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APPLICA�In� FOR CONSTRUCT�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 C�EDAR STREET•EVERETf,W.198201 •(425)257-8810 <br /> ❑ UEMOLITION ❑ COMB�AYI� ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJ CT ADDRESS: <br /> �� ��,% �.,,,-�-� �.3on //5�� 'n f'-� D� <br /> � / /�/���1 nM Cin im r�wr�fSf /� <br /> � � .� s� ,� y�lds/ 9 Z 9� <br /> cirv ria vuons <br /> •nUnIIclonliESicu[n MulloFnE55 �iry )m r�rpr�r <br /> f.fNfJyIC.ONip/.LIIX1 N��tADDPE55 CI1Y bP p�q4[ 54�LIICENSE� <br /> / /� <br /> b1._. <br /> YFC111N�CA�Cpy�qALIUf1 N\II�DOf1E$$ LIIY ]If' VIION[ t�1lflICFN$E• <br /> P1114BINGCOIIIlilfl N 9-�__� ��jy IIP p11�Nf $�AIFIICEN$E/ <br /> �\ __ <br /> CpNtf1ACINlICf WO <br /> G HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> oc>cmoe�wnK• i uu� rooreeewvo�v[o corrtecrrrnsavumn�w�er�o <br /> � <br /> I HEHEBY CERTIFY THAT I NAVE READ AND EXAMINED THIS <br /> n�rosro us[ov pinmivo �PPLICATION AND NNOIY TNC SAME TO�E TRUE AND CORRECT q�� <br /> PROVISIONS OF LAWS hND OR�INANCES GOVERNING iH15 TYPE OF <br /> tcc�io[scnirnpr�annonEnn�s�rovniencwoaem.cnrvrotoMcsi �'�'ORK WILI BE COMPUED WRH WHETHER SPECIFIED 11EHEIN OR <br /> NOT. THE GRANTING OF q PERMI7 DOES NOT PRESUME TU GIVF <br /> �ot oiocn or AUTHORITV TO VIOL4TE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> �'ERFOHMFNGE OF CONSTRUCTION.TMAT I AM AUTNORIZED BY THE <br /> OWNER OF THIS PI�OPERTY TO PERFORM THE WORK FOR WMICH <br /> APPLICATION IS h7A0E AND � COMPLY WITH TNE STATE <br /> nnncn ux�o MiMncn CONTRPGTORS LAW 1027 RCW AND 296 200 WpC. <br /> fANSI1111CtIONlOAN1I1�pF11,/.pq1[5$.I[lCA1pM1(NUMqE11 x <br /> �— SiGN�fVNL D�R <br /> bIVBULUE55l�LExSC NO <br /> PLUMBING MECH�NICAL <br /> NO. TYPE OF fl%TUqE OP ITEM FEE NO. TYPE OFEOUIPMENT FEE <br /> WATER LLOSET QOILET) q/C—PMNDLG UNRS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVpTORY�WASH BASIN) HEAT PUMP <br /> SHOW�R UNIT NEATERS <br /> KIiLHEN SINK d DISP CLOTHES ORYERS <br /> OISHWASHER RANGE HOOD <br /> LAUNURY TRqV WATER HEATER <br /> CIOTNES WASIIEP WOO�SiOVE <br /> URINAL ME?AL FIREPLACE h'f00�BUfiNING) <br /> DRINKING FOUNTAIN FIREPIACE INSERT h'lOOD BURNING) <br /> FLOOR Oi7A1N GAS FIREPLACE <br /> DACKFLOW PREVENTERS GASflANGE <br /> SIN:<(SENVICE—BAR.ETC.) GAS PIPING <br /> EXHAUSTFAN <br /> SUD TOTA� 5 SUB TOTAL S <br /> __ PERMIT 5 PE(iM1T E <br /> TOTAIFEE E TOTALfEE f <br /> FOR OFFICE USE ONLY: <br /> r mrtum+cn nr�nsrre.,ck sioes�.�u�ta ruHcuaxnuMnrn rcp nFcr��*r�o <br /> usclorvr �m�nEe wcerv�snE FEE VALUATION FEE <br /> ❑res ❑No ninmiNr. �Qp� <br /> ueir.rauwiunon Hoanwcwvn s¢eoreioeni — .���?�__ <br /> UYiI:: <br /> P1114fl1Yt: <br /> OCC'lll`A�.Cv Hpry{�f�0.fc {XCII>�NIIO�D fi15FMLN� Iyff,N�Mi(.�1 <br /> CNOV� <br /> OYFS O NO <br /> II�ESPflINn(EqpEOO �f'.KpN �DDiI10NNl'I�NOrtLK / � i'j„ <br /> LU <br /> rineauaanm�o af.cnv <br /> on�En <br /> Suq HaxO�vG 5unciunG[ <br /> nrrnrcoiisr rine;; r vmm -- �-�� <br /> CITY OF EVERETT rnnur.vmnx� <br /> ��K � �Gq LOCAL SALES - --.— --- <br /> ont �7- 2 � TA%CODE IS J105 TOTAL <br />