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APPLICATIVN FOR CONSTRUC'� ION PE�IVIIT <br /> CITY OF EVERETT • BUILDING �IVISION � <br /> 3200 CEDAR STREET• EVERETT,WA 98201 • (425)257-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ,� BUILDING ❑ MECHANICAL ❑ PLUMBIN(3 ❑ SION <br /> PROJECT ADD,�ESS:���� ' i 4�� �_T <br /> �'�� -L�c 3�2 2 S7� �vuc� SPA'�l �e Gt/a. 98/��_ 6 3 LI� <br /> F M�II FSS cltt i�r rNON[ <br /> IEN�Nt M�111 FSS CiTY liP �nOHC <br /> ♦RLIIIT(Gf OR OES�ONE� M��I�bOt1F.55 flfY )IP PHONf <br /> OFNfML CONiMGfpi MMI�DO�E55 filv 7�P P�IU4f Sf�i[IiCENSk� <br /> .S�u�e a s�� <br /> MFfN�NIGLCbNTR�CTOR M�IL�b0�f55 GiY l�f P4(Nll' Ff�TFLiCkN$E� <br /> PIIufBINGCONIR�r,TOR M�IUOONE55 Giv 1�P PHONE ST�IFl10EN5F� <br /> CONIMCf PPoCE Of VIOn OD <br /> S HEATINO SYSTEM: ❑GAS �ELECTRIC ❑ <br /> �OE qIBF WOnN�Nb SOU�` t�OE INVOIVED �'d�A�t PITS�Ni� ���ONi N <br /> �� Lva// crcv�ss -f�i� � �.v�r ��nara� 3S3-h'�S6 <br /> '{�u o vt� ' r' <br /> 1�O O/ O '� [.V Ll!� (q I I HEREBV CERTIFV THAT I HAVE READ AND E%AMINED THIS <br /> APPLICATION Af�D KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> rnoro��use av nunon+n PROVISIONS OF LAWS AND pRDINANCES GOVERNIN6 THIS TYPE OF <br /> WORK WILL 9E COMPLIED WITH WHETHER SPECIFIE� HEREIN OF <br /> i�a� oescmrnor�orreorenttisNowNeeiowa+�n�c��rwocones NOT. TH� f.RANTING OF A PERMI7 OOES NOT PfiESUME TO GIVE <br /> im ___eiocK a AUTHORiTY 70 VIOLATE OR CANCEL 7HE PROVISION OF ANV <br /> OTHER STATE OR LOCAL LAW REOULATINQ CONSTPUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.1HAT I AM AUTHORIZED BV THE <br /> — — OWNER OF THIS PfiOPEFTV TO PERFORM THE WORK FOR WHICM <br /> APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br /> P�ncEt uM i o Mmeen CONTRA f �B 27 RCW ND 298. WAC. <br /> ��GNx,GIO�NIEN0ER60fKE55.iElEMIpIENUMPER -- xGN f1E�4 D�IE� /� <br /> G1Y flUSINESSIICFNSC NO <br /> PLUMBINO MECHANICl1l _ <br /> NO. TYPE OF fll(TURE OR ITEM FEE NO. TVPE OF ECUIPMENT FEE <br /> WATER CLOSET(TOILET) � A/C-AMNDLQ UNITS <br /> BATHTUB � �ORCED AIR SVSTEMS <br /> LAVAiOHV(WASH BASIN) � HEA?PUMP <br /> SHOWER � UNIT HEATERS ' <br /> KITCNEN SINK 6 DISP i CIOTHES DRYERS i <br /> DISHWASHEii � RANGE HOOD <br /> IAUNORV TFAV � WATER HEATER _ <br /> CLOTHES WASHER � WOGD STOVF _ <br /> URINAI METAL FIREPIACE�WOCD BUFNING) <br /> DRINKINO FOUNTAIN i FIREPIACE INSERT(WOOD BUFNiNG) i <br /> _._ .-•-- <br /> FLOOR ORAIN � GASFINEPLACE ' _ <br /> BACI(FLOW PREVENTEHS ; CAS RANGE � <br /> SINK(SERVICE-BAR,ETC.) � GAS PIPING _ <br /> �_ e%HAUST FAN ' <br /> i <br /> � - � <br /> __ . <br /> i .. <br /> SUB TOTAL f SUfl TOTAL S ' <br /> PERMIT f � PERMIT f —T- <br /> TOtALfEE f ' _ TOTALFEE S ' . <br /> FOR OFFICE USE ONLY: <br /> fRONT5FTp11CM �f�PSfIp�CN S��ESFtB�CN PI�NOIf[MNUrPfR tFf �Ff.FIPiNO <br /> �� <br /> us[Za+� io��ne� vc�ru Snr � FE 6 VAlUAT10N fEE <br /> ❑YES ❑NU —�— <br /> _ PIMIDMf. ��� _. 2/3 ,_ <br /> ��F�GNt U4itqiON VO Or UWFl11N0 SKE M BIDG�I ----- �— <br /> � <br /> IINii!1 ^ ' /y PIUMPMq <br /> /�/1 ________—_ _.__...-__- _ . _ .".__.__—_� <br /> +__"_ <br /> Of.C11P�H11 N^�I cIPOM1S OCf.11P1N�IO�D P�SFMENI Mf1:N�NlC�1 � <br /> O��O -� _1 A n ❑YES�NO ^ <br /> �.i P ___'__ ___-__—_ "'""._'____'_�-' '_ <br /> FIPE PRINNLERREO'� �f�ti(MI �DD�POH�IPI�NCuff.� --- —_��V � <br /> L�_ /� <br /> N� on�Fn - _ <br /> FmE�uFM�Eno - nr�cnv �' , �) <br /> ►�/1 �uqxunUwrsuncn�nr[ _'___ �.—./��`� <br /> irreorr.o�rs� r�nqs�n o�ypnr CRYOFEVERETT runu��.wo��.s -- ----'_I � <br /> �� LOCALSALES f <br /> �---- <br /> ��L� l�A�'1"S n.re ,IU��� TAX CODE IS 3105 TOT�L _ ___ _ � <br /> � — -�— <br />