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APPLICATI�1 FOR CONSTRUC'�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EV�RETT,WA 98201 •257-8810 <br /> fl DEMOLITION !i COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT DD E55 <br /> D c � /. �[��/. <br /> �pq�q IA4L�ODP65 CIIY ZM IM1�ONC <br /> i1/,�,.,., �'�osr...�v y�in i // ,Q, ,E-,./J` `TB�aY yzs-�s�- �3ir <br /> i�N�Ni MEM1�pWE55 Cliv ZW PIONE <br /> •nCNi1CG10nDE5qi@R u�R�ODNf59 ���� �� ��b��E <br /> 3G�-sz�-iY�s <br /> OCtKA4LONIR�C1rp, M1LLApMC55 LIY 10' PIqN[ SL�IEL�C[NSE• <br /> T / iyori:�., s�zs i✓Fi„_p / �/[1 S�! - /c%f- 9'sz�., TED�'1a�y <br /> u¢M��+ic4tannetIDe u�n�Wa[s5 . tnv zm �Orv[ su¢utRisn <br /> FWMORUCONIPKLOR MNLAOCAE55 LIIY 21P M�O��E SUICI�CLNSE• <br /> coma+aeeceawa�n HEATINGSYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> ocscnm�wa+K uro s_uu�¢�oo+�c¢irvvavEo ror+tur rrnso�+uro wwr+c xo <br /> I HEREDV CERTIFY THAT I HAVE READ AND E%Ah11NED TMIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE ANU CORRECT.ALL <br /> ruo�oseo usc a euuana PROVISIONS OF LAWS AND OHDINANCES GOVERNING THIS NPE OF <br /> WORK WILL DE COIdPLIED WITH WHETHER SPEGFIED HEflEIN OR <br /> uauoEscnroiaxorvAoreu*rl5iwwr�BE�owonen�cHiwoCocrt51 NOT. THE GflANTING OF A PERMIT DOES NOT PRESUMG TO GNE <br /> ior &OCK oc AUTHORITY i0 VIOLATE OR CANCEL TNE PROVISION OF ANY <br /> OTHER STATE OR LOCAL lAW REPULATING CONSiRUCTION OR THE <br /> PERFORAIANCE OF CONSTR'lCTION.THAT I AM AUTHORREC dY TME <br /> pWNER OF THIS PROPERTV TO PERFOFM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND 1 COh1PLY WITM THE 57ATE <br /> CONTRACTORSLAW182 RCWAND2962WWAC. <br /> [�PCRN�ID MIu9CH / <br /> LONSiRUCt10N101J1lEN0EF.bMIC55.lE1CM10NE1N00ER x � 4� 1� G U <br /> r,a�avr.i oa <br /> a��rus�r. ssu;�vscrro <br /> PLUMBING MELMANICAL <br /> NO. TYPE OF FI%T11PE ON ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WATER ClOSET ITOILET) A C—A HNDLG UNITS <br /> BATHTI'9 POFCED AIR SYSTEMS <br /> LAVATORY I�YASH BASIN) MEAT PUMP <br /> SHOWE(7 UNIT HEATERS <br /> KITCHEN SINK 8 DISP CIOTHES DRYERS <br /> OISHWASMER RANGE NOOD <br /> LAUNDRY TRAY \YFTER HEATER <br /> CLOTMES WASHER WOODSTOVE <br /> URINAL t•1ETAL FIREPLACE(WOOD DURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT�WOOD�URNING) <br /> FLOOR DRAIN GAS FlREPLACE <br /> BACKFLOW PREVENiERS GASRPNGE _ <br /> SINK�SERVICE—BAR.ETC.� GAs PIPING <br /> E%NAUSTFAN <br /> i <br /> SIIOTOTAL 5 SUOTOTAL 5 <br /> PER!dlT S PEFh11T S <br /> TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> rn�irsc�wcK ��c.ns�ro.c. sioes[re�eK r��.ueNcene1uuecn rcc ncecirrra <br /> -ay� <br /> vs�cc.¢ imu�u cecwrsne iEES VALUATION FEE <br /> ❑res n�+o eunc�no <br /> IIFI'.r1IlIAlltAiqN NJIOf�NLILINp $12COiBlIX�+TI <br /> RUNB�NO <br /> IY.C�:��•�CY MlL�Si(X[5 OCCUC.V.1lOA0 BASCMENL MECNANIL.LL I <br /> GUUU1` ❑vE5 ❑NO <br /> wonioru.�vuncnccK <br /> iII1E5��IHY.ICPRE00 AEASON I <br /> OPICP <br /> 41NULMYRWO �E�SON <br /> Si�IE BNl��N6 SUPCNARGE <br /> tvcormnsr rur�s��'�+toev qTYOFEVERETT ruoucwen+s <br /> LOCALSALES <br /> �„� TAX CODE IS 7105 To7aL <br />