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/�PPLICATI�1 FOR CONSTRUC'�N PERMIT� <br /> CITY Q�CVER�TT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,4VA 98201 •257-BB70 <br /> ❑ DEMOLITION � COMBINATION ❑ BUILDING ❑ MECHANICpL ❑ PLUMBING I' SIGN <br /> PflOJECT pDDRESS <br /> Sqlo EvFv,_�.� 1�,/�c( `1bZ03 <br /> owr+cn 4AM1h�DPE55 arv zm piorrt <br /> Flou>w�.NovE S83o Eveatn�u�tJwY Everarc 98zo3 4z5-aw� �•n �56 <br /> 1ENµi NAILAppflE55 dIY Zp Fql1[ <br /> F�oµ�W4 HOP6 <br /> IfWNI¢CiOqD[SM+NEP M11L�OORE55 CILT tP %pryQ <br /> �fliC. DY�cEM►nl WztiVntcS� P.S. I'fIbW.NkweV�c�b�.�vecE.rf 'YCzoi 91S•759•31LI <br /> GEthllµfAMOACiOq MML�ODflE55 LRY 2P RICNL S4IELKR�SC� <br /> /anFruEy Ga.r�wu�o+�,l�.k IOSn �y�4ve.sE s.+�nc Ev�=.,r qQZoB Hzs.ase-ziiy /rp,FFU(.T1041aS <br /> uEL11et11C0.COMP4iOF uAlt�ppPE55 CIlY IW PWNE :U�El2CrlyC• <br /> PWAIORGG0IRP�LTOl1 MMLMOPE55 CIiY 2W RqNE Si�iELICU4E• <br /> CONIR�CtPflICEOF WOBK <br /> x3�J5 yt'I,°D t�JSbS HEATINGSYSTEM: P3GAS ❑ELECTRIC f-I <br /> �ESCPIOE WORN NIU SOUI.RE�W1I.GE YNQVEO COIIiK.i PEBSCN N10 PIqNE IA. <br /> .w�rc Inv p�e eF EYf N�ro Sew.i -c'o.� 4zS•Z59•'SI(e <br /> DAY•C4¢e..cFutPJt. f�¢J�+wk. � atr.ia Mb <br /> ��AY(.cmw�D I�tPA�/+Ta • b�+��D�^4+' S �e7$ $F � HEREBV CERTIFV THAT I HAVE HEAD AND ExAMINED THIS <br /> APPLICAiION ANO KNOW THE SAME TO�E TRUE AflD CORRECT AlL <br /> rnaroseo use or ammrtq PROVISIONS OF LAWS AND OPDINANCES GOVERNING THIS TYPE OF <br /> '��"�'� �"�T�¢ WORK WILL BE COMPLIED WITH WNETHER SPECIFIED HEREI�� OR <br /> IEML�L5CflipipNOLVNpPENIYI5110W11BElOWOfl1R�LNiWOCOPIEi� NOT. TH� GRANTING OF A PERMIT OOES NOT PRESU1dE TO GWE <br /> io*��p.�'�� otoCK�._0��'+��� HIW pn(IS10h1 AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR IOCAL LAW REGULATING CONSTRUCTIOIJ OR 7ME <br /> o�. 10 P `� PERFORMANCE OF CONSTflUCTION.TMAT I A!A AUTI{pRIZED BY THE <br /> OWNER OF TMIS PROPERTY TO PERFORM THE VlORK FOP WMICH <br /> APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> r.nce�ux m.nuuoen CON7RACTORS LAW 1827 RCW AND 296200 WnC. <br /> 31'K-oZ•oiq•o0 'l112•M�bop•m �132-ede'oll-oo <br /> COIIStPUCfbNIONRENO[11..N�0[5&iEIEPIqNE1NRB[P x�� � Dy/Z3/Q/ _ <br /> SiG IOPE pel[ <br /> 0��5�7 <br /> CIiY 9U5WESS llL[NSE N0. <br /> PLUMBING MECNANICAL <br /> N0. TVPE OF FIXTIIRE Ofl ITEM FEE NO. TYpE OF EOUIPMENT FEE <br /> WATEFCLOSET(TOILET� q� NC—NHNDLGUNITS <br /> BATHTUO ! 3 FOPCEDAIRSYSTEMS <br /> /2 LAVATORV(WASHBASIN) I HEATPUMP <br /> WER � (Q UNITHEATERS <br /> J KITC SINH 8 DISP i THES ORYERS <br /> ( OISHWAS R � RA� MOOD <br /> LAl1NORYTRA ! / WA7EF TER <br /> / CLOTHES WASHE WOOD STO <br /> URINAL � METALFIREPLA (WOODBURNING� <br /> DRINKING FOUNTAIN j FIREPLACE INSERT OOD BURNING) <br /> FLOOF DRAIN GAS FIREPI?CE <br /> BACNFLOW PREVENTERS ! GAS RANGE <br /> I SINK�SERVICE—BAR,ETC.) � GASPIPING <br /> ' (> EXHHUSTFAN <br /> � <br /> i <br /> SUBTOTAL S � SUBTOTAL S <br /> PERM17IT S j PERh7lT 5 <br /> TOTALFEE S i TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> FPOuiSEID�CR � pEAqSETtlGCK S�OESEtB�CK F MECN�:UUUEH FEE � P[L[miq0 <br /> r i�' o' D -09Z <br /> uSEiou¢ �oru+Ee v¢wiSrtE FEES VALUATION FEE <br /> �-� ❑1'ES BUIIDRq <br /> NEIGIIit1411AtqNq�� IqOF�WELLING 54EOF&IXSill ���/ I <br /> eJ 5 uims ft 6 2 8 vwwai�a ' <br /> C CUp�NCY 1qCF510.i($ OCLUPI,NiIW'1 BA fYENi NEGIIANK'K � <br /> FIPESPP IMIERflE01 RFA501�O ❑�5 � MOIfKK1KPlNItNELK I <br /> N� an�cn <br /> rme�unyn�S nE�w�rv,` � �11 V� SIAtEBNIDiNOSUiKII/JiGE I <br /> i <br /> trneoFmr�sr. rw�s�rpnovcoar CITYOFEVERETT we�cwonxs � <br /> � / � .�/� LOCALSALES � <br /> �/ on . \ TAX CODE IS J705 70TAL I <br />