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APPLlCATI� FOR CONSTRUC�N PERIIAIT <br /> GIN OF EVEREfT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98207 •(425)257-8810 <br /> ❑ DEMOLITIOti ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PqOJECTADDRE55: �.7 rc,�/f Mall Wa���U,��i:�In� 2 �/o0/Z <br /> m�.���ae, `o � Il,,�s aoao6 7a"�AJ�.$. ,(o�.� w.a 98u3a�a53� 87.?=c, so <br /> fn uuuoow[Ss cm rm rrqN[ <br /> _,'lv U�J�'er��� 335 //C a"A„r SE B�K� 98ov y <br /> �en�Nr uieowrcss urv no v�rons (47$ <br /> nn ll 17ts' � G�ou o0 6y�,• W c2F P'Io�„!lakr.T...a�, WA 98ov3 c�o•c�ec <br /> •�cNnrcrqn�vc{n uu��o nEss cnv nr r.ro•,r ' <br /> crn �. covm.arn u+n�onn�ss cnr — nr r�wvr siuu¢rNs=. <br /> YfCN�MI_µCdl111�L10� 4u��pCPES$ �Iry )i1• p��ry:� ���1{�i�fHS{• <br /> �1�� BwGCOrnq�r,iOn uul�W�F55 Citt <br /> IIC VrqNf S1LfflKfMSF• <br /> cour cmnic[ar wona — <br /> �n0o HEATING SYSTEM: ❑GAS ❑ELEC7RIC ❑ <br /> oEscnieF�p nx�v sou�n[�oouc[wvavco crnn�crrrns umr�rovcHo <br /> ��/nanf ��n��✓.,.�r�<_ 306� .nn � ✓in y,JS-G70'/ 706 <br /> m � <br /> .IJtMo�niW �^'a���5 <br /> I HEREBY CERTIFY THAT I IIAVE REAO �NC E%AMINED THIS <br /> rnarosFouss ar ewiwio APPUCATION ANO KN)W THE SAME TO OE TRUE AND CORRECT ALL <br /> PROVISIONS CF�AWS AND ORDINANCES GOVEflNING THIS TYPE OF <br /> WORK WILL BE COMPUEU WITH WHETMER SPECIFIED HEfiEIN OR <br /> �vcuo65cn�vnpr'ornrronpntt�srorme.�owonr.rte�Hrxoroncs� NOT. THE GRANTING OF A PERMR DOES NOT PRESUME TO GrvE <br /> io� aioca or _ AUTHORITV TO VIOLATE OR CANCEL iME PROVISION OF ANY <br /> OTHER STATE OR LOCAL LRW REGULATING CONSTqUCTION OR TNE <br /> S�� S�'Lwf T—( PERFORUANCE OF CONSTRUCTIOM.TMAT I AM AViHORILED BY THE <br /> OWNER OF TNIS PROPERTV TO PERFOHM THE WORK FOR WHICM <br /> APPUCATION IS MAOE AND I CJMPLV WRfI THE STATE <br /> rnncumiorluvetn — CONTRACTORSLAW1B27FCWAN0296200WAC <br /> 13zSoy_ 3-oaa-000� ��� � / . — <br /> c�s�mKn��o.Hic.mrn.��n�ss.mcrioncv�wncn ll�— �-S_99 <br /> z <br /> ac nc o.r[ <br /> OtV 011yNE55lICENSG NO <br /> PLUMBING MECHANIGAL <br /> NO. TYPEOFFIXTUREORITEM FEE NO. iWEpFEOUIPMEM FEE <br /> WATER CLOSET(TOI�En AC—MINOLG I/NITS <br /> BATHTUB FORCED AIR SVSTEMS <br /> LAVATORV(WASH BASIN) HEAT PUMP <br /> SMOWEF UNIT HEATERS <br /> _i_ <br /> KITCH[N SINN d DISP CIOTNES ORYERS <br /> DISHWASMER RANGE H007 <br /> LAUNOPY TRAY WqTER HEATER <br /> GLOTNES WASMER WOOJ STOVE <br /> IIRINAL METPL FIREPLACE IWO00 BURNING� <br /> pPINKING FOUNTAIN FIREPLACE INSERT(WOOD BURN W Gi <br /> FLOOR pRA1N GAS FIREPLACE <br /> pACNfLOW PPEVENTERS GASRANGE <br /> SINN�SERVICE—QAR ETC.) GAS PIPING <br /> E%HAUSTFAN <br /> SU�TOTAL f SUOiOTAL S <br /> PEflMR § P[RMIT 5 <br /> TOTALFEE S TpTALFEE f <br /> FOR I;FFICE USE ONLY: <br /> If�nN1V1flY:N (1(Ui$f1P�Cl( SIC[5[191CF I�II.NCI�(�v.N11A�Nf11 fEF 11ffFl!'INO <br /> usem+r �or•nu v.cuusn[ FEES VAWATION FEE <br /> ❑v[5 ❑nU P�XIMNf. OOa <br /> nuo-a i iun�uon vo or owcwue s¢e w e�ocni <br /> uvns � I rivunwr. ' <br /> occon��cv rnrisr.wts ocnn•.mto.o e�uucvi — —'—_'--�— <br /> �,,,a N� 3 i o.�t o,� wF�,,,�,,.� ---- --- <br /> fiR[54'NMaIFPPC00 nfeSM �DplipNnif1�46�fCt <br /> N� au�tn —_— —_ <br /> naTn:e'umn!nw'o nr+snv <br /> �y�� s�nrnmiU�vnsunounr.c � G1 <br /> _—'__ _�.-� <br /> nr� orqo�.�t rinY�.m� v ov qTYOFEVEflETT ninucwnn.s <br /> /(_ � � LOCALSALES ----- -- <br /> u.�t �—3-9 TAX CODE IS 71U5 TOTAL _ _ y�G <br />