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APPLICATI�1 FOR CONSTRUC�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257•8010 <br /> ❑ DEMOLI710N ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> x PROJECTADDRESS � <br /> �y,� y Co�unng�A A t �� � 2frr <br /> xow1�vca u.ii.00ress crtr z�n r��oxc .�OL 7/9 SD(o CC[C <br /> U/j�li �{{}LLIG�� /7Y3O- 30� �� S� �OFIE4LL 9to�a 4.]S4RJ 33LY r�fOn.'t <br /> ICNANt MAII�WRE55 CItY ZM PpNE <br /> �RCNIt6iORDESGNEl1 MIaLACMnC5�5,.� LIiY IIV RpNE <br /> rn� �1\nP� j�/vr � <br /> GEN[MLCON11UC10F Y��LAWP65 CIIY IW Rq1K Si�iCIIC[NSE• <br /> MEOUNIC4COY1flACi011 LIMLAW�[55 GIV ZW R1ylE Si�1CLICG15t� <br /> �lvuNtn^.00NIRACIOH N�ReDJPE55 CRY IM W�DNE SI�LELK[HSE� <br /> CL`NiH�Ci FR6E Oi NYMM <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> oEscmecwon+u+osouurcroor�cEunavm /SOa conuctccnsonr.Ho>rwucra <br /> X Nf ccr2oci isRo rio�- — <br /> �+W 4�LTtrtio J�Nv� S'�0/�vG. — N4�✓ <br /> �/�CNiN C�}'/jiNf�5 L'L/L/�CT) . T I HERE�V CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> APPLICATION AND NNOW THE SAME TO�E TRUE AND CORRECT.A�L <br /> ena�osco use ov �mnuq PROVISIONS OF WWS AND OPOINANLES GOVERNING THIS TVPE OF <br /> S F WOPH WILL BE COMPLIED WITM WHETHER SPECIFIED HEREIN OR <br /> 1CG0.0G5CRIPIKH1Cf VPOCERiY�51qWtlB60WOPAR�CNTVOCOP1G51 NOT. THE GRANTWG OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �or azocK or AUTHORITY i0 VIOLAIE OR CANCEL THE PROVISION OF ANV <br /> OTHER STATF.OR LOCAL LAW REGULATING CONSTRUCTION OP TNE <br /> PEflFORMANCE OF CONSTRUCTION.THAT I AM AUTNORIZED BV TME <br /> OWNER OF THIS PROPERTY TO?ERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH TNE STATE <br /> v�nCui�z io nuuuEe CONTRACTORS LAW 1B2]RCW AND 296200 WAC. <br /> x � _s� �s �� c� �� l�l,,� 3- <br /> eer+stuueiioN�o.N ic�+wn.woness.tcitararve e+uueca y �7 —O C`� <br /> 3cx�iun[ wic <br /> CILY BlI5ME55 UL(NSE!%1 <br /> PLUMBING MECMANICAL <br /> NO. TYPE OF FI%TUNE OR ITEM FEE NO. TYVE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET� A'C—A HNDLG UNITS <br /> BATHTUB ! FORCEDAIRSYSTEMS <br /> LAVATORY�V�ASH BASIN� HEAT PUhiP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK A OISP CLOiMES ORYERS <br /> DISMWASHER RANGE MOOD <br /> LAUNDRY TRAY �VFTER HEATEF <br /> CLOTHESWASHER � \YOODSTOVE <br /> URINAI METAL FIREPLACE�WOOD BURNING) <br /> Dii1NNING FOUNTAIN FIREPLACE INSERT�WOOD OURNING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACKFLOW PREVENTERS GASRANGE <br /> SINK�SERVILE—�AR,ETC� GAS PIPING <br /> EXHAUSTFAN <br /> SUDTOTAL 3 SUBTOTAL S <br /> PEPh11T 5 PERMIT 5 <br /> TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> fRONiS[10/.CR PGPSEI6ACK SiOE$[iBAC[ PL�LMECI(HIINB /y� �EE PECEIPi1q <br /> J � �") <br /> usczcnc wrnnee v�wrtsrtt FEES VALUATION FEE <br /> ❑.es n r+o W�tO:NO <br /> n�iG�iliM�i�lpti Nt10�DwCLLiM S�ZEO�OIDG�I <br /> uwis Muueirvc <br /> f�':cVn�i�Y MOL`�St:�FS OLLUP�N1lOb B�SLMEN! YECIUNiCK <br /> 4Rl)J� <br /> nr[s ❑xo <br /> {iPCSFniM1NICPP[00 PE�SON ADOIfIQY4PtANCtl[CK <br /> OMCR <br /> nuUl�aNpE00 PEASON <br /> SPiE�NIDiNG SUUCu�aGE <br /> .�rio�cor�v xu,s•vrnovmar CITYOFEVFRETT woiewonns <br /> LOCALSALES <br /> �„��_ TAX CODE IS 3105 707AL --�� <br />