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APPLICAT11.�1 FOR CONSTRUCI.ON PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />f 1 DEMOLITION i I COMBINATION �Q� BUILDING ;k MECHANICAL p('' PLUMBING I I SIGN <br />PROJECT ADDRESS � <br />3 7 f4 sTs,w. _u ' E <br />owwEn unn.nDoness utr nr rr�o�i[ <br />A4kC�PErTifk�r�s r�,c /3 /.1(rN1�,Q.rSc Sn.bij+o�,tM 9�v�5'O_ .3.3 7-/.�.1 `� _ <br />1FNRNi MAII �I'D!1[5S �'.IIV l�P PIIONF <br />�fiQlilfGlO(1�ESIf,NCf1 M�RMORf55 C�tV ]i� <br />C.EI![f1nlCONLPACi(M 4�IL�IX10E55 CI1V iiP PIIONf. SULEUCENSF� <br />GWkc•�FsT/�►.�,sss�� /37i.� Gvr�v.rss s.,,��,sy 4da9n 3,�•-i.�sP OAk�PdTo>/tt.✓ <br />MECN�NICRLCONiR4GIDt1 MML��Df1E55 �]�y 7�P PIIONC STATFULFNSE� <br />f S/�E.lirk, 14557�! /y,x„��J.E�[�r�1,t,./Le 9go7z �f�b 3/99 _ <br />PIUMBINO CONiIU pi MAIL �DDRESS CIfY 7it� 1'1104F SLATE LI�eNSE � <br />CON�R�I:1 PiiiCF 01" WOI1N <br />DESCRIOE VJORN �NO <br />LOT � BLOCK <br />FOOI�GF.INVOLVED <br />or <br />(M RTTACII TWO <br />CONSiRUCT10N lOAN LEHOEP, Af1DRESS. IELE�MIONE NIIN�Efi <br />TYPE OF FIKTU�IE OR ITEM <br />BATHTUB <br />LAVATORV (WASH BA� <br />SHOWER <br />KI?CHEN SINK d DISP <br />TRAV <br />URINAL <br />DRINKiNa FOl <br />FLOOR �RAIN <br />BACKFLOW PF <br />—BAP, E1C.) <br />SUB TOTAL 3 <br />PERN'IT $ <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />fRONTCFiP�CN acen! <br />� � / <br />USE <br />IOIARf� <br />HEICHf LIMIT�T�ON / I NO OP <br />!fi> UNIIS <br />NO (K SIONiES � (%:CIIP�HI IOAD <br />No <br />rwe srniNK�Fi <br />� <br />1YPE OF CONS' <br />��- !J <br />� sioe seroeys_ / <br />V�C�Ni Slif <br />� f1YF5 11 NO <br />❑ze nr ei ocn i <br />�1519 Sf LI��u4 <br />IlYES IY'NO <br />HEATING SVSTEM: �i'GAS f 1 ELECTRIC f 1___ <br />f.ONiAC 1 i'f R50`. ANf� PUDNF Np <br />I HEREBt CEFl7IFV THAT I HAVE READ ANO EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT. AlL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOi. THE ORANTING OF A PER611T DOES NOT PRESUME TO GIVE <br />AUTHORITY TJ VIOLATE OR CANCEL THE PROVISION OF ANV <br />OTHER STATE OR LOCAL LAW REGULATINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTV TO PERFOPM THE WORK FOR WHICH <br />APPLICATION IS MAOE AND I COMPLV WITH THE S7ATE <br />CONTRACTORS LAW 1827 RCW AND 296: ?00 WAC. <br />�-/J---= /-3 -� s- <br />51GN�111ftE OaTE <br />�>.a � g ,r <br />Cliv OUSiNE55l ICENSE NO <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />—T <br />A/C —lVHNDLG UNITS — H.P. � <br />� FORCED AIR SVSTEMS — B.1.U. M E.A. i <br />HEAT PUMP � <br />UNITHEATERS—B.T.U. M ' <br />CLOTNESDRVERS � <br />VENTILATION FAN : <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE ( <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />TOTAL S <br />u11T S <br />1L FEE S <br />risr�cr�rcKr+uunr rrE nECFmrNo <br />L/L•Lr2<� �?C i ///GG�.Sf <br />ominiya 'jy 'jo 1 � �/ <br />� <br />1 � <br />ri uMnwa ' <br />MECHeNIGI / <br />���IIIONAL P �N CN[CK � <br />Oi11fR ���,L� / /� ` <br />, <br />S1AlE OUIlOMO SURf.11Al1GE ! � � <br />1 <br />A /�� <br />�runr CITYOFEVERETT ru�ucwonKs <br />%'�' LOCAL SALES — <br />,/q� TAX CODE IS 3105 7oTAl <br />