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APPLICATI� FOR CONSTRUC�N PERMIT� <br /> CITY OF EVER[TT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 9820. �257•BB70 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECNANICAL ❑ PLUMBING SI6N <br /> PROJECTr1DDRESS ��G33 Ev«r�rczv� �ay �v�=1'�Eri W� �f�Y <br /> OWN[P NAIL�ODPESS ��T� Z� ��E yZS - 3 y Y - <br /> C�}oe�Ql— I����,.�+w-o `• �, 3 /YI <br /> °rv�uir uu��ooncss u*r tin arqrrt <br /> P �c.Nn�n�o VO4K5Wn�v� I�b33 Lw�c..Wr.,Y £vvc$ � W/� 5 Pio� 4Zi- 34&- 3141 <br /> RET}[ROREOlRCfI H�iUD�PE55 CRY LN ��E BJJ. �I�) )YN4 <br /> ��)W� r�rl��i 1/�iSN�.� �-. �T<4r�5 frIN (���, ryt $, c�7t��1z� � wn hY�3v OwirF,V5� 7l�Mi <br /> c�rien�:�ou.n+cron Mei�d on�ss utv zm rnarvc srereiKcnse. <br /> G <br /> UECN�IIICA��OYiPAG1pR AI�ILRDCRCvS CItY 21P P11011[ $I�IEI�LE�ISE• <br /> PWMOitNiCGHIH1CiOP M11L�D�R65 CIiY 21P pIKK�E 5111ClICCtlSE� <br /> � <br /> CONIR4T PqiC[Of WpIK <br /> � �I• O O HEATING SYSTEM: ❑GAS ❑ELECTRIC :i <br /> OES^.RIOE N'OBN�NO SOWPE�WiAGC IM/0.VE0 Cqli�Cf PCF5011 AYp%�ON[NO <br /> �v.siall /�� Vu; ro,....1 lu s� 5�Ic" ��R� 30�.;�{nn..:� <br /> �ns. 1 �) ✓w rn.. o. L.Tcna. 3��. 2�b- yq2 - SY1.,5 <br /> I MERE�Y CERTIFY TMAT I MnVE PEAD ANU E%AMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> npono5[o use or eu:mrtic PROVISIUNS OF LAWS AND ORDINANCES GOYERNING THIS TVPE OF <br /> �J� - �e"���L WORK Y/ILL DE COMPLIED WITH WHETHER SPECIFIEO HEREIN OR <br /> ier..Toesrnir�rohaNaormrc�srwxHocmwou�•rtecH�wococies� NOL THE GRANTING OF A PERMIT �OES NO7 PPESUME TO GIVE <br /> �o��_oioce a� ��c� S�^`�1 I..� AUTHORITY TO VIOLATE OR CANCEL TNE PROVISION OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TME <br /> , t��e�. 2� �'��� 2� 1�-a * � PERFORMANCE OF CONSTRUCTION.TMAT I AIA AUTHORIZED BY TXE <br /> OWNER OF TMIS PROPERTY TO PEPFOFM THE WORK FOR WMICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> veace�ux i o r+uuace CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> L $O�lL4 UOL c32. Jo ^ �/ <br /> CUISiflUCilONl09lLElWER.IODPESS.1EtEPNCYENUMO[P �Ll�(/t� /� / � � ' Q� <br /> � s�crurun[ ✓ �`� GS �uc <br /> LItY BUSM65 LICCH$[fq <br /> UMBING CHANICAL <br /> TYPE OF FIXTURE OR ITEM FEE N . TYPE OF EOUIPMENT FEE <br /> WATEfl LLOSET(TOILET� 'C—NHNDLG UNITS <br /> ATHTUB FO EDAIRSYSTEMS <br /> ATORY�WASHBASIN� HEAT MP <br /> SH ER UNIT HE EHS <br /> KITCM SINK 8 DISP LLOTHES D VERS <br /> DISMWA ER RANGEHOOD <br /> LAUNDRY Y WATERHEATER <br /> CIOTHES WA ER WOOD STOVE <br /> URINAL METALFIREPLAC_(WO BURNING� <br /> ORINKING FOUNTAI FIREPLACE INSERT(WOOD RNIN6� <br /> PLOOR DRAIN GAS FIREPLACE <br /> BACKFLOW PHEVENTER GAS RANGE <br /> SINN(SERVICE—OAfl.ETCJ GAS PIPING , : <br /> E%HAUSTFAN <br /> � <br /> SUBTOTAL S SUBTOTAL 5 <br /> PERMIT S PERMIT S <br /> TOTALFEE S TOTALFEE 5 <br /> FOR OFFICE USE ONLY: � <br /> fNONt5Eip4CN PUPS[IBACR SIOESLipAC PIANC CKNUMBEfl iEE �G ECFPi1A <br /> N A �v nr D ne <br /> usexoue io*enes vecervtsi*e y FEES WLUATION FEE <br /> G' � OYES 1N�0 BWIDING <br /> r�EicMruui* �ro�i xoaowcuwc sizcore�omri <br /> N � u"�rS — ttuuarta <br /> q,p�<f6V !OCfStpP�fS OC<UPINTlORO B�SEMENi M�����Nku <br /> ❑YE$ O AO <br /> iINES�filbxl6iNE00 PERS0:1 �OOI1pN�LVLVICNECN <br /> o�n[n j � <br /> {IP[AU�Mf•i0U FE�SON <br /> SielE BIIiLOmG SVACH�RGE <br /> �mcoreor�sr vue+s�onnoveoar CITYOFEVEflETT Pue�wwonns <br /> c/y� LOCALSALES <br /> witJ/�� O TAX CODE IS 3105 TOTAL <br />