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- ' <br /> APPLICATION FOR CONSTRUCTION PERMIT <br /> CITY OF EVERETT•BUIl01NG DIVISION � <br /> 3200 CEOAR STREET•EVERETT,WA 98201 •259-8810 '����' <br /> [7 DEMOLlTION r1 COMBINATION I"l BUILDINO f�( MECHANICAL rl PLUMBINO r'I SKiN <br /> PROJECT ADDRESS I�O Z 11 „.- � „1 �'e– <br /> rtvW ll <br /> °""�' t f �"�°�ss 29� Zn/ ,, - � <br /> � <br /> TEN�NT �OdE55 C�TY ZIP PI�O�lE <br /> U S w�C� CPi� I,..�C�.1r — <br /> MwttcranoEsor�a �w�odiEss cm zm r� <br /> ({QqEi1KCONT{UICTOR MNLMOIIE55 CIfY ZIP PIqNE CTIITELICENSE� <br /> �aSca�4.R Po�r C�i:�n�v�� I�� Nwt�o�l�ard W� �0.`�ke aT81o�� <br /> p�W�11pCONTqk7pp yylll�pppEgg qtt �ZIyP� 'f� 2 MiONE /� � 9T�TElICENSE� <br /> IbT' "J�3� l..f�f5� ��$ <br /> vaicE oc wonc <br /> Qd HEATING SYSTEIA: f.l QAS LECTRIC f-1 <br /> OElCIME NA SOUARE POOT110E NVOIVED CONiACT Nq PIIONE NO <br /> 5 R..:�' �'R �,v <br /> ,{ t - 3i3 <br /> I HEREBV CERTIFY THAT I HAVE READ ANO EXAMINED THIS <br /> APPIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.All • <br /> °������ PROVISIONS OF LAWS ANO ORDINANCES 00�(ERNINO THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETMER SpECIFIED HEREIN OR <br /> �Eo�oexmnaNOFrnovenrv(S�awne�a+an�TT��woc�g� NOT. THE dRANTINfi OF A PERMIT DOES NOT PRESUME TO OIVE <br /> �m. �� � AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL lAW REQUUITINO CONSTRUCTION OR THE <br /> �` Q�� � �� �� PERFORMANCE OF CONSTRUCTON.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR NMICH <br /> � ' 2 APPUCATION IS MAOE ANO I COMPLY WITH THE STATE <br /> ��nuci.D. R CONTRACTORS LAW 18.21 RCW AND 286.200 WAC. <br /> �,�„����.�.,��� x r�es�Qr,�fl�-c� I-z�- 9b � <br /> � Sqry�TI1NE DATE <br /> � CITYlUSINESS IICENSE NO. <br /> K�p MECHANICAL <br /> � . N0. TYPE OF Fl)ITURE 0111TEM FEE N0. TYPE Of[GINP�ABIT FEE <br /> WATERCLOSETITaLET) ' NC—AM1NIDLOUfMTS—H.P. ' <br /> � �T��g ' FORCED IUR 3VSTEMS—B.T.U. M E.A. ' <br /> ��. LAVATORV ASN BASIN) � HEAT PUMP ' <br /> g�pyyEq � UNIT NEATERS—B.T.U. M ' <br /> KIT(�iEN SINlC 8 DISP � CLOTHES DRVERS � <br /> DISHWASHER � VENTILATION FAN ' <br /> LAUNORY 7AAY i MN(iE li00D i <br /> CLOTHES WA9HER � WATER FiEATER � <br /> URINAL � ' WOOD STOVE � <br /> ORIMfINO FWNTAIN i METAL FlREPLACE(WOOD BURNIN6) � <br /> FLOOR DRAIN � FlREPUCE INSERT(N/OOD BURWN6) ' <br /> BACKFLOW PREVENTERS ; OASfIREPLACE � <br /> SINK(SERVICE—BAR.ETC.) � OAS RAN(iE ' <br /> � �AS PIPIN6 � <br /> , E%HAUSTFAN � <br /> i ' <br /> SUBTOTAL S i SUBTOTAL S ' <br /> PERMIT S � PERMIT f � <br /> TOTAL FEE S � TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: <br /> FppN�$E�9� pE/iq$ETpALI( S��ESETB�CN PUNCIIECKNUMBEP FEE AECEIPTNO. <br /> �zp� ior��� v�c�r+rs�re FEES VALUAiION F� <br /> � ' <br /> IIYES �' � BUIl01Nfi i <br /> IIEqNT UM�TATION NO OF DYYELlINO 512E OF GOORI � <br /> 1X11f5 PLUMBING � <br /> T <br /> pCC11MNCY 1q0�$IOPIES OLCU7�NTLOW BISEMENT MECH�NIGL I <br /> 6iiow <br /> f1YF.5 ft NO � <br /> FIREILLMMREO'D RE�SON � ��110N�LPLANCNF.CN � <br /> i <br /> 01HER i <br /> FlRESPMNKLERREO'D REASON � <br /> SUTE BUIIOMf SURCH�RGE � <br /> 7ypE pF f,ONST PUNS APMOVED BY CITY OF EVERETT PIIBLM WOiiNE � <br /> LOCAL SALES ; <br /> o�re TAX CODE IS 3105 TOTAL � <br />