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APPLICATI�N FOa CONSTRUC�ON PERMIT� <br /> CITY OF EVERETT•BUILDING JIVISION <br /> 320C CEDAfl STREET•EVERETT,WA 98207 •257-BB70 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAI ❑ PLUMBING ❑ SIGN <br /> PROJECTADDHESS /�/J '� <br /> 6 <br /> OWNER YRItA00PE55 Y ZIP PMU�E <br /> IENNrt ^ � �}F���ESS Lltt Z�v PN@iE <br /> r�WY\ /� '� � <br /> A4lCNItECT F06GNER IA�ILAp0�C55 CIiV Ilv ('M011F <br /> GENLRPLCOIIIRl.LiOR MA!LAOD�E$$ CILY 11� P110Nf $i�iLLl�[115E• <br /> MECn<':�J.:CpNLp4i00 ti�AM1�DUPE55 CItY SiP �NOIiC SiFtELlCC16[• <br /> PLUAIpJGCOYif1I 011 M11L��IN1E55 dIY ZIP P��ON[ SiA1CLICCNSE• <br /> Q � �/� <br /> coxrex*vrmeorwoaK ' HEATINGSYSTEM: 7GA5 ❑ELECTRIC ❑ <br /> oescamswoaKevoseuu+ecooucenrvavm torvr,wrrcnsw�er+oruouera <br /> I HEREBY CERTIFV TMAT I HAVE READ AND EXAIAINED THIS <br /> APPLICATION AND KNOW THE SAME TO DE TRUE AND CORRECT.ALl <br /> vaoros[o use oF ewiou+a pqOVISIONS OF LAWS AND Ofl01NANCES GOVERNING THIS NPE OF <br /> N/ORK WILL BE COMPLIED WITH VIHETHER SPECIFILD NEREIN OR <br /> iewioescaivrior+avnocenni,navwoc�owonnrtna�nvocor2s� NOT. 71IE GRANTING OF A PEHMIT DOES NOT PPESUIdE TO GNE <br /> ior oiacK or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE <br /> PEFFORI.7ANCE OF CONSTRUCTION.THAT I AtA AUTHORIZEU BY THE <br /> OWNEfl OF THIS PROPERTY TO PERFORlA THE YJORK FOR WHICH <br /> APPLICATION IS MADE AND I COh7PLY WITH TME STATE <br /> v.ncc�.uio iiuuaca <br /> CONTRACTORSLAW IB2 RCW ND2962 WAC. <br /> mus*eue*iai+�ou��Evo[n,woness.re�cv�wi+e rmueea � ��b <br /> �y�cruruae o�ic <br /> GIIY BUSiNE55l�LCNSE Ip. <br /> PLUMBING MECHANICAL <br /> NO, iYPE OF FI%TUflE Ofi ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) !o8—NHNDLG UNITS <br /> BATIITUB FORCED AIR SYSTEIAS <br /> LAVATORV�VJASH BASIN� HEAT PUMP <br /> SHOWEFl � UNITHEATERS <br /> KITCMEN SINK 8 OISP CLOTHES ORVERS <br /> DI54WASHER RANGE HOOD _ <br /> LAUNDRY Tf1AV WATER HLATER <br /> CLOTHESlVASHEP WOODSTOVE <br /> URINAL 1dETAL FIREPLACE(WOOD BURNING) <br /> DPINNING FOUNTAIN FIREPLACE INSERT(WOOD BURNING) <br /> FLOOP�PAIN GAS FIREPLACE <br /> BACNFLOW PFEVENTERS GAS RnNGE <br /> SINK�SERVICE—BAR.ETC.) GASPIPIt�G _ <br /> EXHAUSTFAN <br /> SUBTOTAL S SUBTOTAL S <br /> PERhtIT 5 PERMIT 5 <br /> TOTALFEE S TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> FROIIi.[IO<CM1 PEABSElOACN SNESEiBnL PUlCNEC INM9EP FEE AECEIPiNO. <br /> —�� <br /> Useiome iornFen iv<cnr�iSnE FEES VAUlATION FEE <br /> � nres n rio ou•�on�a <br /> ee�cnruurteiar� rvooro�+rtuiHc s¢roroioc�i <br /> ur+rts vwraei.xi <br /> OLLUP�IICY IIOCi91L'nE5 OCLOPANLLOW OASEMLNI MECY'.NiCAI <br /> GPOUP <br /> ❑YES ❑I!O <br /> FRIES�RiNGLERRE00 PE�SON ADU�LIONALVVNLNECK <br /> OiN�P <br /> FlPEµARMPE00 PER5011 I <br /> 5t<iE OUROIt�G SOi1C10.PGE <br /> rrreovcorsr �urrs�rcnweoer CITYOFEVERETT euei�cnroAxs I <br /> LCCALSALES <br /> op,� TAX CODE IS 3105 TO7AL <br />