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APPLICATI�f FOR CONSTRUC'1�N PEi�MIT� <br /> CITY OF EVERETI •BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT.WA 98201 •257-8870 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS <br /> .5`/D� �ifi� �a.tn, Ce'i�_ <br /> owriEA u>iuooness cirr zir nror+e <br /> iENANi MAI pppf CI}V Z�P P110pE <br /> I.IICIIIi[GL SGFE11 . �LIODIR55 CIIY 21P PIIONE <br /> GE .�MLGOi1F�GLOP MMLAOOFESS CIiY 3iV PIIONE Si�1ELICEISE� <br /> 1ALCII�MC�LCONiPAG10R A41LI.p�BER CIiY ZIP CIIOIIE SIAIELKEI6E• <br /> PWIA�IIIGCONIHACLpq I.IAry�DOPE55 CIiV ZiP P110N[ S1AiELILENS[� <br /> COII1flACiFRIGEOG WOP <br /> HEATING SYSTEM: f7 GAS ❑ELECTRIC ❑ <br /> ncscnmewonKermwu<r �voou�eiHvav[o co�nncrecnsauxoruoncr�o <br /> I HEREBV CERTIFV THAT I HAVE READ AND E%AIdINED THIS <br /> APPLICATION AND NNOW TME SAME TO BE TRUE AND CORRECL ALL <br /> veocoswuse o�avaouw PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF <br /> WORI<WILL BE COIdPLIED WITH WMETHOR SPECIFIED HEREIN OR <br /> �ec.ioescaivno��ocaaoeean�s�owHee�rnvonetueHrrvoecaies NOT. THE GRANTING OF A PERMIT DOES h0T PRESUldE TO GIVE <br /> io* ewc� a AUTMORITY TO VIOLA7E OR CANCEL TME PflOVISION OF ANY <br /> OTHER STATE OR LOCAL IAW REGULATING CONSTRUCTION OR THE <br /> PERFORh1ANCE Ur CONSTRUCTION.Tk1AT I Ald AUTHORIZED BV THE <br /> OYlNER OF THIS PACPERTY TO PERFORM1I THE WOPN FOR WHICH <br /> APP}�C TION IS MADE AND I COh1PLY WITH THE STATE <br /> p�pGE�t�i o�+uueEe LO T A TORS J 1 �R A 'D 296200 WAC. <br /> CONSiPUL1�CIlOMilE1NEP.ADORE55.1EtEPNONENU40EP � <br /> au n O�iE <br /> CIIY DUSINSS IICENSE 1H1. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TUflE ON ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) NC—P/HNDLG UNITS <br /> DATHTUB FORCED AIR SYSTEMS �_ <br /> UVATORY(YJASH BASIN� HEAT PUMP <br /> SH'JV:ER UNIT HEATERS <br /> KITCHEN SINK 8 DISP CLOTIIES DRVFPS <br /> OISHWASHER RANGE HOOU <br /> LAUNORY TRAV Vl�TER MEATER <br /> CLOTHES WASriER WOOD STOVE <br /> URINAL IdETAL FIREPLACE(WOOD BUflNING) <br /> ORINKING FOUNTAIN i FIREPLACE INSERT(WOOD BUflNING� <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACKFLOW PREVENTERS GAS RANGE <br /> SINK(SERVICE—BAR,ETC.� GAS PIPING <br /> EXHAUSTFAN <br /> SUOTOTAL 5 SUBTOTAL 5 <br /> PERMIT S ' PERMIT 5 <br /> TOiALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLV: d- O/ —0 <br /> FROtliiEiBeCK RE/.fI5E10ACN SICESflOAL'ri PI�NG� LKNUAIOEP fEE PECEIPflp. <br /> OZ7 <br /> USEZo�+E �� �oi�nEA IwLurtsn[ FEES VALOATION FEE <br /> ❑VES �� BURD�Iq � <br /> MEM.IItIIMIi1iqN 1qOGpWELLIta 54EOi�LCGT� � <br /> UNi15 }"� PWMOiNG <br /> J � <br /> CCNPANC.Y IAO�SiCFfS OCLUP1NiLQ�D fi�SEREIi p[�ryAHIC�L <br /> GRO P � I 1 <br /> —1 DVES ❑NO <br /> LIRFS'AINNLEPPE O PG5011 b����ON0.VUNCHfCK <br /> N� omcn I <br /> FIqE�NRMpEO� �EASON <br /> `V 0 SV.iE BWI�n:G SUPCUMGE <br /> rn¢o�wrvsr vur�sea +o,(coor CITYOFEVEflETT rueicwonxs <br /> � / . / ��` LOCAL SALES <br /> �/ /�/ o�rE TA%CODE159105 TaTA� <br />