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APPLICATI� FOR CONSTRUC7�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 320�CEDAR STREET•EVERETT,WA 90201 •257•8810 <br /> ❑ DEMOLITION G COMBINATION ❑ BUILDING Jr.; MECHANICAL ❑ PLUMBING i:, SIGN <br /> PROJECTADDRESS ��ao D �S'� Gll�`L J—U��L� W/� �Y/`Q <br /> t�npir.H-�r IN��"f211C.lfEL. H7o`��"D19RLI{'�6T�N �e� <br /> 1��� Wl`r �3 <br /> ��q� 44LAD�PC55 CITY ZiP p1pNE <br /> uas as5-soaw <br /> ir:_NirzcronocsaHru u�n�ow�css cnv :w na�+� <br /> f.L�dfUICAHiRACiORF� ����MjeM1ApO{1E55 OtY ZIP Rq1{ SGIEIIC�NSE� <br /> O"/IV�U _ <br /> VIG��NIC4CON1FACi0i1 M�iL�DM65 LItY N MqHL Ste1ElICENS[• <br /> i}V1l91NGCONiRALi011 MMLAppNC55 CItY Im RICNE SiAI[Lh'.F.SE• <br /> cown.crracaornor+K HEATINGSYSTEM: D(GAS fIELECTRIC f7 <br /> OESCNIBL NYN1F NA SOU�FE FLOiAG[IHJQYE� CONi�C1�C�SCN I.NO PIqVC Iq <br /> S F- �Nx� 4!/"l r <br /> IJ`�� S� FT I HEHEBV CERTIPY THAT I HAVE READ AND E%AMINED TNI$ <br /> APfUCATIGV AND NROW TNF SAME TO DE TRUE AND CORRECT.ALL <br /> neonosco we ov e io++r PPOVISIONS OF LAWS FND ORDINANCES GOVERNING THIS TYPE OP <br /> WORK WILL BE CO6IPUED WITM WMETMER SPECIFIED HEREIN OR <br /> i[w�oewamrioearaw�an�srarroeiowa+.*ucnnrocow�si NOT. THE GRANiING OF A PERMIT DOES NOT PRESUME TO 61VE <br /> iar e:oCx ar AUTHORITY TO VIOI.ATE OR CANCEL THE PROVISION OF FNY <br /> OTMER STATE OR LOCAL LAW FEGULATING CO�STRU(:TION OR THE <br /> PERFQqMANCE OF CONSTRUCTION.THAT I AM AUTMORIZED BY THE <br /> OWNER OF TMIS ?NOPERTV TO PERFORM TME WORN FOR WMICM <br /> APPLICATIC��! IS MADE ANO I WlAP�V WITII 1NE STAiE <br /> �r�eCE�uxio�uMeEn CONTRACiOR` LAWIBn27RCWAND296200WC. , <br /> C0�:51�.UCTqNLO.WIENDEF.AlNME55.1ElEAroNEM1�IBCR X �(�/((�f/✓'�(� //- i /�//�{,�(J <br /> S�GN�iUPE U�IE <br /> drvBU1ME55 KENSENO <br /> PLUMBING MECHRNICAL <br /> NO. TYPE Of FIXtUPE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A'C—ANNDLG UNITS <br /> �ATMTUB ! FORCCDAIRSYSTEMS <br /> LAVATOFY pYPSH BASIN� � NEA7 PUh1P <br /> SH0INER UHIT HEATERS <br /> NITGMEN SINN 8 DISP CLOTHF.S OPYERS <br /> �ISMWASHER RANGC HOOD <br /> LAUNDRV TRAY WA1EA MEATER <br /> CI.OiMES WASHER Y.'OOD 5T04E <br /> URINAi � METALFIREPLACE�WOODBURNING) <br /> DRINKING FOUNTAIN fIREPIACE INSERT(WOOD�URNING� <br /> FLOOF CFAIN GAS PIREPLACE <br /> �ACNFLOW PPEVENTERS GAS RANGC <br /> SINK ISERVICE—BAR,EiC.) GAS PIPING <br /> E%MAUSTFAN <br /> —i— <br /> SUB TOTAL 5 Sl1B TOTAL 5 <br /> PEPh11T 5 PERMIT S <br /> TOTALFEE 5 TOTALFEE <br /> FOR OFFICE USE ONLY: <br /> fPCNi5E104A PURSCt94a SNESE18�Cµ PLAN6�CCNNVuOER fCf P6BPiN0 <br /> 1�'I OtlOI-00� <br /> usE:o.E �ui�AFe vr.Cwisnc FEES VRLUATION FEE <br /> mcs n ra eu:�omc —� <br /> �rt�artuwrt�iax r�ors ewcunq sucaeioo�i � <br /> cwuoi�a <br /> t]CCl1PIlKY 1'UClSIpc(5 OCCUP.WILO�D OA��EMGNi YECNANICK <br /> G�IJUP <br /> r.ru nrro <br /> (:HESPRIYXLCNPEOD PE�SON ACpI11pNLLPUNCNECX <br /> O111CN I <br /> fIf1ENMYPEOD PF�SON <br /> SiUE BUMMG SU11C1UPGE <br /> rrccorcansr runs�vrao�2oar CITYOFEVERETT rvei�cnonns <br /> LOGALSALES <br /> �„�i TAX CODE IS 9105 TOTAL <br />