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APPLICAT��.N FOR �ONISTRUC'. �ON F�ERMIT <br />CITY OF EVERETT • �UILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />f I DEMOLITION � I COMBINATION BUILDING �M�CHANICAL ' PLU�ABING I i SIGN <br />PROJECT ADDRESS <br />LJilI' <br />�„� <br />.� <br />? � <br />rl�v <br />,�� <br />7m <br />RRf,111TFCTOR�E516NER MAII�DbnFSb �iit )m P11UNF <br />GFNfftALCONiMFt(N1 AUP_�p011[55 CIIY 71P ^'IOYE StATELIC[NSG� <br />GVNiN�CTPP�CEOf WU�N1 j <br />7 <br />DCSCRIOE— wuRl J��� <br />� � 1_'�.� <br />PROPOSEOIISE OF BW101N0 <br />LE6�L DESCRIPTION Of PROPI <br />lOT _ ALOCK <br />7��i G , r?,' <br />Gf.INV01VEfJ �., .... <br />� <br />�� O�U ` �O ` O��' C <br />CONSTi1lICT10N LO�N L[NOFR �DD11E55. iELFP110NE NUMPFf1 <br />PLUMBINO <br />TYPE <br />BATHTUB <br />LAVATORV(WASH BA! <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRV 7f1AY <br />URINFL <br />�RINHING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINKISERVICE — BAR,ETC <br />SUB TOTAL $ <br />PERMIT $ <br />IOTAL FEE E <br />FOR OFFICE USE ONLY; <br />f1iONT5(iPRCN RFA(ISFTO�CN S�D[SFLPACN <br />u;r voNe I i.m ene� <br />HEIGII111MIT�qON NO �N!)WELLV!(1 <br />I1N115 <br />OCGUP�NCY N9 O�SIOaqS OI:CUPANtIOPfi <br />onour <br />pnrr <br />anv <br />FEE <br />SiQE LIGENSF. � <br />JIP PIIONF ST0.1F. LICENSE � <br />HEATING SYSTEM:�AS ! 1 ELECTRIC fl <br />coNrec� rensoru nNn r�ror�c vo <br />I HEREBV CER1lFV THAT I HAVE REAU AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAMF TO OE TRUE AND CORRECT. ALL <br />PROVISIONS OF IAWS ANU ORDINANCE$ GOVERNINO THIS TVPE OF <br />WOFK WILL BE COMPLIED WITN WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRAIJTIN6 OF A PERMIT DOFS NOT PFESIiME TO GIVE <br />AUTHORITV TO VIOLATE Oq CANCEL THE PROVISION OF ANY <br />OTHER STATE f�? . OCAL LAW FEOULATINO CONSTRUCTION OR THE <br />PERFORMANCE UF CONSTRUCTION. Tf1AT I AM AUTHOR�ZED BV THE <br />OWNFR OF THIS PROPERTY TO PERFORM THE WORK P7q WHICH <br />APPLICATION iS MADE AN I COMPLY WITH THE STATE <br />CONTRACi /1B2J RCW ND 296.200 WAC. <br />C • / `'.% <br />� ,. <br />xi ,Nai wrf <br />c�rv nusiNess uceNse r+o <br />MECHANICAL <br />N0. TYPE OF FIXTUHE OR ITEM FEE <br />A/C — A/HNDLG UNITS — H.P. � <br />1 FORCEDAIRSYSTEMS—B.T.U. M E.A. ` <br />—� HEATPUMP i <br />UNIT HEATEFlS — B.T.U. M <br />CLOTHES DRYERS i <br />VENTILATION FAN <br />--r-- <br />RANG[HOOD ; <br />--r— <br />WATEfi HEATEP � <br />� <br />WOODSTOVE <br />_ METAL FlREPLACE (YlOOD BURNING) <br />FIREPLACE INSERT (WOOD OURNING) ! <br />GAS FIHEPLACE � <br />T <br />GAS RANOE <br />GAS PIPIY6 <br />, EXHAUST FAN _ <br />SUBTOTAL E � <br />PERMIT S <br />TOTAI FEE S ' <br />ruHcrircK un+nrn f/ rrr nrcFmrr�o <br />•%C/,. "., <br />vticu,� s,�e rets � <br />i�.�rs n Ho nunon+o <br />Si7f�. UI PLL�(1!II <br />ri uunitin <br />— flA.EMLNI i,1�.�4qNICAI <br />IIVE. Il NO <br />FDDI IIONM PI�N CHECK <br />omm <br />s�nir nunu�vc sunr,�unae <br />GTY OF EVERETT run�,ic won�s <br />LOCALSALES <br />TAX COUE IS 3105 TOTAL <br />