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APPLICATI� FOR CONSTRUC'i�N PERMIT� <br /> CITY OF EVER�TT•BUILDINCa DIVISION <br /> 3200 CE�AR STREET•EVERETT,WA 98?01 •257�8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECNANICAL ❑ PLUMBING D SIGN <br /> PROJECTADDRESS // _?/, l{/� I�1XU �� ��' <br /> JV .L1� /1� <br /> on*+En u.ri�oor�r.ss a zn rrron[ <br /> �',�=6�C�= L/-�G /�"'3'o-f�iPr�rfr�+�,--�i R.,te/ .593/e ln��S�a/�'/a9 <br /> iCNWi MnCApIME55 LIIY $�P RIqR <br /> l���tii=v�t ,Y,/i�si� �-1�i�1�-�� .�.;1.;�� �.i���,:�; ssg f_i,s,<_/�- 1/2s�.1s;•��i <br /> �ncrnr�y*w+ocsnv�n ' uu.aeoncss cm :� M�pm ' <br /> ��-/9cG7 <br /> fCl RµCONtPAC1pR Y�LL�Cp{1E55 CILY trt' N191F SU.IELICCNSE• <br /> 4CCH�N�Cµt0YiP6',iOP AI�M1��pP65 piY Zil' h10NC S1�iELILCNiC• <br /> fWA�O�NGCGi1R�Ciq1 NIM1�ppPC55 CiIV bf RCNF S1AiEl6@6E• <br /> cornnacr vncc a xcwR <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC C <br /> p[5�n.pE wq+N I�NC SpUME foJtAGE�M'a�T� caN�ecr P[�6oY�Ho w�oN[N] <br /> 1 MEREBY CERTIFY THAi I HAVE REAO AND E%Ah71NE0 iN15 <br /> APPLICATION ANU KNOW TNE SAME TO BE TRUE ANO CORRECT.ALL <br /> rmmos[�nac or fwiona PROVISIOqS OF LAWS ANC ORDINANCES GOVERNING THIS TYPE OF <br /> WORN WILL�E COMPLIEO WITH WHFTHER SPEGFIED NClE1N OR <br /> tm.�occan:iouorauottan�sqxvBEioww�eti.cmxrocae:[s� NOL THE GRANTING OF A PERMIT DOES NOT oRESUME TO GIVE <br /> �or o�aa or AUTMORITY TO VIOLATE OR CANCEL THE PFOVISION OF ANY <br /> OTNER STATE OR LOCAL LFW REGUTATING CONSTRUCTION OR TME <br /> PERFORMANCE OF CONSTflUCTION.THAT 1 AM AUTHORIZED BY TH[ <br /> OWNER OF THIS PROPERTY TO PERPo�M TME WORK FOR WHICH <br /> APPLICATION IS MAOE AND I COMPLY WITR TNE STATE <br /> rvncu u.i n rmuoca CONTRAGTOFS LAW 1827 RCW AND 296 200 WFC. <br /> .�"473 •7�P-Dl,�-M <br /> CC�.SI�IUCiIONLO�NI[NDLN..Nqlfi$ILLC11q�IE1NY8CH _ �^��(��.� I <br /> nvnun ous <br /> CIIY BOSiNl55liClNSE NJ <br /> PWMBING MECN�NIC�L <br /> NO. TVPE OF FI%TI1HE ON ITEM FEE NG. TYPE OF EUUIPMENT FEE <br /> Y/ATER CLOSET(TOILE7) AC—A1INDLCi UNITS <br /> �ATHTUB FORCEO AIR uYSTEMS <br /> _ _�_ <br /> IAVATORV�1YAiN BASINI HEAT PIIMP � <br /> SH0IYEF UNIT HEATERS i <br /> KITCHEN SINK 8 DISP CIOTHES DRVERS i <br /> i <br /> �ISHWASHER RANGE HOOD <br /> LAU4DRY TRAY WATER HCATER <br /> CLOTHES IVASMER WO00 STOVE { <br /> URINAI METAL FIREPLALE(WOOD BUR4ING) <br /> DRINKING fOU�lTf.IN FI�EPLACE INSERT(WOOD BURNItIG� <br /> FLOO��RAIN GAS FIREPLALE � <br /> OACNFLOW PREVGNTERS GAS RANGE <br /> SINK�SERVI�E—6AR.ETC) ! GFS PIPINti <br /> EXHAUSTFAN <br /> i <br /> SUPIDTAL 5 SU�fOTAL 5 <br /> PERMIT 5 PERId1T S <br /> TOTALFEE 5 iOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> lCOM SRp�C< PU115C1pLC✓, S��F SE1BI{K IqAN Cn NVAIBCR (CE P[CF��i W <br /> ��cn-a�o <br /> usia�c wrenu v¢urt5rtc FEES YALUATION FEE <br /> ❑vE5 ❑M1O pwlD�Wl <br /> HfC'�iliM�InfCN WOiDWCLPtNi SREOF& TI .I — <br /> UMf$ Cj� RULItlING <br /> C:CIII`.vICY Iqff'f�:.(5 CLCIII'Wt�O/.p B�SEMENI J YECN�NiL4 <br /> /1� 2 Q ❑YES V+�C� I <br /> fIRE WIV�M(111iE0U PE�SON �W��UH4PLANCIIELR <br /> V b a����p <br /> fntEAUlIYpC00 PE�SON <br /> /�V S1AiE BWl01Mi SIl�CN41GE <br /> imcorcaa. r-i.r�smrao� �r CITYOFEVERETT rve�r.�va+ns � <br /> � � /'� LOCALSALES <br /> V� �,�i _y 4•O� TAX CODE IS 0105 7o7AL <br />