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APPLICATI� FOR CONSTRUCTAN PERMIT <br /> CITY OF EVERETT•BUILDINC,DIVISION � <br /> 3200 CEDAR STREET•EVERETT,V,A 98201 •257•8810 <br /> ❑ DEMOLITION D COMBINATION Q�!BUILDIN6 ❑ MECflANICAL O PLUMBING 1- SIGN <br /> PflOJECT ADDRESS �.-, J� �` .,�L <br /> - 31)�1 fD� � il �r <br /> OWNE11 M.1il�pME55 \ ` CIIY 14 PMOVE l�3s'3y'-{-�7� <br /> �.o����L°.o`soLOF.��, @o����c3s�G �.,c�c.��l ��7� 9�a..o3 <br /> 1CN�Ni IA�i��pIXl65 CitY YV fY1q1[ <br /> C-4.U,�X��e►- �tJ.��\\-C.� II It 11 ( <br /> MCNrtEcCtqipfSGNCR YPrtADUlp55 \� CP� tiC fY�CqE <br /> J��_\ v ��.0 ♦ �N.���c� �� ��R'O_ l\ �\��l 6n-ZZ �.33�L <br /> fiEN[P0.CONiPACip1 M4l�ODN 5 QiY ZP AqN[ 514ElICCHE• <br /> ��oW�R�C c�.`�w�,.c�i��.o� �ac.�.�u�� �,}7� �-�O?a�f � L\U�2 I <br /> M[CIUIIICµCON1R�Ctq1 11�ILAp011E5� �I1 GiY 2V �^ MKKlE SI1iElKCN.'• <br /> .'��1C�nliS��.,rnil C.�n'1rni4i�r. j�(� �3�1 .l ��rv, .. Q�Z�f7 <br /> tt�uo�rmc&�m�cron u•nw�ncss Cm zv nwuc s•*EiKcxsF. <br /> corvrA.c*vacc a wau <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> o�scnmcwoa�u souu+[roouc[rtrvoiv[o cor�*r.crncaswumrrqr,�rq <br /> �j � s '` 1 er.. � .�e_�c���: -OaV�.. <br /> � � - �- �S �1' t <br /> I NEREOY CEflTIFY THAT I HAVE READ AND E%AMINED THIS <br /> APPLICATION AND KN01Y THE SAME TO BE TRUE AND CORRECT.ALL <br /> reorrosm use or ourtdrva pRpVISIONS OF LAWS AND OPDINANCES GOVERNING THIS TVPE OF <br /> WORN WILL�E COMPLIED WITM WMETHER SPECIFIEO HEPEIN OR <br /> iEcuocScnc�roHorvnoveatt�sHovmBaowoaemcx�wocov�[51 NOS THE GflANTING OF A PERMIT DOES NOT PRESl1ME TO GIVE <br /> tor atocK a' AUTHOPITY TO VIOLATE OR CANCEL TNE PROVISION OF ANV <br /> OTHEH S1ATE OR LOCAL LAW REGULATING CONSTRUCTION OP THE <br /> PERFOHMANCE OF CONSTRUCTION.THAT I AM AUTiIORIZED BY THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WO�N FOR WHICM <br /> APPLICATION IS MAOE AND I COMPLY WITH TME STATE <br /> renet�*�.v io eni.men CONTRACTORS LAW 1B27 RCW AND296200 WAC. <br /> 1�3�1D-10._0/70d 1J340-]9�v�yaa+ oi.l.eo <br /> crnsmucrioHw�r+icrwrn.�ooress.tci[�roxexuuecn X\......C.�c��i�i1a�.�.�� 3'-3\-Op <br /> SIGNa1PE DAiE <br /> � 03oo�1-v <br /> ��,.a�s:,��::���M1SE�a <br /> PLUMBING MECMANICAL <br /> NO. TYPE OF FI%TURE OF ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> ItiATER CLOSET(TOILET) A'C--A NNOLG UNITS <br /> Or1THTU0 FORCED AIR SYSTEMS <br /> LAVATORV(WASH OASIN) Nc'AT PUh1P <br /> SHOWER i UNITM[ATERS <br /> KITCMEN SINK 8�ISP j LLOTMES URYERS <br /> OISMIVASMER RANGE HOOD <br /> LAUNDRVTqAV WATERHEAT[R <br /> CLOTMESWASHER i WWDSTOVE <br /> URINAL ! METALFIRFPLACEpNOOD�URNING� <br /> DRINKING FOUNTAIN FIREPLACE INSERT pV00D�IIRNING� <br /> FLOOR ORAIN GAS fIREPLALE <br /> �ACNFL0IYPPEVENTERS GASRANGE <br /> SINK�SERVICE—OAP.ETC J GAS PIPING <br /> E%HAUSTFAN <br /> $UBTOTAL 5 SUOTOTAL 5 <br /> PERMIT 5 7ERMIT S <br /> TOTALfEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> iPO1115Ci8ACN PGRSRB/�CR 9CESEtB�Ctl FUN ECRNUNB i[E RfCEiFiHO <br /> �. -0,3 <br /> ux:ovc �or+nu �wcw*srte FEES VRLUpTION FEE <br /> mc5_ omimmn (J DOO � <br /> HE'GNiIIMiIAtqN N00."q\[141M SQECiO�CGT1 YlL�� <br /> I1 � PWNBING <br /> V <br /> A/�GCCpWpHGV MpS��N'S OCNI'4111OM �SF4[NL yEq��NIC4 <br />�c_� c�c nres iro <br /> iMFSiIUMlCf1PE00 P4{s��� ACOII�ON4PUNCNCCK <br /> r] '—�T'J�:N[— omcn <br /> �wE Mdnu HE00 I�E�SIXI <br /> /(�`. �^IS�IJ��- SIA1E6U0.0WOSURLNMGE <br /> �1 t. <br /> rrrcorconsr ttuus�nvnocoer CITYOFEVEHETT rueikww+xs <br /> '�/ LOCAL SALES <br /> .�L nus �� TAX CODE IS 3105 TOTAI <br /> � C%7p�;�:� u:=� C7;i,cGJ�:��- CC �.G �S' f_�'I�T/�2_ <br />