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APPLICATi� FOR CONSTRUC�N PERMIT <br /> CITY OF EVERETf•BUILDING DNISION � <br /> 3200 CEDAR STAEET•EVERETT,WA 98201 •(425)257-0810 <br /> J$ DEMOLITION ❑ COMBINATION ❑ BUILDINO ❑ MECXANICAL ❑ PLUMBIN6 ❑ SIfi11 <br /> �PROJECT ADDRESS: �P 7�O FuEQ62EEN C2Ji4�f <br /> J`'t�� �eYeRS .�Nc �A Aot VZIZI (�nt�,►�+ O� 47z'K {,$-03) 7F? S39 �auo�, <br /> awEn uui�ooa¢ss an nr arqrrt <br /> 1FMAN� uN Mft1t�F55 Cli� Iw p�qry� <br /> �aCwrfclpnpES�P�E� 4ul.bMf55 C�rr lir p��yp ' <br /> IVYSC�/ CZY.IST /71t5 /00��(SE E�?EQFn p.nr S�1 WYSEAC'iOYCUS <br /> cEn[ML cON1MttOq 441 e0M1E5i C�Ir hr rix E 51LtL [BSF• <br /> �as ��-a oa9� �.� 52 <br /> YfCNNXGICLNIMttOA 4�Il�ME55 piY jiP p�pG it�iFlKFNSE• <br /> PIIIMBMGCp11P�[IOR 4�ilAWNF55 CIIY jIP PIqNE SiMELKENSf• <br /> /�O60 <br /> CONIP1Cf PP�CE Of WOILI <br /> NEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> pESCPiBF Wy1R1NO5d1�PE�JO1�Gf NVOlVFO CWiI.�IRPSd1�MPIqNf Np <br /> ��04Sb EK(C U6 - <br /> � � HEFEBY CERTIFY TH�T I H�VE RFAD AND E%AMINED THIS <br /> d� �u �� APPUCATION M!D KNOW THE S�ME TO BE TRUE AND COPPECT��� <br /> nnarosvousc or ew�aea PqOVI510N5 OF UWS AND ORDINANCES GOVERNINf3 THIS tVPE OF <br /> WORK WIIL BE COMPLIED YAiH WMETMER SPECIFIEO HEREIN OR <br /> iec�iotscmm�orvacaor[nrvisraorixiowpun¢xn.oconfs� qpL THE CRANTING OF A PERMIT DOES NOT PRESUME TO OIVE <br /> ior eiax or AUTHORITY TO VIOLATE OR CANCEI THE PROVISION OF ANY <br /> OTHER STATE OR LOC/�l UW REDUUTINO CONSTPUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.TN�T I AM�UTHpq12ED BY THE <br /> OWNER OF TH PflOP RTY TO PERF RM TME WORK FOR WNICM <br /> APPLICATION IS E AND 1 OMPIY WITM THE ST�TE <br /> ru+ccuuio Mxn CONTMCTO LAW B. T RCW A .P00 W�C. <br /> � / ocb � <br /> CWSiP16iILNlO�N1ENOFN./.p[YIESS.iFlElYld/EMUlER z � <br /> �K+ur o•ic <br /> ntr wvr[ss t[trnc rv0 <br /> PLUYBINO MECHANIC�L <br /> NO. TYPE OF FlXTURE Op ITEM FEE NO. TYOC OF EpJMyfl�{ FEE <br /> WATEH CLOSET(TOILET) A/C—AMNDLO UNITS <br /> BATHTUB FORCED A19 SYSTEMS <br /> LAVATORY(WASH BASIN) MEAT WMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISP CLOTHES ORYERS <br /> DISM WASHER RANGE HOOD <br /> LAUNORY TP�Y WATER HEATER <br /> CLOTMES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE�'JOO�BURNING� <br /> DRINNING FOUNTIIIN FIREPLACE INSEi7f(WO00 BURNINCa) <br /> FLOOH DRAIN GAS FIREPLACE <br /> BACKFLOW PREVENTERS GAS RANGE <br /> SINN(SERVICE—BAR.ETC.) GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL f SUBTOT�L f <br /> PERMIT S PERMIT f <br /> TOTALFEE 5 �OTALFEE f <br /> FOR OFFICE USE ONLY: <br /> faOuiYTp�f.R NfNSflP�CS ypESFtBACM MAMb�ECKXVMMCq fFF RFCf���MO <br /> 9�s�o <br /> usero�v �m�nu v.uv�s�m FEES V11LW1TION FEE <br /> ❑�E5 ❑rq _—�— <br /> Ru�M4l: <br /> HFIGIIf1�vRAl10N NOOfOWRIINp 511EOrElIXY11 '— <br /> IINII[ <br /> Pl11YfliN0 <br /> � <br /> CCl1�PNC� i l rv SION..lS IX:CUV1N1lO�D B�SFYLMI MfOUM?4 <br /> GI�GU1' <br /> OvES ❑n0 - –" <br /> iIN[SMU'!1(IFNflEO'0 �f.�SQ`I ���I(INq%ANC�2CM <br /> o��en <br /> �inieumnneo'o apesov <br /> Sul[Noi1D�Mf S���ICmnLE <br /> rtrrnrr.ov�r r�n�vxmrnovrnor CfTYOFEVERETT nmur.wouac <br /> LOCALSALES - — <br /> �•iE TAX CODE IS 7105 TOT�L <br />