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APPLICATI� FOR CONSTRUC�ON PERMIT <br /> CITY OF EVERETT•BUILDIIJG DIVISIC�I � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDIN6 �MECHANICl1l ❑ PLUMBINfi O SIGN <br /> PROJECT ADORESS:=�F .a+.� .+ Eaev��flI(L <br /> OWNEn uui E55 �� �� brv r v�qu[ <br /> fQo.sp,. �� S�3 ! 9�00�' �s- �{S�J•!c(�i/ <br /> lEx � n u�—� crtr l�e �uOVF <br /> iJ�-�. !('IsZ= <br /> •RCMTfCtOA1JfLG11Ef� 4�11�(�IJAE55 CIIY l�� 1'rICV.( <br /> GENEMt CON���C�O� Nu1��lMFS$ C1IY li� f'iN)4[ <I��(11�(NSi� <br /> MfC11I.NIC�ILONIR�LIUA 4��l�fAUE$•. C��'I I�f' Pi�OM1( GI�ILIICENSf• <br /> ��r.� r=� swtM..� Po 3�um G,..�.F.u� q�zsZ �4zSj36�-0iZy RItR115f10240i_ <br /> FIUMBMGCON1R�f,tO��—� 4��1�t%Mf$$ Clif $IP I`IqNF $�IFIKFNSf1 <br /> covrp�J PP�LE O�WO�X HEATING SVSTEM: ❑GAS ❑ELECTRIC ❑ <br /> �� <br /> UFSCweFWJf1K/.r�05W�a[�OOr.WE otv[o cOX�!Ctarnln�rrt�r�xFvrMo <br /> F�/s��y�y �:OF� ,.,1,l—...�t t�P..�.� m � �0 Zy <br /> �c0' ,./1- �`� .a-� <br /> I HEREBY CERiIFY TH4T I HAVE READ AND EXAMINED THIS <br /> APPLICATION RNO NNOW T11E SAME TO BE TAUE AND CORRECT ALL <br /> w+o�as1vu�5c or qunnwr PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE OF <br /> ��/.�y"}" WORN WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> t[c��oescnienorvarraortnttisiwwxeuowoneiv.cN'wocon[5� pp7, TNE GRRNTING OF A PERMIT DOES NOT pqESVME TO GIyE <br /> io� eiau or RUTNOFITY TO VIOIATE OH CANCEL THE PROVIS�ON OF ANV <br /> — OTHER STATf OR LOCAL LAN REGULATINQ CONSTRUCTION ORiHE <br /> PERFORMANLE OF CONSTRUCTION TM4T I AM AUTHORIZED BY TNE <br /> OWNER OF TRIS PROPEHfY TO PCfIFORM TME WORK FOR WMICM <br /> APPLICATION IS MAOE RND I COMPLY WITH TNE STATE <br /> P.�FCEl1A�l0 NVUPLP CONTRACTORS LAW t02�RCW AN�296200 WAC. <br /> GOMSiR11CilONtO�xIfMlfn.LqN�[SS.�R[1'NpIEMV4PFn �. Q•u1��Ati �(iy �/1'8r�9 <br /> �•cn�m� u+rt <br /> CItY pULMC55lICENS(NO <br /> PLUY8ING Nl:H11NIC�L <br /> NO. TVPE OF Fl%TVNE OR REM FEE N0. TYPE OF EGUIPMENT FEE <br /> WATER CLOSET(TOILET) NC—M7NDLG UNffS <br /> BATHTUB FORCED AIR SVSTEMS <br /> LAVATORY(WASM BASIN) HEAT PUMP � <br /> SHOWER UNIT HEATERS <br /> NITCNEN SINN 6 DISP CLOTNES ORVERS <br /> DISHWqSHER RANGE H00� <br /> LAUNURY TR�V WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINqL METAL FIREPIACE hY00D BURNINGI <br /> GRINKING FOUMAM FIFEPLACE INSERT(WOOD BURNING� <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACkFLOW PREVENTERS GAS RANGE <br /> SINK(SERVICE—BAF.ETC.) 6AS PiPING <br /> E%HAUSTFAN y_ <br /> SUB TO�AL f SUB TOTPL S <br /> PERM'f f PEaMIT S <br /> TOT�IFEE S TOTA�FEE f <br /> FOR OFFICE USE ONLY: <br /> rnoHrutnu� nr.nsr�n�cR vocstta•a nu.n�cc+r:u�Arn rcp nrc�mrrw <br /> p — ��ol- <br /> uscrovv ioiu�r• v�uv�sn[ FEES VALUATION FEE <br /> --T— <br /> ❑YE$ ❑M�1 pIMI�INf. <br /> HFIG�111141�A110Y MO Cf 11W[IIIN.�i 51$f M BlCG�11 � <br /> IINi�i ry11VfliVC <br /> ____.__ _._ __} <br /> OC111�14C� '4�f'��1i+91f IX:[I�N.NIlU�O B�'i4[NI 4f1'lln.4�f�1 <br /> CI1pVP �._ <br /> orEs ❑rn --- —-- --- <br /> nu�sP�un.�exaco�o— ��r•nrn �odurniun.voaa _ <br /> o���E2 _ _ <br /> nnuu�+anm�o — nv+snv —. <br /> L1�11 PII�IUwl:cl�nCrl��<:f <br /> nrrnrcova ruqs�rrnovfnov CRYOFEVERETT rnxurwro�. <br /> LOCALSALES - — --�— —�— <br /> �.�E TA%CODEISJ105 TOTl1l <br />