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APPLICATI�1 FOR CONSTRUC�►N PERMIT/� <br /> CITY OF EVERETT•BUILDING DIVISION {�i�.w <br /> 3200 CEDAF STREET•EVERETT,WA 98201 •257-8810 ���s•• <br /> ❑ DEMOLRION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL � PLUMBING ❑ SIGN <br /> PROJECTADD��'O RI��RB(,{/A-C{ �j,1�l�7.2� �W�/�L <br /> , u�R�00aE55 GtV l�a �dK <br /> rf�µc.� .?(�!O u�sfvrwte �U�LP.t�- 5�25-33f-3G,3d� <br /> /!i�EIU�/M,} ff��� (��,/�M'M�M1��1�/pR�Cy55 f��CI1Y,�.y yA- 211' ,l 4hqrM ��/� <br /> W��'l�Il4T�l//� G` LZ � l.�V V(JM T Z.J—2Y/�� <br /> M'miECi0nG5'HCP uuVbDPES� UtV Im P�roNE <br /> TAy(oR- �'e�t�ii Cv$`f.54`fNK $ �-Z7�� S�S-'>:3-/53'D <br /> GCN[MLCON1q1�i Y�RAppPC55 � LrtV $ro pqN( •MLCLIC[NSE� <br /> RI'l1RN =iV t'. �.BoxCn� �Y1RR(l�ria(¢L�• 9�270 360'{o�9`b533 <br /> uccH�v�ciucorrtn�cron u�,i�ooncss crtrr zw riroxi s*�*t�cvrsc. <br /> ttuuon.cca�.n�croa M.rt�oonEss crtr iio anarz Si�i¢�c[xsE• <br /> �,�,�nrsoMn � r,r z . o ,� <br /> o ucirnKcawo�j <br /> � HEATING SYSTEM: ❑GAS ❑ELECTRiC ❑ <br /> ocs ie[won.�r.osou�neopucEmvo�vco ox*c n5ox. r xo <br /> � �rrl� u9�2n/SnN <br /> � 2s-3 - y <br /> I HEREBY CERT.i V TIIAT I HRVE READ AND EXRMINED TNIS <br /> nuorosc eoKOHc APPUCATIOH At10 KNOIY THE SAME TO BE TRUE AND CORRECT.ALL <br /> ���.'/�� � PROVISIONS OF lAWS AN�ORUINr1NLE5 GOVERNING THIS TYPE OF <br /> �� WOPK WILL OE COh1PLIE0 WITH WMETNER SPECIFIED HEREIN OR <br /> imuoEr<Psrior�orraarcnrvrs� e[�owon�n.CMrv+ocoartsl NOT. T11E GRANTING OF A PERMIT DOES NOT fRESUME TO GNE <br /> ior__eiocx w AUiMORITY TO VIOLATE OR CANCEL THE PROVISION JF ANV <br /> OTHER STRTE OR LOCAL IAW REGUUTING CONSTRULTION OR THE <br /> PERFORMANGE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNEP OF THIS PROPERTY TO PERFOFM iNE WORK FOfl WHICH <br /> FPPLICATION IS MADE AND I COMPLY WITH TME STATE <br /> reM[�uM m rmueEe CONTRACTORS LAW IB 27 W AND 296200 WAC. <br /> CONSLPUCIKNILONIIfHp[R.I.pC�IL55.lflC>�q11ENUY9fP x(,.�`1� f���,/ ^��O/ <br /> SKaN/.1 RC k o.*E ' <br /> LiivBUSixE55lRCNiEiq <br /> PLUMBINO MECHIINICAL <br /> NO. 7YPE OF FIXTURE Ofl ITEM FEE NO. TYPE OF EOUI!'P.ENT FEE <br /> WATER CLOSET(TOILET) A�C—A11NDlG UNITS <br /> DATNTUB FORCEDAIR SYSTEMS <br /> UVRTORV(WASH BASIN) NEAT PGh1P <br /> SMOWER UN�T NEATERS <br /> KITCHEN SINK 8 DISP i � CLOTNES DRYERS <br /> DISNWASHER RANGE NO00 <br /> V.IINORY TRAY WATEP MEATEP <br /> CLOTHES WASMI:R \5'OOD STOVE <br /> URINAL 1.![TAL FIFEPLACE(WOOD eUPNING) <br /> DRINKING FOUNTAIN qf EPLACE INSERT QVOOD BURNING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACKFLOW PREVENTERS GAS RANGE <br /> 7 SINK�SERVICE—BAR.ETCJ GAS PIPING <br /> E%HAUSTFAN <br /> i <br /> i <br /> i <br /> SUDTOTAL S I SUBTOTAL S <br /> PERMIT 5 PEaM1T 5 �_ <br /> TOTALFEE 5 ! TOTr1LFEE 5 <br /> FOR OfFICE USE ONIY: <br /> rt+ONiS[f04K PE�RSEiB�Ga Si0E5E1BACK i�.A NELKNUUBER ffE RECEWixO <br /> d� - ooL <br /> usciorh ioti.uc� v�curtsirt FEES VALU�TION FEE <br /> ❑ns n rw o�no��M <br /> Mcnnruui.�.an uoorwrcuw s¢Eae:oc+i <br /> urnts <br /> P1U401N6 <br /> CLN1'�NCY WCi$t.�lifS CCCUPµiIOI�p O�YMEIIi MCLNAN4:K <br /> GFWP <br /> ❑YES f]1q <br /> lWESMIIN:LEPIICOD PUSOH ��1�uPlNICn_CN <br /> O111CP <br /> fP[IV,PYP[OD HEASQ`1 <br /> SI�iE BUM1O�N]SV[CIIMOE <br /> *+vEorca+s* wxs�va�rorcoe. CITYOFEVEREI'f weicvp+ns <br /> LOCALSALES <br />� o+rc TAX CODE IS 3105 7o711L <br />