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APPLICATI�1 FOR CONSTRUC'�N PERMIT� <br /> CITV OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STqEET•EVERETT,WA 98201 •257-8810 <br /> '�.�I DEMOLITION !1 COMBINATION � BUILDING ❑ MECNANICAL ❑ P�UMBIN6 G SI6N <br /> PROJECT ADDRESS <br /> P�OP� ta0 �. <br /> OWNEF MAILq0�RE55 LI1Y 21P PXONE <br /> ,aF+� rrawanss ,rnie �)f J9�.s ,..n...w 9�asZ ,� sr+ ussesww <br /> LENPNi MAILRD� 55 LILY 2p1V- .l� MONE <br /> �dV11 f�tP(P�. tW` �r�e�wT 9Dl�'� �A�5�3S3 0� <br /> MCMiiE iqipuSqNEN MMtnODPE55 Cirv ZiP PHOrvE <br /> ��f N�+�NIRn�!► � i.l v....a M�s...l ..,r...1.1 9�l �?S3' 633 '7'17L/ <br /> GENEPµCONiP�LTOP MML/.DOPE$$ « CIiY ZIP PH�pHE $i1TELILENSE� <br /> Nr��4yyd.r���x. iwe sw'i`� Wwmn\ 4[3*�Slf �ti4)WiS's��2. �'s'oZ.w-d- <br /> MECHPNICAICOMPALiOR MRI��OpPE55 CIiY 21V �E $iRTELICENSE� � <br /> PLVMBINGCONLflPCtOR MPIL4WRE55 CIiV 21P PXONE $TPiELICENSE♦ <br /> LONLRRCi PPICE OF WOFM <br /> ,�y NEATING SYSTEM: ❑GAS ❑ELECTNIC ❑ <br /> DESCPIBEW PM<NOSOVRPEFWiPGE:NV0.VE0 I;ONiACiPEfl$pNANOPNONENO. ' <br /> � r <br /> ��� I HEREBV CERTIFY THAT I HAVE REAp ANp E%AMINED THIS <br /> a�oeoseo use or eoimnuc APP��CATION AND KNOW TNE SAME TO BE TRUE AND COFRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> � WORK WILL BE COMPIIED WITH WNETHER SPECIFIED MEREIN OR <br /> �cuoescairnouo�>rwaeqrvisHowNae�owuanrtncN�rrvocovies� NOT THE GRANTING OF A PEPMR DOES NOT PRESUME TO GIV� <br /> �o* e�ocH o� __ AUTHORITY TO VIOLATE OR CANCEL THE �ROVISION OF ANV <br /> OTHER STATE OR LOCAL LAW 9EGULATING CONSiRUCTION OR THE <br /> PERFORMANCF OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY TME <br /> �� OWNER OF TMIS PROPERTV TO PERFOPM THE WORK EqR WMICH <br /> APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> vnace�ru io HUMaea CONTRACTOBS LAW: . ]PCW ANO 29fi 200 WAC. <br /> CONSiRUCilONL04NlENo-Fl,R�OflE55.iELEPH�NUMBEfl �. �( <br /> SIGIUiVFE � <br /> — 6115f{S <br /> CRV BIl51NE55 LICENSE NO. <br /> VWMBMG MECMANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYVE Oi EOUIPMENT FEE <br /> WATER CLOSET�TOILEi) � NC—A/HNDLG UNITS <br /> BATHTUB ' FORCEDFIRSYSTEMS <br /> LAVATORY�WASH BASM) ' HEAT PUMP <br /> SNOWER '' UNITHEATERS <br /> KITCHEN SINK 8 DISG '� CLOTHES DPYEPS <br /> DISHWASHER � RANGE HOOD <br /> LAUNDRYTRAV WATER HEATER <br /> CLOTHES WASHER WOOD STOWE <br /> URINAL METAL FIREPLACE(WOOD BURNING) <br /> ORINNING FOUNTFIN FIREPLAGE INSERT(WOOD BURNING� <br /> FLOOR DPAW GAS FIREPLACE <br /> BACNFIOW PREVENTERS GAS RANGE <br /> SINK(SERVICE—BAR.ETCJ GAS PIPING <br /> E%HPUST FAN <br /> SUBTOTAL $ SUBTOTAL S '. <br /> PERMIi $ ' PEFMIT S � <br /> TOTALFEE $ ' TOTALFEE S <br /> FOR OFFICE USE ONLV: � <br /> �RONLSELB�LR PEPPSEi04CN $IOESEtBFLN LNECNNUMBER i 11ECEIPTNO. <br /> � i S'77 ^ - � <br /> �sezoruE A^^ ,�^ w�naEn vnc>rvrsrtE fEE3 � VALUATION FEE <br /> /"l /•1 nves rvo euimmc <br /> rvEiGM'LmiTeiqN NpOFOWELLING SQEOPBLCGTi <br /> VNITS I O p�VMBIHG <br /> OCCVVPNCY 1qC[5'OFiES OLCUPRHTLOAO BPSEMEM MECNRNILRL <br /> GF%IP, ' / <br /> V pvES �NO I <br /> f CSP INY.tEFREO'0 PE>SON 40CRKKIRLVIAMCNELN <br /> /` `" �� • .1• • OTXER <br /> FIPEnURMflE00 PEPYJN <br /> �'�1 J � k J'� 5*nrF eui�are suncH�� <br /> iVVEOFCOMS� PLAN$/�PP o/`r � CITYOFEVERETT PVBLCWCf1F5 � <br /> N v ��qN��L LOCAL SAlES <br /> on*e d� - I - TA%CODE IS 3105 TOTM. �� <br />