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_ , APPLICATIO�FOR CONSTRUCTI�1 PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98207•257-8810 <br /> [L�'UEMOLITION fJ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS <br /> / 7aG �3 �+ ��-� <br /> OwrlEu u�4�UP�E59 GiY ZP RqHE <br /> CA2oL L.Lo�n l7o� l3ra��fwa.� C—'ua..e-ff- �7b'ao/ tsd�--3/7-9oz3 <br /> .cH..,. uu.carc:: on. :v rr�a� <br /> / <br /> ,��'�G, 7;r�i��✓r_,r, �55T�evr�,Uf,> �iir��E P/�1cw�7�iJ.a 95'c�� '!�15-T7/�-�Zs'3 <br /> � cNliE�O{ypESGNER YAti1.pqR55 , GTv � IP PIIp1E <br /> \N� <br /> F` C♦')� :Q[!NC/ <br /> GE�4PKCONTMLiOP M�L/i00RE55 ; �T' 20 RpNE 61�RlKENSE� <br /> 4ECN�NIC4COMiR4iOR N�tMOPE55 CIiY ZP RqllE 6teiElKENSE� <br /> vIUMB�N6CONiMCTOR MA�I/�OOPE55 CIIY IP RqNE 61/.TEIILCNSE� <br /> p1 ���011K <br /> �E _ E r ;r,c�= '� FFlCE HEATINGSYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> ES EWOH 6W�usiO0l�cFnN0.vED CONi nSpxNNR�qrtlq <br /> � a � E�v�tvS � ' S%. r T�,G <br /> IC� , a� S� 7i'/-�1_�y, <br /> .( ML1 Gt ✓tt I/� N C (�$P, I HEREBY CERTIFY THAT 1 HAVE READ AND E%AMINED TNIS <br /> APPLICATION AND KNOW TNE SAME TO DE TIIUE AND COPRECT.ALL <br /> rnovosEo ss oa Buwmo 1� � PROVISIONS OF LAWS AND ORDINRNGES GOVERNIYG TNIS TVPE OF <br /> [CI1 C f��Q ��»TUC"F�� rI AOA yyOPK WILL BE COMPLIED WITN WHETHER SPECIFIED HEREIN OR <br /> iwucescamrpnar�o[n*rlsw�»�B[tavonnrucnrkOwc�s� NOi 7HE GPANTING OF A PERMIT DOES NOT PRESUME ID GIVE <br /> ipi e� .� g�p�K 35 i pr ( {/P.PM D�V AUTNORITY TO VIOIATE OR CANCEL THE PROVISION OF ANY <br /> OTMER STATE OR LOCAL LAW REGULATING CONSTflUCTION OR T11E <br /> PERFOFMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED�Y THE <br /> f OWNER OF TNIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> I 3 � 'JS/ -0�- - O�I- � / ! �' APPLICATION IS MADE AND I COMPLV WITH TME $TATE <br /> venca ux i o r.�ueen CONTRRCTOPS LnW 7827 RCW AND 296200 WAC. <br /> CONSiRUCiqrvL041lFNDEN.ApORE55,TElEPNONEKJMBER z <br /> 6IGN�NRE DAtE <br /> �'y y ���-���— CrtY BU5�M55 LILENSE ND. <br /> PLUMBING MECMANICAL <br /> NO. T'PE OF FIXTURE Ofl ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSEi(TOILET� � P/C—AMNDLQUNITS <br /> BATNTU� ' ! FOR�EDAIRSYSTEMS <br /> LAVATOPY(WASH OASIN) HEAT PUMP <br />' SIIOW[R � UNITHEATERS <br /> NITCHEN SINN 8 DISP CLOTMES ORYERS i <br /> DISMWASHER ! RANGEHOOD ! <br /> LAL/NDRV TRAV WATER l/EATER <br /> CLOTHES WASNEF � WOODSTOVE � <br /> URINA� � MEiALFIREPLACE(WOODBURNING) I <br /> ORINNI�:G FOUNTAIN i FIPEPLACE INSEfli(WOOD BUflNING) <br /> F�OOR DRAIN GAS FIREPLACE � <br /> BACKFLOW PREVcNTERS GAS RANCE <br /> SINK(SERVICE-�BAR,ETC) � GAS PIPIN� <br /> i E%HAUSTFAN : <br /> i / <br /> i <br /> i <br /> i ! <br /> SUBTOTAL S j 5 TOTAL E � <br /> PEHMIT f i PEPMIT S ! <br /> TOTAIFEE 5 OTALFEE S <br /> FOR OFFICE USE ONLY: Z- �u � <br /> iRONi5EL0�CR pE�RSEipALN Si0E5ETBALK PLVICHECNINUBE(I�A1L �EE PEGEiPtlq. <br /> ��� <br /> uSEErn�E r � Lo*u+Ee wc,wiSrtE FEES VqLUATION FEE <br /> L�YES ❑NO BUM1pNO I� <br /> NEqNiLlulil.lpN Iqf]iOWELLINO 6l'EOiBIWTI. <br /> Uxi19 �1 Z RUMBiN6 <br /> OL� <br /> OCCVVANLY eq0i6iJRE5 OLGW�MLLOM B 5 NENI MEL�UNiC�L <br /> ORO <br /> 5 0 NO <br /> �InESPRirvI(L[qa�OD PFASON /���y MOi1pNI1PLVICNLtF <br /> ���`^'�/ OMEfl <br /> fwEMARMnEp➢_ PE�50� <br /> r�V � <br /> SiAiE BUILDVq 61111pIM0E <br /> trvEo�crnisr. rurvs�vpigv[oer CITYOFEVERETT woiGvroaxs <br /> V—1.( ��� LOCAL SALES <br /> oere TAX CODE IS 9505 TOTAL <br />: <br />