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APPLICATI�I FOR CONSTRUC7�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257•88f 0 <br /> ❑ DEMOLITION �G COMBINATION ❑ BUII.DING ❑ MECHANICAL ❑ PLUMBING f i SIGN <br /> PROJECTADDRESS <br /> � �J <br /> OWNEP Y�M1�O +[55 OlV SW Aqt6 <br /> I..,��k.,,oes•y�o� 1�1,,.,��..�c L.�c.Hr..e-,i 962� L�i�c133S-"5��0 <br /> 1CN�Ni 1l4V.COPCS. CIiY IiP W�GG4 <br /> /.RLNILC^.tOR�E5Y11LR M4LMM(55 Cliv 2W Aq1R <br /> Ace<. N�.�.e�F I�.,Hor1 a-¢,�'1 - � 1b �CC,e�Pf-f- 2SCt'•Co4uo <br /> Eb[qu<oN*Mc*OII u�iL�Wn[ss 1:�1r ic RqNC s1�rEl�CtNs[• <br /> �+c. �� � NMt-L ' �1I�o' ��I\i A�. t�i•�• 4.k•«e--ch� ���S�a '�3C--��,o <br /> 1AECNINiC4CONiR�CTOR —�M�It��ME55 CI1Y IT IYq1N Sl�tElKENS[� <br /> �cr[.xw�c �e �klvh�r 1._ �.usrt� L`f�C\ 7v']-1�1��( <br /> I'W4IBINOC'NliR�CiOq M�tt�00RC55 � � LItY 11' F�b4 9Pi[lKlNSf� <br /> 5..,;, a • Yz 1����--6��� <br /> coH,n�c*mcearwo ��. � HEATING SYSTEM: GAS ❑ELECTRIC ❑ <br /> J'J.� � L <br /> uEscaipEwm«�rwsa�i+ncroornr. wvavm IccHuciv�nsorv+!mrrrorucra <br /> Ne� Q S d....�-•.�1� `�,.. l.._�ckw. �3C``�L(o(o.� <br /> �:�,��ree— 3 � S ��uc• �y7c1S1�- 4Zr7 <br /> I HEREOY CERTIFV THAT I HA\'E flEAD AND E%AMINED THIS <br /> G rc.w o — Sy� � APP�ICATION AND NNOW THE$AME TO BE TRUE AND COPRECT ALL <br /> r �sm ase o ouaa�x� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL�E COtdPLI6D WITH WMETHLR SPEC�FIGD MER[IN OR <br /> ieau�oc�scn..�.r,irona raa•[nrv�sNownoaowon�n�rv.vcanics� NOi. TIIE GRRNTING OF A PEPMIT DOES N0T PRESUIJE TO GNE <br /> io*1��oiocK�or ��-+pr AUTHORITV TO VIOLATE OR CANCEL iME PROVISION OF ANV <br /> OTHER STRTE OR IOCAI LAW PEGULATING CONSTRUCTION OP THE <br /> �,U:S`� PERFOPIdANCE OF CONSTRUCiION.TNAT I AM AUTNORIZED BY THE <br /> OWNEH OF THIS PROPERTY TO PERFORM THE WORN FOR WHICH <br /> � �� ��aOc�02+S'L��� APPLICATION IS l.1ADE AND 1 COMPLY WITH iHE SiATE <br /> V CONTRACTOR�RCP�AND 296200 WAC. <br /> rencat�.io rwvo[n <br /> ti-�-�-az,q«�L 7� <br /> ccx�srnucrwnia.nicNncar.noncssruc rt�Nuec� x ��'�l�^O� <br /> �Cvn�'.►�- �5�� v �'�-Vh ' �-J swrvcruac o�ic <br /> !� I 0 CIhBUSiNCLSIILENS[�rtl <br /> PLUMBING MECNANICAL <br /> NO. TYPE OF FI%TUPE Ofl ITEM FEE N0. TYi'E OF EOUIPMENT FEE <br /> �p WATERCLOSEi1TOILET) � � ' — A'C—AHNDLGUNITS <br /> OATHTUB I FORCEDAIRSYSTEMS � <br /> LqVqTORY ryYASM BASIN) ' HGT PUMP <br /> SMOWER / � UNITHEATERS i <br /> KiTCNEN SINK h�ISP CLOTHES�RYERS i <br /> DISHWASNER RANGGH00� � <br /> LAUNDRVTRr1Y �y. WATER HEATER� <br /> CLOTHES WASMER � WOOD STOVE <br /> VFINAL METALFIREPLACE�WOOOBUPNING) � <br /> ORINKItJGFOUNTAM j FIPEPLACEINSERT(WOODOURNING� <br /> FLOOP�RAIN CaAS FlREPLAGE <br /> BAGNFLOW PREVENTERS ! GAS RANGE <br /> SINH�SEPWCE—�AP.ETC.) dAS PIPING / i <br /> -- EFIIAWTFAN / � � <br /> � i <br /> i <br /> i <br /> i � <br /> SUBTOTAL S I $UDTOTAL S ! <br /> PERMIT S i PERMIT S <br /> TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> rnorrtsc�o•a n[�nsao�cx sicese�e�cn crrccarvuusrn � ? — a«��a*�� <br /> C, .7 f/6 � /� - ` <br /> usc zonE �o��nu v�cervr3ye FEES VAIUATION FEE <br /> .� Li (� ♦'ss n rw ommma �9 g <br /> H:u�rtuvrt�nne� raoromiuva sx[ovo�oeii <br /> �,�,� �, 315h 5 6 a�e,�� <br /> occur�vcr ran�ss ocwn�xiio�o e+s�u[rvt � u[Cn�r+e:u <br /> �GHo�P <br /> Vi Z ❑v[5 <br /> �n:CSrnv:x¢BPWO nE�59rv ����roN.LLFI/�NCMEGN <br /> OMEP <br /> IIH[�U�'��4CpU PUSJN � <br /> Si��E BUM9M]SMLwAGE <br /> irvc rn wusr nu+sermnovcoev CITV OF EVENETT rueic woa�s � <br /> IOCALSALES <br /> ..�( �„F y S O I TAX CODE I$3105 TOTAL <br /> �/�t. ��)/T ' �D �%�� _ <br />