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APPLICATI�! FOR CONSTRUC'1�N PERMIT� ; <br /> CITY OF EVERETT�BUILDING DIVISION <br /> 3200 CEDAR STREE7•EVERETT,WA 9E201 •257•8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILUIN6 ❑ MECHqNICAL ❑ PLUMBING ❑ SiGN <br /> PROJECTADpRESS <br /> a3,� �.�a <br /> awncn u�ti.mncss un zs . rrpr< <br /> CI M O S <br /> IEN�Wt % 144AOONE55 tRY ZV RqllE <br /> �RLwiEttORDE54NEN M.k�WRE65 GIY IP PIqNE <br /> OFN[R�COrlfMGTp1 � NULAWf�E56 CITY 2P RqXE 6iARULEME� <br /> l uv 5 �c%W�.0 <br /> MECN IICµ�pry }pq , MML 58 GIY Zp PHpNE SiAIElCEMSE• <br /> RUMBpptplf�C' G�uiy�pp1iE66 CiIY IW Rqirt SiAiELICEMSE� <br /> �ImcE w0 u <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> OFYPiBE Wp1N N1U 60UME iOOiME NNCIVEG Cp11I{i I�FR90NN10 AlqlE Iq. <br /> v�/ 5 � <br /> I NEREBV CEPTIFV THAT 1 HAVE READ AND EXAMINEu "IHIS <br /> vnovosjpasE or em�w�a APPUCATION ANO KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> �� �� PROVISIONS OF LPWS AND OROINANCES GOVERNING TNIS IYPE OF <br /> WORK WILL OE COMPLIE� WI7H WIIETHEfl SPECIFIEO HEREIN OR <br /> iEouoes npr xorvaorEnnlarqwxBE�owonenecxm.vcoriE61 NpL THE GRANTINQ OF A PERMIT DOES NOT PRESUME TO GIVE <br /> iot e�aK ov AUTIIORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STRiE ON LOCAL LAW REGULATING fANSTRUCTION OR TNE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> ONNER OF Tf11S PROPEflTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AN� I COMPLY WITH THE STAiE <br /> PUCEivato.ruueEn CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> LONSiRULiqNLOANLEINE0.�E6&iE1FP1qNEMIMBEN x�Q/(,��� � �y_,( �/ 4�•� ^��',� <br /> 6�C �LUIIE Oet[ <br /> LItY BUSINE584L[115E II�. <br /> PLUMBINO MECHIINICAL <br /> NO. TYPE OF FII(TURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILEi) � NC—AMN�LO UNITS <br />, BATHTl1B FORCEDAIRSVSTEMS � <br /> IAVATORV(WASH BASIN) I HEAT PUMP <br /> SHOWER UNIT HEATERS � <br /> NITCHEN SINN 6 DISP j CLOTHES DRYER$ <br /> DISIiWASHER RANGE H00� <br /> LAUNDRV TRAV WATE(i HEATER <br /> CLOTHESlNASHER WOOOSTOVE <br /> URINAL METALFIREPLACE�WOODBURNING� � <br /> DRMKINCa FOUNTAIN i RREPLACE INSERT(WOOD dURNING) <br /> FIOOIiDRAIN � GASFIfiEFLACE <br /> �ACKFLOK'PPEVENTERS GASRANGE i <br /> SINN(SERVICE—bAR,ETG) GAS FIPING <br /> E%HAUSiFAN I <br /> � i <br /> i � i <br /> SUBTOTAL f � � SU870T,1L f I <br /> PERMIT S PERMIT E i <br /> TOTALFEE S ' TOTALFEE f i <br /> FOR OFFICE USE ONLY: S pp� - � E(`jp//-/ <br /> FIqNiSEiBACN pFM6EtB14R SIDE6EtB�C1( %�NLHECKNUMBEH fEE � PKEIPtIq <br /> � / <br /> �s[toys_ iotu�u v�cnr�rsi*c FEES VALURTION FEE <br /> � ❑res oxo ammna <br /> IIEqNiL Iq0lDWELLItq 512EOF&W�f.1. <br /> / � � UMiS RUH9rcA <br /> CUMNC lqpfblpqf OGCUPANILO.N B�6FUFM! <br /> OPWf' NECIUNCµ <br /> OVE9 Ox0 <br /> fiPESPnnMIE��E00 RFASOx /�00�90M4CUN�I.IECN <br /> OtN[R <br /> 1N1EMM4PEOD PE�SON <br /> 61�1E&14DMp 6U11LYUROE <br /> mmeo�cons* �s� CITYOFEVERETT rue�cr.vnKs <br /> LOCALSALES <br /> DnE I ' � �D> TAX COOE IS J105 TOTRL <br />