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APPLICATI�! FOR CONSTRUC7�N PERMIT�}. <br /> CiN OF EVERETT•BUILDING DIV1310N �I�� <br /> 3200 CEDAR STFEET•EVERETT,WA 98201 •257-8810 �C`�"" <br /> ❑ DEMOLITION COMBINATION UILDING ❑ MECHANICAL ❑ PLUMBING C SIGN <br /> PROJECTADDRESS I /a �'� IG�N /lV� <br /> 0�c R N�ULAO�PE55 C 3iP ��E <br /> t-(z�P NQUwIHNN IH�IOLN5I41v�Au< C�Jenef{ �8'.�l do6-3S"G•G663 <br /> TEWNT M4lA0ME55 CILY 3rv �ONE <br /> ANCNIIEGTq10E5qertR MAR�WPE55 CILY ZW I�q11E <br /> GENEMLfqNfMGTOR WJL�WRE55 LIiV ZW P�IONE ST�TEIILENSE� <br /> OcU NER- <br /> NECIW1qqWMMLTOfl MAILADIX1E55 GIiV ZIV PMpIE SiRELICENSE� <br /> ea <br /> HBINGCONtMG�OR N�IL�CIXiE55 LIiY IIP NIONE SiAiEUCENSE• <br /> C <br /> cavrw�c*vnceawonn <br /> HEATING SYSTEM: 6GAS ❑ELECTRIC ❑ <br /> OESCNIBEWOWtµD HEi00iAGEYN VED CANiACin NIDWWN <br /> bo0 - iafJ C�umAanl <br /> aa6- 3s6-d�G3 <br /> I NEREBY CERTIFV THAT I HAVE READ AND E%AMINED THIS <br /> APoLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> opovoscouseoreunwxe PROVISIONS OF LAWS AND ORDINANCES GOVERNINO THIS NPE OF <br /> WORK WILL BE COMPLIEO WITM WHRHER SPECIFIED HEREIN OR <br /> LEGA�ESGPFiIONOGPPOPEpfY�SNONNBELOwOF�IIeLNTWCOPiES� NOT. 7HE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> tor �� '� o�xK�oF �- AUTHORRV TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> � � y1 � OTHER STATE OR LOCAL LAW PEGULATINO CONSTRUCTION OR THE <br /> 0..O�.11�l.M `N E I 3 0.t �.• �i PERFORMANCE OF CONSTRUCTION.7HAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PHOPERN TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MA�E ANO I COMPLY WITH TME STATE <br /> PMLELi.Vt LD INMBER CONTR�°TOP.S L 27 flCW A4D 296200 WAC. <br /> ��9ybi/ ocr� X��G,��.e�.n <br /> CONSTPUCTpNLONI�SENOEiY.IDd1E5S,��jLENIONEMIYBEP D�'O�_�l <br /> FIRSI ffOL� oi.l lyOM[ �OQN s�cwnnE o�re <br /> � WNL�2 <br /> a .g 3- , GTYBOSM[SSLICENSEIq. <br /> PLIIMBING MECNANICAL <br /> NO. TYPE OF FIXTUflE Ofi ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER ClOSET(TOILEn NC—hMNDLG UNRS <br /> BATHTUB FORCED AIR SVSTEMS ! <br /> LAVATORY�WASH BASIN) HEA7 PUMP i <br /> SHOWER � en.��^a' UNITHEATERS I <br /> KITCHEN SINK 8�ISP CLOTHES ORYEFS i <br /> DISHWASHER RANGE HOOD <br /> � LAUNDRYTRAY WATEflHEATER : <br /> CLOTHES WASHER WOOD STOVE � <br /> UflINAL METALFIREPLACE�lY00DBURNING) � <br /> ORINKING FOUNTAIN FIREPLACE INSERT(WOOD BURNING) � <br /> FLOOR DPAIN GAS FIREPLAC� � <br /> BACKFLOW PPEVENTEHS GAS RANGE _ <br /> SINK(SERVICE—BAP,ETC.) GAS PIPING i <br /> E%HAUSTFAN � <br /> i <br /> i <br /> SUBTOTAL S SUBTOTAL S . i <br /> PERMIT S PERMIT 5 I <br /> TOTALFEE S TOTALFEE 5 <br /> FOR OFFICE USE ONLY: OI� 'O03 <br /> iPOMSEIBACK REAq5ET0ALY. SiCE5Ei8A�1t PWICHECKN/J�VBE p� fEE AECEIP.NJ. <br /> y �V� <br /> usezor+E �o*iw[e wGwrsi¢ F ES VALUATION FEE <br /> ❑YES ❑MO BU4�INO <br /> NCIGNTLIMRATpN W CFOWELLPq SIIECiBIL6�fl. <br /> UHIiS p�UM911q <br /> OCC11Pu1CT NOOiSRINfS OLLUPMILLO/dl ' B�SENEM HELWW�L.LL <br /> GROUP <br /> ❑YES ❑NO <br /> FiPESPPINItLEPPEOU PEASON I➢OITION.LLPIAVdECR <br /> OiNEP <br /> iIR[MMNpEO'0 PEASON <br /> STA1E BURDIlq SUCtNMGE <br /> irveaconsr RNISMFf10VEDBY CITYOFEVERE7T we�c�wwcs <br /> LOCAL SALES n �� <br /> o�� TAX CODE IS 3105 TO7AL <br />