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APPLICATI�1 �OR CONSTRUC7�N PER�VIIIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201•257-PB70 <br /> i l DEMOLITION i 1 COMBINATION C�. BUILDING G MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS <br /> /�3� �ji-�qc�✓ti <br /> om�cn uui�oonws ^� / cirv zA nare <br /> �./�///�� ��� (2//f✓ //i�0;'0 <br /> TCx�RI ' u���w�E55 Glv ZN �2 <br /> .�PCNi1CLiOPCE5GNE11 N�ILFRWE55 ��1� Ip p�� <br /> GCNfP0.CUNLRI�GLCN Y�0.LOpY55 CILY SP Rq1E SII.tEUCENSE• <br /> 4KMW�CKCWIiHKiOR Y11L��CRC55 C:iY IW P1�012 SiR[IiCLNS!• <br /> �<uy<crJ 'w St1'f« r ��vr /'s//es /7v /19r�r���'i 9dor� ?�sr,�r�aE�s <br /> 1'111Y0hq NiR1CtGH MI.4A �ESS LIiY 2q °�°"� �anG,Ps�a/s'N� <br /> cow.nearnecar� HEATINGSYSTEM: ❑GAS P�!ELECTRIC ❑ <br /> 9s6v <br /> �CSCPipEWOPKNp$WMEfO'JiAGEMVIXVCD CONiI,C FCPSON�IIOM N] .� <br /> .r� /ev ?o6•Ry�-cl�� <br /> �A c� oC - �a '°'�', — <br /> 1 H 8V CERTIW' TNAT I HAVE READ AND E%AMINE� THIS <br /> APPLICATION AND NNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> vnovos[o us[or eunDmo pROVI510N5 Of LAWS AND OflDINANC[5 GOVERNING THIS NPE OF <br /> WORN WILL BE COIdPLIED WITH WMETHER SPEQFIEO HFREIN OR <br /> upeiwsc�RnoxarPnocenirl5rawnBfiOwoue*ucntwoC�r461 NOT THE GRANTING OF A PERMIT COES NOT PRESUTAE TO GNE <br /> �ot e�ocN Ot_.. AUTHORITV TO VIOLATE OR CANCEI TIIE PROVISION OF ANY <br /> OTHEP STATE OF LOCAL LA\N REGULATING CONSTRUCTION CR TME <br /> PERFORMANCE OF CONSTRUCTION.THAT�AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV TO PERFOPM THE WORK FOR WMICH <br /> APPLICATION IS MADE AND I COMPLY WITH TNE STATE <br /> v�ricE�r�R�o rn�ueEn / � � <br /> CONTRACTOPS LAW 1827 RCW AND 296200 WAC. <br /> WNSiPUCtIONLOI.NLCNCfP.ACp1E55.1CCPMCMEMU40EP A �-✓1 /✓k� � �/O/ <br /> �n1�11C T - ��E <br /> CI�V BVSM[•v5 LILEIISE 11D <br /> PLUMBING MECHANICAL <br /> NO. iYPE OF FII(TUNE OR ITEM FEE NO. tYPE OF EOIIIPMENT FEE <br /> WATER CLOSET�TOILET� 0.'C--AMNDLO UNITS <br /> DATNTUO ! FORCEDAIRSYSTEMS <br /> LAVATURY IWASH BASIN� HEAT PUMP <br /> SHOWER UNIT HCATEFS <br /> KIiGMEN SINY.6 OISP CLOTHES DPVEfiS <br /> DISIIWASHER RANGE HOOD <br /> LAUNDRY TPAY ! LYATER HEATEii <br /> C�OTHES WAS4IEP i WOOD STOVE I <br /> URINAL i METALFIREPLACE(WOODBURNINCa) <br /> DRINNING fOUNTAIN FIREPLACE INSEPT(WOOD�UPtJING� <br /> FLOORDRAIN I GASFIREPIACE <br /> BACKFI.OW PREVENTERS GAS NANGE <br /> SINK�SERVIGE—�AR.EiC.) GAS PIPING <br /> I E%HAUSTFAN 4 L. vt.�-. <br /> i <br /> i � <br /> i <br /> SUB70TAL E � SUBTOTAL S <br /> PER!AIT S PERMIT S <br /> TOTALFEE S TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> 1�O4i5RB�CR �E�6ETB/dR SIpESCiB.�LYI RLNLNLCNtNNBEN fEE PECEroiNO. <br /> �'Vl O 10.� -0/�. <br /> usEzon< <orw[� ��cu1*si*¢ FEES VALUATION FE� <br /> Ilr[5 �1 NO BUnDitn <br /> NFIGlI1LMR�iqN fU010WCLLRq SVEOF&DGTI <br /> UM15 qNlBllp <br /> CLCINI�NCY N�Ci6�LME5 OLCUPANiIOI.D BASfNEM yE�ry�ry�k <br /> GRIXIP <br /> nrce ❑w <br /> iRESPRINRLERRE00 {R�SON I-0DI1AM14PUNCMECN <br /> O1XfA <br />. fiREAUPMPGO➢ NE�30N � <br /> �:�lE 90RDIM0 SUHLN�PGE <br /> rmEorcars* runs�n:avcoer CITYOFEVERETT ruo��cwonKs 1_ <br /> LOCALSALES —I <br /> m*e � O/ TAX CODE IS 8105 707AL L_ <br />