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APPLICATIC`I FOR CONSTRUC7�JN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 88201 •259•BB10 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDINO ❑ MECHANICAL �PLUMBINfi ❑ SI(iN <br /> PROJECT ADDRESS:_ o7y/S �S/L�//% <br /> ownEn M1ULNd1E59 ��'/��(�(1'l�l' c�j'LC'C��'�,�"'!/C1l/(J�2�''NO��� �(J��1/ lJ��y�/ <br /> ��Wi�.e.� �ln�u� �/ y <br /> TENljlT MNL ESS CIIV )IV PIqNE <br /> S�rn� cr,Q-��re <br /> �RCMTCCT p1 DE516NER MAII�OOnE55 GIIY )II` P1qNF <br /> C_��-2� G�4vt5T- <br /> r�n�ucorim.craa uu��oonEss cnr �ir PiIOHE st��eiic¢nse. <br /> MECHAM�µCONTH�LTOR NML�Od1E55 (:IIY Ti1' P110NE ST�tEIICENSE� <br /> PIURNNqCONIR�CTOR M�Il�Dp1E5$ ��IY IIP r�aneto6-� T�TELICENSEI <br /> ����s�i .�t�.��-n� � O ,! �e l� ' y��y Sui�ons�s2�s � . <br /> �0 MEATIN(i SVSTEM: ❑fiAS ❑ELECTRIC p <br /> oEscns�waa�no sw�r�raor�o[wvrxv[o cor�t•cr vcasoN uro r�ra <br /> r�CunlB� - 2 �S�` � <br /> � S � ' I HEFEBY CENTIFV THAT I HAVE READ ANU EKAMINED THIS <br /> �� APPLICATION AND NNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> °����� PROVISIONS OF UWS AND ORDINANCES 60VERNIN6 THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> i[oµoesenrrroNarraren �s�pwnee�owan�n�eHiwocaaes� NpT. THE �RANTINO OF A PERMIT OOES NOT PRESUME TO OIVE <br /> ioT eiaK a AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OP ANV <br /> OTHER STATE OR LOCAL LAW REOULATINO CONSTRUCTION OR THE <br /> PEHFORMANCE OF CONSTRUCTION.TMAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICM <br /> A�?LICATION IS MADE A D 1 COMPLV WITH THE STATE <br /> r�qc[i ia i.o.Mn.�q CONTRACT RS LAW 1827 R AND 298.200 WAC. <br /> CONSiRUCT10N LON1 LENDER.110011ESS.fElER10NE MNOER Z • //�!y�{/<� 7��o�"1C . <br /> 516N�TURE �" U�TE 'T <br /> GTY BUSM/E59l1CFN5E NO <br /> RIIMMNO MECNIINICAI <br /> NO. TtlPE OF FlIfTU11E OR ItEM FEE NO. TYPE OF EOINpMENT FEE <br /> 'Z WA?EF CLOSET(TOILEn ' IVC—AR1NDLp UNfT3 � <br /> BATHTUB ' FORCED AIR SVSTEMS ' <br /> LAVATORY(WASH BASIN) � HEAT PUMP � <br /> SHOYVER � UNIT HEATERS � <br /> KITCHEN 31NK 6 DISP i CLOTNES DRYEHS i <br /> DISHWASHER � RANOE HOOD � <br /> LAUNDRY TRAV ; WATER HEA7ER ; <br /> CIOTHES WASHEH � WOOD STOVE � <br /> URINAL ' METAL FIREPIACE(VJOOD BURNING) ' <br /> DFINKINU FOUNTAIN � FIREPLACE INSERT QNOOD BURNINO) � <br /> FLOOR DRAIN � (3AS FIREPLACE � <br /> BACKFLOW PREVENTERS ; (iASRAN�E ; <br /> SINK(SERVICE—BAR,ETC.) � OAS PIPINQ � <br /> ' EXNAUST FAN ' <br /> � <br /> � � <br /> , � � <br /> SUB TOTAL f ' SUB TOTAL S ' <br /> PERMIT S � PERMIT f � <br /> TOTAL FEE t ' TOTAL FEE f ' <br /> FOR OFFICE USE ONLY: <br /> iRONTRETBIICN PEM6FTE�CN SIOESETBlltlt �l�NC11ECMNUMBFII fEF �Ff.FIPINO <br /> u�e iart im�ae� V�C�NI SIfE FEES VALUATION FEE <br /> orea o r+o BUio�Nn ; <br /> NrroNr urmt�now ra a owEwra sitE a e�oorti � <br /> UN1IF PUIMpIHO � <br /> — — 4 <br /> OCCUPANCY IqdSIMU OCCWANILO�D l�SEMENT MFCN�NIG�I i <br /> OIIOIIP <br /> ❑YES ❑MO i <br /> �ppI110N4 PI�N C��f CM i <br /> FlRE BPPoIMLER REOD pF�50N _�_ <br /> mncn � <br /> fIRE�W111MREOD NF�50N i <br /> SIA1E BlI1101N6 SIIfICNQ10F � <br /> 1 <br /> ___ �._� <br /> trveacor+s� PI�NSMPn0VE0BY CITYOFEVEREIT rueucwon.s <br /> LOCAL SALES ---- —''-- <br /> o�iE TAX CODE IS 3105 TOTAL � <br />