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APPLICATI� FOR CONSTRUC1f�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISIC N � <br /> 3200 CEDAR STREET•EVERETT,WA 88201 •259•8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDINO ❑ MECMANICAL ❑ PLU�IBIN6 �SION <br /> PROJECTADDRESS: <br /> OWMER YULApq1(55 Grv IIP prqNE <br /> �AGA�- RG�M 71�v5T 13ao //4�"/�55.��c,tv�s 98ro4 �`i27) �/52-95�0 <br /> 1FNWt Y4l�Op1E55 GIY (iP C�qNE <br /> �eN �'ac,-ar-y ior2� t"vcnw+�N c�r �Zz �vs�,r 98zaf ��zs)79b-17�� <br /> I�Rq11RCTOppE51N�FN MAry/�pMf55 CIiV II� p110NF <br /> GCMF11qf.pN10/.Clpl MYILCME55 Ob IiP PiqN[ iitl[IIC[N$� <br /> �(V�r� l�c. 19?2i l��"'A� NW ,�1�'Su��ie 9p27f Cco�sz-3B� A��N��F4oD <br /> ECN IC/dCQVIR�CIDq N14�OME55 p}Y jip PIqNf 541EULENS[� <br /> M��MGCONIA�CIOR YMt�Oq1E55 C�fY j�V P�pMF SIAIEIItFxSE• <br /> �MG�FRN:E pi WC{1M <br /> �.Oa HEATING SVSTEM: ❑GAS ❑EIECTRIC ❑ <br /> oewuoexon.�Nusouu�raoucEx�vaueo couucrnc��Cwrrtro y2e'j S`Q`2 <br /> � � on � �r LE/T� �.. 3 S7a <br /> � B e N5N s 1�s <br /> �f L I HEREBV CERTIFY TNAT I HAVE READ AND E%AMINED THIS <br /> scousc or eimo-ua APPLICATICN AND KNOW THE SAME TO BE TRUE AND CpRRECT A�� <br /> � — CI PROVI�IONS OF LRWS AND ORDINANCES GOVEHNING iHIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHEF SPECIFIEO HEREIN OR <br /> �[clucescwvrv�namor¢nnisqxr�eeiowpnen�cnrwoWn¢sl Np7, 7HE ORAMING OF A PERMIT DOES N07 PRESUME TO GIVE <br /> ior �� a AUTHORITV TO VIOLATE Ofi CANCEL THE PROVISiON OF ANY <br /> OTMER STATE OR LOCAL LAW REGULATIN6 CONSTRUCTION OR THE <br /> . PERFORMANCE OF CONSTRUCTION.TMAT I AM AUTHORIZED BY TME <br /> OWNEP OF TMIS PROPERiY TO PERFOHM THE WORi(FOR WMICH <br /> APPLICATION IS MADE PND I COMPLV Y�ITH THE STqTE <br /> w ituio B[n CONTRA TORS LAW 1B CW AND 29620D WAC. <br /> '�yZ�'o zoa ��o l� ��� 7�/�/9 8 <br /> CpISINULtIW IQW lENK0.�pp1ES5.lElENqM MMBfN <br /> sr .�une o.� <br /> o3121) <br /> QIYBUSNESSlCExSCIq <br /> PLUYBING MECNANICAL <br /> NO. TYPE OF Fl7(TUpE Oq ITEM FEE NO. 7YGE OF EOUIPMEM FEE <br /> _ WATERCLOSET�TOILET) NC—p/HNDLGUNRS <br /> BA�HTUB FOPCEDAIF SYSTEMS <br /> UVATORV(WqSH BASIN) NEAi PUMP <br /> S40WER UNIT HEATERS <br /> KITCNEN SINK 8 DISP CLOTHES ORYERS <br /> CISHW�SHEP RANGE HOOU <br /> L\UNDRY TP�V WATER HEATER <br /> CI OTHES WASHER WOOD STOVE <br /> UAINAL MEfAL FIREPLACE(WOOD BUFiNINC�) <br /> __ JRINKINGFOUNTAIN FIREPIACEINSEflT�WOODBURNING) <br /> FLOOR ORAIN GAS FIREPLACE <br /> B4CNFLOW PREVENTERS GAS RlWGE <br /> SINN(SERVICE—BAR,ETC.) GA$PIPING <br /> EXHAUSTFAN <br /> SUBTOTAL S SUBTOTAL S <br /> PERMIT S PERMIT S <br /> TOTALFEF S TOTALFEE S <br /> FOR OPFICE USE ONLY: <br /> lf10NlS[ipALµ pEMSFiB.�CY. SICf5EI9�CR M�IILI�CC✓.NUWffl ftF 11Ff.ii1'fH0 <br /> � c <br /> usEione wunEe wcurtytE FEES VRLUATION FEE <br /> ❑vcs ❑rvo aummr. � �<�(� ���5 1 S� <br /> ��cir.irtuwr�iiox noarow�wr�e si[eaeiocni <br /> u.�ns <br /> v�uunw� <br /> occuvu.cr runsimis accur�Hiio+o e�u�r�r � <br /> oauv uFuuwcu <br /> ❑res ❑r�o - <br /> (IqESMYN[t[qqEO'0 fil�Sq1 ApplpryqA�NC��RK -- f���7 <br /> / ) <br /> on�sn <br /> rmc�u,wMpcoo af��nx <br /> SGl[BUIlpn051111CP��E C ' ( , <br /> J <br /> �rrtorcovsr nnxservnw[nar ; CRYOFEVERETT nox:x;wones <br /> � -��. j r LOCALSALES — - <br /> or.rt: �/ ���J� TAX CODE IS 3105 To7AL ��� ;S <br />