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APPLICATI� FOR CONSTRUC�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDA(i STREET•EVERETT,WA 90201 •257•8810 � <br /> , DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING i=� SIGN <br /> PROJE��% AESS � <br /> L <br /> OWNER Y�IL�001�[S$ CIiV SIP AICNC <br /> 6vvr�rT scN,A �rsr 37is r�,r,�s+ .ad¢ , s�.k-rrr w.� �raoi ./+t' �€�-��sF <br /> iEN41! uAIL�D�RC55 CIfY ZM hroN[ <br /> ♦PLuitWtOROCSK+NCP MAII�WP[55 CIIY liV MqNE <br /> GCNCR4GONIPAGiCN N�i1MWIC55 CI�V Yb �N[ SLLIEIICENSE• <br /> ��(ST /�vr /�5��•87T��c.t jB SM�y�.ifiY u/A 4'P7�lL �1tJ7s9 Qi��XT/O/MK <br /> A1EbUNiCKLONlP6LpR \IARIDD11R5 CIiY IIP %qN[ SLI.tEl1CU�5C• <br /> VIVMBiNGCONiRACiDq ���LI.OJf165 b1Y Z�P MIp1E S1AIELKLNSE� <br /> CONiR,�CT VPILE CF N'01�K <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> ccscaiecwo�+«�rmsowncroo*�ccnrvavco coNr.crrcasor�u�� Nor�crp <br /> �( O K trof <br /> f^ /� 87 <br /> I HERE�V CERTIFY THAT I NAVE (7EAD AND E%FMINED TNIS <br /> APPLICATION AN�NNOW TNE SAME TO DE TRUE AND CORFECT.ALL <br /> rnovasm us�or am�oum PROVISIONS OF lAWS AND ORDINANCES GOVERNMG THIS TVPE OF <br /> WORN WILL DE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> �m.�ocscnianoxcEanoacn/n=�s�'owrvouowoneruaMocovres� NOT. TME GRANTING OF A PERMIT OOES NOT PRESUM[ TO GIVE <br /> �or�o�ocK '��ar � �'� AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTNER$TATE OR IOCAI LAW REGULATING CONSTRUCiION OR TME <br /> �Q��f��(�, PERFORIdANCE OF CONSTRUCTION.THAT I Ahl AUTHORREO�Y THE <br /> OWNER OF TMIS PROPERTV TO PERFORM TME WORN FOR WMILH <br /> APPLICATION IS MAOE AND I COMPLY WITH THE STFTE <br /> nerCc���R io�nmein CONiRACTORS IAW 182�RCW AND 296200 WAC. <br /> 0 9 -63/- oo - oo ���_ � sj� <br /> C0115iRVC1iONl01NL[IIDCR.ApDRES5.1Ct[MqNEM140ER X <br /> sQ"�133 n�rc <br /> LIIY OUSINCS$lIC[NSL IA <br /> PLUMBING MECMANICAL <br /> NO. TYPE OF FI%TUNE Ofl ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CIOSET�TOILET� A'C—A MNDLG UNITS <br /> BATI{Tl1B FORCED AIP SYSTEMS <br /> LAVATOflY(WASH DASIN� MEAT Pl1h1P <br /> SHOWER UNIT MEATEfiS <br /> KITCNEN SINN 8 DISP CLOTHES DRYERS <br /> DISHWASMER RANGE MOOD <br /> LAIINDRY TRAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIFEPLACE�WOOD OURNING) <br /> DRINKING FOUNTAIN FI(7EPLACE INSERT(1YOOD DURNING) <br /> FIOOR DRAIN GAS FIREPLACE <br /> BACNFI.OW PREVENTERS GAS RANGE <br /> SINK ISERVICE—DAR.ETCJ GAS PIPING <br /> E%HAUSTFAN <br /> SU�TOTAL 5 SUB TOTAL 5 <br /> PERMIT 5 PERMIT S <br /> TOTALFEE S TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> �p.^Ni:LI�aCN RE4115ELB�CM S�CESEi04N FUNL. NNUMBCf1 I {EE PECEtPtlq <br /> usczouc lotenee v�CatSirE FEES VALURTION FEE <br /> ❑VES ❑NO PU4DiNG <br /> I�CiuNiLINIi1ipN NOCiM4fllING S�IEOF&OGTI <br /> uwrs vwuou1c <br /> ()CCIi1'�NLV IqCfStpcfS OCCUPµ1lOI.0 MSEMENL y[CH.VIICK <br /> (i11JVV <br /> ❑YE$ ❑NO <br /> IwESVPINFICNPE00 PUSON M'IO11qN4FUNCM(CR <br /> OLNCN <br /> IiPL�UPMR[pU I�EASON <br /> SG1E BUM1DiNG SN�CnMGE <br /> *.�vEofcoNsr c�u+s�avaov[oor CITYOFEVERETT �e��wonxs <br /> LOCALSALES <br /> �,�� TA%CODE IS 3105 TOTAL <br />