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APPLICATIO.. FOR CONSTRUCTI.�N PERMIT�}�. <br /> CITY OF EVERETT•BUILDING DIVISION �/'���,�,�, <br /> 3200 CEDAR STRE[T•EVERETT,WA 98201 •259-8810 ���J--- <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �I MECHANICAL ❑ PIUMBING ❑ SIGN <br /> PROJECT ADDRESS: ZI�1 r 4�Q.✓ �'Y <br /> �� rfl� � �e,� z� 3� c��a.r �w ��r�#I ��� �q - �����.� <br /> OWNEa Y�il�00t1Ess cln I�r ri�oNE <br /> 1EN�N/ �MI�Od�f55 GfY T�� PnONE <br /> �RCMTCCTOROESIONEII M�R�0011E55 LIIV 7�1` ANOYf <br /> OFNEMIGONIO�GTOnf1 M�II�Op�F55 CIIY 1I 7��n P�10NE CGfEIICENSE� <br /> �nrnnlo 1P laCiC�Q��JiC_4 ���J� ���fZ�rYllfv/.0 �UQ..fJLSI '1'���•f�87 mr�(r�08 �[-D <br /> MECNAPo �L CONIMf,TOR M�II�Od�F55 Gltt I�P PIICME Si�f LICENSE� <br /> RUMlIN6 CONTRAGTOA M�IUOONESS CIIY I�P P110NE SGIE L�CENSE� <br /> CONTRACi PMCF 0�WOf1Y <br /> 2 � 8–I HEI4TING SYSTEM: � GAS ❑ELECTRIC ❑ <br /> OESGPolE V1011K�NU SdUNF F�OT�OE INVOlYEO f.CMT�Lf 1`CRSON AND PIIM�E NO <br /> Crin� !Cl }�2m� rn ,�_ � CStC�u� . <br /> � I HEPEBY CEiiTIFY THAT I HAVE READ AND E%AMINED THIS <br /> APPL�CATION AND NNOW THE SAME TO BE TRUE AND COfiRECT ALL <br /> raorosco use a mn�ara PROVISIONS OF LAWS AND ORDINANCES 60VEP.NING THIS TYPE OF <br /> WORK WILL BE CAMPL.IED WITH WHETHEH SPECIFIED HEREIN OR <br /> �cpµp[scmrrqNpariqrEnn�s��owne¢�owon�n�cNrwocoviesi NO7. THE CiRANTINO OF A PERMIT DOES NOT PRESUME TO OIVE <br /> iot e�ocK or AUTHORiTY TO VIOLATE OR CPNCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW HEUULATI�'O CONSTRUCTION OR THE <br /> PERFORIAANCE OF CONSTRUCTION.TNAT I AM AUTNORI2ED 8Y THE <br /> ' — OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> hV CEL W(1.0.MIMIIEN CONTRACTORS LAW 18.27 RCW AND 286.200 WAC. <br /> Cp1511N1LT10N LWN LENDFR.�OOIIESS.TELFMIp1E NWEER <br /> x ' ' -L�12�� Q� <br /> 610N�TU11E D�i <br /> �',�.Z(n�b�i <br /> CITY BUSINE55lICENS[NO <br /> p�V��Np MECHANICAL <br /> NO. TYiE OF FlIfTURE OR ITEM FEE NO. IYPE OF EOUIPMENT FEE <br /> WATERCLOSET(TOILE7) ; NC—MINDLQUNRS ' <br /> BATHTUB ' FORCED AIR SYSTEMS ' , <br /> UVATORV(WASM BASIN) i HEAT PUMP � <br /> SHOWER � UNIT HEATERS ' <br /> KITCHEN SINK 6 DISP i CLOTHES DRYERS i <br /> DISHWASHER � RANGE HO00 � <br /> UUNDRY TiIAV � WATER HEATEA � <br /> CLOTHES WASHEF � WOODSTOVE <br /> URINAL � MEfAL FIREPLACE�AIOOD BURNING) ' <br /> DRINKIN6 FOUNTAIN , FIREPIACE INSERT(WOOD BURNINO) � <br /> FLOOfi DRAIN � GAS FIREPLACE ' <br /> BACNFLOW PREVENTERS i ��QE � <br /> SINN(SERVICE—BAR,ETC.) � OAS PIPINO � <br /> EXHAUST FAN <br /> i <br /> i � <br /> SU8 TOTAL S ' SUB T07AL S ' <br /> PFRMIT f i PERMIT S � <br /> i'OiAL FEE f � TOTAL FEE f �_ <br /> FOR OFFICE USE ONLV: <br /> iAONTSFTB�CK REMSE7N�L1t S�OESFTl�Ck �I�NGIIEGNNUYR[q fEF AECEIMNO <br /> r � �{i�U <br /> ue¢zone io�en¢� VAC�NI SIIF FEPS VALUATION FEE <br /> orEs ❑ rro nu�loMa � <br /> IIEIONTUMITATION NOUiDWELIINO lIIEOilLDORI � <br /> � <br /> UNII[ P111M0iN(i _ I <br /> OCCUPIINL� IqO�f�MIS OCCUP�NfL0�0 l�SfMFNT MEC���MLM j <br /> OnO1N <br /> OYFS ❑NO — � <br /> fIHE8P111NKLERREO'U �EASON <br /> �Dp1I1pN.11 PI�N[�?GM i <br /> �__ <br /> i <br /> nn�cn ; <br /> fIRE NARM REO'D pHSfN� <br /> i <br /> SI�iE BIXIOMR SII�LII�IIGE <br /> �_ �— <br /> trveoT�:a+sr vuNs�nrnovener CITYOFEVERETT rumir,vmnKs <br /> IOCAL SALES —; <br /> o��E TAX CODE IS 9105 1oTAL <br />