NO <br />NECHANICAL <br />f10. 7� TVPE OF FI%TURE OR ITEM FEE <br />A/C — AMNDLG UNITS — H.P. � <br />FORCED AIR SYSTEMS — B.T.U. M E.A. � <br />HEAT PUMP i <br />UNIT HEATERS — � T.U. M <br />CIOTHES ORl'ERS <br />VENiILATIOIJ FAN <br />�7 RANGE HOOD : <br />WOOD STOVE <br />METAL FlREPLACE ( <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />E%HAUSTFAN <br />SUO TOTAL S <br />PERMIT $ <br />TOTAL FEE S <br />PUNC�IECKN M11ff1 I ffE I RFCFIPTNO <br />��=� � � <br />nun niruc <br />PI UMOiNO a ,.'„ <br />p�5F1,�EN1 MfOUNIC11l <br />f1YF5 II NO �' <br />�D[11LION�L PUN Cu[CR <br />or��En <br />srerr nwinwn sunc�un .r. <br />CITVOFEVERETT rumicvmnKs ; <br />LOCALSALES — <br />TA% COOE IS 3105 TOTAL 'I �' � I' � <br />