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APPLICATI� FOR CONSTRUC�ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 9B201 •257•8010 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUIIDINa � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PflOJEC7ADDRESS <br /> OV:NFO Y1ILAWRE55 ���Y �p P���E <br /> ,��I�r�CI MO•anM^nloow s�' E/ba!` !✓� �aa-.rf 94ao1 Y�«S�JS3- 79/ 9 <br /> �ncNrt[ctonoesarvcn uuinooncss ��r� �w ��o��� <br /> f.[1M1N�LCONIMCi011 Y�M1AUOI�E55 LI1Y IW R�E SUIElKENSE• <br /> MEGIUNICALWNIR�LIW \1Ai��WPE55 CIIY 21P M1p1E SG�EIICENS[• <br /> �'EY1.2ccN 3r aF'er MC1�a.. lb�\ E f`NP-�rl�i�1 �. R. WT 9d2b1 CytS)ZSZ--3li4� L-�/t-Kd�S��T <br /> rw�mrtqcornnecion ueii�ooness crr z�r nw� steieiKer,c. <br /> con�ryyrvaccawonn HEATINGSYSTEM: �AS ❑ELECTRIC C1. <br /> � soav - <br /> CESCRIBE YIMM uAl$q1ARE i0p11,fS IIM1'OIVED CJN1�Ci�[RSp141p MICNE Iq. . <br /> ��sfouy ,., fl � �.• �- t4� K Joti�y asa-���y <br /> • I HEREDY CERTIFY THAT � IIAVE READ AND E%AMINEO THIS <br /> PPPLICAiION AND KNOW TNE SAME TO G�TRUE AND CORREC2 PLL <br /> marostouse orcuuowc . pqOVISIONS OF LAWS AND ORUINANCES'GOVERNING 1HI5 TYPE OF <br /> ' WORK WIIL �E COh7PLIED WITH WHETHER SPEqFIE� HEREIN OR <br /> ¢wtoeunv�ax�rrnorenrv�sunvrvoumvone�ucnrwoca�ics� :NOL THE GRAN;ING OF A PERMIT DOES NOT PflESl1ME TO GIVE <br /> iot oiaca__a AUTHORITY TO VIO�ATE OR CANCEL THE PROVIS(ON OF ANV <br /> 'OTHER STATE OR LOCAL lAW REGULATING CONSTRUCTION OR THE <br /> . PERFORMANCE OF CONSTRUCTION.THAT I AA1 AUTI{ORIZED OV TNE <br /> ON'NER OF THIS PROPERTY TO PERFOqM THE WORIf FOR WHICH <br /> . APPLICATION IS MNOE AND I COA1PlY WIiH 7NE STATE <br /> r�ncu ux i o ruu an CONTRACTORS LAW 1027 PCW AND 296 200 WAC. <br /> ca+srriuc�uxiouiinm[n.i,00ncs,.iucrvw��¢r�uuacn X �1..7/ �p�t.{,�,� ���'�� <br /> � �s�cr�lune o��[ <br /> . CIfY BIIS�N[SS LILENSE 1q <br /> PLUMBIN6 �IECNANICAL <br /> NO. �TYPE OF FI%i11HE Ofl ITEM FEE 'NO. TYPE Of EOUIPMENT FEE <br /> WATER CLOSET(iOILET) A/C—AIHNDLG UNITS <br /> BATHTl�O ! FORCEDAIRSYSTEMS <br /> ' LAVATORV�WASH DA�IN) HEAT PUMP <br /> SHOW[R � UNITHEATERS i <br /> KITGHEN SINN 8 OISP' ! CLOTMES ORYERS <br /> DISHWI.SMER RANGE HOOD <br /> lAUN011YiRAY ' �YATERHEATER <br /> CLOTMISS WASNER i WOOD STOVE ' <br /> URINAI; � � b1ETALFIREPLr10E�WOODBURNING) <br /> ORINNIf�G FOUNTAIN ! FIREPLACE INSERL(Y�OOD OURNING) <br /> FLOOR RAIN GAS FIN[PLFCE <br /> DACNFIpW pqEVENTERS ! GAS RANGE <br /> SINK�S:RVICE—OAq,EiQ) ! GAS PIPING ! <br /> • ' E%HAUSTFAN <br /> i <br /> , SUBTOTAL S SUDTOTA� $ <br /> PERh71T 5 PERMIT S <br /> TOTALFEE S TOiALFEE 5 <br /> FOR OFFICE OSE ONLY: . <br /> vrrox*scia.cn nunsyoecn socscioecK rw��uc�uocn � rte nmu�ir1o, <br /> ` ' -b ' <br /> us[zart �ot�n[e v�curtsnc EES VALUATION FEE <br /> n�cs nrw Wiio�� <br /> r�Eicrrtuun�rqH �rowu'.rTu�ia s�1[awoc*i <br /> U1u15 �UMOxq <br /> CL�^ANLY WCf5td1(5 CCCUP�NR041 O�Sf4FNI M611\HCAt <br /> ❑r[G ❑e+0 <br /> �..n+.rrw.�».. <br /> ourtn <br /> rmc�uranmo nuwri <br /> su�e eunemc sunauncE <br /> nrcorcars*. nensemmvcaor CITYOFEVEHETT ruoiKwonas <br /> LOCALSALES <br /> �� TA%CODE IS�106 ToinL <br />