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APPLICATI� FOR CONSTRUC�N PERMIT//��j� <br /> CIN OF EVERETf•BUILDING DIVISION �/ <br /> 3200 CEDAR STREET•EVERETT,WA 98201•257-8810 <br /> i"1 DEMOUTION i.-! COMBINATION fl BUILDING ��: MECHANICAL ❑ PLUMBING :- SIGN <br /> PROJECT ADDRESS /i/� � <br /> .� <br /> COAw'ER MI.K�OMCSi CIiY �/ IF A1}C c � ��/ � <br /> 1` l�� /Nt rjnacc ' ly.tl � ��[� CVf✓�I/ �islV� �- 7J Z � G'�/���_.y <br /> 1LN411 N�R�p6�Iu$ � Cif� III� PMU( <br /> /.uCN',1CL10Rq:5G�kF M�RADpPE55 y� `�� GT ZiV IYqqN( yy�J �j� <br /> �14I1�Y�I�N CLhSTCO �JJSo Sf' G`rrcr�ZJ`� l1/H /yl0/ /=a�nd[[oSjQf <br /> cunaumvw.cron e•.a.noF�ss cnr nv n� sr..c�n;rnsc. <br /> VIC+�N✓:L'(:OIliP.�Li011 G11�(lP1E.'.v C�iY lV IY✓JI1C :�alELl�[11':i� <br /> �`LLn.•pftlCONfNI�CtOP M4M91055 Clil 2T PMK SiNLlKSNS[• <br /> wn*n.avnccorww. HEATINGSYSTEM: ❑GAS I-IELECTRIC C <br /> �DO[) — <br /> r�scnmE wa+.�w,owwc rao,.cc rtriav[o cnn�cr rtAsoH uw rwah rw <br /> Fo �4.Y' 12 epa'✓' —a�/z �/2S �St S 9SX <br /> /��I�D �✓hP� �J Z U Fr Of` C.Y1 I�> _ <br /> � I HER[DY CEPTIFY THAT I HAVE READ AND E%AMMED THIS <br /> Fy�.q r'0 a7 G <- w� C APPLIGATION AIJ�NNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> rmcs�osco vse rn nvuv�n:, PROVIS�ONS OF LAWS AND ORDINANCES GOVERNINC�THIS TYPE OF <br /> WOPN WILL OE COMPLIED WITM WMETHER SPlCIFIED HEPEUJ OR <br /> i[r,.�otscr�a�rirn�a rnonr.*nsuovn�enowa+•nK:nrvrocMrt,i NOT. TIiE GRANTING OF A PERtdIT DOES NOi PRESUME i0 GIVE <br /> �o,/f��ip�i p,�,� �92 D"�p�y L r OG��Q �ct AUTHORITY TO VIOLAiE GR CANGEL THL PROVISION OF ANV <br /> 0T4ER STATE OR LOCAL LAW REGULAiIN6 CONSTRUCiION OR TME <br /> �-} ; � f-un,l � S� /�vp z �yp�� IY— PERFORIdANCEOFCONSTRUGTION THAiIAMAUTNORIZCDOYTNE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WOFK FOR WMICH <br /> APPUCATION IS 1dADE AND I COMPLY WIiN THE STATE <br /> ` r^�.:.0 ur i��mue�n CIN�TRACTORS LAW 1B21 RCW ANO 294200 WAC. <br /> � 75� U� 0�00 iZ �r7 7 <br /> crn�sra�,K.,a:�o.Hi�riucw,�ooaFss.*[i[n�oxErnn�e[n x .✓ .+'�� d'/y' (�� <br /> iunc g G o��E <br /> �a� <br /> crtr 6usrc¢ss u:cr�s rin <br /> PLUMBING MECNRNICAL <br /> N0. TYVE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � WATEFCLOSET(TOILET) A'C—ANNDLGUNITS <br /> 9ATNTUB FORGE�hIR SYSiEMS <br /> LAVATORV(WASH OASIN� MG/•TPUMP <br /> SNONEF UNIT MEATERS <br /> NITCMEN SINN 6 DISP CIOTH[5 DRYERS <br /> DI&HWASNEP RANGE HOOD <br /> LAUNOPY TRAV WATER HERTER <br /> CIOTMES WASMER WOOD STOVE ! <br /> UqIN4L METAI.FIREPIACE�WO008URNING) i <br /> GPI�:Y.14G PoUNTAIN FIREPLACE INSEAT(WOOD BURNING) <br /> FLOOP DRAI'J G�S PIREPLACE ! <br /> �ACNFLOW PREVENTERS ! GAS RRNGE <br /> SINK ISERVICE—BAR.ETCJ i GAS PIPING <br /> E%HAUSiFAN � <br /> i <br /> t <br /> SUBTOTAL S ! SUBTOTAL E ' . <br /> PERMii S I PERld1T 5 I <br /> TOTALFEE S TOTAIFEE S , <br /> FOH OFFICE USE ONLV: <br />� �AO���S[IDecc PUH6Ef04cx S�MSEiB�Gx NQ4CeMMB[u iE[ PECflWND <br /> �C�2'+1 - O.�v <br /> us[zare wunu wc.r�isnc FEES VAlUAT10N iEE <br /> �res n r�o ��� <br /> NEanr�M�t�11JN NOO�IM'Eu�vO siltUiNlDG11 <br /> Uw14 I� %UMBmb <br /> (Y'„CUI'41[v I4lR:tM1f5 CLC'JI'sNILOI.D � M:(Mtlli 4ECNANIL/�L <br /> �� �IYEv 0 <br /> fR1E6P�nqLCRPE00 PCni(M� �»4RANL11[CM <br /> Of1�C� <br /> �aE�U��MPEOD AUS�N <br /> S1AtE BUl�MlSUFCNUIGE <br /> i�rto�ce+�si riuis.rcnoveoo. CITYOFEVERE7'f weiewonns <br /> .�7- � LOCALSALES <br /> -L_'� (e' i..�i� 1 oa TAX CODE IS J705 TOT�L <br />