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APPLICATI� FOR CONSTRUC7'�N PERMIT� <br /> CITY OF EVcRETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257-8870 <br /> !'�. DEMOLITION C COMBINATION ❑ BUILDING ❑ MECHANICAL C] PLUMBING G SIGN <br /> PROJECT ADDRESS <br /> '-:113 G,ie„w:.oc+ A�¢ LVere+{ W� <br /> �hNER M�4�CORE55 Llll' SV P1pME S <br /> C_�ar� {;YJm4V�Pae ��i3 (nlcnwooc� rve t�zrc4� vVA 98z�S 303-0�3 <br /> h!NNi MM:�WNE55 CItY ZP AqHE <br /> MOnICC1IX10CSqNC11 4��t�WPE55 CItY SN MIp1[ <br /> LCNCR0.CONLMCIO{I M�ILMMESS GIiY 2P RqN[ SL�IELICENSFi <br /> � /�1i711�P � <br /> MCCn�.Y.UICOMNGHM YAIL�OCPF55 CIiY ZIP AqNE 51/.IEIILCNS[• � <br /> fWA�pdIGCCN1flACiOfl YAIl�Cq1E55 GIfY SIP Rq11E SU1ClICLNSU <br /> rorrtaecrvnceawonK HEATINGSYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> X �� U <br /> ocscnat�w�Kumsau�A[roa*�cenrra n ca+ri.crPrnsw�umrrwrhra <br /> �n., n;. �n �U �a <br /> '_�""'_�"� U <br /> I HEREDY CERTIFV THAT 1 MAVE READ aND E%AMINED iM15 <br /> APPLICATION AND NNOW TME SAME TO OE TRUE AND CORRECT ALL <br /> rno�rosm u� m�wrc PROVISIONS OF LAWS All�ORDINANCES GOVERNINu THIS TVPE OF <br /> � WORK WILL dE COMPLIED WITH WHETMER SPECIFIED MCREIN OR <br /> im-,ocscurvrprior�nor[ntt�s�rovmo¢iowonenecervrocc^rts� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUh1E TO GIVE <br /> �a� �p..K � AUTMOPITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCA1 LAW REGULATING CONSTRUCiION OR iHE <br /> PERFORMANCE OF CONSTRL'CTION.7HAT I AM AUTHOPIZED BV THG <br /> OWNER OF TMIS PROPERTV TO PERFORM THE WORK FOR WHICr1 <br /> APPLICATION IS MADE AND I COIAPLV W1TH TME STATE <br /> rnncn rex io nuuoen CONTRAGTORS LAW iB27 RCW AND 296200 WAC. <br /> � �L� ��,/ �// <br /> CO!:9RUC90NlO�NtENOCRAD011[55.1[IFPIq11EM1utlCR V! L 'l//S/V u <br /> 'i�GN�NPE DAiE <br /> un eusnuss i�cexsc ra <br /> PLUMBING MECH�NIC�L <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TVVE OF EOUIPMENT FEE <br /> �"nTER CLOSET(TOI'_ET, I NC—AMNDLG UNITS <br /> DATHTUD FORCED FIR SYSTEMS <br /> LAVATORY(1YASN BASIN) HEAT PL'MP <br /> � SHOY/ER UNITHEATEPo <br /> KITCMEN SINK 8 DISP ! I CLOTHES DRVERS <br /> DISMYJASHcR RANGE HOOD <br /> LAUN�RYTRAY WA7ERHEATEH <br /> CLOTHES WASHEP WOOD STOVE <br /> UflIhAL � METALFIREPUCE�WOODBURNING <br /> f1RINNING FOUNTAIN FIflEPLACE INSERT(WOOD�URNINGI <br /> FLOOR DRAIN GAS FIREPLACE ' <br /> � <br /> �ACKFLOW PREVENTERS GASRANGE <br /> SINK�SFRVICE—�FR,ETC� GAS PIPING <br /> E%MAUSTFAN <br /> iP�'1 <br /> SUBTOTAL 5 SUOTOTAL 5 <br /> PERMIT 5 PEPMIT 5 <br /> TOTAL FEE S TOTAL FEE 5 <br /> FOR OFFICE USE ONLY: <br /> fVc'rt5CIP4K PEeRSElOeCe SIDESEf84K PIµGNECKNU4ByT �(�/ {[E PWEIPLW <br /> �V � ���U <br /> usetonc �orence v¢exrsin EES VALORTION FEE <br /> ❑vE5 ❑tq BUiI��NG —1— <br /> IILIi1�ilIA11IA1KK1 NJOCUWCLLING $�IECiPLDGTI <br /> uvns rwuemc <br /> Q'.CIi����Cv IpC�S*CafS CCCUP�NiLOM B15EME1:" MCCN�NKAL <br /> cnow <br /> ❑res u ea i <br /> fl�[S�nu�+ILRPE00 AE�SON �W��i0N4FLWCNCLK <br /> omca <br /> Ii�C�l�i:4BC00 NEASON <br /> suic au��wnc suncnu+cE <br /> r�i•corcorvsr. ttwxs�rvaove�er CITYOFEVEHETT weinxronas <br /> LOCALSALES <br /> o��t TA%CODE IS J105 TOT�L <br />