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APPLICATIO� FOR CONST'RUCTI�N PERMIT�}�. <br /> CIN OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257-8810 ��» <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILOING O MECHANICAL PLUMBING ❑ SIGN <br /> PROJECTADDRESS � 121 � a� ��� �M J� w�Y <br /> w4s:r� � �„�c� <br /> 0'NNEN MAM1�ppPE55 LITY 2i FWM1E <br /> iFNANi MA0.I.WPE55 CIiY ZIP VIpNE <br /> �11RECiOPDC5IGN'E�R r MAR�/.W41E`55 CI}Y SIV P1qNE <br /> �'1Vr��V" Av <br /> /NSN��OIXIt1iACTpR NM�� RESS CIN Zl^ PlqflL STAiEL�CENSEI <br /> �� \ \ f`t�Nnpr�Ct?ti1�'G� �3-�4�335 <br /> MEC�uNiCµLONIf1ACLOR MAi�A0DRE55 �Ib ZW %qNE Si�iElYE1.3E� <br /> W`�L�IiACPJP Y1RMIIMIES� �D� �CIiV � ZN ���p�� � SiAlEL,.1N�I�,O��� <br /> �ioi v' <br /> corrtnncr nncc or woen <br /> HEATING SYSTEM: GAS ❑ELECTRIC ❑ <br /> �ESCRIOE WOAK IND WUAqE f00teG[IN✓IXVEU fANi�Li PEFSONANp PNONE N0. <br /> {�.l1.YNR l � �� 5�v��. <br /> � � ���I . I HEREBV CEPTIFV THAT I HAVE flEAD AND E%AMINED THIS <br /> oosc�ase o�em wc — APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PflOVISIONS OF LAWS AND ORDINANCES GOVEflNING THIS TYPE O� <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> �ec,+�o[scainrro.�ornnoa¢nn�si Hec�owoeenecnttroewi[s� NOT. THE GRANTING OF A PERMIT OOES NO�i PFESUM'e TO GIVE <br /> , �or e�acrc o. AUTMORITY TO VIOLATE OR CANCEL 'HE PHOVISION OF ANY <br /> OTHER STATE OR LOCAI lAW flEGULATiNG CONSTRUCTION O(1 THE <br /> PERFORMANCE OF CONSTflUCTION.THAT I AM AUTHORIZED bY THE <br /> OWNER OF THIS PROPERTY TO PERFORM 7HE WORK FOR WHICM <br /> APPLICATION IS MAOE AND I COMP�V WITH THE STATE <br /> reia��turio.NuuoEn CO/NT//RA/(��/Q�IAWIB/2f]R WAND296200WAC. <br /> CONSipULiqNLOuiL[xOER,ApCPE55JELEv11pNEM1uBEB �//(,/ Y/�� �/�� <br /> « <t-r � <br /> . sr�R�u�eO2 fo�o5�0 o�re � <br /> LIiY OOSINE55 LILENSE N0. <br /> PLUMBING MECRANI(:AL <br /> NO. TYPE OF FIXTUPE ON ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WA'i ER CLOSET(TOILET) NC—NHNDLG UNITS <br /> ��—" FORC[DAIfl SYS7E d5 �— <br /> LAVATORV(WASH BASIN) MEAT PUMP <br /> SMOLYER � UNIi HEATEPS <br /> KITCHEN SINK 8 DISP CLUTIIES OHYERS <br /> DISHWASHFR RANuE HO00 <br /> UNDRY TRAY WATER HEATER � <br /> CLOTHES WASHER WOOD STOVE <br /> URINAI i METALFIREPLACE(\YOODBURNIN�) <br /> DRINKING FOUNTAIN FIREPLACE INSERT(WOOD BURNING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> EACNFLOW PFiEVENTERS � GAS RANGE <br /> SINK�SEAVICE—BAR,ETC.) ! GASPIPUIG T <br /> � � E:(HAUSTFAN <br /> SUBTOTAL S SUBTOTAL S <br /> PERMIT $ PERMIT S <br /> TOTALFEE $ TOTALFEE S <br /> FOR OFFICE USE ONLY: a- L— <br /> ilIONi5Ei9ALK pEA115EiBAIX SIOESETBACK pU11C11ECNM1NBEfl FEE qELflViNJ. <br /> uSEzorve LOTenEe wCu+iSirE FEES VALUATION TFEE <br /> OYES ❑NO BURDING I <br /> NEKMTUNIILipN IqOGpWELLING SREOFBLIXYfI. <br /> UNIiS <br /> FL0491NG <br /> (Y.CUoy,CY IqCi510P�E5 CCCIIVI.NTlOAD OASEMENi <br /> LRWV MECNANICµ <br /> ❑YES fINO <br /> FIflLSFRINNLElIRE00 PEASON �ODILION4PWILNEC6 <br /> OtHEF <br /> i10E�Un1ApE0O RE�SON <br /> ST�If 2URDinG SUHCNAPGE I <br /> rvre oc corrsr. awus�vrnwEo ev CITY OF EVEflETT ove�cwoe�s <br /> LOCALSALES <br /> o�rE TAX CODE IS 3105 TOTAi. <br />