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APPLICtCF��I FOR CONS'YRUCT�N PERMIT/_`� <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 32U0 CEDAR STREET•EVERETT,WA 98201 •257-8810 �=��"� <br /> �.��.. <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDiNG ❑ MECHANICAL PLUMBING ❑ SIGN <br /> PR ECTPDIJ ESS < � <br /> i � G 50ZX t e /A �✓�r�e Zd3 <br /> ���w� A MAILApDFE55 Clry I�p �p�p.t� �+ <br /> sf �:� MAIIA�OP� � � / �'J _ / l /l�(���/% <br /> ��'1�Es���J� oLneaJ��� `�7"�I�� /l0 � / �� i�2 ������ <br /> --(] cin zw PlqNE ��$�� <br /> GENEP�ICdAR�CiOB MAILAODPE55 CRY Zw PHONE SiniELICENSE• <br /> MECIUNIGLLOGIRACiOP IAMLApOFE55 QIV IIG PIWNE SiRELIG[NSE• <br /> PLUMOIIIGCpNTNGIpfl MAIL�pOPE55 LIIY ZIP F�IONE SiALEIILENSE� <br /> CONIN4pi ppILE OF WOI1N <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> OESCfliOE WOBKAND SOWpE f00UGE IfNCIVED LOIIiACi PE1150N M'O PIIONE Iq. <br /> . I HEREOY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> nnoraseouseov ammrt�n N'PLICATION AND KNOW TNE SAME TO BE TRUE AYD COBRECL ALL <br /> PPOVISIONS OF LAWS AND OROINANCES GOVERNING TMIS TVPE OF <br /> IEGFL�ESCOiPIIQYWPPOF(FiY�$HOWNOElOWq1ATiALHT40fAPIES� �'�'OFK WILL BE COMPLIED WITH WHETHER SPEpF1ED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> ior oiocrc or AUTHOHITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHeR STATE OR LOCAL LAW REGULATING CONSTqUCTION OR THE <br /> PF.RFORMANCE OF CONSTFUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTV TO PERFORM TME WOqK FOP WHICH <br /> APPLICATIOH IS MADE AND � COM17PLY WITN THE STATE <br /> rnnce�ru io.rvuueen CONTRACTORS LAW 1827 RCW AND 296200 WqC. <br /> Wf15iRUCiIONLOeNLENOEP.eDpBE55.iELEPNONElNHOEF x <br /> . SILN�IUNE OAIE <br /> CIiY BUSWE55l�LENSE NO. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUqE Ofl ITEM FEE NO. TYPE OF E�IIIPMENT FEE <br /> WATER CLOSET(TOILET) P/C—P/MNDLG UNIT£ <br /> BATHTUB ' ! FORCEDAIRSYSTEMS i <br /> LAVATORV(WASH BASIN) HEAT PUMP <br /> SHOWER � UNITHEATERS i <br /> KITCHEN SINK 8 DISP i CLOTHES DRYERS <br /> DISHWASHER RANGE HOOD i <br /> LAUNDRYTRAV i WA7ERHEATER <br /> CLOTHES VlqSHER i WOOD STOVE <br /> URINAL � MEIALFIREPLqCE�WOODBURNING) � <br /> DRINKING FOUNTAIN � FIREPLACE INSERT(1Y000 BURNING) ' <br /> FLOOR DflAIN GAS FIREPLACE i <br /> BACNFLOW PREVENTERS i GASRANGE <br /> SINK(SERVICE—BAR,E7C.) � GAS PIPMG <br /> � E%HAUSTFAN � <br /> : P �.f -ll.�� � <br /> i " <br /> i <br /> SUBTOTAL 5 I SUBTOTAL S ' <br /> PEPMIT S � PERMIT S <br /> TOTALFEE b i TOTALFEE S <br /> FOR OFFICE USE ONLY: PO�Dq-DG <br /> Ff10Ni5Ei0ACN FEAPSEtBACK SIOESEi9ACN P GNECKNLIAnBE.I,i fEE PECEIPi1W. <br /> us[zor�[ ioren� vecu�rsi� {� FEE VALUATION FEE <br /> ❑res ❑No omminu <br /> �IEiG��LLi4liieipx NpOFOW[LLn,O SQEOFBlOO/II. <br /> UNlii <br /> rwuoirq <br /> OCCUVLNLY Iq.Ci5i011ff5 OLCUPANLLO.N OASEIAENI MEGUNIC0. <br /> GpOUP <br /> ❑YES O NO <br /> FlIlE5PflI11NlEPpE00 pEA50N .WDIII(HULFUNCNEGX <br /> RPE eUnM 11EOO OINEII <br /> (IUSON <br /> SUiE OULLpIlq SURCPMGE <br /> TYVEOFCONSi p�ANSA�PpOVCUBY CITYOFEVEREiT NBLqWOflNS <br /> LOCALSALES <br /> oere TAX CODE IS 3f05 707AL <br />