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APPLICATI� FOR CONSTRUC7�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257-8810 <br /> I i DEMOUTION �'�. COMBINATION .-; BUILDING ❑ MECHANICAL ❑ PLUMBING i. SIGN <br /> PROJECTADDRESS ���,1z C� <br /> G(/ <br /> OWNEfI /J IA/.1�/,[)[y1[55 CIiY Iip qp�� <br /> —y�0 3{LullJ L/ , <br /> If1i�NI 4�ILKqRE55 CifY jip ryqy[ <br /> �PLI�II[CIf)i10f$qIKR 4M�ApCP[$$ CIfY jC IT:;!.t <br /> GENCPRLONIRM.IOR 4�iL�WPE55 CITY IV p�p�[ Si�fEIICElISE• <br /> MWIUNICqCON1p�Ci0R YAi�A00PE55 CIiY 1iV qp11E Sf4ClC(Y.SC• <br /> 1'IVL�bINGCONIPACipR N��LI.ppPf$$ �IiY jin pNCI:[ $I.11f1KC115C• <br /> ccnnucr vnqp a wont <br /> HEATING SYSTEM: fl GAS ❑ELECTqIC �-- <br /> uE:cu:o[wunK u10 sauu+E roor�ce nrvavm cwi�•c�vcrupri u�o nwiiE rn <br /> S Jr,lnl <br /> " •2Z� -p �.� � <br /> ���� � 1 NEREBY LERTIFY THAT 1 MAVF READ AND E%AMINED TMIS <br /> �u,.✓o.m [or aunouq MPPLICATION ANU KNOW THE SAME TO�E TRUE ANO CORRECi ALL <br /> G � PROYISIONS OF LAWS AN�ORDINANCES GOVERNING TNIS TVPE OF <br /> �muocscnm�qr�a�aov[nivis�qwbenow m;.ntt.rocori[5� — ����HK YlILL DE C061PLIED YfITM WN.TNER SPEQFIED HEREIN OR <br /> NOf THE GRANTINCa OF A PERAIIT DOES NOT PPESU6�E TO GIVE <br /> iur ¢�ppK pp AUTMORITV ip VIO�AiE OR CANCEL THE PROVISION OF ANY <br /> OTNER STATE Ofl LOCAL LA1V REGUTATING CONSTPUCTION OR TNE <br /> PERFORIAANCE OF GONSTRUCTION.1MAT I A1d AU7110FIZE0 DY TNE <br /> OVlNER OP TNIS PROPERTY TO PEi1FORAI TME Y:ORK FOF l9l1ICM <br /> APP�ILATION IS IAADE AND I COI.IPLY Y:RM iHE STAT[ <br /> r.iKu rea io nvun6n CONTRACTORS LAW IB.Y�RCW AND 29G 200 PI�C <br /> CGH91f1VLfqNlpu��[Ib[q�pp�FSS.TClEV11p1fIMqER x <br /> SK�N�IV�[ 1'a'1 <br /> Ci1rOV5�i.651K[16C Iq <br /> P�UMBING MECNANICAL <br /> NO. TYPE OF FI%TUPE Ofl I1EM FEE N0. TYPE OF EOUIPMENT FEE <br /> � 1YATERCLOSET�TOIIEn AC—AHNDLGUNITS <br /> BATNiUO FORCED AIR SYSTEMS <br /> I �A�ATORV�WpSN BASIN� HEAT PN.IP ' <br /> � SMOWER UNITMEATERS <br /> NIiCHEN SINN 8 DISP CLOTMES�RYERS <br /> DISN4YASHER RANGE IIOOD <br /> IAUN�RY TRAY 1'fATER NEATER <br /> � CLOTHES WASHER YtO00STOVE <br /> URINAL I �•�ETAL FIFEPLAGE pVOOD BUFNINGI <br /> ORINKING FOUNTAW FIREPLlCE INSERT pY00�OURNING� <br /> FLOOR ORAW C4S FIREPLACE <br /> BACFFLOIY PREVENTERS GAS RAhGE <br /> SINK ISERVICE—OAR.ETC.1 GAS PIPING <br /> i E%HAUSTFAN <br /> SUOTOTAL 5 SUUTOTAL 5 <br /> PERMIT S i PERMIT 5 <br /> TOTALFEE S TOTPLFEE S <br /> FOR OFFICE USE ONLY: CO(Gb-'GG�� <br /> IP04ISIJL��CK PGHS[� Iy S��[`CIBKM Vl/J1CMdMIYB[A Ift 11iCUVi1q <br /> I <br /> °��'-^''•< <o� � �¢uuvrc FEES VALUATION FEE <br /> tIKS .•NO �vaDVA 3t7 ��I <br /> ut'.,A�IU411�ip11 IqP�:.� ��ilq Sl'[LxryaTl <br /> �n��. g6�3 S.F. nwe..i ; <br /> cC[Waix:v MpLOnES OCCN� !0 11�5lvIN� YEOuw:K <br /> t.��oon <br /> R• rl ;;�o - <br /> �utLSRI�MLL[flPCOD 111�5fN1 �WIIICN4VlANCN[C�( �'� <br /> OiNC11 <br /> ���R�UIMPlOD PEA5011 <br /> Si��ElU¢LWO SWC�WIGE � <br /> r�tturcor�si r�ws+m�rov[ner � CITVOFEVERETT �vnicNa+Rs i <br /> �_ �_� /-L--�LOCAL SALES <br /> u+� ZO� TA%CODE IS 7105 �TOT�L <br />