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APPLICATILN FOR CONSTRUCI .ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION �C� <br /> I 3200 CEDAR STREET•EVERETT, WA 88201 •259-8810 <br /> � ❑ DEMOLITION ❑ COM8INATION BUILDING ❑ MECHANICAL �pLUMBING ❑ SIGN <br /> � PROJF��T ADDRESS: d'�7 C��,�,� _ <br /> � �n�r�r;ses P.O .s�67 E�at�T(' wq• `�$� 7 � <br /> OMIER MMtl1W-f�1Eps5 /'1 �aIrv'� rm rIqNE <br /> ��5L1_�I�✓I 1A� COI �YLIC/"( � �/i._7�}�'� � <br /> 1[NMIt MMl�1pUM1(55 CIIY l�n ^—� <br /> r�ark <br /> A1ILMTCGT OR OES�ONEII M�II MO��E55 L1IY /ll' �—� MphE <br /> OENERµf,pHlql�fptl MulMtlfl[55 CIIY lll• --' n�pqE ilel[l10ENSE/ <br /> MECMIJMC0.CONTR�CTq1 MMl�pp11E55 CIIV TIP P11pJE STMEUCENSE� <br /> _ ���L� v�uM�,�u ry��-� i�z� s��� �. s�,�,��_ � �. sca,�6y d,E�rc��n�31J� <br /> RUMl�MGCONTN�IOf1 YMl11WRE55 Qf� Z�p �IqN[ S7111ELICEN$(� <br /> CONTMGT P111G4.Oi 110RR —. <br /> NEATING SYSTEM: �GAS ❑ELECTRIC O <br /> o¢ee+ae¢wome�no sou�r�roorwe x�vaveo cm�u<:�r[nso��um m�or�No <br /> L7 i i � i e <br /> I 1{EHEOY CERTIFY TNAT I HAVE READ AND E%AMINED TNIS <br /> nqvosea vse oa eun.o,no — APPLICAiION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS Of LAWS AND ORDINANCES(30VERNING TIIIS TVPE OF <br /> 1E0/40E5CqIPT10NOfP{ql'Etitt(51qWNlE�pWpq�f1/�CNTWp�pPIES� �'�'ORK WILL BE COMPUED WITH WHETHEH SPECIFlED HEREIN OH <br /> NOT. 7HE ORANTIMp OF A PEqM1T OpES NOT PRESUME TO QiyE <br /> iot eiocx or AUTIIORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> O?HER SiATE OR LOCAL lAW RE6ULA11N(3 CpNSTRUCTION Oq iF7E <br /> PERFORMANCE OF CONSiqUCT10N.THAT I AM AUTNpqIZED BY TNE <br /> OWNER OF TNIS PROPERTY TO PERFORM TNE WORK FOR WNICH <br /> APPLICATION IS MI1DE AND I COMPLV WITH THE STATE <br /> ��*�!o.�p CONTRACTO lAW1B3 RC�N AND246200WAC. <br /> �,., / <br /> GI''� r��=�siN y / <br /> eansmucnav�aw�eeoca.�oouess.teiEr+ar�r�n�eEn R � �� rC//�� <br /> _ SMN11IUf1F. O�TE <br /> CItY RUSIHF.55 LICFNSE 1q <br /> ��� MECIIANICAL <br /> N0. T1'PE Of flIfTVNE OR ITEM FEE NO. TYpE OF EOtMrMEpi FEE <br /> WATFq CLOSET(TOILET) � /VC—M1NDLp UNITS �— <br /> BATNTUB ' FOfiCED.01R SVSTEMS �— <br /> _ UVAtORY(WASH 9ASIN) � I1EAT PUMP , <br /> S��R ' UNIiNEATE�S � <br /> K�TCNEN SINK 6 DISP ' CLOTNES DRYERS <br /> DI5HWASNER � RANGE HOOD , <br /> LAUN�HV TFAV ; WATER H[ATER � <br /> CL07NES WASHER � WOODSIOVE �— <br /> UAINAL � MfTAL FIREPLACE(WOOD BURNING) � <br /> DRINK�N6 FOUNTAIN i FIREPLACf INSERT(WOpD BURNING) ; <br /> FLOORDRNM � GASfIRfP1ACE � <br /> BACKFLOW PqEVENTERS � GASRANGE � <br /> i <br /> SINK(SERVICE—BAii,ETC.) � GAS PIPING , <br /> EXIIAUST FAN <br /> � <br /> ' � <br /> � — <br /> � � <br /> � � <br /> SUBTOTAL f ' SUBTOIAL f ; <br /> PERMIT f � PEfiMIT f � <br /> _ TOTAL FEE f � TOTAL FEE S <br /> FOR OFFICE :ISE ONLY: <br /> �110N7"�'ETp�K PE��SETBACK S�OESFTB�C�c 1`I�NGII[CRMNPff1 (EF RFf.El1'TNO <br /> u5E tor� ioi ea¢n V11C�Nf SRC FEES VALU�TION FEE <br /> Ores ❑ no owinwr. �— <br /> �iaHr u�nuTroa r�o a ow¢iurw size or eiuerti ' <br /> VNIIC — <br /> � <br /> PIUMIIINO <br /> OCCUP�N�Y p[I�51(MMS OCCVPANI 10�0 BASEMf:NI —� <br /> 4�� Mi CIIeNIC�I � <br /> ❑YES ❑MJ — � ._ <br /> flOESPRINKIERqEO'D RfASON nomunHniriewcnrce � <br /> __ _�_ <br /> pIHfP � <br /> � <br /> iIFEAIARMREO'D q[�5� i <br /> S1M F Illtll[llq6 5�1f1[IlntlfiE � <br /> 1 <br /> ir�orr.ougr P��NS�PPupyFOBY CITYOFEVERETT runnr.wtmnc ' <br /> LOCAL SALES -- —�_ <br /> L�fE TAX CODE IS 3105 TOT�L ; <br />