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A�PLICA4�N FOR CONSTRUC�ON PERMIT <br /> CITY OF EVERETT•BUILDI',VG DIVISION � <br /> 3200 CEDAR STREET•EVEREIT,WP.98201 •(425)257-8810 � <br /> ❑ DEMOLITIflN ❑ COMBINATION O aU1LDING �MECHIINICIIL O PLUMBING O SI6N <br /> PRqJECTADDRESS:_ JTIZ�I E'aleY�Ure�.�. er WA. <br /> bvn[�A0. � ` .`oonf55— nn -- n= vrrowc -- <br /> Q CtNY /S <br /> IEN1N� 4u1 AllMFS�� f.I1V IiV P�qN{ <br /> �\ <br /> ��CMii(CIOnp[yG4fn 4ulAMIDF55 ^JIY li� �.qNf <br /> Qr� Co�.S�• �.T V�r,�.o", wR /-3�0-5o"�- ZS�`S _ <br /> ee��nuioumenrn u+i•omEss -- ou —ir�r rvrorc cun�,crN•+ <br /> _=�35;��,c Pubox Zs�i� 1,�r�,wA 940�1- 206-9�7,-68g� <br /> uFCi��n4�ttOvrNf.tOa uc_eW0Es5 C�n :u- viqxr q�...L4FUC[IfELo <br /> I n +1-R(1 bY � <br /> riuuei�+ccou�u�no-� MUUqMIS� cnr pr ����air 5u�v�K[�.sn - <br /> iWm�t�nmc[u� �+ <br /> �I9�V� HEATING SYSTEM: GAS ❑ELECTRIC ❑ <br /> DESCRIOF RMAHIIA]U�1�ff�I�GCINVO1Vf0�,�I COilIICfVfN5pH�1R11'IqNFyq .��• ��J� <br /> _�`v(� �i' IY1S�T41) WNE�f F�(�vd P�-lSUS�.�.w ZD(�' 1 � �"_ <br /> y ` I I —�_,.-� <br /> ��I��Q� i��iih<... rypL � �OOCI_ _ <br /> �T <br /> / �Q41S S�'IS�4II I(/«� �HER90Y CER7IFY THAT I HFVE REAO ANO E%AM�NEO THIS <br /> N t�h N N pPP�ICATION AND NNOW THE$AME TO BE TFUE ANO CORRECT ALL <br /> vn Svo va unawn 5 r� OC V pqOVISIONS OF LRWS AN�ORC!NANCES GOVERNING THIS TYVE OF <br /> T �2ST' WORK WII.L BE COMPUED IYITH WHETHER SPECIFIED HEREM OR <br /> ICGu nF. � ��worrnorFnrviS�nvn+Btmwrn����cnrnroton[5� NOT. THE GFANTING OF A PERMIT DOE$ NOT PRESUME TO GWE <br /> im e�ou o� AUiHORITY TO VIOUTE OR CANCEI THE PROVISION OF ANY <br /> OTHER STATE OA IOCAL LAW REGUL�TING CONSTRUCTION OR TME <br /> PERFORMANLE OF GONSTRUCTION.THAT I 11M�UTHORRED BY TME <br /> — OWNER OF TMIS PfiOGEFTV TO PERFOPM TNE 'iIORK FOR WNICY <br /> APPLIGTION IS MADE ANO I COMPLY WITH THE STATE <br /> rnMa uv i o wn+ncn CONTRACTORS LAW IB 27 RCW ANO 296200 WAC. <br /> CW9NKIIONIO�NIINfIFq.eUMC55.IRF1110NENUMPEII x �'�^� r /V-�� <br /> 5'GN�IUPL U�l[ <br /> OLYBV9MSSl�LFNSf x0 <br /> PLUYBING MECNIINIC�L <br /> NO. TYPEOFFl%TUNEOIIREM FEE NO. T'PEOFEOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—AMNDLG UNffS <br /> 9ATNTUB FORCED Alp SVSTEMS <br /> L.4VATORY(WA:�H BA511�) HEAT PUMP <br /> SIiOWER UNIT HEATERS <br /> KITCHEN SINN d DISP CLDTHES ORVERS <br /> DISHWASHER RANGEHOOD _ <br /> LAVNORV TflAV WATER HEATEP _ <br /> CLOlHES WASHFq WOOD STOVE <br /> URINAL METFL FIREPLACE(WOOC BURNING) <br /> ORINNING FOUNTAIN FIREPLACE INSERT(WCOD BURNING) <br /> P400N DRAIN GAS FIREPLpCE <br /> BACNFLOW PREVENTERS GASRANGE � <br /> SINK(SEPVICE—B�R.ETQ) GAS PIPING <br /> --r— <br /> EXHAUSTFAN <br /> SUBTOtAL S SUBTOTAL S O � � <br /> PERMIT S <br /> PERMIT f —� <br /> TOTALFEE S TOTRLFEE f � � <br /> FOq OFFICE USE ONLY: <br /> 1f1(1N15fiP�f.✓. �f�Itif1P�CR $IpESfIB�CM 1`I�NC�RfM�.V4Pf� 1Ff �ffFl��110 <br /> //. 1 O <br /> (X <br /> nsrlovv �m.are vec��visn[ _ FEES VALII�TION FE_ E_r_ <br /> ❑vE5 ❑uU Ru�INNf. <br /> HFI(i11111VI1��lOY 40bOKflIIHG SIIEqBIOL�II <br /> ivns nu.mwr. <br /> ___' — __"" � <br /> occvr�.cr w�c�.inv.ts wcur�e�m�o e+vu[si orrnwrc:u _— - - <br /> C.NpVI• _ __ <br /> ❑�FS ❑r0 - <br /> lIPE51'll:!IML(IIPk7'D �(�iM �OD�IInM�I('I�4C�1l.LR _ <br /> O�I.[II <br /> I�RCFIAf�NNlOO � fli�cnV <br /> [I�IfflUaU��if.SnnCu�n:! <br /> nrtnrco•�cr nnws�nrnavroor CRYOFEVEHETT Mrwi¢mx:.s �"'— --- — <br /> 1OC11L 511LE5 -- —- — <br /> i,.�t TAX CODE IS J105 7o7�L __ <br />