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APPLICAT�N FOR CONSTRUC�ON PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201•257-8810 <br /> DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS �, <br /> / �'/ '..,� — <br /> p�;�n w�n�od¢ss citt zr v�wc <br /> ,Y ��ii � r�r��v�`. �UC/i-�i rn� ;��+ F��Jr �✓�✓J� (,� � Z �yzs 34� 3G-33 <br /> TENI.NT NAM1/�WIIESS piY Z4 % <br /> �♦ NrtCLiOnMSGMEP uKAWNF65 GiY IA %IONE <br /> �-�R�U�nnI .L�SIC,AI r..`7 Q�n n S'i' �- nvr,w�D� InIA r7�02� <br /> cc�.cn.icori.wc�on wu.ew+css att zw c1pxe s*uc�Kcvsc� yzS'�34� <br /> %� ! � , i cni" 7 �V�'T1nn ? aZCL G�IS-r AJC `_c- �,',Clc�rl• l(:',9 Hi'[ �{ <br /> YECAPNiC4CONiMLIOP YI.L�CQ�E55 CItY 2V AlplE I � SGICLKCNS[� <br /> ,/`�c�:(�-�rci ��F <br /> AUu91rv6CWLPAL}qi YW100PE55 CIYI 24 R�OIrt Si�1EL4[xSE� <br /> LONiPKf PPCE Of WIXix ' <br /> HEATING SYSTEM: �GAS ❑ELECTRIC ❑ I <br /> pCSCPRE NOPRIN�:AVME f001�GE hN0.VLU Cp1i/�Ci PCRSON I1AMqNE fq <br /> J � <br /> I HEREDV CERTIFY TNAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND WRRECT ALL <br /> rn000s[o�se a ouauwo pqpV1510N5 OF LAWS AN�OPDINANCES GOVERNING THIS 7YPE OF <br /> WORN WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OH <br /> imuocue�eraxarna�cnmiswvmeuawa+nnunlwomncsi NOT. THE GRANTING Of A PERMIT DOES NOT PPESUME TO GIVE <br /> ior �aK pp AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OiHER STATE OR LOCAL UW REGULATING WNSTRUCTION OR THE <br /> PLRFORMANCE OF CONSTRUCTION.TMAT I AM AUTHORIZED BY TNE <br /> OWNER OF THIS PPOPERTV TO PERFORM THE WORK FOR WHICM <br /> APPLICATION IS MADE AND I COMPLV WIfM TME STATE <br /> uuR io xuwoen WNTRnCTORSIAW 18.27 RCW AND 296200 WAC. <br /> � - � ' <br /> e�ns�werwriiowicraenr.00ncss. icwwe�cmnecn X—'- 4� � ��(Llj�;� /L)-i4- �C 't� <br /> SGNAN p�iE <br /> GtYBU5wE55lKLN5[,q <br /> PLUMBING MECHANILAL <br /> NO. TYVE OF FIxTUNE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> 1NATER CLOSET(TOIIET) NC—AMNDLG UNITS <br /> OATHTUB FORCED AIR SYSTEMS <br /> LAVATORV(WASH DASM� I ��EAT PUMP <br /> SNOWER � UNITHEATERS j <br /> NITCHEN SINK 6 DISP � CLOTHES ORYERS ! <br /> DISMWASNER ! RANGE HOOD ! <br /> LAUkDFYTPAV ! WATEHf1EAiER <br /> CIOTHES WASHER WO00 STOVE <br /> URINAL � METALFlREPLACE(WOODOURNING) � <br /> �RINHINGFOIINTAIN FIREPLACEINSERT�WOODOUPNING) � <br /> PLOOR ORAIN GNS FIREPLACE <br /> OnCKFLOW PREVENTERS GAS RRNGE <br /> SINN�SERVICE—6AR,ETC.) CAS PIPING � <br /> � EXHAUSTFAN � <br /> i i <br /> I SUBTOTAL S � SUOTOTAL S ! <br /> PERMIT S PERMIT E � <br /> TOtALFEE S TOTALFEE S <br /> Fon oFFice use oN�v: pD!(7-G l <br /> iPOM5ET0eC1( PGRSEIDACR S��ESEiB�CK P4NCNELNMINBEH ICE PEC[NiNO <br /> uX1art �ormce v¢u1isirc FEES VALUATION FEE <br /> ❑vcs o rw eunnira <br /> nEw�rtin�rt•iax Norsrm�curca svEaeioc7i. <br /> RWBWO <br /> �1 p.WCY M[i 61CR[S CCCUP/.NI lOM B�SEMEN} MEQUMCK <br /> orEa oxo <br /> FWESPIVwKIERPE00 AE�SON �1�KP��HECM <br /> OMER <br /> �mE�tANYREOU �E�SON <br /> St�iE BV40W0 SUPGIMGE <br /> .rreorconsr �l/u�9�PP1bvED9Y CITYOFEYEPETT rueicwaus <br /> LOCALSALES <br /> o.rE TAX CODE IS 0105 tOTAI <br />� _ _—� <br />