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APPLICATI� FOR CONSTRUC7�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 37.00 CEDAR STREET•_aERETT,WA 98201•259•8810 <br /> ❑ DFMOUTION ❑ COMBINATION Lj BUIlO1Na ❑ MECXANICAL ❑ PLUMBIN6 �SNiN <br /> PROJECT AO�RESS:�� D�7 C t-��_T�B- r��or,,,,,,, �Ia� <br /> - '_sr�� .�.���. �ry <br /> ONNER Mul�W11E55 Ptt Iiv P�px( C?4C/ J�v—!1 � � <br /> �1��(� T�S��I ��� I <'LNb �c. Sv�, r�.Zr�a �.�1a �r,3'�, <br /> lFr4vr uNIMMK 5 cilr To p ' <br /> i-l/ER�T1 1�- ,�1. P�(L�� <br /> �qCMi6Ip10E51GYER 4Nl�CO11f'i5 CItY !IP PlqNi <br /> GFMFNdCd1�PAC�011 MYLMp1F::5 CI�Y !�� P�IUNf i1�YElCMY• <br /> D u�N�.CL- <br /> MECN/JpCKCONINAGtOP MYLADME'i5 fIIY I�P PllplC SI�tElKENSE� <br /> MOMINGLCNIPICICP MNL��IMiI'i5 CII1 ll� PIqN( SIA:tICFH$E� <br /> cavrwcioaccawonK HEATINGSI'STEM: ❑GAS ❑EIECTAIC ❑ <br /> CE$Lqp(WpPItANpSpU�P[fOpl EWVCIY:D LONIICIVERSONNqp11.?IENp <br /> S <br /> 1 HEPEBY CERTIFY TNAT I M�VE HE�D AN� E%AMINED TMIS <br /> APPLIC�TION AND NNOW TME S�ME TO BE TRUF AND CORRECT ALL <br /> mposcouse aseuia�+o PROVISIONS OF LAWS M1D ORDINANCES GOVEHNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WNETHER SPECIFIEO HEFEIN OR <br /> lE('MLOESCM1G1i0N0�Pi10PEPiY1`JIOWr�&lOWQ1ARILNTMICORE51 NOT.THE ORMITIN(i OF A PERMIT DOES NOT PRESUME TO 61VE <br /> iot eiaK a AUTMORITY TO VIOLATE OR CANCEL TME FROVISION OF ANY <br /> OTNER STATE OR LOG1L U1W PEODUTINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTNOqIZED BY TME <br /> ONRlER OF THIS PROPERTY TO PERFORM THE WORN FOR WHIC/I <br /> RPPLIC�TION IS MADE AND I COMPLY WITH TME STATE <br /> PN10El ILRI D.MMER CANTMCTORS LAW iB27 RCW M!D 29620D WAC. <br /> CdI5I1FIC�IWIONILExOER..�WFF$S.fEIERqMEMIMlEP % • �//�0/9V <br /> SIOM 1�^ If <br /> G!Y BU9NE55lICENSE MD <br /> PLUYBINO MECNIINICAL <br /> NO. TYFE OF FlXTURE OII ITEY FEE NO. TYPE OF EOUIPAAEpT FEE <br /> W�TER CLOSET�TOILEn NC—M1Nq.0 UNITS <br /> BATHTUB FORCED MR SYSTEMS <br /> IAVATORY(WASN BASIN) HE�T PUMP <br /> SIIOWER UNIT HEATERS <br /> KITCHEN SINK 8 OISP CLOTHES ORVER3 <br /> DISHW�SHER RANGE HOOD <br /> LAUNDRY TR�Y WAlER HEATER <br /> CLOTNES WASHER WOOD STOVE <br /> URIN�L MEfAL FIRFPIACE�WOOD BURNING) <br /> DHINNING FOUNTAIN FIREPLACE INSEf7r�YJOOD BURNING) <br /> FLOOR DR�IN GAS FIREPUCE <br /> BACKFLOW PREVENTERS GAS RANGE <br /> 91KK(SERVICE—BAR,ETC.) GAS PIPING <br /> IXHAUST FAN <br /> SUBTOT�� f SU870TAL f <br /> PERMIT f PERMIT f <br /> TOTALFEE S TOTALFEE f <br /> FOR OFFICE USE ONLY: <br /> fflpllSE1RI.,R PEMSEi&�LN $ICfSFTB�CR MMICIKLFNUYBCII (FF ��p`U MCFIPiNO <br /> .'rj 1.1A �p� � J L�C�t' <br /> us¢ion[ �ru� wcw�sirE FEES VALUATION FEE <br /> OVfS BNO �^ ; <br /> C.— � eu�drvr. �� <br /> HFIGnIIiAM1��liON rroaowcwr,c siicaeioon� <br /> 5 UH�IS �A vl�luOW(: ' <br /> � <br /> CCNV�NLY ML(SIM[S CCCUP�1111O�D llSF4E11i 4fCN�MILM <br /> GnO1F <br /> ❑YF$ ❑MO - — <br /> lIflESPflINNLkflflE09 �F�SpV Apd110N4AIJ161lLa /3 ! <br /> omcn <br /> fiNEA1MMflE0D AHSp1 <br /> � ` Q 9MEBNlpN051111C1411GE — iJ/'� <br /> rvr[ar,pusi Pur� �vFnor CRYOFEVERETT ruour.wnnas _ __— <br /> � LOCAL SALES <br /> ���t � TAX CODE IS 9105 To7�L y— <br /> — y_ <br />