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APPLICATI�1 FOR CONSTRUC'�N PERMIT� <br /> CITY OF EVERETT•BUILDIIJG DIVISION <br /> 320G CEDAR STREET•EVERETT,WA 98201•257-OB10 <br /> "- DEMOLITION ���7 COMBINATION � ��. BUILDING � MECNANICAL 1-� PIUMBING �-: SIGN <br /> PROJECTADDRESS <br /> ;;01 ce16y wve. <br /> c;wr�n uui�o:m.;: r�rv iro wm�[ <br /> Sal�� f��r.l No�.c �30► ��M qoa Gvns� 9/w� <9Lf') tit>- s�st <br /> iU4ti� YNI�WRE55 CIIY IP PN(rlE <br /> ♦��L�i1CC.lO��UlS✓AlLn NAI�P(�uF65 GIfY ZR PNJM1E <br /> GH�[1utCl1lmC1'w PuIApCPELS C�iY tl✓ PW.x�E 5111[liLCb.F• <br /> So�it Qui1AKc T++.• 75�H �wnSoir pr. E��+c11 9Ysa! S��t�0lif�e+ <br /> VL!;N�II�C4Im�i11�L� N�II��APES$� C�iv ZM1' �Mp�t 6i�i:lILEI15E• <br /> Sal�e Rw;ide.i Snc. �C+Y �a��pe. D.. gve.+�K �Yso� fpLZagFi5�or <br /> !".VIAflINfiCV'1�C/.r��q MAl1�0041F59 CRY ZW A101R St11C\IC[NSf� <br /> Cn�l P1ClPPI�I OF VI�bN I <br /> Yl o o D^ NEATING SYSTEM: i;GAS fl ELECTRIC ❑ ; <br /> pESCf1�9EYA M�IqSpUu+EICOi�GEINV0.VLO CObt/41P[RSONOSP�qNElq i <br /> �r a r <br /> I HERE�Y CERTIFY THFT 1 HAVE READ AN� E%AMWED TNIS I <br /> nn�vosm w[a Bm�nur, APPUGATIDN AND NIJOW TN[�AIdL TO OE TRUE FND CORPECT ALL <br /> PROVISIONS OF LAWS AND OR�INANCES WCERNING THIS TYPE OF <br /> WORN WILL DE COITPLIED YJlill WHETHEP SPECIFlE� H[REIN OP <br /> ur,.ic[scarora.ia�nov[mr�sw.ma�BE�owon�n+cnrvrocavrt5� NOi. THE GFANTING OF A PEPMIT DOES NOT PRESUTAE TO GIVE <br /> iG+T�'.1 eia+ �9 � or � AUTHOR�TY TO VIOLATE OR CFNCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LA\V REGULATING CONSTfiULiION OR THE <br /> PEPFORMANCE OF WNSTRUCTION,TNAT 1 AM AUTHORIZE�9v TNE <br /> OWNER OF TNIS PROPEFTY TO PERFORM TME WORK FOR NMILN <br /> APPLIGATIOIJ IS NADE AND I GOIdPLV WITM TNE STATE <br /> macf�ue i o�uvecn CONTRACTORS LAW 1027 PG W AND 294 200 WAC. <br /> CJr�5lnuCiq�IlO�NIEIp[R.�Gp1E56.lELEPMONEIMIBCP X ���� � �./�l00 <br /> _ i.:dIDRE O'LO'sO 0\lC <br /> � <br /> cirv ousnn ss ua ucc r�o <br /> PLUMBINC MECHRNICAL <br /> N0. TYPE OF FI%T:IRE Ofl ITEM FEE ND. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET ITOILET� AC—ANNDLG UNITS <br /> �ATNTl10 FORGEO AIR SYSTEIAS <br /> LAVATORY(WASH BASIN� � HEAT PUIdP <br /> iNOtVER UNIi HEAT[R$ <br /> NITCHENSIWKBDISP i CLOTIIESGFYERS <br /> DISHWASNER : PANGEHOOD <br /> IAUN�RYTRAV ! WATER HLAT[R <br /> CLOTNES WASHER WOOD STOVG <br /> URINAL j MEIALFlREPLAGEIWOODBURNING) <br /> DRItJNINC POUNiAIN FlREPLACE INSEPT(WOOD OURNING� <br /> FLOOF DFAIN GAS fIREPLACE <br /> �ACKFLOYlPREVENTERS ! GASRANGC <br /> SINNISEPVICE—�AR,ETC.) - j GASPIPINCa <br /> ExHAUSTFAN <br /> i <br /> i <br /> SUOTOTAL $ SUOTOTAL 5 <br /> PEPMIT 5 PERIAIT 5 i <br /> TOTALPEE 5 i WTALF[E 5 <br /> FOR OFFICE USE ONLY: MU i Oa-Q/D <br /> rnoHrEL���.�cr: nUaSEtB/�LR SNELEiBI.Cx PW�cNEcxMMo[P rFE nECEiai'q <br /> os[zo�¢ ictu+se wcurts*[ FEE9 VALUATION FEE <br /> m[s r,rvo eutioaa <br /> MEiGM LiM114NY1 Iq GG bNELL� S�F Oi BIOGI l <br /> IIMl6 RUMlHW <br /> OC.CUv.VILY NOR51.'IPES CLCUWNILOAO 845FMENt y��NANiL4 <br /> GNWP <br /> ntt; �rio <br /> rwe�vnnMicancoo Auwr� Uoniaaucuxwe� <br /> OMGfl <br /> rmE�uAun[oo r��sOn <br /> Si�iEBUTDMO6MCnM1GE <br /> iv�[OFCCNSI P4Hb�VPIpVFOBv CITVOFEVEHETT �U9iKvqP[5 <br /> IOCAL5ALE5 <br /> wtt TAX CODE IS 3105 TOTA4 � <br />