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APPLICATI� FOR CONSTR:IC7�N PERMIT� <br /> CITY OF EVERETT•BUILUING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257-BB70 <br /> op DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHAN�CAL ❑ PIUMBING ❑ SIGN <br /> PROJECT DDRESS <br /> Z - �.c-e G F_ � � � A s�20 <br /> av.rtn ur.iinooncss <br /> ����t�l r�nlr�r,a,t� (o�2d -/��D/5�_!-�+.N�✓"Ja+� � 9Yo37 f�1�77G-Sa 77 <br /> ttn.Nr u�a�ow+css ott/ <br /> �,r a u -�'o�ceeL M� Esu�e� ��R 5'P?�z3 Clzs=zfz —96sR' <br /> �PCIIIlCCiO [HSiGNCR IAAlLAC0I�C55 J� GtY tW P110NE <br /> utiK� � u� F�/e� Ui�3f�y9�o <br /> :CNCPALCONiNAGI M�VL�DW1E55 GtY ZiP P1q11[ Si�LFL�CEISE� <br /> MELIUNKALCOuiMLiOR 4ul�OD�C55 CpY Is R�ONL Si�iElKENSE• <br /> PLU�AIIiAGCONiP4t011 Y9L�COi1E55 GIY 11P 1'Iqll[ S1�fELICENSE• <br /> � ,� ! a� <br /> C0'" i°a' EOFwOPK HEATING SYSTEM: ❑GAS ,�LECTRIC ❑ <br /> ocswm[�wnK�r�osau.ncroo*wcnnavco ca+•cr�cnsoHu� n <br /> pEHicus - 9- ✓ �'r` <br /> ,�,�Ncacl� O,�n- Sr seu�c a o-c�'— _s' �7 - s7 <br /> I HEREBV CERTIFY THAT I M E READ AND EXAMINEC THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE PND CURRECL ALL <br /> rawosmuse or ewiD��: PROVISIONS OF LAWS AND ORDINANCES GOVEPNING TMIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> im.��.ou�:�c�n,w�r�w��iar�rorcen'�srwnrvoaowa+ ucerv+ocoaic � NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> iOry�y�•�r e�o�n Z o�� �� AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> �p�t $evhn ITfi'r ��r ��jSA ' 3[' OTMER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TME <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTMORIZED BY THE <br /> OWNER OF THIS PROPERiY TO PERFOPM THE WOPK FOR WMICH <br /> �i /^N'J"'J'�Z--(1 '-OGO APP��CATION IS MADE AND I COMPLV WITN THE STATE <br /> PenCEIiM�OMIwBEO CO ACTORSLA�7RCWAN029fi200WAC. <br /> CCN9PJCipNLO�NLEN�EP..�00��uC lElEh1CNE�UUBER x������ � `� _` -D� <br /> Sx{IfxiOR[ ( O��E <br /> L�iv BUSMESS lKENSG 11J <br /> PLUMBING MECH�NIC�L <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET� AL—ANNDIG UNITS <br /> BAT4TUB FORCED AIR SYSTEMS <br /> LAVATORV�WASH BASIN) HEAT PUMP <br /> SMO\VER UNIT HEATERS <br /> KITCMEN SI�lK d OISP CLOTHES ORYERS <br /> DISNlYASMER RANGE HOOD <br /> LAUNORY TRAY WATER HEATER <br /> CLOTMES WASHER WO�DfTOVE <br /> URINAL METAL FIREPLACE�WOOD BURNING) <br /> DRIhNING FOUNTAIN FIREPLACE INSERT hMOOD BURNING) <br /> FLOOR DPAIN GAS FIREPLACE <br /> �ACNFLOV7PREVENTERS GASRANGE � <br /> SINK�SERVICE—�AR.ETC J GAS PIPING � <br /> E%HAUSTFAN <br /> SU�TOTAL S i SUBTOTAL 5 <br /> PERIAIT 5 PERMIT 5 <br /> �_ TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE�15E ONLY: <br /> iH0�1t5E1p4M T�SCIBACN 4J[SL10�GR Vl/NCNCCRMUYOCP �EE AECflPi1q <br /> usczaie ior�nee v¢exrsne FEES VALUATION FEE <br /> ❑res n Ho eunoina <br /> r�ua�rtuurt•raN uoorrnttww sacaeiocn <br /> v�wmiw: <br /> IX'CtinallLY fJC�51pP45 DCLUP�NiLO�D 01Y4LNi IACCHI.N�LK ' <br /> ������ ❑YES ❑NO <br /> �Witqv4PUNteECN <br /> fInFSPPMRlCI1RE0O �EASON <br /> OMCR <br /> fiPE�V��PCpO �EASON <br /> SUIE BUilDitn:SU�CwRGf <br /> rwea�cons� �u+seerrroveoor CITYOFEVERETT r'ue�ewoFcs <br /> LOCALSALES <br /> ��r, TAX CODE IS 8f05 TOTAL i <br />