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APPLICATIC`�I FOR CO�ISTRUC'�ON PERMIT <br /> CITY OF EVERETT•BUILOINCi DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 99201 •259-8810 <br /> � fEMOLmON ❑ COMBINATION ❑ BUILDINO �ECHAtMCAL 0 PLUAABIIKi ❑ 81dN <br /> nna�cr�ooREss: � 113Z Ever'�ree�• �•..��� �,� <br /> �/'�l.l �1.111�R0 �nfC�n2���` .J+� � �� '�IVT~ !1�/l� �G.T�W \7CII�L'Y✓ �_lJL7Vs . <br /> 1INLAOOIE55 Gtt DV 01qNE <br /> '���� <br /> ARCM1EGTp10ESqNER Wu1110d1E55 CITY IIP q�� <br /> ������T� M�����q CITV IIP PIqHE FI�7ElILEN9E• <br /> Nor�'t,w.r� ��y�1�Q- <br /> MEdINMCM.CONiP/�CTOR MMMdiE55 LITV 21� VNdJE ST�TEIICEN5E1 <br /> F�.ertiree�. (ZcFr;��..���� 1� �.. � 7Z7' ��^�a�,., �1�,103 `163—I�H`i Ere,, ��z.oio <br /> PIINlk10 TOR 110pESS G7Y 21P VIqNE ST�TEUCEN51:� <br /> °ONiR"OTP""�°F �Q � HEATING SYSTEM: �GAS O ELECTRIC C]_ <br /> ������. NVOWED �a,.�.���e�_"o � 6 � —17 `'/`� <br /> 1� ,��lce � <br /> ��'�-�'-�- <br /> � I HEREBY CERTIFY THAT I HAVE READ AND E)(AMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> rnorosEousEos suawo PROVISIONS OF LAWS AND ORDINANCES OOVERNIN(i tHIS TYPE OF <br /> rE �4, WORK WILL BE COMPLIEO WITH WHETMER SPEGFIEO HEREIN OR <br /> �oewwna+ac aaremr Is��own e¢�ow aa�n��wo caa�sl NOT. THE ORANTINO OF A PERMIT DOES NOT PRESUAAE TO dIVE <br /> �� � AUTHORITY TO VIOLATE OH CANCEL THE PROVISION Of ANY <br /> OTHER STATE ON LOCAL LAW REOULATINfi CONSTNUCTIOM OR THE <br /> ` PERFOHMANCE OF CONSTRUCTION.THAT I AM AUTHORIZEG BY THE <br /> OWNER OF THIS PROPERTY TO PERFOAM THE WdiK FOR NM1� <br /> APPLICATION IS MAOE AND 1 COMPLY WITM THE STATE <br /> CONTRACTORS LAW 1 AND 298.200 WAC. <br /> MIIC9 TA%I.D.M16lEN <br /> � � .._ 5��6 <br /> CONS/RIICIId/lON!LEI�ER.AOOIIESS.TELERIp1E MMIlEP x DI1iE <br /> � . <br /> CITYlU9N/E55 UCENSE NO. <br /> PLUII�i ME�N�lNCAL <br /> NO. TYPE OF flXiURE OR ITEM FEE NO. TIPE OF EOUiME►R FEE <br /> WATERCLOSET�TOH.ET) � NC—MWDLOUNRB � <br /> � FORCEDIUR SVSTEMS � <br /> BATHTUB _. <br /> LAVATORV(WA9H BASIN) � HEAT PUMP ' <br /> ��q � UNI7 HEATERS � <br /> � <br /> KITCHEN SM1K 6 DISP i CLOTHES DRYERS ' <br /> � RIW6E HOOD ' <br /> IAIMIDRY TRAY ; WATER HEATER � <br /> d.OTHES WASHER � WOOD STOVE ' <br /> �R�� � METAL FIREPIACE(WOOD BURNING) ' <br /> ORINKMIO FOUNTAIN i FIREPIACE INSERT(WOOU BURNINf3) � <br /> FLOOR DRIUN � (i�S flREPLACE � <br /> gACI(FLOW PREVENTER9 ; ��4E ' <br /> SINK(SERVICE—BAR.ETC.) � C�S PIPIN6 � <br /> � DfHAUSTHW � <br /> � <br /> � � <br /> .� � � <br /> � � <br /> � � <br /> SUBTOTAL S ' SUBTOTAL t � � <br /> PERMIT S � <br /> PERMIT f � <br /> TOTALFEE S ' TOTALFEE S ' ' <br /> FOR OFFICE USE ONLY: r��EiPr ra <br /> F1101�tgiB�df pEAq$E761CK S�DESE7B�L1( Ol11MC11ECNNl1YBER FEF <br /> S�/�� FEE <br /> �� iot�r�� VAC�NT SIIE FEES VALUATION <br /> � <br /> ❑VES ❑MO BINIDINC � <br /> � <br /> HEI(NIiUWT11T10N NOO�DWELUN(3 SIZEOFB�OW�.1 � <br /> UNIf$ PIUGBING � <br /> � <br /> i <br /> pCCUPo1NCY MO R SIMES OCCUPANT LOAD BIISEMENT EIECHMJIC�I ' <br /> � �p ❑YES ❑NO � <br /> � <br /> .� ADDIf10N11L PLAN CNF.CR � <br /> r <br /> FIRE 57PoNI(LEP flE0'D ��� � <br /> � <br /> OTHER � <br /> � <br /> FINEAURMREO'D ��� � <br /> ST�IE BUIlDIN6 SIIRGNMGE � <br /> _' �— <br /> irrear.orisr P��NS o��' CITYOFEVERETT �uei�r,vronKs _�_ <br /> /I�ry LOCALSALES � <br /> o�TE TAX CODE IS�105 TOTAL ' <br />