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APPLICATI� FOR CONSTRUC7�N PERMIT� <br /> C�TY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201•257-8870 <br /> C DEMOLRION ❑ COMBINATION i=7 BUILOIN3 ❑ MECHANICAL ❑ PLUMBIN6 i7 SIGN <br /> PROJECTADDRESS �SZS C�OLBy �l�, 1El�LR�� Gf�JO qB�I <br /> OM M�Y�DL�[55 CIIY IP Rq�IE <br /> �eran,?d %�mu ionz -so�.. ,x w NvK.[7ta wA �L�S �/LS-3yB•9�Zg <br /> Ti1��M M��LJ.DCRE55 OiY Z9 IYIO�L <br /> ,f�i/�kw��r�t io��Z-s��.�c w �rv,�,2�ru45�z�s cJLS-3V�-V5Z6 <br /> ♦RC�RECIM[�f'.r;.l�Ell M�iIApCRFSi CIfY IW l�q1,[ <br /> �[��C�� tYliR_.�Cnip1R l 4�I:.Ylpn[55 CI1Y 2M IM]11C 6t�}fl1C[NSE• <br /> ��/`�/� <br /> MlCN111iCPtCG��1lI�Cipi M�fi��l`.5 CILY Sp Rq11C $i�iLLICLIi$C� <br /> I'Ll1�l�IN�.iC�F4�lUn M.11:�f1[NlSi CII� IM MCIF Si�iELIC(45C� <br /> �C IINILICPI�.ECiWORR <br /> S � � HEATING SYSTEM: ❑GAS r7 ELECTRIC C <br /> � 'q5�.n�nrwrnti�����2r r�aEi��x�y�� can - ��ns �u�o�+a�R�L-�� <br /> _�rE� /CC: <br /> �,�e �GocE,�,,�,aae c � yzs 3yB- 9�z 9 <br /> /�������,L����• ��� ER BY CERTIFY TNAT I MAVE REAO AND E%hMINED TNIS <br /> �� �� ' APPLIGFTION AND NNOW TNE SFME TO OE TRUE AND COFRELi AlL I <br /> r�,+•y�j o ;i o�nann.nIq'' �/ /J cQ PROVISIDNS OF LAWS AND ORDINANGES GOVEFNING TMIS TYPE OF <br /> KES/d�/�1M- /��S/v� -S1 `� yyORK WILL�E COMPLIED WITN WHETHER SP[CIFlED HERLIN OR <br /> �tcurns�airn�vu rn,�rnir�s�o.:��et�owan.riecnivroconKsi NOi. TME GPANTING OF A PEPMIT DOES NOT PPESVME 10 GIVE <br /> iu+ _eiocn a AUTHORITY TO VIOLATE OR CANCEL THE PRCVISION OF ANV <br /> OiHER STATE OR IOLAI LFW REGULATING CONSiRULTION OR iHE <br /> PEFFORMANGE OF GONSTRUCTION.THAT I AM AUTNORIZED�Y THE <br /> OWNER OF TNIS PROPERTY TO PEPFORM THE WORK FOR NMICH <br /> - APPLICATION IS MAD[ AND I COMPLV WITN TME STATE <br /> �.Qci •�o rnrvn�n CONTRFGTORS LAW 18.27 RLW AND 294200 WAC. <br /> �T"3(e 3m�/ 60� G� <br /> rrn�smuu�o.no�nic�mcn woncss�c�crvarv�Nuueca ���� �O-/s OC� <br /> "�N,. J+ �.�� <br /> GiY B115MESS ICCNSE M] <br /> PWMBING MELNANICAL <br /> N0. TYPE OF FI%TURE Ofl ITEM FEE N0. TYPE Of EOUIPMENT FEE <br /> 1NATER CLOSET QOI�ET) A'C—AHNDLG UNI15 � <br /> BFTHTUD FORCE�AIR Svui[MS Q� <br /> LAVATORV�WGSM�ASIN) HEAT PUMP <br /> SMOV:E R UNIT MEATERS ' <br /> KITCHEN SINK A DISP CLOiMBS DRVEPS <br /> DiSHWASHER RANGE HDOD ' <br /> LAUNDRVTRAY WATER NEATER <br /> Cl0THE5 W4SMER WOOD STOVE � <br /> URINAI IdETAL FIREPLACE�WOOD BURNING) <br /> DRINKING FOUNTAIN FIREPLAGE WSERT(WO00�l1RNING� <br /> �LOOR LI�.AIN GAS FIRHPLACE <br /> B4CNFLOW PREVENi@RS GAS P�NGE � <br /> SINK 6ERVICE—BAR.ETG� GAS PIPINu � <br /> E%HAUSTFAN <br /> i <br /> i <br /> SUBTOTAL 5 SUOTOIPL S <br /> PERMIT S i PERMIT 5 <br /> TOTALFEE E TOTALFEE S <br /> FOR OFFICE USE ONLY: LO- O�' S <br /> fMJ•i15(�BLCe nUPS[iB6rt 5iCE6E1BKR PLIJICMIGtMM1410EN RE RKEIPiNO <br /> w�_ O� <br /> usr.,��+[ �o��nE. vruxisrtc FEES VIILU�TION FEE <br /> �r[5 r,xr Buamra <br /> ���.;�,ei�w*+tiw r+oor�unm ._v[awor*� I <br /> u�o�s <br /> RVMBIN6 <br /> OCCVI'111CY IqpclCAllF6 CL1%IIV�NIIO�O O�SEMCNi NCCN�1NICi1l <br /> ��nWP <br /> nrcs oHo I <br /> n:,es��vmE�+nrnn nreson umrtroruivuria�ece <br /> OiNFR <br /> 1 If1E t�AHM REOO 11[�SON <br /> S1I.iE BUXD11q SUPLII�PC{ <br /> rrcEcucwrs* �- n�•�s�waonoev CITYOFEVERETT we�cwaixs <br /> LOCALSALES <br /> �,.,� TAX COUE IS 3105 TOT�L <br />