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� <br /> APPLICATI�N FOR CONSTRUCTION PERMIT <br /> CITY OF EVERETT•OUILDING DIVISION � <br /> 9200 CEDAF STREET•EVEREIT,Wq 98201 •25¢8810 <br /> I�I DEMOLITION f I COMBINATION I I BUILDING MECHANICAL 1l PLUMBING I1 SIGN <br /> PflOJECT ADORESS <br /> avm[n uu��uon[as �� <br /> Yolutltrs oF l��e �ca aYoa &at �? e�P�n.l�F q4,an! ya a�i�i 31AI <br /> 1M11f1f.55 C11Y tm qq� <br /> v.�a��:���:p:M��A��L M��.�'D �Y' c — �i/e�'Fff ��'01 �,.».. —• <br /> J <br /> GENfMILONIMC�d1 YULMO11kS5 G�Y tN M1qMC SIAiEIK[MS[� <br /> 4ECJ�unGLCW.TqAC1p1� 1AMIppqE55 tliY !iP pIqHE SiATELCENSEi <br /> �n�fc6' Su�ms'Lnr loll s vl.Klicl��t�t Llt1 �lih IW �('.:�}�� Q9�I3'(� 7plr 4Ji�1y54 UNI'fEST1�U(��j <br /> � • •�•�++ ✓ art 21P qqxE SIAtEUCEXSE• <br /> 1:11N11W:IlYIX:I.d�M�M11{ /� cM oo _ <br /> '� 5lV JUJ� HEATINGSYSTEM: GAS f1ELECTRIC fl <br /> ascnmc.wonxu�owunnerowiw¢erva o ���������� <br /> rns�ali k�.�r ��c,a rwFY C unJi�.s r nr i I i�hsa ck � 65�F 33Vo <br /> U , I� SIX qIt ']{� TR1S w(AU��(uW'S � HEFEBY CERTIFY THAT I NAVE READ ANU EXAMINED THIS <br /> rnwnsrous¢pr mni rm APPULATION AND KNOW 7HE SAME TO BE TRUE�ND CORHECi ALL <br /> PPOVISIONS OF UWS AND OPDINANCES GOVERNING THIS TYPE OF <br /> IEGALDESLNPilON0i1'pOPEqLY�yqWryBFLOWIX1�OAqI1YqGOqES� WORK WILL BE COMPLIED WIM WHETHER SPEdFIED HEHEIN OR <br /> NOT.THE �RAN7ING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �m moc� or AUTHORITY TO VIOLATE OR fANCEI THE PROVISION OF ANY I <br /> OT{1ER STATE OR LOCAL UW REGUUTING CONSTRUCTION OH THE <br /> _ PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> � OWNEFl OF THIS PROPERTY TO PERFORM TNE WORK FOH WHICH <br /> APPLICATION IS MADE ANO t COMPIV WITH THE STATE <br /> PnnCEtiAYlO.NUUBEN CANTRACTORSLA 827 CWAND296200WAC. <br /> CONSf11UCTONLQWICNOGR�OM�E5SIELEAqNE1NNp(q % �� ��� 9�a����f <br /> ���� D�IE <br /> � qtt BUSINESS lKENSL Iq. I U <br /> PLUMBING MECH�NICl1l <br /> NO. TYPEOFFl%TI1qEOqITEM FEE NO. TYPEOFEOUIPMENT FEE <br /> WATER CLOSLT(TOILET) h'C—IyMNOLG UNITS—H.P. <br /> BATHTUB FORCEDAIRSYSTEMS—B.T.U. M E.A. <br /> _ IAVATORV(WASH OASIN) HEAT Pl1MP <br /> SNOW Lf1 UNIT H[AT[fiS— <br /> O.T.U. M • .']�i <br /> KITCMEN SINK 8 DISP CLOTHES ORYERS <br /> DISHWASHER VENTIL�TION FAN <br /> IAUNORYTRAY RANGCMOOD <br /> CIOTHES WASHEP WATER HEATER <br /> URINA� WOOD STOVE <br /> ORINKING FOUNTAIN METAL FIREPL�CG(WO00 OURNING) <br /> FIOOR DRAIN FIREPLACE INSERT(WO00 DUANING) <br /> OACKfIOW Pf1EVHNTERS G�S FIREPL�CE <br /> SINK(SEflVICE—OAR,ETC.) GAS RANGE —r <br /> GAS PIPING <br /> [%HAl15T FAN <br /> SUOTOTAL S SUOTOTAI f <br /> PflqMIT = PERMIT S <br /> TOTALFEE S TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> rnoMrRErnnCn nEAnSEtwCK 5�oE5Ero�t1t rt��l��t�fH� rEF pEctiriup <br /> J /�l <br /> usezave ia�en[n vnc.wf9tF FEES VpLUATION FEE <br /> IIYES fllq 0��� <br /> 11[1611TlIMItAfiO11 NO.OFpW[WNO 9ZEOFOIP'J11 <br /> UxifF <br /> nuwmn <br /> OCLU1'/�Ml IqMSIIYY(i O(:Clll`AMILWU OA[k4ENf � <br /> CnWo N[G�/�ME/1 <br /> IIY[S 111q <br /> fIf1EAlMM11E0D 11f:/iFp1 �Odf10NNRNICII[CI( <br /> nnescnm�i[nncon n¢nxp� <br /> mrrtn <br /> $1A1E0U.lOH(1y111pINq( � ' <br /> trr[wrnNst rv,.,r��s�t�rrnovmor GTYOFEVERETT n�nicvunnx <br /> (�' LOCALSALES <br /> � oert O/ TAX CODE IS J105 70TAL <br />