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APPLICATI�1 FOR CONSTRUC'AON PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201•257•8810 <br /> [� DEMOLITION ❑ COMBINATION ❑ BUILDIN6 ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS ' � y�3 �V���Tr�l�E� � �� �/ <br /> O tlFn �� MUL�ODUE55 Clfv IV R�IN�� <br /> iat� . 5y ,e !u� <br /> N/.Mt MuILCORE55 dtY IN PMOME <br /> ARCMIIECfCPDC51GNE11 NI.4ApG1F55 CILY 1� p�� <br /> G[NER1lCONiRaLLOR /H�R�Opi1C55 CIiY SM AM1L Si�iELKEMSE• <br /> �/ i nn A / <br /> ��� ��/LC/l/ ciir Z �ONE iC E <br /> U[�ry�M[ALLONiRAGiOR HAIIA�RE55 <br /> PIVUB��A]Lp�111/.CttN1 Y�M1AOJPE55 C�iv Zm 1'r�OME S1AiEUCE1�5E� <br /> m�+rnecrrncEovwa�K HEATINGSYSTEM: GAS ❑ELECTRIC ❑ <br /> �C�CRI�E WCi�N ANO SCU�RE i WiAGE W VQVED CONIALi 1'CRSON I.NO%qNE NJ <br /> /V <br /> 3 w <br /> 1 HEREBY CERTIFV TMAT I HAVE REAO AND E%AMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORPECT.ALL <br /> raorro5m Uu a ewiD�xa PROVISIONS OF LAWS AND ORDINANLES GOVERNING THIS T'PE OF <br /> WORK WILL�E COMPLIE�WITH WHETNER SPECIFIED NEREIN OP <br /> l[G0.CESCFi��qNCiPPOP(11iYI5NWINBCLOV�ONATiACN44JGW'C51 NOL THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ior O�aCK or AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OP ANY <br /> OTMER STATE OR LOCAL LAW FEGULAiING CONSTRUCTION OR iHE <br /> PERFOPMANLE OF CONSTRUCiION.THAT I AM AUTNORIZED OV TME <br /> OWNER OF TMIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MA�E AND I COMPLY WITN THE $TATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> PU�CCLiA%10 M140ER /� <br /> CONSTPUCi10HlOµLEN�EP./.00R[SS.tCIF%�IX�EM114BER � /��I--"� _ <br /> ero oerE <br /> Uiv0U5iKS5lKEN5[M <br /> PLUMBING MEGHIINICAL <br /> NO. TVPE OF FI%TUflE ON ITEM FEE NO. TYPE OF EDUIPMENT FEL <br /> WATER CLOSET(TOILET) AC—A1INDLG UNITS <br /> BATMTUB FORCEO AIR SYSTEh1S <br /> LAVATORV�WASH BASIN� HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCMEN SINK d OISP LLOTHES DRYERS <br /> OISHWASMER RANGE NOOD <br /> LAUNDRVIRAY WATERMEATEfl <br /> CIATHESWASHEF ; WOODSTOVE <br /> URINAL '. METALFlFEPIACE(W�D BUHNING) <br /> OPINKING FOUNTAIN FIPEPLACE INSERT�WOOD BURNING) <br /> FIOOR DRAIN GAS FIREPLACE <br /> BACKFLOW PPEVENTERS -GAS RANGE <br /> SINK�SEFVICE—�AA.ETC.I ' GASPIPING � <br /> E%MAUSTFAN <br /> SU�TOTAL 5 SUBTOTAL 5 <br /> FERh11T S PERMIT S �' <br /> TOTALFEE S TOTALFEE 5 � <br /> FOR OFPICE USE ONLY: <br /> fnONlSEiOACx PGI15EiBACM1 S�OESEiBI.CN RNI NLCCMI4��_O ��E B[CE�PiNO <br /> USL'.O.vE LOiu�U VeLWfSrtE <br /> FEES YALUAiION FEE <br /> ❑YES ❑NO BUi�OiN:. <br /> rvCiG11IPY11�1qN NO'Ci�WEL4tA S4ECi01�11 <br /> Pt�uB��A <br /> (%'C�ICANGV Mp5fWE5 CCCUPI.NiIOAp 9�SEPLM1L 4EC1UM.'.K <br /> GROUP <br /> nres ❑no <br /> r n: wortarwvw+c��a <br /> CSVmNxIENPEOo PGSON I <br /> OiHCF <br /> IiP[AUPMRWD �EASGN <br /> SiRE BWt�iNG SURCnAIIGE <br /> n�corwns* nensevrnov�oor CITYOFEVERETT ruoic��a�xs <br /> LOCALSALES � <br /> o�m TAX CODE IS 3105 TO7Al <br />