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APPLI�=AT'IC`I FOR CONS'TRIACT��N PERMI`4' <br /> CITY OF EVERETT• DUILDING DIVISION <br /> 3200 CEDAR STREET• GVERE'f7, WA 99201 •259•8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ P,UILDING"�� L� MECHANICAL L7 PLUMBING �SIGN <br /> PROJECTADDRESS:_ `a60q �JE'A�'/LL��i✓ 6^�r*T <br /> E�. �o� �foi GuN�c 6✓&��'/t� E✓� q8�a8 290— l��y <br /> �E� ueannoness cin zm P110kE <br /> �EM-lrasoN-lN B6ot E✓�ir6/�✓r� Ed��/J.�t� �87.�8 290— /8��y <br /> IEN�NI M/JlA0DRG55 � GiY 71P PIIO� � <br /> — (��� f � �/a21����/��1.�.�'v�c-, �1�+ �j��'�) <br /> �n�Inl'�¢"��.�.9--�• �JZ.?�'— <br /> nnaur[cTot«i n[n ��i� or+Es`s� citt nr r�wr+= <br /> n/�lie,�lAL 5�6� [o/� /l�Sv�ES'/�� N� SE�7�-E 981�9 2�o Do o5G �� <br /> GENEMICONTPALiOfi MAILADDRE55 GfY PIP PIIOhF. Sf4TClICENSE+ <br /> >AECHANICALGONTHACTOR MAI�ADDRE55 C.IiV ZIP PhONE SiAtEUCFaSE� � <br /> v <br /> PWM01 GCONIRACfOR� M�ILAD^.RESS CIN Z�P PIIONG ��_- . �'--'-`•t' <br /> E00 — — <br /> cor+r ACTPRICEOF WORN HEATING SYSTEM: C�GAS C ELECTRIC O <br /> UESCRiOEWOnNA�+O50UAnEfOOTAGEINVOWED CONI�CTPCPSON�E� � / <br /> S 4 ?.�� /GLuwt. V�4�t-1 Sl6�/� �d��^, <br /> �To r�E��cE Ex�Sr,�G �� �✓�LL Si6�S Z Z— 0700 <br /> �y � [ /J ' / I HEREDY CERTIFY TNAT I HAVE READ AND E%AMINED TH�S <br /> /vuf hEF�CE L��,j1GIt� yD�i SI� ppp�ICATION AND KNOW THE SAME TO BE TRUE A�1D CORRECT ALL <br /> Pl101'OSED USE OF BUILDING PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILI BE COMPLIED WITH 5'JHETHER SPECIFIED HEREIN OR <br /> IEGAlDE5G0�PT10HOFPROPERtt(5110WN7ElOWORRiACHTNVCOPIES) NOT. THE GRANTING OF A PERMiT DOES NOT PRESUME TO GIVE <br /> �or n�acK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNEFi OF THIS PROP RTY TO PERFORM THE WORK FOR WHICH <br /> PPPLICATIO IS DE AND 1 COMPLY WITH THE STATE <br /> CONTRA LAY 8. RCLV AND 296.200 WAC. <br /> PMCEL iNf I.D.NIIMOEP <br /> �1.� � / / <br /> LONSiRUCTIONLOMILEVOEn, SS.TELEPNONENUMBER x 'Z�� <br /> SIGNAfURE O�TE <br /> CITV OUSINES$UCENSE NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT �E� ,r__ <br /> WATER CLOSET(TOILET) ' A/C—A/HNOLG UNITS ' <br /> BATHTUB ' FOpCED AIR SYSTEMS � <br /> LAVATORY(WASH BASIN) � HEAT PUMP � <br /> SHOWER ' UNIT HEATERS ' <br /> KITCHEN SINK 8 DISP ' � CLOTHES DRVERS � <br /> DISHWASHER RANGE HOOD ' <br /> LAUNDRYTRAY ; WATER HEATER � <br /> --i— <br /> CLOTHES WASHER � VJOODSTOVE ' <br /> URINAL ' MEfAL FIREPIACE(WOOD BURNING) � <br /> DRINKING FOUNTAIN � FIREPLACE INSERT(WOOD BURNING) � _ <br /> FLOOF DRAIN � GAS FIREPLACE ' <br /> BACKFLOW PREVENTERS ; GASRANGE � <br /> SINK(SERVICE—BP9,ETC.) � GASPIPING ' <br /> EXHAUST FM <br /> � <br /> � <br /> � <br /> i <br /> � <br /> � � <br /> � --r— <br /> i � <br /> SUBTOTAL S SUBTOTAL S ; <br /> PERMIT S � PERMIT S � <br /> TOTALFEE S ' ' TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> if10NT5ET0ACK PE�OSE7BACN SIDESEiB�CK PlN�L11ELNNU40fn, fFF �/� PFf.EIPTNO <br /> ' u A o �� L' �/% �i <br /> 'l.5 � <br /> usezorvs ��EA veeu+rsrte FEES VALUATION FEE <br /> /+ y � <br /> `J� 1 6O �f�. OYES �� OWIDIHG I I � �' i GU <br /> HEIGIIT I�IMITATION / NO OF DWEIUNG SIZE OF tlIDG�T' i <br /> n_ � � � li$ .r.h PlUA�01NG – I <br /> L(9 �•�• • <br /> OCCVP.WCY NOO�StMES OCCVPANIIO�D BASEMENT MfA��N�CAL � <br /> GRWP <br /> ❑vE5 ❑MO <br /> �OOI110NAL PL�N C��f.CN ! <br /> FIFiESPRINKLEflREO'D REASON �– <br /> OlnEll � <br /> RfiEAURMREO'0 AE�SON "� <br /> STATEOUIl01NJ511f1C1UfIfE � S � � <br /> _' �— <br /> �rrEorr.aisr �anr�s vnov¢oor CITYOFEVERETT ruonr.wones � <br /> (Y1. LOCALSALES ----- J— <br /> o�re ,�1 TAX CODE IS�105 TOTAL �'��-r� ' ___ <br />