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APPLICATI�1 FOR CONSTRUC7�N PERMIT� <br /> GITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201•257•8810 <br /> aG UEMOLITION ❑ COMBINATION � 9UILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> P,fiUJECTA DR SS r' � � <br /> �2 / <br /> n¢ uuuooaess , cnv l 1 rrori¢C .�'�G G,1�, <br /> r ' .� .. .s�inl�..r'.w�u� �!!�O• 90��/7 �aS�19V'a(�W <br /> `4 r u�iuooness� m zir rNa.e <br /> n . _ _� < . /�, �16�a� <br /> ARCNIfECT pE NER M IP�Dp�5,5 ILY 21P FIIp1E <br /> R ���O�J(ia,c�315 F.�/'a� 1A�u � ln 48'�3 aG3-9.Jl+/a'�S�1fRCC117 <br /> GENEPKCONiP/. R NuIADDF[55 1� 2��' 1'IqNE $tAIELICEN$E� <br /> MECIIANICRLGONIR�CLOfl FIAiL�00PE55 CITY l�P PN011E Si�IEIICENSE� <br /> PLUMBIIqCONiPAC1041 WIL�OOP[55 CITY Zlf+ PIIONE SiHEUG[NS[� <br /> CONiPACiCPiLE��YOR% ,l <br /> +�--� HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> DfSCR WORMAN� OMEf�i�GEINVQVEO � C iI,LLPLPSONNI NENO <br /> >-,�76-37s'SL <br /> � � <br /> ` � I HEREflY CERTIFY THAT I HAVE PEAD P.ND EXAMINED THIS <br /> W "F' APPLICA110N AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> aaoaoseo use or noi�oirK PqOVISIONS OF LAWS AN�ORDINANCES GOVERNING THIS NPE OF <br /> WOPK WILL BE COMPLIED WITH WHETHER SPECIFIEO HEREIN OR <br /> iecunesceiv*w or oa[ rv�snawrva[�owoua*uaiwocovi[s� NOL THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE <br /> iar S or AUTHORITV TO VIOLATE OR CANCEL TME PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF COHSTRUCTION.THAT I AM AUTHORIZEO DY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WOFlK FOfl WHICH <br /> p LICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> veace�ux io.rvoue[e 2 l.0 HACTORS LAW 782]RC D 29620 AC. <br /> CONSTPUCipNW�NLE110EP.��E55.iElLPNONENUAIOF.P x v—J�V� _ <br /> SIGNAIOP CL E <br /> CItV 9USINESS lIC[NS[1q. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TUHE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET� NC—Ah M�LG UNITS <br /> BATHTUB FORCED Alfl SYSTEMS <br /> LAVATOFY(WASH 6ASIN) HEAT PUM1IP <br /> SHOWER j UNITHEATERS <br /> KITCMEN SINK 8 DISP CLOTMES DRYERS <br /> DISHWASHER RANGE HOOD �_ <br /> LAUNDRY THAY K'Hl ER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE(WO�D BURNING) <br /> ORINKING FOUNTAIN FIflEPLACE INSERT�WOOD BUPNING� <br /> FLOOR DRAW GAS FIREPLFCE <br /> BACKFLOW PREVENTERS CaAS RANGE <br /> SINK(SERVICE—BAR.ETQ) GAS PIPING <br /> EXHAUSTPAN <br /> SUBTOTAL 5 SUBiOTAL 5 <br /> PERMIT S PERMIT 5 <br /> TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> FROMSEiBACB �E�RS[LBACN SiDESEiBACM PUN NECNIIOMOER FEE PECEIPifp. <br /> �ODO �(JG <br /> usezoue �onnee v�csnrsre FEES �ALUA710N FEE <br /> mcs ❑�o ammwc � `Z`,�' <br /> XEKs11illMli.\iION �OFUWCIIING 51$[OFOICGTI <br /> � I t p rwuevm <br /> OCCl1GANCY 11'JCfSi.�FFS OLCVP�NILOPp 9�SEMENt �AECNIHIL4 <br /> ° b o.Es � ' <br /> Fwcsaa�vnenAEo�o r+eesai noortiauei•. •�CxEcn � <br /> N� o*Ncn I <br /> FIPEPUPA.REOD REASON I <br /> A IV $il.tEBUM1�ING$UPCNAPG[ 0 <br /> i� <br /> rvveoFcoHsr vw,s� r -oar CITVOFEVERETT rueikwoaKs I <br /> �OCAL SALES -��- <br /> � � TA%CODE IS 3105 TOTAL � <br /> V b.re � �' <br />