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APPLICATI� FOR CONSTRUCT�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVEREiT,WA 98201 •(425)257•8810 <br /> ❑ DEMOUTION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADURE55: <br /> • - b' <br /> �rn•-•�G�'s�L— �i.-co ;��/� �'/�''?.6�Ky[.'L'�C 7 I��� ei.owt s-p-�(C d <br /> (� O <br /> I[\��l 4Y1 (Mf[$ fll• !IV C���JVI <br /> �.-rilC�onpESiP:In 4MI41nbR5 Olv !�r RqWi <br /> (.Ir4�ry(i"y�.ICO•�ip�C ]��/� Vn�l��^I�P[SS/ � /��•f Cil /if rypV[ <4111iCENSf• <br /> (.(�.�Y�{�I f/�—/ (.l[ ''J/1.�� 4 w� <br /> 1�4t���4iL4f.(1'll�����<)II / 11��11(WfC� Clry lif' i'110N� Ct11FIIC�N4C• <br /> 11�I4P�4C.CONIfl�f.1(NI N��I�CAM[55 CIIY j1V �1MJNF S�AI(IIC[M1S�• <br /> 11VfM1�CIMit[Uf ��, <br /> HEATING SYSTEM: LC3'EAS ❑ELECTRIC ❑ <br /> I I5'JP'Af WJNN��OSW�W[fppGENVqKO COM��Civ11150N�!qIM�M'(Np <br /> I NEREOY CERTIFY THqT 1 HAVE AEAD AND E%AMINEO TMIS <br /> -. APPLICATION AND NNOW THE SAME TO DE TRUE ANO CORPECT ALL <br /> � xosfo�rcr:or pimd�n ��� PROVISIONS OF�AWS AND O��INANCES GOVERNING TIIIS iVPE OF <br /> WORN WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> ir�-.0 nacmvup�orn+MEnnivbwnBtlowOn�necutNOCOACsI NOT. TNE GRANTING OF A PERbIIT DOES NOT PRESVME TO GNE <br /> �ui azocn a AUiHORITY TO VIOLATE OR CANCEL TME PROVISION OF AN� <br /> � OiMER STATE OR LOCAL LA1Y REGULATING CONSTRUCTION OR TME <br /> �'ERFORM1IANCE OP CONSiRUCiION TMAT I AM AUIHORIZED OY THE <br /> OWYER OF TNIS PROPERTY TO PERFOFM THE WORK fOR WMICM <br /> APPLICATIOt! IS h1A0E AND I COti�PLV WITM TME SinTE <br /> �nnrn uu u miurcn CONTRACTORS LAW IB 27 RCW AND 296 200 WnG <br /> �„v�.�n�1�IN1��10/J11fM�FNI�IN��[S�.ICIEAqMFM+I0F11 y� //_(�LrfNl�y� _ <br /> Sl11MU1LL U�II <br /> C�IY BU4M55 UCENc[NO <br /> PLUMBING MECNANICPL <br /> NO. TYPE OF fl%TUNE OR I7EM FEE NO. 7YVE OF EOUIPMENT FEE <br /> WPTER GLOSET(TOIIET) WC—NIINOLG UNITS <br /> BATHTU� iOPCED AIR SVSTEMS <br /> IAVATORY(1VASH BASM) HEAT PUMP <br /> SNOWER L'NIT HEATERS <br /> NITCNEN SINI(d�ISP CLOIIIES URYERS <br /> DISHWA511ER RANGE HOOD <br /> UU�J�RY iRAY �'lF7EP HEATEP <br /> CLOTHES W�SIIER \YOOD STOVE <br /> UfiINA� METAL FIREPIACE hV00�BUPNINGI <br /> DRIN8ING fOUNTA W FIREPLACE INSERT hN00D BUPNING) <br /> FLOOR OAA�N 1 GAS FIREPLACE <br /> OAGKFIOW PREVENTEFS GASRANGE <br /> SINK(SERVICE—BAR.ETC.) � GAS F�PING <br /> E%HAUSTFAN �_ <br /> SUBiOTAL S SUBTOTAL S <br /> —"' FER611T S PERMIT 5 <br /> TOTAL FEE S TOTAL FEE f �" <br /> FOR OFFICE USE ONLY: <br /> �no.t�nP�rv Of�PSflp�Ct A005(104t M�MC�RCFMMfP RF RfP��bO <br /> ��+ ro•u �o�ui[+ vK�x�s��F PEES �A�UnT10N FEE <br /> _ _�_— <br /> ❑rt5 O�+U p����y� <br /> �9 r:u1 pvllAtiO4 kO Uf l�W[lUM S�It W BlCL41 '—�--- <br /> IIhi1V ry114pMfi <br /> . ._ _ _ ... �{ <br /> .,,. ".1�.':� YIN�I.WlS lX�.f.11�•�NIIU�[I B��F4[A1 4(I:II�tiK�I <br /> �Y[$ ❑N/] � ' <br /> � ��!•.nl[XPCpO �MVfn �Dd11D4�IM1INC�NCR <br /> OL�Fp <br /> I .h:Al1l1PL�0 PF�tnY <br /> 4111I flll�l(IWIi51111C11111C( <br /> _ ____ ___.�. _ <br /> .-oi i p�a r�nrs�rrnrnfom CITY OF EVERE7'T �nnucwYmR< <br /> LOCALSALES "'--- --�— - �—-�--'— -' <br /> ;..�i TA%CO�E IS 7105 TOTAL <br />