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APPLICATI� FOR CONSTRUC7�N PERMIT� <br /> CITY OF EVEFETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257-8810 <br /> fl DEMOLITION I i COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING f i SIGN <br /> PROJECTADDRESS <br /> ownEn u�n�ooncss virv zir nwr.c <br /> �er� �t� r �1ei Feres+ V7W 'Jr F.vue/�- iPJOf 4sY-i4�-iitl <br /> TMI.Ni � N�RACq1E55 OIY 2�P %pNE <br /> •PGIIIRCLOf10C51GNlP IAI,M1Ap011C55 Citt I�P p1G12 <br /> O[N[MLGONIP.�Cf011 YI.ILACOpE55 Ury b�' NKK1E SUIELICENSE• <br /> 46N�NILKCONIR.V:1p11 4�IlACq1C55 Ci1Y ZIP %pNG SG1ElIGCf15E• <br /> GW'.IO�HGCON1P�Li0�1 WIl�OJ1165 OtV Z�� PIpNE SIqEl6f15[� <br /> cnnv.crmteawa�K HEATING SYSTEM: ❑GAS fJ ELECTRIC fl <br /> oaLenipcwoaK�rmscu.nerwur.cn�:ae[o + eaert�errcasa�u�orv�or�crro <br /> "rL �:�•w_SL:i..^v/ <br /> _L9�,(!�_ flWi�O � � <br /> I HEREOY CEfliIFY THAT I HAVE READ AND E%Al.1INED TNIS <br /> APPLICATION AND KNOW THE SAME TO�E TRUE AND CORRECT.ALL <br /> r��oros[o usc o�omiaw: PROVISIONS OF LAY7S AND ORDINANCES GOVERNING THIS TVPE OF <br /> !'�S��ry'�1� WORK YIILL �E COMPLIED WITH WHETHER SPECIFlED NEREIN OR <br /> ic:+�ocscu'r�KHaraavcanbnaxnociowoanrrecumoconits� ryp7. THE GRANTING OF A PEFMIT DOES NOT PRESUME TO GIVE <br /> w* mace a AUTHORITY TO VIOLATE OR CANLEL THE PROVISION OF ANY <br /> OTNER STATE Ofl LOCAI LAW REGULATING CONSTRUCTION OR THE <br /> PERFOR�dANCE OF CONSTRUCTION.THAT I A67 AUTHORIZED BY TME <br /> OWKER OF THIS P(70PERTY TO PEPFORM THE WORK FOR WHICM <br /> APPLICATION IS h1ADE AND I COMP�Y WITH TME STATE <br /> r+ncu u.i a nuue[n CONTRACTORS LAW 1 B27 PCW AND 29fi200 WAC. <br /> �jc� OGi� /�llo C� 1 /� � <br /> r.ci�:in�cnoi+�wr�icwcn.soo�css.mc�wr�cNuuoEa X��' "' /� � �l,v�(y� �(-/�-0/ <br /> sicr� iE o�iE <br /> utt ousmas ucu�se rro <br /> PL11M81NG MECMANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 1YATER CLOSET(TOILET� 0.0—A�HNDLG UNITS <br /> OATHTUB ! fORCE0AIfl5YSTEMS <br /> IAVATORV IWASN DASIN) NEAT PUh1P <br /> SHOL4ER UNIT HEATERS <br /> KITCNEN SINK 8 DISP CLOTMES�RYERS <br /> DISNY.'ASHER RAN6E MOOD <br /> LAUNDRY TRAV \':AiER HEATER <br /> CLOTHES YlASHER �':OOD SiOVE <br /> URINAL � IdETAL FIREPLALE�WOOD BURNING� <br /> �RINNING FOUNTAIN PIFEPLACE INSERT�\VOOD�URNWG� <br /> FLOOR ORAIN GAS FIREPLACE <br /> BACKFLOW PREVENTERS GASRANGE <br /> SINK ISERVICE—DAR.ETC.) GAS PIPING <br /> EXHFUSTFAN <br /> SUBTOTAL 5 SUBTOTAL 5 <br /> PEFh11T 5 PERh71T 5 <br /> TOTALFEE 5 TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> fPONi`vEl�/.LN PG115Ci04:K 5'�ESEIOKR R CNECI(NU4.Lq i[E PECEiv!'q <br /> p -vi <br /> wEle+c �Oru�u wcurtSrtE FEES VRLWTION FEE <br /> nres n ra euawrva <br /> �¢w�rtuui�.�cx �mao�,vcuw.-. s�corazuc*i <br /> w�us aiwe�nc <br /> occuvu6v in..Y.at oCcur�n�low e�stunrt uo:nwK�t <br /> �P)l1V <br /> f:YE$ Cllq T <br /> �u.t5vnnnlCPPEOU NE�SON k('�IqN4PlNlCnECR � <br /> OIM[li I <br /> Irt:��UPMREOU �EASQN <br /> Si4F BWlDJ6 SUPC�uPGE <br /> rvcorcansr wws�vmov[oer CITYOFEVERETT wei�cxvnxs I <br /> LOCALSALES <br /> o.�i� TAX CODE IS 3105 707AL <br />