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APPLICATI� FOR CONSTRUC7�N PERMIT� <br /> CITI'OF EVERETT•BUILDING DIVISION <br /> 3200 CEOAR STREET•EVERETT,WA 98201•257•8870 <br /> ❑ DEMOLITIOH ❑ COMBINATION ❑ BUILDING C MECHANICAL ❑ PLUMBING .�SIGN <br /> PROJECT ADDflESS 1p 3 o CC I by aV e <br /> aw.rca u.awoness arv rw arwr�c <br /> 1rJiND�R ME2C coNwC2crAC ( �{lS) 3Ss—U�o� <br /> iCN/J1i 4�Il�L..^PC55 CItV jR %�Q11[ <br /> �- 3d co A�� . <br /> ARCIII�1 MCCSG�NP 1LI�RI.D�'J41[55 CITY 1M %1J1g _ <br /> r V` <br /> GCNCi1µ ON1pACi0 � NA4�W�C55 Cii1 2V hIQ( GUiEUCENSE• <br /> 1�CUNL��S NF�N CO 3o3�d� l�iT°AuC S �rc�e1/r� lunv q�oo3l>s�19a6-��� Yol�N4NSo97kE <br /> 4ECnU1R4COMiMClCA N/JI�WRC55 LiiY IG V�qH[ St�iClCENSE� <br /> �W4B'1KIG(WIMCtU1 MAR�DJP65 Giv jp M1�y:C 9�1ElCW5U <br /> Cp1TF�Ci PR4E Cf WOR� <br /> 0 C HEATING SVSTEM: ❑GAS ❑ELECTRIC ❑ <br /> ocscaiec wnnK,�rm sou�n[ro�u:t M.�avEo ca�*+c�nEasox.rm vrwvic ero <br /> AU. �� CHfiNE( L�� C>s3) 9�6—i�d'6 <br /> I HEREDY CERTIFV THAT I MAVE flEAD ANO E%AA1ME� THIS <br /> APPLICATION ANO KNOW TME SAME TO BE TRUE ANO CORRECT ALL <br /> rAa+osco 6 or ev arvc. � PROVISIONS OF LAWS AND ORDINANCES fiOVERMNG T415 TYPE OF <br /> WOFN WILL�E COMPLIED WITN WNEiNER SPECIFIED NEREIN OR <br /> unuoc orqn rnw�[arv�s�m�BE�owon�nacnnrocorrtsl NOT. THE GRANTING OF A PEPIAIT DOES NOT PRESUME TO GIVE <br /> ior &ax av AUTNORITY TO VIOLATL OR CANCEL iHE PROVISION OF ANY <br /> OTHER STRTE OR LOCAL LAN PEGULATING CONSTRUCTION OR TME <br /> PEPFORfdANCE OF CONSTPUCTION.TMR7 1 AM AUTHOPIZED BY THE <br /> OWNER OF TNIS PP.OPERTV TO PERFONM TNE WOPK FOR NMICH <br /> APPLICATION IS MADE AND I f,pMPLV WITN THE STATE <br /> nn�uru in e�ue[n CONTRACTQRS lAW 1827 RCW AND 296200 WRC. <br /> /`1/' �(+� <br /> CONS1PUCi1lNlWNlFMi0.MU�ES9.TC1ERpN41N��BLR ('M /�'� � �+ _ �/i�00, <br /> x <br /> 6ifiN�NPk O�iE <br /> C�1Y BUSWE55 LICtNSC No <br /> PWMBINO MECH�NIC�L <br /> NO. TYPE OF FI%TUNE ON ITEM FEE NO. �ypE OF EOUIPMENT FEE <br /> WATEfi CLOSET(TOILEp h'C—A'NNDIG UNITS <br /> BATNTUB FORCEDAIR SYSTEMS <br /> L:VA70RY(WASM BASIN) ( MEAT PUMP �— <br /> oHOWER � UNITHEATEPS <br /> KI7CHEN SINK 8�ISP CLOiHES�RVERS <br /> I DISHINASHEP RANG[NO00 i <br /> IAUNDRYTRqY WqTEF HEATER <br /> CLOTHESWASHER i WOODSTOVE � <br /> URINAL METAI FIRCVLACE�WOOD BURNING� <br /> DRINKI'1C FOUNTAIN FlRE�UCE INSERT IWOOD OUPNMG) <br /> � FL�R�RAIN GASFlFEPLACE _ <br /> BACKFLOW PREVENTERS GAS P4NGE <br /> SINNISERVICL—OAR.ETC.) ! GASPIPING <br /> � E%HAlJST�AN <br /> uUBTOTAL 5 SUBTOTAL S <br /> PER�AR 5 PEPMIT 5 <br /> TOTALFEE 5 TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> (P(T�iS[IA�CN pi�fl6CfB1CN 6iIX5CiBKH MNCN[C\MMPCP f[F IKCEIPf1q <br /> o �.�0� <br /> uscroa[ ` � �m�nu wc+vrsn[ FEES VAIUATION FEE <br /> '� [1vE5 (1b0 BUApW I \ <br /> 11CqMtUMl1�lpN !q0lOV!(Lllrip SIiCC�BtCGTI <br /> NII15 NVY911q <br /> LCWn�W,1Y MJCiFDPlS OCCMWltO�D BI.YM[Ni p[CN�MG� <br /> GflWP <br /> i1�F5 ❑NO <br /> iMESPfliMICPREOD PE�SGM I.J�I)ICH4FlAACN("M <br /> Ot�1E� <br /> IA[MA11YaCOD 11[ASOl1 <br /> $l�if BUM1q1q c':^t'�,��n(1[ ��1 <br /> rvrtoir.orv>> r«Hs�m�rovcoar CITVOFEVEHETT rue�cvmrms �� � � <br /> �� LOCALSALES — <br /> ��„��. /7�� _ TAX CODE I6 J105 TO7AL �n� 7�^� <br /> Y <br /> L <br />