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APPLICATlO� FOR CO�ISTRUCT�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257-8810 �—'- <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS �C� 18 �VBfE't'C /��.�En�ce, <br /> OWN[R MMLA�DRE55 ��TY �p P��E <br /> �'a,Huf�c �'o.�wu�fy &r✓�ctt - 1�33 Railre�( Ilv�.- �F.IIGm�+n..+ wA 98i2S - 3bL?L.21L4 <br /> iGNANI �IIAWFE55 Qir ZV , WIONE <br /> GFGnI'c Co.,.�+.w 'iy Sarvus - 19�8 G�e�o+kAvc.- ��t.efE, wA 9azo� - �F7.s 25'� ziii <br /> �r¢rmcctonocscHEn un¢�ooncss cm ze r�roru <br /> N�i� _ <br /> GENER0.CON�MCIOP MnR�Dq�E55 CiiY Iw hq�rt Sp�EI¢ENSE� <br /> N/q — <br /> u.EC1UNKALG NiR�C1011 N11L�WREiS Cui ZN MqNF 51AiEl�CEN2[• <br /> Faccar H�.,.f� /A��G.d��io.,� Tx - s�� ✓i��qsf -/2e[t' 1,. �n 4»ats--3Go Fsi.�Fa1� <br /> rwuenvoca+m.ctoc i.iu�•oonEss � ci*r � zw w s*•�EiKENSE. <br /> F�LLEN O <br /> ca�m�c�vnccwwonK <br /> roc. <br /> +l 000, HEATING SYSTEM: }�GAS ❑ELECTRIC ❑ _ <br /> ecscnmcwon Hosou+ncroor�cEi�rvavEo cw+rncirEnsonu+orrq.vE�a. <br /> ,, o � w� o n la�stn 360. . 82 <br /> /98w Hw�ur•./ <br /> . 1 IIEREBV CERTIFY THAT I HAVE R[AD AND E%AMINED 1HI5 <br /> APPLICATION AND KNOW TME SAME TO BE TRUE AND CORRECT.ALL <br /> vaoroseo use aoeunoma PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHEiHEP SPECIFIED NEREIN OR <br /> LEGqpESGppIqNOFPR01'ERiY�SIpW110E10V/CRMUCNMVCW�ES� NOL TME GHANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> iot a�ocK a AUTHOPITY TO VIOLATE OR CANCEL iNE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUC110N OR THE <br /> PERFORMANCE Of CONSTRUCTION.TM4T I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERN TO PERFO�M THE WORN FOR WHICH <br /> APPLICATION IS MAOE AND I CUMPIY WiTH 1HE STATE <br /> rencc�rwr i o nuuoce CONTRACTORS LAW IB27 RCW AND 296200 WAC. <br /> C01.Sif111LtI0NtOANIENDE0.ALWRESS.TELEPlqNENUMBEII �� — ���s— +� <br /> � iGN�NR OAE — —_ <br /> ❑fY 0U5iN�55 LILENSE N0. 0 3 <br /> PLUMBING MECHANICRL <br /> NO. TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCIOSET(TOILETI i S NC-0.'HNCLGUNITS <br /> BATMTUB ' ! FOflCEDAIRSYSTEMS <br /> LAVATORY(WASH BASIN� i HEAT PUMP <br /> SHOWLR � UNITHEATEHS <br /> KITCHEN SINK 3 DISP j CLOTMES ORYERS i <br /> DISHIYASHER RANGE HOOD � <br /> LAVNDRY TRAY WATER HEATER <br /> CLOTMES VIASMER i WOOD STOVE ! <br /> URIN4L i A/ETALFIREPLACE WOODBl1RNING) i <br /> �RINKING FOUNTAIN � FIREPLACE INSENT(WOOD OURNINO) j <br /> FLOOR ORAIN GAS FIREPLACE <br /> BACKF�OW PREVENTERS i GAS RANGE <br /> SINK�SERVIGE—BAR.ETC.) ! GASPIPING i <br /> � EXHAUSTFAN � <br /> i <br /> i <br /> i � <br /> SUBiOTAL E � SU�TOTAL S <br /> PERA7IT S PERMIT S <br /> TOTALFEE S TOTALFEE S <br /> FOR OFFICE USE ONLY: "d?✓�I <br /> iPCN15Ei0/4F NEAp5El0KK S�DESEtBACN RANCX[LRMIIAOEP fEE �ECEIFiNO. <br /> us[zouc LOiMEA \'ACNIi511E FEES VALUAPON FEE <br /> ❑YES �� BU0.d1Fi <br /> IIEiG41LIMiiA1pN IqCFUW[LLIM} 5�lEOf&�U?I <br /> UNlli p�UMBJq <br /> (C�pIJJCY IqCiSiCRFS CLLV1M11ILO.N OASF4CY1 MECIII.NICnL 4 / � <br /> ❑rE5 O NO <br /> n¢Sv��;.aIERFEOU AEASON ��110H4PW1CNECN <br /> _ O1NC� I <br /> (i��CA��qMPE00 IIGSON � <br /> SiqC BUtlOW65l KIURGE <br /> �meorcoxsr vur�sevrnyycoer �ITYOFEVERETT we�qwonns ^ <br /> T� LOCAL SALES � <br /> o�rE aQ Qd TAX COOE IS 3105 TO7nL <br /> _ / <br />