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APPLICATI� FOR CONSTRUC'I�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR S7REET•EVERETT,Wq ggZOt•257-8810 <br /> C' DEMOUTION ��i COMBINATION ❑ BUILDIN6 i 1 MECHANICAL ❑ pLUAASINO <br /> AA �SIGN <br /> PROJECT ADDRESS Z4 I I <br /> (�2p!>(]1,�7�v <br /> OWNCf. Y�111A(pP[6$ CRY <br /> 2Q� p 1YIUIE <br /> �&1�t.1 wt �'�.r� crtJ� 34�i r�n,x�r' fi7c��z 9g � YZc 3G9'-Y�� <br /> 1[H�Ni MNI�U'MCS LIiY <br /> rn p�p�t <br /> —3�L�_2��5 �irg zyr� (�eaarxvn�r .�,�� C� <br /> �ACMnccr npEsiGrcn M.�nnrntss nrr �w <br /> Aq1R <br /> GEIhMLGp�lR.kTpp YnK�ppq[55 C�tY II> <br /> 6GiE lKkNSF• <br /> S S S C C��. 1319u�fc��n ¢ �i �a ,— � 3 ""�` � <br /> Me �.�c,ica„n.c css �3 ��h'�',_�•!� 555 <br /> C�iY }M I4qNC <br /> Slef[liCp�Su��' <br /> 1`1i14!PM]LCNiq�ClOa NutW'JP[55 COY <br /> Z� Pr�aR 611iELILINSC� <br /> LONiR�Ct PMCE Of WOI�R <br /> �� HEA7ING SYSTEM: ❑GAS f-1 ELECTRIC i�l <br /> o[srniy[woncex sou�ntropU6Enrva�2D toqv� <br /> � . `� � 1�ER:.p4�N�IMON[Iq <br /> `� O� S 1 N i 6 "z n .�cl 7�' L--- �'� ln 5 O.;t y Z � <br /> nt,d�U ' � �- I NERE�Y CERTIFY TNAT 1 MAVE A'.AD P.NO E%AMWED THIS <br /> ��ono5[o ust or ew�mw: APPLICA710N ANO KNOW THE SA1dE TO DE 1 qUE AND COPFECT ALl <br /> PROVIS'ONS OF LAWS AND ORDINANGES GOVERNINC TMIS TVPE OF <br /> imuuc..cAivrwnarvuoeEarv�SrrowxBEioworenrtH7yp�5� �'�'ORK WILL DE COMPLIED WI7H WH[TMEq SPECIFlED N[RERJ pq <br /> NOT. THE GFANTING OF A PEAMIT DOES NOT PqESUME TO GIVE <br /> ��* B�a" � AUTHORITV Tp VIOLATE OR CFNCE� TNE PqOVI510N OF qNY <br /> �Tr��( u,F�7 OTHER SUTE OR IOCqL LAW P,EGULATING CONSTRL'CTION OR TNE <br /> PERFORMANGE OP CONSTRUCTION.THAT I qld qVTHORIZ[D�Y TME <br /> OWNER OF THIS PRJP[qTY TO PERFOPM THE WORK FOR WMICN <br /> APPLICATION IS lAqDE AND I GpMply yy�TH iHE STATE <br /> n.nc[t�+t io ruouekn CONTOqCTOPS LAW IB.27 RLW AND 296300 WAC. <br /> CCttlSiPVCTqNLO.WI[NOE11.y1pf255•4CfY1p1E1NNBER �� /���� �—�� <br /> imt (� DI.'E <br /> GLUMBING crcreu5wc55iK[us[uo .-2L� 3 <br /> MECNqNICAL <br /> NO. TYpE OF FIXTURE Oq ITEM FEE N0. TYPE OF EOUIPMENT <br /> YlATER CLOSET�TOILETI FEE <br /> A/C—A'NNDLG UNITS <br /> _ nATMTUB FORCEDAIRSVSTEMS <br /> LCVqTORY(WASH BASIN) HEAT PUIdP <br /> SNCINER <br /> kIiCHEN SINK 6 DISP UYIT NEATERS <br /> CLOTVIES DRYERS <br /> DISHWASHER <br /> LAUNDRVTRAV RANGLHOOD -- <br /> WATER HEATEP <br /> CLOTN[SIYFSMER <br /> WOODSTOVE <br /> UR14AL I Id[TAl FIREPLACE(WOOD fiURNIN.i) <br /> _ DRINKING POVNTAIN FIREPLACE INSERT(WOOD�URNING) <br /> FLOOR DPAIN GAS FlpEPLACE <br /> _� �ACKPL0IY PREVENTERS GAS RANG[ <br /> SINN(SERVICE—�AR,ETG.) � GAS PIPING <br /> � E%HFUSTFAN <br /> i <br /> � �i-- <br /> SUB TOTAL 5 i <br /> PERMIT g SUBTOTA� 5 — <br /> PERMIT § <br /> TOTAIFEE E TOTALFEE S <br /> FOR OFFICE JSE ONLY: <br /> fRONiSEIB�C, RE�95Ei?1C1( 61pQ5[iB�CK <br /> /G1 O O / %N1l:H Ck1111MPCR fCE f1ECEIPiIq <br /> ussrouc n mtn�ce � D bB'-O / Z9/ <br /> L>, ` v�wnts*e FEES !ALUATION fEE <br /> :rs +�o <br /> ounowa <br /> r�e�ew*uvir�iur� , �L. werow[umc si:[ore�oaT� <br /> � '/O s�r IIMItS w/^ <br /> 0.1MBiNu <br /> a���a��� M�a5T0AY$ CCCUPANIlO/.p B/.5!lu[11! <br /> 4NOUP MECn�NiCµ <br /> r,res n rvo <br /> FIRESPPnIxILRaiOO RGSCN ApppqN4PUNCNECR <br /> iFE�UNMq[OJ q(Agpry OLMEfl <br /> SiqE BNLOIfp SN1Crv�POE <br /> iYPEOlCplSl piq�y�npq (OC� —� <br /> / CITY OF EVERETT nuei�c ww�xs <br /> LOCALSALES <br /> . _ nn. �y0/C�( I TAX CODE IS 3105 TOTAL <br /> r <br />� <br />