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, <br /> . APPLICAYI� FOR CONSTRUC7�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> . 3200 CEDAR STREET•EVERETT,WA 98201 •257-8810 <br /> ❑ DEMOLRION ❑ COMBINATION �I BUILDINO ❑ MECHANICAL ❑ PLUM81'•�O ❑ S16N <br /> PHOJECTADDRESS �� Io�O �VQl� f (.J 5v'a' � <br /> aw�cn ���a�nwess �40� A Ve.1.1 � gRSQ.A�)�t.W� 4fJDS (4a5� '�-1� i��b <br /> ('ut`nl��� i5�o <br /> t[wrvr wawoaEss ��T�' 21P A� <br /> f�'1Hr-ti's u i d.,,� (r/�'v^ i„c, l��it9 SF �.�ee. P�.���7Q 9�a�c„ — <br /> NiCNrtECTOR0E61WEP WILMO�ES '�a CRY 2iP T10ME <br /> to k � .J 4lavv�t_� �AS Af�QYE� A\oRTHIlT11CYN.) <br /> OENEHALCCMIfl�GTq1 144MP1E55 CIiY Z9 ��MiE 5 iE iLENSE <br /> I��ex'kh��nsA. 11�mos �nr Sc�..,,.� As do v� <br /> YECHIJu:�tCONiMC10P M.U1�00�E55 LiiY Z PMtN1E T ELiCENSE <br /> pUIY&N3GONfMG10H M11L���E55 CIfY ZN 1'HONE SiAiEL10EN5E� <br /> CONiR"pTPp1LE0PW0R1 HEATING SVSTEM: �QGAS ❑ELECTRIC ❑ <br /> DESCRIBE WORFNN Sd1ME FOOTAGE MVOLVEO CONt�Gi FFRSPY MA P110NE 1q. <br /> Q t � �.-. 1v��11} �la� �14 (?�C� <br /> �,�„�c 13c�o e�in�e � .g� <br /> I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> ro^?LACATION AND KNOW TME SAME TO BE TRUE AND CORRECT.ALL <br /> rraroseo use ov ewmwc ppOY`SIONS OF UWS AND ORDINiUlCES GOVERNING THIS TVPE OF <br /> WORK 'NILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> 1fG20E5LPIPIIf:MCFPPOPERiY151qWMBEIOWCRATi.�CHIWOCOFIESI NOL iHii GRANTINO OF A P?9MR DOES NOT PRESUME TO GIVE <br /> w _ BiaK a. AUTMORiTY TO VIOLATE OR CANCEI THE PROVISION OF ANY <br /> OTHEP STATE OR LOCAL LAW REGUUTINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> (1WNE��OF THIS PROPERTV TO PERFORM TIE WORK FOR WHICH <br /> APP:ICATION IS MADE AND I COMPLY WITH THE STATE <br /> COMMCTORS LAW 1827 RCW AND 296.200 WAC. <br /> PUICEL T�ll I O.HUMKA���� <br /> nb'� vJ(7 gp0� <br /> GOHSIAVCTqNWu1lE1AEP.�LO1iEiS.TELEP110NEMIMOEP x <br /> srvun� o•re <br /> CITY W SINE55 LiLENSE H0. <br /> PLUM&NO MECNIINIC�L <br /> NO. TYPE OF FI%TUNE OR ITEM FEE NO. TYPE OF E�UIPNENT FEE <br /> WATER CLOSET(TOILET) NC—NMNDLG UNITS ' <br /> �TM�B FORCED AIR SYSTEMS '• <br /> UVATORY(W�SH BASIN� HEAT PUMP <br /> SHOWER UNIT MEATERS <br /> KITCHEN SINK 6 DISP CLOTHES ORVERS <br /> DISMWASHER RAN6E MOOD <br /> LAUNORY TPAV WA7ER NEATER <br /> CL07HESWASHER i WOODSTOVE <br /> UPINM. � METRLFIREPLACE(WOOD BURNINO) <br /> ORINKING FOUNTAIN FIREPLACE INSERT(WOOD BURNING) <br /> FIOOR DRAIN GAS FIREPIACE <br /> BACKFLOW PREVENTERS OAS RANGE <br /> SINK(SERVICE—BAP.ETC.) GAS PIPING � <br /> — E%MAUST FAN � <br /> —�— <br /> SUBTOTAL 5 SU3TOTAl S <br /> PEPMIT 5 PERMR S <br /> TOTALFEE 5 TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> iRONT$ETB�CN PE/.RSEiBACK SICESEiBACN �CNECRNUMOR-OI fEE AECEIPTNO. <br /> � ., <br /> usezo.1e w*�w[� v�tu+*srtc FEES VALIlA710N FEE <br /> rres ❑� emmn+c <br /> nEiGNILiNrt/.1qN �raowEuxm s¢Eoceiw�i <br /> }DU RUUBiNG <br /> �UGANCY MC�SRWSS CCCUp'NiIOM B�SENENi NECNI.NIL.LL <br /> �i j ❑YES <br /> AODrtiCNKRANdIEGIt <br /> F E NINxIEFPEOO AE�SON <br /> �K f //�.5�lC. O�HEN <br /> iWE�Ly�u1�E0D AE�SON <br /> �.,�r C1C�� f'C)� STAiE&IllpRqSWLMMGE <br /> q�iaS F <br /> tYPEOFLCHSi %A��SM �BY CITYOFEVENETT WBLCWGIRS <br /> LOCAl6ALE8 <br /> _ N ���� _ I j_0 0 TAX CODE IS 3105 70TAL <br />