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4���-/ APPLICA'1�N FOR CONSTRUG�ION PERMIT/ <br /> �\r+ CITY OF EVERETT•BUILDING DIVISION tl� <br /> /'P' 3200 CEDAR STREET•EVERETT,WA 98201 •257•BB70 � <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS <br /> /Gll Ev.�r��tAv� � ✓tv-�-1 , �.� 9X, � <br /> OWNE11 N�R�DDPC55 G�Y ZP %qNE <br /> 9//�... N���n'l If,�i F✓.cl--tli Rvt E�-��N ��,� �iR2..� y2S- .�-SI-35s' I <br /> LENNIT NAM1�pDPE55 GTY ZC %p11E <br /> a//�ti f/P.,_r{� 16,i �' ✓A�-��tl- £U�r.�,1 r"a:�1 v2.s- >s >-- zssl <br /> MCNIlECT0110F5GN[P uul�O�PE59 CIIY IP Rqll[ <br /> GENERALCWIIMCiOP MI.R�pOPE55 GtY IiV PIqNE Si�1E11LENSE• <br /> MECNRaCAtCONiRALiON MAM1�pDRC55 Cltt S�v imONE St�iElKENSE� <br /> PW4BIN1ppNIpl{fOR N�M1AppPE55 CI�Y IP AIONC SUf[L1C[NS[� <br /> CONifl�CT PRiCE Oi WOPK <br /> 3�'� — S�v HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> OESCRIOEWOPR�NOSOUM iW1AGEINV0.VF0I� j - CONiACiP[PSONAtN%qN[Np <br /> ' �_ �.� F_.� ��.�. ��..1 1t�1�•. �U <br /> � _ �_J kl�_ n _ 3,.l� n�r..„�f �.__ <br /> � ^ /�T�'L � pEREOY CERTIFY THAT I HAVE READ AllD E%AMINED THIS <br /> APPLICATION AND KNOW TME SAME TO BE TPUG AND CORRECL ALL <br /> morosto use or am�u�m ppOVI510NS OF LAW 5 AND OR�INANCES GOVEFlNING THIS TVPE OF <br /> I5,Y " WORH WILL BE COMPLIED WITH WHETHER SP[CIFIED HEREIN OR <br /> lEG4CE5CPWilONOfPROPEPiY151qWNBE10WW�RKAIM'OLOPIE51 NOL THE GPANtING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> iar BtoCK Or AUTNORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL UW REGULATING CONSTRUCTION OR TME <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTNOPIZED BY THE <br /> OWNER OF THIS PROPERTV TO PERFORM TME WORK FOR WHICH <br /> .1PPLICATION IS MADE AND I COMPLV WITM THE STATE <br /> ru�cn u.v i o.rvuuecn CONTPACTORS LAW iB 27 RCW AND 296200 WAC. <br /> �� �� U,a n/" G�_� <br /> CONSiRUGiqNlO�wIENDE4l.WBESS.iE�FVHONENuu9ER x� <br /> SpM�N.�f OR[ <br /> OiV BUSiME55 L�f.ENSE NO. <br /> PLUMBINC MECHANICAL <br /> NO. TYPE OF fl%TUNE OF ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET ROILET) NC—PMNDLG UNITS <br /> OATHTU� ! FORCEOAIRSYSTEMS <br /> LAVAiORY�WASN BASIN� i HEAT PUIdP �- <br /> SHOWER � UNITNEATERS i <br /> NITCHEN SINK R DISP � CLOTH[S DRYFHS <br /> OISHWASHER i RA4GENOOD <br /> LAUNDRVTRAV WATERHEATER <br /> CLOTMES WASHER WOOD STOVE <br /> URINFL � A7ETALFIREPLACE(YIOODBURNiNG) <br /> DRINKING FOUNTAIN : FIREPLACE INSEBT(WOOD DURNING) <br /> FLOOR ORAIN � GAS FIREPLACE <br /> BACNFLOW PREVENTERS ! GASRANGE <br /> SINH�SERVICE—BAR,ETC.) i GASPIPING <br /> i E%HFUSTFAN i <br /> i <br /> i <br /> SUBTOTAL 5 i SUBTOTAL 5 <br /> PERA7IT S i PERA7IT 5 <br /> 10TALFEE S i TOTALFEE S i <br /> FOR OFFICE USE ONLY: <br /> lIIONLSEIO�CN PEAPSEIDLCF SNESEIBACN MANCNCCNNUYBEP iEE RCCEIPTIq <br /> _ cU o -037 <br /> uSEia�E io*.nu Vecu�iSnE FEES VALUATION FEE <br /> o�s ora euno:rq <br /> ��cierrtuurt�rwr� eaaowcuva s¢eaaznari. — <br /> uHns i o.� 5�.F� . r.u�s.w <br /> OCCOV�PIJILY WCfSfOPFS CCCUP.WiLOW O�SCM[4TNt` M[CNNIMAI <br /> N I� O YES p NO <br /> fNESPPNxIEPPEO➢ PEASqI MDIiKK1.LLPlNiCNECN <br /> rES i�,�srr, o,��A <br /> rmE•ununEao nE•5oH <br /> N� �XS)(. SiMEBU0.�VqWNL�WIGE <br /> nrearconsr riu�siwr oer CITYOFEVEpEI'f waicwa�xs <br /> ; ./ �` LOCALSALES <br /> ' � � r�' or.*e � �)� -�� TA%CODE IS J705 TOTAL <br />