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�►PPLICATI�1 FQR GONSTRUC7�3t� PER�AIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT.WA 98201 •257�8810 <br /> !'� pEMOLITION Ci COMBINATION ��f`BUILDING ❑ MECHANICAL ':��LUMBING I��� SIGN <br /> PROJECT ADDRESS �. S 3 � �=v�(Z J �J62r�� `��'�� <br /> ObGN M�ILN'OH155 CIIY S:P i9NL <br /> -rz ,�� - � P o eon 4 ai ar Pe,tn�+� Oe_c�q7�4�- - <br /> ru�+r�r uu�ww+cs, cnr tm rrar.c <br /> ,J�s�,- �%y�c.���a9 G2A ly 1 �9i,�n�el�u�£ G� 3oo4S' �790� £r9.1-�(?(� <br /> A11CIIilCLiORpC$Y:�li 1 N�II�UDRfi9 LIIY ZW 1�11pNC <br /> � ���r..a aaµ 1)�0 �. rsaonow,o ka�o �+o� R � � �5as� <60.1� es3-i7.�6 <br /> GVIERl..fAlllpdLlGH lWLA00FC55 CIIY � PV Y�IObC -1L1E11CG6f�lUNLi(�,�}�KN <br /> TNrJJJR77.YL �IIaS�SQJU• I�I41'AI.NAQI�iL/9CrL L(h� 'J/� S&dlf��(L Wl4 4e�0 r�G6 4�f- 76�3 <br /> v�a-uIrnc^qcorunectw wRmoe[55 trt� im �var¢ s�B[uturs[. <br /> IV ,'1 — <br /> I�IL•Vp�IqC01:iRI{id1 N4L�OIMC`+5 CIIV Im MqtE it�tELICl�SU <br /> �,h ,6,w ILev �rAc <br /> ,.-•,o�.c.v«KcanonK HEATINGSYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> as-i� — <br /> ecccianc r:omc um:ou.�e roouec nnaveo eor�..cr ncn;ox um n�au no <br /> 7�S l�in.o2 _ <br /> b�F� � � cP� E -o S�A <br /> qAq ��� NbYJ q�� S/hI:,I /[Q� q�n� � HEREOY CERTIFV 7HAT I HAVE READ AND EX41AiNED TNIS <br /> APPLICATION FND KNOW TNE SAME 70 CE TRUE AND CORRECT ALL <br /> rrcrasmuse aomm� PPOVISIONS OP LAWS AND ORDINANCES GOVERNING TMIS TVPE OF <br /> _�BS •�'^�✓ SOn.r rLr !�0 WORK WILL�E COIAPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> ic;•ioc,cnmrqxa ���utt�s�anxauowaun�mocaorts� NOT. THE GRANTING OF A PERtdIT DGES t107 PPESUME TO GIV[ <br /> �or o�oa or AUTNORITV TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTI04 OR THE <br /> PERFORh1ANGE OF CONSTRUCTION.THAT I AM AUTNORIZEO DV THE <br /> OWNER OF TMIS PROPERTY TO PERFORM THE WORN FOR t4HICH <br /> APPLIC4TION IS 1.7AOc AN� I COMPLV W.TH TME STA1E <br /> CONTRACTORS LAW IB 27 PCW AND 29fi 200 WAC. <br /> fe1KCLif D IN4BCH <br /> i�2��,4� /'�'r�-nl ;� G. ,L.� s-9-o i <br /> CGYStPULiiqIl0141[1C(F.�Dd�E55.iElCNCIQM' 'P x — <br /> LGtl�itlP! D�IE <br /> C�tY00Wd55lREN5C Iq <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FI%TUflE OFl ITEM FEE N0. TYP!'OF EOUIPAIENT FEE <br /> YfATER CLOSET�TOIIET) AC—A71NDlG UNITS <br /> BATHTU� FORCED AIR SVSTEMS <br /> LAVATORY p7ASH OASINI NEAT PU6:P <br /> SMOIYER � UNITHEATERS <br /> � KRLNEN SR:K 8 DISP LLOTHES OFVERS <br /> OISMWASMER RANGE HppD <br /> LAUNDRV TRAV WATER HEATER <br /> CLOTH[d IYASMEr7 i WOOD STOVE <br /> URINFL � 1.1ETALFIREPLACE(WOODBURNING) <br /> ORIkKI�`JG FOUNTAIN FIFEPLACE P�SERT ryVOOD BUFNINGI <br /> FLOOR�RAIt� GAS FIREPLACE <br /> BACKFLOV/PPEVENTERS ! GASRAt�GE <br /> SIKK�SEFVICE—BAR.ETC J GAS PIPING <br /> EXMAUSTFAN <br /> SUDTOTA� 5 SUOTOTAL 5 <br /> PEIiMIT 5 � PEP�dIT 5 <br /> TOTALFEE S iOTALFEE S _ <br /> FOR OFFICE USE ONLY: <br /> r prSErCK�t PGa5Ei8Kn Si�C:Elo4F ftAN[r(CM1IFN9CN [[E REC[�PT�n <br /> C Ol(J5'Oc <br /> i._c¢cvr ior�au v�certsne FEES �ALUATION FEE <br /> ��res nr� �� <br /> � �� ��� <br /> ��n.:nnwrtnn� �nr,rc:.nu,.: stcaemcn <br /> �,,;,, 6i. =� F.wa,� _ <br /> „ruvuer was;tc: ocwui..ic.� e+seutrn ucuwnw <br /> �.i.ava I .// <br /> �� ❑YFS <br /> f�.�CSPHIlALL114lQO i�L1iG:1 ( A[QI}�yLLp{/J�p1[CX � <br /> '-/ �r <br /> l _ �7�✓� � ' OM[P I <br /> I;i.[1{MYPLOD PUSqI � <br /> .=1157�/�C,- :tAt[Bu.iDv�35WGW�GE _ <br /> o�tcrtarsr ei�r:���no.[ocr CITYOFEVERETT r�.�r.�.�ec.pnn5 � <br /> "':j-- /f-,'l' � - � LOCAL SALES <br /> - °� - /:?.� TA%CODEISJ105 ITOTAL I I _ �_ <br />