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� pppLICATI� FOR CONSTRUC'I�N PERMIT� <br /> CITY OF EVEREIT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT.WA 98201 •257•BB70 <br /> �- DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL C! PLUMBING f.l SIGN <br /> PROJECT ADDRESS <br /> 2� � � :iP RqNG <br /> 4�R�Cd�E55 OiY <br /> �,.,E„ ��,�t8-�f73 <br /> �/ ;c�! e��sT 37rs oA��ss �o✓a•. E:✓sr�rr li!�99l��_L _ t <br /> rown uuwo�+ess <br /> AnCN��CCfO�UESGNI�� M�R��ES. <br /> Gn t�a rlar2 <br /> GfY !iV C S1I.iClICENSL• �/ <br /> CNL R4QlN1N�C10R 4�4�OCAE55 'O,/�/// <br /> �// /r� ' /.[ -f SNeA4ri.f r��/.�/7�'G y�f! P90�� s.� <br /> l� WPyT �/y[ �67'�� �/ �ttte � t n�a¢ st��cticv�s[• <br /> V CCnu:KµCCMI P41q1 4�M1�OO�E55 <br /> Itu�.l�',•tiCMi1R�.'.iDN 4All�MN�E55 <br /> ;I1Y IV VhqN[ S��ICUC\M1Sf� <br /> c;;mn¢rvaceawonK HEATINGSYS?EM: ❑GAS CELECTRIC f� <br /> oi,ca�eE�+otK+�sW N'E roo*wc nnav[o <br /> com�ci rn.sauno n •rc rio <br /> Gow�ei�%i'�/._i _.� ?/0 _ <br /> /� d <br /> 1 HERE�V•GERTIFV THAT I MAVE READ AND EXAIdINED THIS <br /> vnOeOs[0 USl C�BuiID�N� <br /> PROV SIUNS OF��5 AND ORDANANCOES GO ERNING TH SRTYPE OF <br /> WORK WILL OE C01dPLIED IVITN WHETNER SP[QFIED HEREIN <br /> i[r+ice5t����aP�^^15�ww*+ouowa+ *i��'�TMo� s� NOT. TME GRANTING OF f,PERMIT DOES NOT PRESUME TO GNE <br /> p� AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> io*�d�aK�p° OTHER STATE aR�OCAL LAW REGUTATMG CONSTRUCTION OR THE <br /> � PERFORIdANGE OF CONSTRUC110N.TNAT I Ah1 AUTMOHIZEO OV THE <br /> APPLECATOIONH'ISPMAOETANOPERCOhPLVEWITOHKT ER STATE <br /> CONnTRACTORQS lAW�iJB27 RLW AND 296200 WAC. <br /> r.nctu..iorwsmu� /^ y_/ /�"dC 7��'3�� <br /> f1 7e' � O <br /> <ONSIPVCiqNIOAplE1rt1CP.�CU�E55,ILLLM1�QMIMOEN SGN�IU�R OVC <br /> cn.ous.ass ircc...i no _ <br /> PLUMBING MECMRNICAL <br /> FEE NO. TVPE OF EOUIPMENT FEE <br /> qp, TYPE OF FIXTUPE OR�TEM A�_pMryDLG UNITS <br /> WATER CLOSEi�TOILETI FOPGED/IR SYSTEI•15 <br /> BATHTIIO MEAT PU1.1P <br /> WVATORV�WASHBASIN) � UNRMEATEPS <br /> SH�Y�ER CLOTMESDRVEPS <br /> KITCHEN SINK 8 DISP RANGE HOOD <br /> DISNLYASNER \VATER HEATER <br /> IAUNDRYTRAY WOODSTOVE <br /> CLOTHESWASHER i h1ETALFIREPLAGE1�Y00DBUFNING) <br /> URINAL FIRePLAGE INS�RT QYOOD BURNING) <br /> ORINKING FOUNTAIN GAS FIREPLACE <br /> PLOOR DRFIN GAS RANGE <br /> BACNPLO'�V PREVENTERS GAS PIPING <br /> SINK ISERVICE—BAR,ETC! E%HAUST FAN <br /> SUBTOTAL 5 <br /> SUBTOTAL 5 � pERh71T 5 <br /> PERIAIT S TpTA�FEE 5 <br /> TOTALFEE S <br /> FOR OFFICE USE ONLY: ��^ �� A O «� n¢uc•w <br /> iGaiSUPa'K PURSCTB.lK S�DESEIMCK <br /> ':�C:Or.[ lOi/AG vK4li5�iE <br /> FEES VALURTION FEE <br /> ❑rE5 n MO gp��pnu <br /> ��[K.NTl�4i1�1U11 1A'C�VNCLL�`G S�1CC�&WTI p�UMBiNi <br /> p��pp�ry[V �'U65.�'PES CCCU��MIO�D B�X4EHi 4CCIUNiC�L <br /> GPWF ❑YES �� <br /> Ap�liION�LPW�bICCM1 <br /> �WEtiRUKKICRPE00 PE�SON <br /> O1NEa - <br /> �Y1EN/��ME00 HE�Y.01 St�lEBV40W�5UPCMIAGE I <br /> ivacccwNs* ttu,s�ernrn[oer CITYOFEVERETT �ue�cwa��s <br /> LOCALSALES <br /> r.+� <br /> TAX COOE IS 9105 TOTAL <br />