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APPLICA410� FOR CONSTRUCT�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STAEET•EVERETT,WA 98201 •(425)257•8810 `���" <br /> ❑ DEMOLRION ❑ COVMBINATION BUIIDING ❑ MECMANIC�L .1�.�PLUMISINO ❑ SION <br /> PROJECT ADDRESS: 1 ��9 �M c��� r �l� E�'" "o <br /> �Tnl... "T- �orr-,� 7n9 �. �N�r AU(� L�uci� EF W.� <br /> o�Grtn'-'�— wu�l,�mcss an n� P� <br /> IEMI�Ni YW�MI�t55 fl�Y !IV 1'llplf <br /> •RCMTCIOf�MyGNf� Y�II�MI�fS$ CIfY !�1` �'��YR <br /> �If7 R.T �CS���/ I.�l...l.�i�� C✓O � 7r/3 03 /j� <br /> �atnucrnm�urn Mui�ao�css cnr nr r�rn[ c�ut�Ktwu. <br /> ArtCM�MC0.cONln�clOA M�4�Up�55 prv Iir riqwf 9��Fl�CEv[C• <br /> P11149MGCON1Rqlp1 4ul�CMF55 OfY iIV P�OMF S���FIILFNSf• <br /> ccw'n¢r nmcc or wwM ,� HEATING SYSTEM: �'iAS ❑ELECTRIC ❑ <br /> 77 � - <br /> o[scniec v���.n sou�n[�oorwE wvav[o cw*�cr nnsa.+ro r�a�.s <br /> ,,., e v�s 3v�- 3v�o <br /> � r r r o� �/7 S 3 S� '79 yb <br /> I NEREBY CEPTIFY TXAT I NAVE READ �N� EX�MINEfi TNIS <br /> APPLICnTION iVJO NNOW TME S�ME TO BE TRUE�ND CORRCCT A�L <br /> roarosfo usc or nunqwn PROVISIONS OF LAWS�ND OROINANLES GOVERNING THIS fYPE Of <br /> WORK WILL BE COMPIIED WITH NMETHEH SPECIFIED H�REIN OR <br /> iEe�totunwrroaar+a�nm�srv�meaowonenecHtwoea+[s� rypT. THE GR�NTING OF�PERMIT OOES NOT PRESUNE TO GIVE <br /> wi eiaK a AUiHORITY TO VIOUTE OR C�NCEL TME PROVISION OF ANV <br /> OTHER STATE OR LOCQ LAW qEODUTIN6 CONSTRVCTION OR THE <br /> PERFORM�NCE OF CONSTRUCTION.TMAT I AM AUTHORIZED BY THE <br /> OWNER OF TMIS PaOPERTY TO PERFORM THE WOR1c FOR WHICN <br /> pPPLICATION IS MAOE ANO I COMPLY WITH THE ST�TE <br /> v+ncEt un o r� azn CONiPACTORS LAW IB 2'!RCW�ND 296Y00 WAC. <br /> �.Li�� f,bo �9 oaa <br /> CdI51MKiHriIOINIfNCE11�I%1n[55.1[l[11qMEN1MBER � � l� �' �� <br /> y(N�l - ' � D�lf <br /> C�iY&I4N[551C(MS[Yp <br /> PLUMSING MECNANICAL <br /> NO. TVPE OF Fl%TIINE OP REM FEE NO. TYrE OFEOUiMDR FEE <br /> WATER CLOSET�TOILET) A/C—M/NULQ UN08 <br /> U�TNTUB FORCED AIH SVSTEMS <br /> �AVATORY(WASH B�SIN) MEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITLMEN SINN 8 D�SP CL0T11E5 DRYERS <br /> DISH WASMER RANGE HO00 <br /> LAIINDRV TRAV WATER HEATER <br /> CLOTHE$WASHER WO00 STOVE <br /> URINAL METAL FIPEPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN FIREPIACE INSERT(VJOOD BURNING) <br /> FLOOR DRRIN GAS FIPEPLACE <br /> OALNFLOW PREVENTERS GASRANGE <br /> SINK(SERVICE—BAR.ETCJ GAS PIPING <br /> — E%HAUSTFAN <br /> $UB TOTAL S SUB TOTAL f <br /> PERMIT 5 GEf1MlT f <br /> TOTAIFEE S TOTALF E f <br /> FOR OFFICE USE ONLY: .7J� <br /> fMlNlf(IP4tl �iMSf1P�L� �w� SIpE$f�b.�CR � rytxLO[CKNUMPfN ffF �ffFil' x0 <br /> ZS ZS •�`�� �s 5�03' �/e�Glv <br /> usrtcwr _� �oum� �•u��vrz FEES _ VAIUAiION FEE — <br /> ❑r[5 iu '"7 T— <br /> Pu:MMf. 7g YAO /_�� <br /> 1�F�f11�IIVOLIqV � MO'V OMTIIING Slll O�E1IX:91 /�� <br /> S n��un�n ___. ___ '__C�U_�y— <br /> OCI:IMAN'.Y A�l�l(1.'�11) IX:flll`1N11U�I� B1NYN� 4ifN�M�f1l <br /> f.11Q11' ' � __ <br /> O�(5 R(N'] <br /> � �p(MII(M�IM1�NC��IC� �� <br /> lIPESAT\�llillt[OD ����� <br /> O1M(11 <br /> f19EAUHMP[!.[ nf�[nV A ' <br /> 41�1f P�IIIU�MC S�N�CN�IIC.! f.� �a <br /> J <br /> irrvortrv�i rinvs�vmovtnnr CRYOFEVERETT n�A��� �'"� _ _ _ _ �_—� <br /> LOCALSALES � <br /> T/�'�d_ o��E 'j rj TAX CODE IS J105 70T4L _ _ '��j <br /> —_..c— <br />