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APPLICATIOR� FOR CONSTRUC? �ON PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 • 259-8810 <br /> I 1 DEMOLITION f I COMBINATION BUILDING f I MECHANICAL PLUMBING I i SIGN <br /> PRO ECT ADDRESS � <br /> . r , r—' <br /> o Mn�ieotness cin zm ^rrwrvc � <br /> j�' �fL. Non� �i�o���� � t.Sr`s��.(� �'_��;��'� -S��I/ <br /> tFNPMt MAII MDR65 fllY 71C PIIf1N! <br /> /�OC1111"fpGiO��F51GN(f1 M�p�D[Jf1E55 flrv )i� �•qp��f ^� rr�� - <br /> _11-�s�+c/a.FJ74/ — � � ^��_" <br /> rrr�rnu r,ownnr.ron u•n ennnrss,,[���I ���"i nr----���—�---��.;�;�„� cinrr ucrNsr� <br /> �Fc/,�i rriv�nnrr�t��n��C.iJ7(�� //h[,4[� rirv `, � ,r �-1J����J-L--e���:NCF. —. <br /> '—�7 <br /> / ` / ( / � ! ` �� <br /> PIUMpINOCONIR�GtOP 0.�4ilAfN�RESS Clh' 71P PNO I 51 i -.LI NS.� <br /> / i / � / f / l <br /> ccmm�cr rnice or wnn ---- — --. <br /> �U HEATING SYSTEM: I i GAS �LECTRIC � 1 <br /> pF.S:R�BE WORN�ND SOIURF fM1UOE M LVED CONULt PFI150N�NO PIIONf NO � <br /> ---�'�-�� � � _��'� <br /> -��� ���� � oPz �� �, <br /> '� . � - I HEREBV CERTIFV THAT I HAVE FEAD ANO EXAM{NFD TNIS <br /> rnorosto ase or eunpr+o APPLICATION AND KNOW THE SAME TO BE TR11E ANU COR;�EC7 ALL <br /> ��/— D PROV1910NS OF LAWS AND ORDINANCES GOVE7NING THIS TVPE OF <br /> �� WORH WILL BE COMPI.IED WIiH WHETHER SPL'CIFIED HEFEIN OR <br /> iee�� s�mm�or/orrnorenrv�s�wwr�eeiowa�ertecNrvroeoriesi NOT. THE ORANTINC OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ior� nioc;K or _. AUTFIORITY TO VIOLAfE OR CAN�EI 7HE PROVISION OF ANY <br /> l ( �� S� # ��"�_ PERF<RRMANCE OF OCONSTRUCTION.LTHA OI AM AUi ORIZED BV THE <br /> S L L (-j � UWNER OF THIS PROPERTV TO PEFiFORM THE WORK FOR WNICH <br /> '' �8� ,� ��_ L J� APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> PAqCEI T�%1 D NIIMflFfI � CONTRACTORS LAW 1B 27 RCW AND 296.200 WAC. <br /> �/L <br /> CONSTRI1pTION10�FN�f� �ODfIf55 If�CPHON[NUMPFR <br /> A�„v_ x�N„�-���n� i- ,a� � <br /> f.ItY LIISIYC551ICENfiC`�O <br /> PLUMBINQ MEC4ANICAL <br /> NO. TYPE OF FUITURE OR ITEM FEE NO TVPE OP EOUIPMLNT FEE <br /> WATERCLOSET�TOILET) � O .VC—NHNDLOUNITS—H.P. � <br /> BATHTUB ' C'j F('RCEDAIPSYSTFMS—B.T.U. M E.A. � <br /> — �— <br /> jZ LAVATORV(WASH BASIN) i HEA(PUMP � <br /> SHOWER � UNIT HEAlERS—�.T.U. M � <br /> KIiCNEN SINK 8 DISP i � CLOiHES DRVGqS � <br /> DISHWASfiER � VENiILATION FAN —��i <br /> � LAUNDRV TRAV � " / RANfiE HOOD � <br /> CLOTHES WASHER i / WATER HEATER 1 <br /> URINAL WOOD STOVE � <br /> p DRINKING FOUNTAIN METAL FIREPLACE(WOOD BURNING) ' <br /> i <br /> FLOOfi DRAIN � FIREPLACE INSEFT(WOOD BURNING) --� <br /> BACKFIOW PREVENTERS ; Q GAS FIREPLACE ; <br /> p SINK(SEfiVICE—�AR,ETC.) --�— 6� GAS RANGE i <br /> _ ' GAS PIPING <br /> i EXHAUSTFAN i <br /> i i <br /> ; _ —_— <br /> T <br /> I <br /> _ SUB TOTAL S ; SUB TOTAL S - „ <br /> PERMIT 5 PERMIT S <br /> _ TOTAI FEE E TOTAL FEE S i_ <br /> FOR OFFICE USE ONLY: <br /> fRONtSFiPACM Of�OFFTp�f.R SIDESFTp�fN PI�Nf11ffK�ili4Pf !ff � �FfFPfNO <br /> ""C—c ___'_ _ _—_._ ��� ' . � . � ��� — <br /> .J <br /> usv 7oNt i ot�nf� wr.�r�t snr EES VALUAiION FEE <br /> � �� ��r[c :�. ru� —._-- —__— _--_—___ —. —r—_ <br /> nunnwn 7 �S'/ ` � �J <br /> neir�rtiiuiu�� � Noanwr.wNc s�zrorniix�� - -�------ �—�----- ---v�:F-�� <br /> uanc r o; <br /> � 1029 Sf Lw�ti14 �- rnrn�p�vn <br /> � c �e __�-�� <br /> uCcur�qcr r�nnis�nm __.—__ _ __—___. . .___--_ __—__ <br /> Ic cH�.CUP�NIIO�U P�SPMfNI i <br /> cnour M(�'4u�if.M _^ i <br /> R3 u� _� /�l !I ii�rs ✓ -- ----- - -- - - ----- 2.'1 <br /> nnFeunMmm� . .. n���ov — nnnnirn��i rieac��rr.� <br /> -----� -- �-�--- -�---------+ - - -- <br /> on�rn <br /> � <br /> , <br /> '-- ___— —_ '___._ _ _. ___ '' _._ <br /> nnFsrn�NKiFnnpqn nrncnv --- ----.----- <br /> anirawni�:r.sunr,runrr L. ��; <br /> ___ -___. ._—__. __--_..._ .__ _ . _ .__ _, <br /> imF or rnNs� ri na�nrri+���rqnr CITY OF EVERETT ri��n�r wonKv /7 <br /> �} tJ�' LOCAL SALES --- ---- � ------ � �---- -- -- --- - .,l-.C��_. �- <br /> �L -hJ u���.. 2�'j1f(�• TAX CODE IS 3105 TOTAL i ���; 7� <br /> 1 <br />