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APPLICATE� FOR CONSTRUC7�N PERMIT� <br /> CITY OF EVEFETT•BUILDING DIVISION <br /> IU�J 3200 CEDAR STREET•EVERETT,WA 98201 •257-BB70 <br /> ❑ DEMOLITION ❑ COMBINATION - f.l BUILDING ❑ MECMANICAL ❑ PLUMBING i� SIGN <br /> PROJECT ADDRESS <br /> - N 8 <br /> OWHEP M�R�W�CSS CitY jp MIONF <br /> Bna+�� i Da�� �. <br /> 1CtL11i M4lLLq�C55 CIiY jp q�pp� <br /> O�a1�ii D�.�4 <br /> /.n,^,Illi[Cipl� Y10.�DD1�E55 CIiY SY' %qNE <br /> GLNIN�LCOHIR�LIDR Y4UUpPC55 CI1Y IP RqN[ Sl�iEIICEMa[• <br /> �.R. Abb>++ P.o. bor atiovs s�pa�i� 5Ei]ti <br /> 1� MLC�UHIULCONiFn�Wn M4L��[NR55 �y CIfY $IP A1pN[ SV.ICIK(NSE• <br /> l, atia, irr sr.w.6. <br /> S�ni A ' Sf��s S��f< / {�M1lin�ten 98»J•3Lo.65i. �'7ei SM2T FJ � <br /> rtuuurnmrmuci n uuuooncss cnr iu+ rrrorrt sum�Kces�• <br /> ta+tn�ct vnw[w v:onK <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC i:; <br /> o¢caieewon+umsou+ncroorec[nrvavm coxr�c*vcasa+�H rrrorrtrvo <br /> � � <br /> _�$.yr F�e,rq d O • 1' p I <br /> I HEREOV CERTIfV THAT I HAVE READ AND E%AMINED THI,^� <br /> APPLICATION AND KNOW THE SAME TO�E TPUE AND CORRECT ALL <br /> rnrn•osm us[or euaoma PROVISIONS OF l.AWS AND ORDII:qNCES GOVEHNING THIS TVPB OF <br /> WORN WILL�E COMPLIED WITH WMETNER SPECIFlED HEPEIN OR <br /> ucuo[scnvrwrvasvnorcnrvisraw'+e[iavonerrecniwocor25� NOL TME GRANTING OF A PERNIT DOES NOT PRESUME TO GIVE <br /> i�� pippR pv AUiHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTMER STATE OR LOCAI LAW REGULATING CONSTRUCTION OR TME <br /> ' PERFORMANCE OF CONSTRUCTION.THAT I AM AUTNORIZED DY THE <br /> OWNEfl OF THIS PROPERTY TO PERFOPM TME WORN FOF WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> r.uun�x i o nwo[n CONiRACTORS LAW I B 27 RCW AND 296.200 WAC. <br /> L0��9PULIiONL01NlCM9C11..�pDR[SS.ICI[MqNENVMPCP � A �L � I ��_ e � IC� (^O <br /> SGN�NRL 0�1[ <br /> _013577 <br /> OiY UVSiNC55 UL[NS[Iq <br /> PLUMBING MECMANICAL <br /> �_ TYPE OF FI%TUflE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> \YATER ClOSET�TOILET� A�C—A HNDLG UNITS <br /> OATHTU� ! FORC[DAIRSYSTEMS <br /> LAVATORV�WASH pA51N� HE4T PU1dP � <br /> SHOI4EP UNIT HEATERS <br /> � NITCNEN SINN A DI$P CLOiN[i ORYEl1$ <br /> OISMWASHEF qqNGEli00D <br /> LAUND{iYTRAV WATER H[ATER <br /> CIOTH[S\YASHER WOODSTOV[ <br /> URINAI. EIETAL FlREPIACE ryY00D DURNING) <br /> DRWNING FOUNTAW FlREPLACE INSERT pY00D�UFNING) <br /> FLOOF�RAIN GAS FIRtPLACE <br /> �ACKPLOW PREVENTERS GAS RANGE <br /> SINNISEfiVICF—DAR.[TCJ i GASPIPING <br /> E%HAUSTFAN <br /> SUBTOTAL S I SUDTOTAL 5 j <br /> _ PERh1lT S PEP�diT S <br /> TOTALFEE 5 TOTAIFEE 5 <br /> FOR OFFICE USE ONLY: <br /> mor�ir;un.cn neens[ioecn sio¢scteecK ruHaac.xuuecn vcc n¢n>iw <br /> O O2' •ZJ` <br /> usvosc mrenu vrc.rvtsac FEES VAIUATION FEE <br /> pvES ❑NO pV��pi,xi <br /> uluiH�liA1JA1pN NOCfpWCLLllq SIILOGBl06ll <br /> UNitS <br /> MUNB�N6 <br /> L�pAIIL� N�Cf510f.Y5 IXCVNMl0�0 BASCY[Ni M��H�^,�4 <br /> ❑YCS ❑NO <br /> IIPES✓PiNYLCPPE00 BG5011 �CUIIq114{`WICIICCN <br /> cmm <br /> nre+ur.ui�cao neswrv <br /> s.ie euxoiNa suncnume � <br /> I <br /> r�rco�corisr %IJuS�CV�qvcoar CIT1'OFEVERE7T roaicwon+s � <br /> TG LOCAL SALES <br /> n��c � ����� TA7(COOE IS 3105 TOTAL <br />