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APPLICATI�1 FOR CONSTRUC7�N PERMIT� <br /> CITY OF GVERETT•BUILDING DIVISION <br /> �+ 3200 CEDAR STR�ET•EVERETT.WA 98201 •257-8810 <br /> ft✓�/l�✓ �{Cbf <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBIMG ❑ SIGN <br /> PROJE T�D%RESS . <br /> �✓ �/ <br /> OM�EP Y�iIACORE55 CIIY �T !IP FXOME <br /> �a�- I l .v�Fi I- �125- 35K- o �13 5 <br /> iCN�NT M�I Apq1E55 Lltt Z�P YN01. <br /> AOC^X�rtECtpipESqNEP �j u�'lA0DPE55 ,!� � CIIYI' !�P PnONE 2 / �S <br /> /•I�NN S (1t�(�' lV�- L/11-�!'fo_" '.'.(''1/' 1.v�� 77 l�fi'1� 7��T ��� <br /> GENLMLGd1iflAClOB M�IL��IX�ES LItY IW PIqNE GiAIELILENSE• <br /> YECH�111CALCON1RACiOP I.qry��ONE55 :IIY ZW PM.^N[ SiI.1ElK.e16E• <br /> RUMOINGCONIR�CLOR MAiI�DDPE$$ LIIY IW PM(JHE $LAiEL10E115E• <br /> CONIRM;tipqEWWOPK <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> nescnmewonKer�os u�neroa*mEnrv vm corrt�crveawrvu�orvwxer�o. <br /> 1,vSfALL _$' ' L <br /> � - I HERE�V CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> ��.�(G SL��- APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> vnoPoseo bne or emmuw PROVISIONS OF LAWS AND ORDINANCES GOVERNING TNIS NPE OF <br /> i' WORK WILL 6E COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> icc oescevtwnavnovenm�s��owrvecic'xon.*ucniwocar�es� NOL THE GRANTING OF A PERMIT WES NOT PRESUME TO GIVE <br /> �or o�oca or AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL lAW PEGULATING CONSTPUOTIOY OR THE <br /> °ERFOHAIANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> f>WNER OF THIS PROPERTV TO PEHFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> rnPtEuu i o.rmueEa CONTRACTAORS LAW 1827 RCW AND 29fi200 WAC. <br /> ea�srnuc.io�iiou�ic�ro[n.�.00ness.inc>��orvEr+uuecn X (['�/;(//, '/{�U/yJ/f'�� �,-�/% <br /> smN�ru, `7T—S !� o�E/ � �� <br /> � 9 t <br /> CITV BUSINE55 LIC[NS[NO <br /> PLUMBING MECHANICRI <br /> NO. TYPE OF FI%TUNE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> YlHTERCLOSET�TOILET� i A/C—NHNDLGUNITS <br /> BATMTUB ! FORCEDAIRS�STFMS <br /> LAVATORY�WASH BASIN) HEATPUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISP CIOTHES DRYERS <br /> DISHWASHER RANGE HOOD ! <br /> LAUNOflV TRAY WATER MErtTER <br /> CLOTHES WASHER WOOG SrJVE <br /> URINAL METAL FIREPIACE pY00D Bl1RNING) <br /> DRINNING FOUNTAM FIPEPLACE INSEPT(WOOD BURNING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACKFLOW PREVENTERS GAS RANGE <br /> SINK(SERVICE—DAR,ETC.� GAS PIPING <br /> '• E%HAUSTFAN <br /> SUOTOTAL 5 i Sl1�TOTAL 5 <br /> PERMIT 5 PERMIT 5 <br /> TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLV: <br /> FP011iSE19RCft �E�RS[i9ACM Si0E5EiBAL1( PVNCHKItINMOEROo� fEE ALCEIPiIYJ <br /> usezorie �m�nen wcurtsrte FEES VALUATION FEE <br /> ❑v¢s ❑�o euno��+c <br /> MEIGIRLIMIL/.1pN 1100FOIYELL��A SREOFBIDGiI <br /> UNI15 FLUUFIN(i <br /> GOVV�NCV IIOCi$NPL$ OLCIIP�N1L0�0 MSEMENI YECN�NICIy <br /> ❑TES ❑NO <br /> �IPESP111HN1[PPL00 �EA50'1 ApplLqNµl'I.WCNECK <br /> on�cn <br /> LIPE�lAR1APEGD P[ASJry <br /> SUiE 9VILDING SUBCIURGE <br /> maE or roHs* ow+servnoveo ov CITY OF EVEflEI'T wei�c vmuns <br /> LOCALSALES <br /> o��� TAX COUE IS 3105 TOTpL <br />