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APPLICATI�1 FOR CONSTRUCT�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILOING MECNANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS <br /> ��2 i S C, FJfR4�T'N-tA-t-� lvM� LOcO�-4.�,Ci—' '�h g bio� <br /> OWHEP (I�'/� M�IL♦ E55 CIiY^�(-�( � jp %NNIE <br /> �f I�PTr 'J I:I R� �� �iZ�/�.1 <br /> 1[NNIi MI.iLA00PE Cltt 2P %pHE <br /> NILHIIECTqi0E5GNER MAM1�EOFc55 CIIY IIP PIMAIE <br /> Gf EP0.COMMCiOR M�ILAOCRESS CIi9 ZW VIqNE <br /> SiRE LICEME� <br /> �7�;�C `�r���a�-o� ��`R zi3�s2a��a3i <br /> NELNANILµCONiPI.LTOR YAiU0CPE55 ��U2\ C{]AYffrll t3¢w nqxe s*r.t[ikurs[. <br /> TR�Ni1z, FwCPu;xz."il�.:� ��i (�ARA�L V�A ^�c3zS 2S3-C'S7-cz2'L YQ_�NIFAIo�Or� <br /> iLUA1BINGCONifl�C OR MAR�O�PE55 CT' IIP PHONE SLAiEICEIL'E� <br /> CONLPALT PPpE OF NpqN <br /> d{ ';� -��p �� HEATING SYSTEM: ❑GAS ❑ELECTHIC ❑ <br /> oEscmeewa+rcu+owuu+eroo*�r,eurvav[o co �u oP�rou�. <br /> i''rT=�+ � T1� S' �aic S. .t�"7! LLS7kOM <br /> tzi u�w i. Z. a53 q> >-SzzL <br /> I NEREBY CERTIFV THAT I HA'JE READ AND E%AMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND COflRECT.ALL <br /> rr.orosco w6 or ewmn+o PROVISIONS OF LAWS AN�OROINANCES GOVERNING TNIS TYPE OF <br /> YlORK WI�L BE COMPLIED WITH WH`7HEfl SPECIFIED HEREIN OR <br /> tCGAL0E5LRiPiIONOFPlqPERtt�SNOWN�ELOWOFATfACHTVOCOFIES) NOT. THE GRANTING OF A PEHMIT DOES NOT PRESUME Tp GIVE <br /> w* B�ocK ar_ AUTHORITV TO VIOLATE OR CANCEL TNE PROVISION OF ANV <br /> OTHER STATE OR LOCAL LAW flEGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTPUCTION.THAT I AM AUTHORIZED Bl'THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WMICM <br /> APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> PMCELiAItI0.N0Y0Efl CONTRACT RSI.Q�2`�^�Q "^— 29fi2MWAC. <br /> CONSIPUCiIONLOU1LE11pERMpPE55.TElEPNONENUMBER T. �/'�'yy <br /> EiGN.�NRE Cl2 <br /> Cltt BIISIFE55 LICEIRE AO. <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTUflE Ofl ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) NC—P/HNULG UNITS <br /> BnTHTUB ! FORCEDAIRSYSTEMS <br /> LAVATORY(WASII DASIN) ! NEAT PUMP <br /> SHOWER � UNITHEATEPS <br /> HITLHEN SINK 8 DISP � CLOTHES DRYEHS i <br /> OISHWASHEF RANGE HOOD <br /> LAUN�RV TRAV WATER HEATEF <br /> CLOTHESWASHER ! WOODSTOVE <br /> URINAi � IAETALFIREPLACB�WOOODURNING) <br /> DPINKIN(i FOUNTAIN i FIREPLACE INSERT�WOOD BURNING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACKFLOW PPEVENTERS GASRANGE <br /> SINK(SERVICE—BAR,ETC.) i GAS PIPING <br /> � E%HAUSTFAN <br /> i <br /> __ �_ <br /> ^uUBiOTAL S ! SUBTOTAL S � <br /> PERMIT S � PF.RMIT S <br /> fOTALFEE E TOTALFEE S <br /> FOR OFFICE USE ONLY: L _ `jz_ <br /> FnO�.vi5ET0/.Cx pEeRSEiB>Ct Si�ESETO/{K PIANCxECN uBEO �EE RELEi�TvO. <br /> usezoHe �ornnEe vncu�Tsire FEES VALUATION FEE <br /> ❑YES ❑NO g���DiNO <br /> XEIGIILl141TAtA�N NJ.OFpWELLINQ SIZEOFBIONII. <br /> UN�15 <br /> Muueina <br /> Of.CUGANCY N]Cf SIOf145 OCCUCANf LO�D 9ASCYENT MEGUNiC.LL <br /> GPWP <br /> OYES O NO <br /> RPESPPinKIEPPEOD PE�SON M�iiKKULPLWWELK <br /> OiNEN I <br /> RPE�UPNIIEOD RE�SON <br /> SLRE 9UIt0iNG SlIRC14A6E <br /> rrreor'consr w,rvsea }�oer CINOFEVEREIT rue�pwonns <br /> �" LOCALSALES <br /> pn¢� ' �O TAX CODF IS 3105 TOTAL <br /> I <br />