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APPLICATIO� FOR CONSTRUCT�N PERMIT <br /> CITV OF EVERETT•BUILDING DIVISION � <br /> 32G0 CEDAR STREET•EVERETT,WA 98201 •259-8810 <br /> ❑ DEMQLJTION �COMBINATION �BUILDING � MECHANICAL � PLUMBING O SION <br /> PROJECT AUDRESS: LN),17 F.I���reE,_ Lv,, F�yJ�7r <br /> MG� Mwr 3in lo n' A.,.ca� $4nl, e,v�.x %K�+ r �f3-a3+-� <br /> o�f.a uui�ooncss rm rrio.� <br /> TI�A: � .,ra �FL �-�-c�f A�-� �C�<..,,,w 9Po�, 7�r- 3Juz <br /> uuiuionrss cirt rio rno�e <br /> K�n�� l,ee <br /> ♦NCMI[CtOqpQS�GN[11 MI.IlA0O11E55 <br /> n'ic�+a�t,L. 7YaG�.:/µ 6 � �nyrv� �� O� '!'m/ ,cj� "�' y� / <br /> cF�En�u conm�nan r� � �"`� S .3qNLT K_ y��f" /djJ6�6tL'���"D /'/U�J ,�'/L 7L U b S �� <br /> r � Nu�Apppk55 bfY )�P �p�prpE $�MEIICENSE• <br /> _liViL�LSA-+ �1�.� �N� �-t�NFvOvrl /1�IJ� <br /> MECA�1nG4�pNIMC10R M4UD.ME55 dtY )�P RqNE SMiE lKENSE� <br /> PIUPBINGCON�HALiOR N4l�Dp0E55 CIPI j'r pIqNE StAIElRfNSE• <br /> CpIfllApi PpiCE Ot WpfIK <br /> �I'D DTi� HEATING SVSTEM: ❑GAS ❑ELECTRIC ❑ <br /> UESGnioE NOnX�No 5q��nf rOpi�c[wvavEo / carit�ct r[nsoNµo r�qxE No n <br /> r�'^""r T �'(C �-�v1,�/J1iJ �I� 1� �i h! 20 �Z'L '�/�O <br /> �Ftl� S�( L 'I LO I _L�LeL. :lt /wJ�G.��Y( <br /> � f{EREOY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PilOPOSfD IISE Oi BIIiIIXXO APPLICATION ANO NNOW TME SAME TO BE TqUE AND CORRECT ALL <br /> " q,�Lr�.wf PROVISIONS OF LAWS AN]OPORlANCES GOJEHNIN(i 7ry�5 TYPE OF <br /> ieen�ocscmrnorraraorcnn�uwxweciawonen.cr�nvoconesi WORK WILI �E COMPLIE[7 WI7L WHETHER SPECIFIEO HEREIN Oq <br /> NOT. THE GRANTING OF A PEPMIf pOES NOT PRESUME TO GIVE <br /> ior etocn or AUTHOBITY Tp yIOIATE OR CA:��EL THE PROVISION OF ANY <br /> O7HER STATE ON LOCAI LAW REGULATIN�CONSTRUCTION OR TNE <br /> PEIiFORMANCE OF CONSTRUCTION.TMAT I AM AUTHORIZED 8Y THE <br /> OWNER OF TMIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE ANO I COMPLV WITH THE STATE <br /> WALfL TAA�l0.MIlMBEH CONTRACiORS LAW 1827 RCW AND 296200 WAC. <br /> - V-�D4�UJY�UI��UOVY '/ / <br /> C�MSiPUCiIONlON1lENOEp,�pq�E55.tELEMqNEMIM8E11 x ' ( �l ._ 1 �, /� /Z� �/ <br /> SIGnn UIIF vl�� � fa <br /> O��E <br /> Ott BUSMESS IICENSC 110 <br /> PLUMBINO MECH�NICAL <br /> NO. TYPE OF FI%TUqE OR ITEA1 FEE NO. T'PE OF EOUIPMENT FEE <br /> WATEq CLOSET(TOILET) A/C-qMNDLG UNRS <br /> BATH7UB FORCED AIR SYSTEMS <br /> Z UVATORY(WASH 9ASIN� HEAT PUMP <br /> SHOWER UNI•�IEATERS <br /> 3 KITCHEN SINK 8 DISP CLOTHES ORYERS <br /> OISHWASHER / RAryGEHOOD i <br /> --:— <br /> UUNORY TRAY WATER HEATER <br /> CLOTHES WASHEfl WOO�STOYE <br /> URINAL � MEfALFIREPLACE(WOODBURNING) <br /> DRINKING FOUNTAIN FIREPIACE INSERT(lNOOD BUhNING) <br /> FLOOR OHAIN GAS FIREPLACE <br /> BACKFLOW PREVENTERS GAS RANGE <br /> SINK(SERVICE-BAR,ETC.) GAS pIPING �— <br /> EXHAUSTFAN <br /> SUB TOTAL S SUB TOTAL f <br /> PERMIT S PEqM1T S <br /> TOTALFEE f TOTAIfEE f <br /> FOR OFFICE USE ONLY: <br /> rnwrs¢re�.cn nE�nSEte�Cn siocsEieux nr.r�c��ccnnuunrn r[f_ � n¢r.Em�r+o <br /> L' <br /> IISFSONE tot�ncn v.caxts��¢ FEES VALUIITION FEE <br /> ❑rEt O rvo ou�nirM <br /> y° '�' ; O <br /> NEIGNi1141lAilOH NOO[UWLIIIHb $IjEO��W/fl . <br /> u���� 9 p nmumxc <br /> 7 '�� <br /> OLCUP�NCY MIXSIM[S O( VP�1N�l0�D B�SE4ENI 4ECIUMCM <br /> GIIOuP_3 —, � ❑Yf5 HO �� i Q�, <br /> l� <br /> BFESPN�yp�LEHilEO'0 nE�Spl �OD�IION4RAu[�IfCR <br /> / E S �'$'r(r onrzn <br /> fIRE�Wi�q^9 nF�spv <br /> J� xuic ounmxr.sun�u.nrt ��� <br /> rrveorr.ousr ninHs�rr /v,coov CITYOFEVERETT ruuir,wpnax <br /> 1/—� '�I LJCALSALES ._ _ <br /> w�t - _ TAX CO�E IS 9105 7o7AL �-S O <br />