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, :'I� APPLICATI� FOR COI�O�TRUC�ON PERMIT <br /> ���'� CITY OF EVEREIT•BUILDING DIVIS:ON � <br /> � 3200 CEDAR STREET•EVERETT.WA 98201 �259•8810 <br /> ❑ UEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECMANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS: IOIIS EVER.GIZEEN WAY <br /> pAuptc REV�G, 'CIZ.ust- �4or� ll4'"rl.vc SE,_ -�SE'Zs_s�eEtl6.tacuv,9d0o4 h25 452 95oa <br /> own[n uuiwon[Ss �irv rvr nror�E <br /> aFFIGE pEP6r 22Uo o�D GE�MA+1TDwH_..�'G_.Q��t�Iy_Qg�tu F�.. 33k95 � � bm9'� 3laoa <br /> �n�Nr uu�entu¢ss r.nv bn riqric <br /> P�RTF1�lZS I120�t• IO�q�` v� N� Kt�K�yw�uA+�8oE3 �F25 -82'7—'i2B2 <br /> �nc�a*¢�onocs�cncn u�iunoness nn nr rirove <br /> To.6E OPf <br /> G[Hf1U1C011I11�C1p1 YuIADDfI[$$ �IIY )1� f11pN[ C1�1ElIC[HSEI <br /> \♦ •� <br /> 4(Cww,Cl.LCOutF/,CIDfI Me1lApGPE55 f.lrv IiP f110NE SIAtEPCENSF• <br /> 1. �� <br /> PW401NGCONIReL�W YAILApqIC55 plh IIP PI�ONE 9AIEULENSE• <br /> �or.m�CivrnCeorwonx - --'-- <br /> �ZJ��� HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> �u�oiM��ueewv � � 5� coxi�c�rrnsar�nrronr�or+�uo <br /> �,-2s_E _tzt� �oc�F <t'1-5 82"7 3282 <br /> �4S io I.l p <br /> I HEREDY CERiIFY TNAT I HAVE REAO AilO E%AMINED THIS <br /> �noroSEOUSE Cv emmn 0 APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> M 7ROVISIONS OF LAtYS AND ORDINAN�ES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETMER SPECIFIEO HEREIN OR <br /> ieeetcescmnnn�orr orenrciv�ovmnciow ert�u�i cones� NOL THE GRANTING OF A PERMIT DOES NOT PflESUME TO GIVE <br /> ior aiocK or AUTHORITY TO VIOUTE OR CANCEL THE PROVISION OF ANY <br /> OTHER SiATE Ofl LOCAL LAW REGUUTING CONSTRUCTION OR THE <br /> PERFOHMANLE OF CONSiRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY Tp pERFORM 7HE WORK FOR WHICH <br /> APPUCATION IS MAD[ AND I COMPLV WITN TNE STATE <br /> wncEt Tw�i D.�+uueEn CONTRACTOPS LAW IB 27 RCW AND 296100 WpC. <br /> CdI51PUGilOxIUNIIExpE11,�00�E55.lE1[I'1�ON[rvUuilfll x `7/2(,//7 <br /> SiONMU�E p�lp � <br /> CpY IN9NCSS IILENSC NO <br /> PLUMBINC MECIIANICAI <br /> NO. TYPE OF FIXTUAE Ofl ITEM FEE N0. TYPE OP EOUIPMENT FEE <br /> WATER CLOSET(TOILET) NC—AA/NDLO UNRS <br /> BATHTUD FORCED AIR SYSTEMS <br /> LAVATORV(WASH�ASIN) HEAT PJ�1P <br /> SMOWER UNIT HEATERS <br /> KITLHEN SINK d DISP CLOTHES OAYEHS <br /> DISHWASHER RANGE I IOOU <br /> LAUN�RY TRAY yyq�q ryEp7[q <br /> CLOTHES WnSHEH WO00 STOVG <br /> URINAL MEfAL FIflEPLACE�WOOD BUflNING) <br /> DRINKING FOUNTAIN FIfiEPLACE INSERT(WOOD BURNING) <br /> FLOOR ORAIN GAS FIFiEPIACF <br /> BACNFLOW PREVENTERS GASflANGE <br /> SINN�SERVICE—BAR,ETC.) GAS PIPING <br /> EXHAUST FAN <br /> SUB TOTAI S SUB TOTAL S <br /> PEPAIIT S PERMIT S <br /> TOTAIFEE 5 7pTALPEE S <br /> FOR OFFICE USE ONLY: <br /> fBONiSHByA�CN PEeOSFlO�CG SIDESEIBLC6 PIu�IJR[xNuupin fFF / np pEf.E�PfNO <br /> l../ �O y7 2(�� �o <br /> uSESa�E lm�eEe wc�H�SnE / FEES VALUATION FEE�_ <br /> C — � ❑res ,Efno o�moivn /� ��� <br /> NE�c�rtuu�Una � NoOPowEuiNc sixEoiolDcn� <br /> � Uw�s N� .JI � TI r�uunwc ' <br /> OCCVPAHCY N]OfS10NE5 OLLUPAII�I 0 B�SE4EN1 I <br /> GPWC MFCIInmGI <br /> I z o.�= z�.� <br /> fifl(GP��qqEOU �EASqI '�y� /r ��D�IION�IMANCIRCM � — <br /> `' �" '""�""v� OI��CII <br /> fiREL1IAA1lVEO'D nEe50n <br /> � �N��(�, snieommmr.sannienr.t � <br /> �xnEorr.ov5� rv.vserrnav[nor CITYOFEVERETT ruqi¢wo��zv �'� <br /> '� JM_ / LOCAL SALES —' '----' — <br /> : ..� �]/�J� TAA COOE IS 31�5�.T�" � �— <br /> ___ ___ . r.��'_' '. ____"_ _'_ . __' <br />