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P.�PPLICA'�ON FOR CONSTRU#'ION PERMIT�� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERFTT,Wl.9B201 •257-U810 <br /> .-. DEfAOLITION O COMBINATION ❑ BUILDING ❑ MECHANICAL PLUMBING Ci SIGN <br /> PROJECTA��flESS � —� j �% <br /> �1� <br /> >.�i.[e I unnn�cness � / tim zm vnon[ <br /> � /� i�iL' /�l /Q-.t/ I�H�-� J$%ce 1 `�- C. <br /> iEAult qalA0oPE55 OT' I6• rr�ouc <br /> aliCni¢CiORpESMsM1EP. M.VLAJCPF55 CIiY IW PUObE <br /> �.i'ERnLCONIflaCi°� M'.il�4JfVE55 LITY IIP �,VHpN[ SiMELICENS[� <br /> �✓w///S/S!'�J��%�P! ��� I(O�/�xST SGcJ !H�.,tro,/ <br /> ..._.�um-<:�cor�Cro�AWe[ss cin nn �nor�E �uiciKu,r. <br /> r��Vr.lOiNGCGfRPACLOfl MAILADDFE55 CIiY l�i' b`�4P11piCCirf/ SiAIEIICLNSG <br /> J ��� <br /> E� /H3� i 'C L�/�:oc%n✓i�� !/r/i!'c'� ,YF <br /> �.�ii Pn�i GPiiE OF NORK <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> ..�`.'.^.R:pEYI RNAIi050UMEiL`p]RGEINVQVE /� / CONiAC}PERSON/JIpp110NEN0 <br /> � JlI1 L/ .,� l� �l/ _____ <br /> I HEREBV CERTIFV THAT I HAVE PEAD AND EXAMINED THIS <br /> APPLICATION AND NNOW THE SAME TO OE TRUE AND CORRECL ALL <br /> �acaoiED u5E oc Bminina PROVISIONS OF LAWS AN�OPOINANCES GOVERNING THIS NPE OF <br /> WORK WILL DE COMPLIED W'iiM WNETHER SPECIFIED MEREIN OR <br /> .,u%60ESCRiPiIOtICFPPOP6FryIS1�OWlIBEIOWOfl�RACNiWJCOPIE51 NOT. TNE GRANTING OF A PERMIT COES NOT PRESUME f0 GIVL <br /> .�� e�Ota or AUTHORITY TO VIOLATC Oq CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW HEGULATING CONSTPUCTION OR TME <br /> PERFORMANCE OF CONSTROCTION.THAT I Ald AUTHORIZED DY THG <br /> /- OWNER OF TMIS PROPEflTY TO PLRFOPId THE KORK FOR WHICH <br /> �O U/O p7 7 (JO 7(�O� O� APP�ICATION IS MAOE ANO 1 COMPLY WITH THE STATE <br /> �+�ee�rnn i o nu�mea LONTRACTORS LAW 1827 RCW AN�29G 200 WAC. <br /> w��jtPVCLIJNLOANLEN0Ef1,A00RE55,iElEPNOMENUYf[P T. <br /> __ SIGN�IURE Onl[ <br /> CI IY�USMESS LICENSE NO. <br /> PL111d81NG h1ECHqNICAL <br /> NU. TYPF.OF FIXTURE OF ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> 1YATER CLOSET(TOILET� p/C—h'HNOLG UNITS <br /> BATMTU� FORCED AIR SVSTEMS <br /> LAVATJRV(WASH BASIN) MEAT PUMP <br /> SHOWER UNIT HE.iTERS <br /> KITCMEN SINK 8 DI^P CLOTHES DflVERS <br /> � DISIRNASHER ___ _ RANGEHOOD <br /> LAUNDRYTRAY WATERHEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METALFIREPLACE(W00�9URNING) j <br /> _ �RINK�NG FOUNTAIN FIREPLACE IIvSERT(W000 BURNING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACKFLOW PREVENTERS GPSRANGE <br /> S W H(SERVICE—BAR.ETC J GAS PIPING <br /> E%HALIST FAN <br /> $UBTOTAL S SUBTOTAL 5 <br /> PERMIT S � PERMIT 5 <br /> TOTALFEE 5 TOTALFEE S <br /> FOR OFFICE USE OIJLY: P�I DS—OG�j <br /> �rG:.iS[i0nC6 PE�RSETBACR SI�ESET0AC6 PlANL1�ECKrvuNBEH iEE PECEIPiNO. <br /> csczr.e �oruiEe v�cu�rSirE FEES VALUATION FEE <br /> ❑YES ❑NO ��,�OiNG <br /> �.iontLnArtFLON NOOFOWEU.IHG 6�IEO�OLDGrti. � <br /> WirtS <br /> PLUNOING <br /> 'un>qCY IAG:iIOF:ES OCWP�w�LOeD R15EMEIR I <br /> aeUV MECMANiCR <br /> OYES ❑NO I <br /> �,��ESPPiNxLEAPEO� REASON AWi110NRPUNMECK � <br /> OiNEP I <br /> nI;.LARI.IP[OD PE.150N . <br /> SieLE�NlDW6 SURCIURGE I <br /> ,t:'cLFCONST hµ$APPPOYEU9Y CITVOFEVERETT PU9LICWOflNS I <br /> LOCALSALES <br /> oq�E TAX CODE IS 3105 70TAL <br /> � <br /> _._.. . � - ��-' �:-�i <br /> �___—� . . .. � .r�Rn�l � q..r+�3' . <br /> _— . �5'.� <br /> i - ,.;i1i ir4 ��i�t�� ,r .Ta �':^' ..n��xe��r�E"'" , c;Ia;ii <br />