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APPLICATI� FOR CONSTRUC'1�N PERMIT� <br /> CIN OF EVEHETT•BUILDING�IVISION <br /> 3200�ECP R STREET•EVERETT,WA 9P201 •257�BB10 <br /> �l DEMOLITION 'rP�COMBINATION fl BUILDINO ❑ MECNANICAL ❑ PLUMBINO �: SION <br /> PROJECT ADDRE-" � <br /> _o� -� G�433 ��v .Pr�,l <br /> ow�An /., 4.n�orn[ss � { an rn n�a�c <br /> �'7�-/--1� /MK/Bl LjlQ�/a:--f +�� �i/'� /�L:� 7 E /'L.�� �.1�� <br /> lEN NI ; 4�RNUPCS GIY l0 P101R <br /> '�Cc�- �rr-1,72 <br /> LIKni1LCl!nMS�iMH 4�R�Wef55 CItY !A InU�rt <br /> .�I.,`i�Ccas571' ��i cn , i•; AhKCuLi`n3lG�c <br /> OEHR4WrTKfOn Y1i�OMC55 LIfY t�' �� OtlElCtNSf• <br /> M¢�uN¢MGTiIn¢Ip� u�M1�IXM[55 OtY !n Arq{ 61AElCEME• <br /> ftW11uNCON1V/LfOR 41M11pME55 CiIY I'' �MP4 tltlEUCENSE� <br /> COM�"�Li°"`EO�"�' NEATINOSYSTEM: Ui6A8 ❑ELECTqIC r7 <br /> aSCnqE w�Y�R�M:Au�u[r(q«c[Mttiv[o COMtKr MnSpN�Np hqNE p <br /> / V �� f <br /> ��� �UOy� IU�� S OF �pp�GA ON AND NNOW TNE SMIE TO 9E TRUE�DxCO RECT?ALL <br /> mprou usi a euno+n ���n PROVISh7NS OF UWS AND ORDIN�NCES 60VDiNIN6 iH15 TYPE OF <br /> K WORK WILL OE COMPLIEO WITN WNETHER SPECIFIEC HEREIN OR <br /> uouttunro�Mnorvwnv[nn�s�avmeaavw�nanrwocorrtsi ppi. TME GNANqNG OF A PERMIT DOES NOT PRESUME TO DIVE <br /> 1e� yS �a� a AUTHORITY TG VIOLATE OR C�NCEI TNE PROVISION OF ANV <br /> OTHEH STATE UP LOCAL LAW REGl1�A71N0 LONSTRUCTION OR THE <br /> PERFORMANCE OP CONSTPUCTqN.THAT I AM AUTNORIZED BV TNE <br /> � OWNER OF TMI i P(1CPEHTY TO PERFORM THE\YORK fOR WNILH <br /> APPUC�TION IS AS�DE ANU I COMPLV WITH THE ST�iE <br /> r.a u�.i o r�wneo _ _ <br /> CONTRACTORS UW 1B 27 RCW ANU 29fi 100 WAC. <br /> CCNSif11KtIGNLOU1lfNC(u I.ppl[551[I[N�LVEMN![P � � ���/�� 1��'nU <br /> 6C1M�IVPf OI.1[ <br /> ClivluSM55lCEN5[NJ <br /> OLUMBINO MELH�NIC�L <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> W�TER ClOSET�TOILETI A'C--AHNDL6 UNITS � <br /> BATHTUB FORCED�IR SVSTEMS <br /> LAVATORV IWpSH ORSINI MEAi PUMP __ <br /> � SHOWER UNITMEA'ERS _ ! <br /> � KI'fHEN SINH b DISP CIOTHES URVERS � <br /> __`_ DISHWASHER RANG[NOOD <br /> LAUNDRY TR�Y WATER HEATER <br /> CLO7HESW�SHER ! WOODSTOVE <br /> UFIN�L METAL FIREPUCE IWOOD BURNIN(3) <br /> OHINKING FOUNTAIN FIREPUCE INSERT�WOOD WRNIN41 � <br /> FLWR ORAIN U�5 fIREPUCE <br /> B�CNFLOW PREVENTERS 0�5 R�NGE <br /> SINN�SERVICE—�AR.EiC 1 OAS PIPIN6 I <br /> EMNAUSTF�N I <br /> I <br /> sunrou� s i SUBTOTAL s <br /> PERMIT S PERMIT 5 � <br /> TO7ALFEE f TOTALFEE f <br /> FOP OFCICE USE ONLY: <br /> fPO4fS1 na.n HI�i�S[�P�rh 52'C6flp/LC PNNCM[tMIY![P ![f ALCWiIq <br /> S" � 7..� 2 c-r �� <br /> �yr�y� ,� -- �. —� v�c.xisnt FEEB V�LWTION FEE <br /> �•- �. �r`;717C10 is ^wo ew�own � <br /> ���'l�u���l�y� UH�IS IMIIIRFi SYfO�BIIT��II <br /> L f 0 L �`{i0 nwe�xo <br /> qa�u.:, n�ns�aas xcorunio.n n.�� enn � u¢nu+c4 <br /> f �[s <br /> In SVP�4nlnHt1P PUSJV �W�flY14RIJ1CMlCR — <br /> �\ <br /> �, _ OM[R _ <br /> fM(�1�1�41�1UD �f�501 <br /> SI�fE!U�O�NI5UCM4qE <br /> n�Eac.»�v n�nsuwav�oe. CITYOFEVERETT wmcHa�s <br /> LOCIIL SALES <br /> ���� ���+� S L� �V TAX CODE IS 7105 TOTAL <br />