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APPLICATIO� FOR CONSTRUCT�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STAEET•EVERETr WA 98201 •(425)257-8810 <br /> ❑ DEMOLITION � COMBINATION O BUILDING ❑ MECHANICAL ❑ PLUMBINO ❑ SION <br /> PROJECTADDRESS: I IU FuceST Cou('+ Evacff <br /> $015 duK+W diva <br /> 1f Nn�,1'�' �o r�^ac�b F .rcrf �ir1c7 ves 306 s�>9 <br /> OVMFR M�ILACONE55 (}ry jIP p11CNE <br /> 1CNAN1 441Af)Cq(55 LIiY ]li GNONE <br /> ��CIIrtfCfOR�E51PlE� M�IIApOPE55 Olv )in PHONF <br /> �c;� P�ht cMsr�vu,�n _�c.v<r"r 952a3 ��LiS3o53�7y'T'uf`�-QG�07)�G. <br /> crv[neimnmec�w u•n�onnEs, �nv r�r r�wv¢ c��r[uttrvs[. <br /> MF[IIANIUIf,ON1R�CIOP M�R�UDPESS CIIY 11f' PIICNC [i�fFwIICENSE� <br /> �l�lT✓� 1� � <br /> PIUMBMGCONIR�CICP M��IAppPE55 L11Y jIP pIpNF 51�fElICENS`• <br /> CONIMGI I'N�LE Of WOPM �/ <br /> � �c S�.� ir �"e S c�r. c� HEATING SYSTEM: LJ GAS ❑ELECTRIC O_ <br /> �ESCWBE WORN�Np SOU�RE i00iWE W VOlVEO LONl�CI FFfl50N ANp I'HONF NO <br /> I�.S,e �' I.L3 AStTen i <br /> — j3eck 30$-3� 75 <br /> � HEREBY 'i['�'IFY TMAT I HAVE READ AND EXAMINEO THIS <br /> viwvosrooss or emio�un APPUCATIOt':�'�NNOW THE S�ME TO BE TRUE ANU CORPECT ALL <br /> PROVISIONS OF UWS AND OPDIN�NCES GOVERNING THIS TYFE OF <br /> WORK WILL BE COMPLIED WITH WNETHER SPECIFIEO HEREIN OR <br /> IFWlOESCaiPtI0N0�VNOPEPtrySHpMIBELbNOR�ilILN1N'OCORE51 NOT. 7NE GR�NTING OF A PERMI7 OOES NOT PRESUME TO GIVE <br /> r <br /> ioi �"� eiocK or AUTHORITY TO VIOLATE OR CANCEL TME PROVISION OF ANY <br /> OTHER STATE OR LOC�L UW REGUUT!NO CONSTRUCTION OH THE <br /> PERFOPMANCE OF CONSTqUCTION.THAT I AI��UTHORIZED BV THE <br /> OWNEfl OF THIS PROPERTV TO PERFORM THE WOHN FOR WHICH <br /> APPUCATION I MAOE AND I COMPLV WITN TME ST�TE <br /> ev+cci ru i o miva[n CONTRPCTOR AW 1 27 RCW ANO 296.200 WAC. <br /> _>>1-� �I (Y�o�. O�o2 C�z7 <br /> COHSiR11CilONlO/.NIFN�ER.ApME55.lE1[1'MONENU4lEq x 0���9'� <br /> SiGNt [elE � <br /> GiY BU9NESS IiCFNSC Hp <br /> PLUMBIN3 MECHIlNIG1L <br /> NO. TYPEOFfl%TUNEOIIITEM FEE NO. 7VPFOFEOUNMENT FEE <br /> j WATER CLOSET(TOILET) A/C—NNNDLG UNITS <br /> BATHTUB � FORCEDAIRSYSTEMS <br /> j LAVATORV(WASH BRSIN) HEAT PUMP <br /> SHOWEfl UNIT HERTERS <br /> NITCHEN SINN d OISP CLOTHES ORVERS <br /> DISHWpSHER f RANGEHOOD <br /> LAUNDRY TRAV WATER HEATER <br /> � CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPiACE(WOOD BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERf(WOOI'BURNING) <br /> FLOOR URAIN Gp5 FIREPLACE <br /> BACNFLOW PREVENTERS GAS pANGE <br /> SINK(SERVICE—BAR.ETC.) .j GASPIPING � <br /> 3 EXFIAUSTFAN <br /> SUBTOTAL S SUBTOTAL f <br /> PERMIT 5 PERMIT S <br /> iOTAIFEE S TOTALFEF S <br /> FOR OFFICE USE ONLY: <br /> fPONifiFID�CM RFLRSFiBACN SNESEIB�CR P4N[IIECKNIIMPFP fFF �� AFfFiP�NO <br /> Zo � I O� 'Lp' d' S �' I .�= <br /> ussrorr!J m�enE� o v.c�N�S��E FEES V�LUATION FEE <br /> I�I / .�ES ❑� T_ <br /> BtnlP�u(: �7G! �J �i p i 0(� <br /> MEIGNIIIVI1�lpl0Y NOOfUW[IUNG $IjEp[plIX:/tl —V- <br /> ?iU, uvns � �$ G3 Sf riu+mi.�r _— _— �7 { � <br /> OCCVC�Nf.Y M1M51.0.t5 IX:f.U>�NI1041 B�SF ENI MFf.N�Nif.Fl <br /> cnour .�7� �� <br /> �1. u-I 2 ❑Yes ,e��o <br /> i1flf51TINRfI�F�IP_O'0 �fAGON �Dpll()M�I1y�NC11(LR <br /> /\I7 omEn — --- <br /> FlPE�flW'0 NF�GOV — <br /> !:IetFflOilfYrvf.SVPbuOf.F f 'J� <br /> nvFnrco�+�r ruvsenrnm[oev CRYOFEVERETT ���wi�r.wonvc '-7'l <br /> / LOCAL SALES �' ��L�� <br /> _�_/,J c..e (2'� TA%CODE IS 3105 TOTAL � ;� <br />