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APPLICATI�1 FOR CONSTRUC'*ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAF STREET•EVERETT,WA 98201 •257�8810 <br /> � DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECMANICAL � PLUMBING ❑ SIGN <br /> PROJECTADDRESS <br /> ovnisW uu�nnoasss an zia rnome <br /> ro�ort uuuIooass 7 crtv na �q p�p�¢ <br /> l Z O J f a J%X �V�n-�'T7� W ✓1 � <br /> APCIIIIECiOFCE$IGNEfi elAIIAGOPCSi CIIY I.a PIbNE <br /> w_� co C�wtr2�cT�� w i�:tiraWDs /27- y�� s�v� 7�ozo <br /> r,eiieAu or�macron uuuooness cirv ziP n�oric srue�¢er+ss. <br /> IAECYeNiCAICONiRACtGR MUU�pI�C55 CILV IA PIqLE SUIEUCEliS[• <br /> 1>bk IyEllw l.ltlic�f✓i,��cvtt Qo 769 L�ti+�•e.�/K✓ !rl� yqa�� <br /> .IIIFMUiM1lOfliflP('.iOR 4RR�O�Pf55 LIiY IIP p110NE $iAIELICf115E• <br /> C0111MCi FRiLE Of 1YOPM <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> usswios v:oen nr:o soucne roouce unav[o carvr.^r vcasprv er�o rr�ouE uo <br /> l/((�V¢ J2Jc�(/'/'�•�w -ron. /�n-wDS�/�/� <br /> �'l� �� t�V}�LVS� W�l I HEREBY CERTIF/ THAT I HAVE READ AND E%AMINED TNIS <br /> raoros[o use or am�owc /PP�ICATION AND KNOW TME SAIdE TO�E TRUE AND WRRECT.ALL <br /> PROVISIONS OF LqYlS AN�ORDI4ANCES GOVERNING THIS TYPE OF <br /> WORK WILL�E COIdPLIED WITH YlHETHER SPECIFIED HEREIN OR <br /> iewioescniarrorvwanoveani;uonr+oewxanerucniwoewics� NOT THE GRANTING OF q pERM1T UOES NOT FRESUIdE TO GIVE <br /> wi oia+ ur AUTHOAITY TO VIOLATE OR CAYCEL THE PROVISION OF ANV <br /> OTHER$TATE OF LOCAL LAW REGULATWG CONSTRUCTION OR THE <br /> PLRFORMANCE OF CONSTFUCTION.THAT I AM AUTHOFRED BY THE <br /> OW�ER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I C01.1PLY WITH TME STATE <br /> rencu ux i o�muaea CONTRACTORS LAW IB 27 RCW AND 296200 VlAC. <br /> ccs�eucncr��o<Hin:ncn.�oon¢sc.�n[�r�oncnuuo[a x �� 6/29/� � <br /> sir.H�twE �rE <br /> urv nw�.r.css uceruc rro <br /> PLOMB:NG MECMANICAL <br /> N0. TYPE OF FI%TURE OP ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATFR CLOSET(TOILET� A/C—A HNOLG UNITS <br /> �FTHTU� FORCEDFIR SVSTEMS <br /> LAVATORV(WASM BASIN) HEAT PUPdP <br /> $HOLNER UNIT MEFTER$ <br /> KITCHEN SINK 8 DISP ��OTHES�FYLRS <br /> DISH'.VASMER PANGE MOO� <br /> LAUN�RYTFAV WATEP.HGAiER <br /> CLOTNES VlASMEfl WOO�STOVE <br /> URINAL IdETAL FIREPLACE(WOOD BURNING) <br /> ORINKING FOUNTAIN FIREPLACE INSERT�WOOD BUflNING� <br /> FLOOR DRAIN GAS FIREPIACE <br /> BACNFLOW P�EVENTERS GAS RANGE <br /> _ SINN(SEPVICF.—6AR.ETG) GAS PIPING <br /> EXHAUSTFAN — <br /> SUDTOTAL S SUBTOTAL 5 <br /> PERM�T S FER1.11T 5 <br /> TOTALFEE 5 TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> rnGrt£Lin<CN nPqSEto/.Cx 9cE5Ele4tl cnLf.x�m/in^orn LCE n�tEiPrrw <br /> /� ll � O/ <br /> �"'��+>�•< <�*>A�• v>cu�rsrE FEES VALUATION FEE <br /> �ves nno ounoiw —�— <br /> NFiG��llil�,rt41bN NOOfDWCtON4 SIIFOiBLOUT <br /> UNiiS <br /> PIUA!Pltq <br /> �'uLVCpHLY 11(if}$iOPE$ G[CIII�ANIIC�� 045CIAEN! I <br /> OUP NECIUNICµ <br /> �YES O NO <br /> im[SnqiNMICqPE00 RE�6pV �DOiIIONµPIANCHEGK <br /> i <br /> _ OINER I <br /> �i�:[�UPRPEOD PER,pN <br /> s.ie ooi�o:rr suncn.nce � <br /> nrFOFcousr ttsvsevvnweoer CITYOFEVERETT rueikwon.s � <br /> LOCALSALES <br /> o..r fAX CODE�S 3105 7oTnl j <br />