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APPLICATAN FOR CONSTRUC*ON PERMIT� <br /> CI7Y OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257-8810 <br /> fl DEMOLITION ❑ COMBINATION ❑ BUILDIN6 ❑ MECMANICAL ❑ PLUMBING _ SIGN <br /> PROJECTADDRESS <br /> ��j01/' Rar/aa�Az c��?� <br /> Ovni[n M�Il�W�1[56 CrtY ZF AIPS <br /> ��GCE'L' Cf.l'LL'//��715 29�i¢ ,�l�i70��9T�4'urcuA �zS�.�58-z�Poo <br /> TENN? M�M1�ODRE55 CrtY � tF �8�/ PNpIE <br /> cwr[cronxsc.ffn M�KwwEss �1 cm /.itY9 d� „fEw'wxC . i/� i - S <br /> �-�'-'f,>`T �I17l7.('f3�iL'i�� �C�/.US y�f8/07J Ec+�/�vY/-GU,f 9JZo8 9�2i- 337'..'5;�:G <br /> OENERµ(:OryIqICtOR MM�ppRE55 LIfY I�P 1'IIJNE SiI.1FLICENSE� <br /> MECII�NIGI1LCIXiiR/�LTOR MM1M1AWNESS GRY 2N AIJIIE 6t/.iFLICENSC� <br /> %VYBIIqGp1iPALiOR N�1�0.]11E59 GIY 2R AqNE 6l�TELICCN$[• <br /> GOHia�Cl P11i:f LY'WORF <br /> � �� ��G;,�G HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> otscnip[wanr�.u�osau�acroor�ccnrvav[n � cwr�c*r[asoxumr�px4�q <br /> /� /�;sT3?t. r .n.� �VS«'I�'c CF7/tOts /�� i � ,U -' '- 7-3Sa`6 <br /> 771�s «'c'4�N. _Fi1s�f�su-'f77oU <br /> _. ,. ���'d��L � I HEREDY CEflTIFY THAT 1 HAVE READ AND E%AAIINED TNIS <br /> APPLICATION AND KNOW TNE SAME TO�E TRUE AND CORFECT ALL <br /> rnorweo usc or eoimiv, ppOVI510NS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFED HEREIN OR <br /> i[cuo[wus*pHaPnroEnttlSnowNBElowonert/LNTwOCOriE51 NOT. THE GRANTINa OF A PERMIT DOES NOT PRESUTAE TO GIVE <br /> �oi p�aR a AUTHORITY TO VIOLATE Ofl CANCCL THE PROVISION OF ANV <br /> OTHEF$TATE OR LOCFL LAW flEGUL�TING CONSTRUCTION(�W THE <br /> PEPFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED oY TNE <br /> OWNER OF THIS PROPERTY TO P[RFORM THE VJOflK FOR WHICN <br /> APPLICATION IS MADE AND I COMPLY WITH THE STAiE <br /> vencEi*�x io r�vuaca CONTRACTOPS LAW 1827 RCW AND 296200 WAC. <br /> C� -✓�3 x����� ,�,a��v�iU <br /> C01�SinVCiiONlO�NLfN0E0.I0DRE69,TE4EPMd£MRIBEN � � <br /> ♦l � �A1F. <br /> CIiY 9USINCSS 16CN5[NO <br /> PLU9BIN6 MECNANICAL � <br /> NO. TYPE OF FIXTUFE ON ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WnTEp CLOSET(TOILET) A/C-NFiN�LG UNITS <br /> Bh7t:iU8 I FORCEDAIRSVSTEMS <br /> LAVATORY(WRSN BASIN) MEFT PUMP <br /> SHOWER � CNITNEATERS j <br /> NITCMEN SINK 6 DISP j GIOTHES L�RYERS <br /> OISHWASHEF i RAIJGE HOOD <br /> LAUNDRVTRAY 1 WATERN[ATER <br /> CLOTHES WASHEfl WO00 STOVE <br /> URINAL � IdETALFIREPLACE�WOODOURNING� j <br /> DRINNIIJG FOUNTAIN I FIREPLACE INSERT(WOOD BURNING) <br /> FLOOR DRAIN ! C�AS FlREPLACE <br /> OACKPLOW PREVENTERS i GAS HANGE <br /> SINN�SEfiVICE-OAR,ETC J G45 PIPIN6 � <br /> � E%HAUSiFAN � <br /> i <br /> i <br /> i i <br /> SUBTOTAL S � SUBTOTAL S � <br /> PERMIT E � PERMIT S i <br /> TOTALFEE S TOTRLFEE $ <br /> FOR OFFICE USE ONLY: <br /> fPqliSiTBACN pEAlliElB.1CR 6CEBEIB�CI( RAMCHELY.NUMUER fFE / R[LEIPIIq. <br /> r <br /> usezar2 miw+EA Wcuil6rtE � VALURTION FEE <br /> OVEB ❑NO �AD� <br /> ��u..•ri�unn.ox raawrtuma sizcorannT�. ' <br /> UMTS qUMBM6 �I'�� <br /> 11�JUP�NCY M651CP[5 OLQlP/JIILOM G�6ENEM YECN�MCN. �b. <br /> OYEB O1q <br /> �iaE�i'ni�MlEPflEO� PE�SON /�OOf%1x11PtANLNECM <br /> omc� <br /> Hn[zIWMiEOD PFA60N 0 � <br /> / SI�iC�WM1DIMSUf1G1uPGE <br /> *rccorcons*. wws � �oer GTYOFEVERETT �'uaz4vNaKs S � <br /> � LOLALSALES <br /> ,,,E /J' -o� TAXCODEIS3105 70TAL �� <br />