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APPLICATI� FOR CONSTRUCT�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVIS�ON <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257-8810 <br /> �-' DEMOLITION ❑ COMBINATON ❑ BUILDINO ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS� <br /> a <br /> o�.»�cn u.n.wncss urv =R y RZ?S °"OHE <br /> �e.�U�� �uv�- I'L'3���; si�,,.�(�L�c�-�✓:rl �,.�1UI<��4ro <br /> *rHurt�T Qh4M� •�'Iyy(��"CS�= St- Fl�+r{Cet-cm zv rrwr� <br /> NGZ.bY l:�L7�'ie¢i'e..�Jn� t- ✓�.eN �7�70 � �I7S- ��3-�2�oGt <br /> ♦RCNItCCipF[[SGNCP VerL�00PE55 Glry IV 1'Ip11E <br /> �t.�'�P r <br /> Q06R4CONiPq1Cn M�4Mq165 CITY ZV 1'tq12 9RCLCENSE• <br /> �1 1.��( <br /> 4[L�UNiC4LONiRi1CiCR M�iI�OCN65 ptt ZV %qH[ SI�IELK[45E� <br /> (1.+ � r <br /> nuuei cor�ia�cron w���oancss uir :m r+�orrt sr�rt��ccHSE. <br /> D C( <br /> <u�nnncrrvc[awonx �} ��oO.�U <br /> 3p HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> ascaiecwon..�Hosowncroo* .E�Hvav[o eaHucr �nsoxumrr�rnrt�q � <br /> , yzs_ � `�3-3 � <br /> n�-s � Si _ <br /> I MEPEOY CERTIFV THAT I HAVE READ AND E%AMINED TNIS <br /> APPLICATION AND KNOW THE SAME TO DE TRUE AND CORRECi ALl <br /> rnw�psco usc a� wmn� T� PROVISIONS OF LAWS AND ORDINANGES GOVERNINGTHIS NPE OF <br /> ��� WORN WILL OE COMPLIED WITH WMETHER SPECIFIED NERF�`! OR <br /> i[c+�oc.tnwiior�orvaor[ai �sNowr'e[iowan�r*i.cH*vNcoviE51 NOT T71E GRANTING OP A PERMIT DOES NOT PRESUh�E�J GIVE <br /> �or o�oc. w �UTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGUUTING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTI1VC710N.THAT I AM AUTMORIZED DY THE <br /> OWNER OF THIS PROPERTV TO PERFORM TIIE WORN FOR NMICH <br /> APPLICATION IS MADE AN� I COMPLY WITH THE STATE <br /> �.�cn++��o r cn �DONTi1�CTOPSIAW 1027 RCW AND 2Bfi200 WAC. <br /> _ - p - ` , � <br /> , �._ , <br /> -- \'- > A���- �- -� „ <br /> COI:iPUG1iON 10�N t0ip[Rl.pq�E55,1F1EhKK1E MIMBCR � <br /> x <br /> san+.unc � oue <br /> CItY BUiMC55 UCCNSC NJ <br /> PLUMBIN� MECMRNICAL <br /> NO. TYPE OF FI%TUNE OR ITEM FEE N0. TYPE OF EOUIGMENT FEE <br /> WATER CLOSET�TOILET� A�'C—AHNDLG UNITS <br /> BATMTU� ! FORCEDAIRSYSTEMS <br /> LAVATORY(WASN BASIN) I MEAT PUMP <br /> SHOWER j UNITHEATERS <br /> HITCNEN SINK 6 DISP j CIOTNES DRYERS <br /> DISMWASHER RANGE NOO� � <br /> LAUNORVTRAY 1YATER NEATER � <br />� CLOTHES WASHER � WOOD STOVE <br /> UFINAL � METAIFIREPLACE�WO0D0URNING) <br /> ORINKING FOUNTAIN FlREPLACE INSERT(WOOD BURNING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACKFLOW PREVENTERS ! GAS RANGE <br /> SINK(SERVICE—�AF.ETC.) GAS PIPING <br /> E%HAUSTFAN � <br /> i <br /> SU�TOTAL 5 � SUBTOTAL 5 <br /> PERMIT S PERMIT 5 <br /> TOTALFEE S TOTALFEE 5 <br /> FOR OFPICE USE ONLY: -(Xj <br /> lRONi`E104CIt REARSEIB�LR SIOESEi94K PUN [MNUMBCR fCE P[CbVI'q <br /> us[2art mrsnu vecua5ite FEES VALUATION FEE <br /> ❑VES �1�q BUnDi'q <br /> IIEqMT4MilA1pN rNDOiOW[WNO SQECiBIWTI <br /> uxlib <br /> �� 1'LUUBItq <br /> OCf�lf'n11Lr NJp$iM[5 OCLUP�Ml0�0 BI�S[YCNI MECN�MCK <br /> LROU1' �j � <br /> ❑YES f'1N0 <br /> ilfiC.iGN/l1��'�`IM0IP[qp IIE�SO11 ��UIiIONKPUNCHFCM1 <br /> • / OM[P <br /> fWELIAR [OD 11USON -- . <br /> �7 Si�iE BVIlDl1p SUP:NMGE i <br /> iMEOfCOrvSf PlMiS�� vE�Bv CITYOFEVERETT �'UBICwOfIxS <br /> LOCALSALES <br /> V' nue� -O TAX CODE IS 3105 �TOTAL <br />