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APPLICATI�1 FOR CONSTRUC'1�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVEREIT,WA 98201 •257-BB70 <br /> ❑ DEMOLIT�O ❑ COMBINATION ❑ BUILDINO O MECHANICAL ❑ PLUMBINO �8'�NiN <br /> PROJECT ESS � <br /> /// E �e N' M�f[L C./.f <br /> bM(N MAi�00PE55 CItY ZP . %q1( <br /> 4rs�l lqk� �43Soc. 28[a e.�s'f"�A� ,.I�� $a,IIlft 4.E 5�'(ioi <br /> TENiwI W�I�Od'�E55 CIM1' ZP pqHE <br /> �A.k PIA<G �ra�eSSio�v�[ Ob/]1 /�I Eo�.. V- ^nitc L.�I <br /> MCMtEGiORDE5R11Ep WRAOONE55 CIIY Zi <br /> 4ENEMLLONiMLTOR NMLAOO�E59 CIiY IP nqNE Ei11ELCE1bE� <br />� /S�-n.i /Yt.✓ [o P.o. �3.v S: L9 [,i ..i�.�-0 SBoYG �776-9TSY $ci.,,ei�e7K�. <br /> NE CON�MCiOP MNL�WfIF55 CRY I/ RIdE 6MiEt :� <br /> RWBRYiCOHffW:lOfl MAtADq1E55 CIiY 2P RIp11E SIAiEl10EN!:• <br /> coe*nrctrncedwaa HEATINASYSTEM: ❑GAS ❑ELECTHIC ❑ <br /> 8 4z�/. �= <br /> ceunroe wau uo sau.wc rooun¢wvavco cav..cr rtnsor+wa nwra w. <br /> fcM a �Z\ �%i3��.� �eu S7Go� PLa� � <br /> s, 5 � ;..s « cn �� �,,, vzs- 77L- 8 $3S' <br /> 5�� I NEREBY CERTIFY THRT 1 k7AVE READ AND EXAMINED THIS <br /> ri xo use o�euapw APPLICATION AND KNOW THE SAIAE TO BE TRUE ANO CORRECT.ALL <br /> PROVISIDNS OF UWS ANO ORDINANCES OOVEPNINO THIS TVPE OF <br /> WORI(WILL BE COMPLIED WITH NMETMER SPEGFIED HEREIN OR <br /> iaouoescnv.nuosmo.eanisw.meEwwon�rr.cnrnom.�cs NpT. TlIE QPANTINO OF A PERMR OOE9 NOT FNESUME TO 6NE <br /> �ar xxK ps AUTNORI7V 70 VIOLATE OR CANCEL THE FROVISION OF ANY <br /> OTMER STATE OR IOCAI UW REGUUTIN6 CCNSTRUC710N OR THE <br /> S!C Si/� ,� PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY iHE <br /> OWNER Of 7HIS PROPEflTY TO PERFORM THE WOHN FOR YMICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STAT[ <br /> PMLELtuiO MlWEN X�T�CT�R�.�W 1.''�.�//�W/1C. <br /> 00 �/�020 3 oo5'ao � � <br /> CMSiPUCT41lWNlE�mER�OM�E53.lELE%UNEMI�EP �, � <br /> 6GiM11a� pAiE <br /> -- — ezv � s6 <br /> urr eus�ss uccnsc w. <br /> PLUMBING MECNIIHICAL <br /> NO. �'!PE OF fl1fTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CIOSEi(TOILET) NC—NMNOLO UNRS <br /> BATHTUB i FORCEDAIRSYSTEMS ! <br /> UV�TORY(WASN B�SIN) HE�i PUMP <br /> SHOWER � UNRHEATERS <br /> KITCNEN SINK 8 OISP { CAOTHES�PYERS � I <br /> DISHWASHER RANGE HOOD � <br /> UUNDRY TRAV WAiEF MEQfR <br /> CLOTH[S WASHEH � WOOD STOVE <br /> URMaL I MELILFIREPUCE�WOODBUflNINW <br /> DRINKING FOUNTAIN j FIREPLACE INSERT�"/OOD BURNING) � <br /> FLOOR ORAIN i GAS FIREPLACE <br /> BACKFLOW PREVENTEHS ! G�S RANGE <br /> SINK�SERVICE—BAR.ETC.) GAS PIPINO i <br /> � E%HAUSTPMI � <br /> � <br /> � <br /> suororn� s I suerora� s � <br /> PEflMIT S � PERMIi t j <br /> TOTALFEE f TOTALFEE f <br /> FOR OFFICE USE ONLY: <br /> !lqNl$E1B/{R PEAqSEIB.Ylt SqESEIBACR RANpECKMIPlER iEE AECfFtNJ <br /> us¢:a.c �or.nc. wc.xr¢nc FEES VAWATION FEE <br /> OrEs 0 MD �� 7 <br /> N[d1liWii�ilON 1qOFOWEWI� WIEC�NQ'�IL • <br /> UmiS q�� <br /> �/.NLY �qbfM1Ri OCCWMItIOAD 6lSEYENi �G4�K • <br /> OYES O MO ' <br /> f�lESF�iw�hEN11E0O PFASON MdiUMYHAMUIECR O <br /> O1MfR <br /> iPE�lM411C0D 11FA5pN <br /> :,.rE�s�� p <br /> rrvEoscarsr. w.r�s�or�ov¢oar CITYOFEVERE7T wwcwa.�! <br /> LOCAL SALES ��D 9� <br /> w�E TAX COOE IS 7105 70T�L <br />