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APPLICATI�1 FOR CONSTRUC7�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201•25%-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ UUILDING ❑ M[CHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJEC7ADDRESS <br /> .7939 Cel6v �de . <br /> owrrtn u.a�ooncsa cm zo srqr� <br /> �Jw�ctd T[Iw�.+ (iM1eeP • 110 SR.,,.y Pe�..r Qd. •SnnR• QoaA LA . 45vn� <br /> iCN4Yi MA0.��GGIE65 CITY IV 1YqNE <br /> Ad�w d ? I f. <br /> MCNRECfOnp[SGMR Y11L�pp�E69 J' CIfY Si RIJ�If <br /> 6EHERI1CpRPI,CTq1 MA4�WIiE58 GiY ZP PIYJIE Sl�iEIICFNSE� <br /> P.� a.6 Ce s� • 1308 IaIaYR�IR q e E TAcc.wA 9S41Y 153•97.�• I88Y <br /> MWe1NqµCONiPK10R 4�L��ME58 '}Jj�LI Lli� IF IYq1@ S��1EL9CNSC� <br /> S�+i�if,yc Sy +c e 38�3 Iba" st n1 E Hal' 0 9s.t�3 bsi 77oi 5r,.—rNF5�36oT <br /> P�UnB�N�CDr�iAeRW uu�AJDRL65 pIY S�v R�prt Si�1LLKCNSE� <br /> CONiRACi IY1LE Oi WORM <br /> � ' HEATING SYSTEM: O 6AS ❑ELECTRIC ❑ <br /> DESCMRFWJII[ANp60UMEtWt�GE11NQVEp CWIKiP[PSGNNq p. <br /> fIf1C SS�a•^r G I <br /> � e d 3bo • 65�• 7 0 <br /> I HEREBY CERTIFY THAT I NAVE READ AND E%AMINED THIS <br /> APPLICATION AND KNOW TNE SAME TO BE TRUE AN�CORRECT.ALL <br /> riroros[ouSE as eun0eio pqpy�SIONS GF IAWS AND OPDINqYCES GOVEflNING THIS NPE OF <br /> WOPK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> lEGuo[wurrpNoraronEan�SnOwne[�owoaetieCxlwoWc25� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �o* eiotK W AUTHORITY TO VIOLATE OR CANCEL tHE PROVISION OF ANY <br /> O'HEfl STATE OR LOCAL LAW REGULATINO CONSTRUCTION OR TNE <br /> PEflFORMANCE OF CONS'fqUCTION.THAT I AM FUTMORRE�BY iHE <br /> OWNER OF THIS PROPERTY TO PERFORM TNE WORK FOF WMICN <br /> APPLICATION �5 MADE AND I COMPLV WITH THE STATE <br /> veacu uv io ruue[n CONTflACTORS LAW 18291 RCW AND 298200 WAC. <br /> COv6TRi1CIqNLWNIElAER.MOPE6STElE1hq14MINBER X I�'�,�� 2 ' ' �0f <br /> 6ti1UlVPE OAtE <br /> 073577 <br /> GIfY BUSMESS lCENSC M. <br /> PLUMBINC MEGH►NIC�L <br /> NO. TYPE OF FI%TIIFE 0111TEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERLLOSET�101LET) i NC—AMNDLGUNITS <br /> �ATHTUD ! FORCE�AIRSYSTEMS � <br /> IAVATORY(WqSH BASIN� MEA1 PIJMP <br /> SHOWLR UNIT NEATERS � <br /> NITCHEN SINK 8 DISP CLOTHES ORYERS i <br /> � <br /> �ISNWASHEF � qANGEH00� <br /> LAUNDRYTRAY WATERHEATER ~ <br /> CLOTMES WASHER WOOD STOVE <br /> URINAL � METALFIREPLACE(K'OODBURNINCa) j <br /> ORINKING FOUNTAIN i FIREPNCE INSERT�WOpO 6URNING) i <br /> FLOOR ORAIN � GAS FIREPLAGE <br /> BACKFLOWPREVENTERS � GASRANGE <br /> SINK(SERVICE—BAR.ETC.) GAS PIPINO j <br /> 1 E%HAUSTFAN � <br /> i j <br /> � <br /> � I <br /> $UBTOTAL S � SUBTOTA: E i <br /> PERMIT S PERMIT S � <br /> TOiALFEE E � TOTALFEE 5 ! <br /> FOR OFFICE USE ONLY: <br /> iPONtS[tOeCN PEM6EIDACK 6wESElBAGN PUN G�GG Ep / iEE a �7j RECErof1p. <br /> -(,Tl /1 <br /> lJ <br /> USEzw+e ioTu+E� V�uwf6rtE FEES V�WATION FEE <br /> OYE9 01q ���� <br /> NEiONiLIMIt�IqN IqOfpNSLLMO NiEOF&WTl <br /> I1M15 11Vu0iN] <br /> aC�Uputv xp.0i6rtAF5 OCLUv/�i10/U B/�SEu[M YECNAML�L <br /> OYFB O q <br /> fIf1E5PRINRtERREOD REASON � '����K�H�E� <br /> on�a+ �� <br /> �weu�au�oo nE�spn <br /> 61/.tE pV40m0 SUPGnu�OE <br /> TYI'EOFLOMSi OLN�SAPPM�IEOBY CITYOFEVERETT %IBlICN011K9 <br /> �� LOCALSAlES <br /> �.�E a CUI TA%COOE IS 9105 TOTnL � sZ <br />