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APPLICATHS FOR CONSTRUCTIDN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR, STREET • EVERETT, WA 98201 • (425) 2574810 <br />DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING K SIGN <br />PROJECTADDRESS: Gavle Pc Iacr I <br />J}11 iii'c Par�'/req ,620 loR'L Ave uE R IIrvI P_ iRmLl ll,Ts\/jgQ�QO <br />ONMER 4Y(Mg1E55 CITY !'^ N' <br />iramP4larf K30S tr Fvf rE ti Hull kit re �14j04 <br />TENANT YYIAWRE55 GlY !W INONNT <br />ARCYtCCE (NI Ui$IGNEn uuIAIXXR55 CITY 8r PNENF <br />tti rru NPn I Stau Cc PO !i-N 5�9 _rlRhllr_ (1125) c-AR55 'REPA&, 1o7 I <br />GFNEN{GQPTMCrgI ul A[XMFSS CI• I1, M/(Yl� lIr P,"[ SIATL III M- <br />NECNA'.IC0.CONIRACICO 4Y(AWNESS CIP, lie PION( %TAIF IKENSET <br />Pl1TYlWGCMIRAGIM MULAOUILSS CITY SIP PPONE STATE IICENSEI <br />COMTMGI PIyCf OF WONR <br />HEATING SYSTEM: ❑GAS []ELECTRIC 0 <br />bESCPonE ANU SOUANF?MIr�cL NVJ1v[o <br />^ 5/� 1 •:-lam. I ; 11 <br />co rw,r(XSONANOII N NCI <br />Ale <br />LJ Vl -Ae 7 d-883S <br />Jyi)1N <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS _LAJS(I� 1(8277 RRC,W IA/NNDD 296200 WAC. 7 <br />X / /��'L\-V"`'L✓' /D /� �/ <br />PROIgSEO USE Lx FUILBIN(I <br />LEGAL OLscNIPnaNa PIKWERrvISNONN eucw aN AnACN IMO confm <br />tot uloEK or <br />I <br />f�l?sy.Q SCQ 5 1Yf n IlA A/ <br />—I <br />PAecn TAa l o. HUMRLR <br />CCNSIXVLtNM110AN LCNOER. AI%%It SS. lkl(AIUNE MNXfX <br />UAIL <br />CITY WYNESS LCENSC NU <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—AMNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK X DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />_ <br />URINAL <br />METAL FIREPLACE (NOGG BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />iGAS <br />FIREPLACE <br />DACKFLOW PREVENTERS <br />GASRANGE <br />SINK (SERVICE —OAR. ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />SUB TOTAL $ <br />SUB TOTAL S <br />PERMIT S <br />PERMIT S <br />TOTALFEE $ <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />I PONT Y[UACR <br />nfAn STIWK <br />SIMS[IWCR <br />T'IANC.I[CANUMn[" <br />FIF �% <br />n[CE", NO <br />USE tONF �I—/� <br />LouN[A <br />vACANT NIE <br />FEES <br />VALUATION <br />FEE <br />ButMNf <br />12� <br />(/ <br />DYES ❑ NO <br />H[IGNT UMIIATION <br />NO CA VWLLUNG <br />S.ZL M nLOG'LI <br />UNIT's <br />r11148NU <br />T <br />OCCIIMACY <br />cour <br />W n151(V415 <br />7c11rANI lUAU <br />BASF M[NI <br />1 <br />❑YFS ❑N0 <br />AMnFpCNI.IUN1CY. <br />PI�CNf.CK <br />fNfSPnINKURNLUU <br />' <br />oI[H <br />Hnu[ANN HLO'0 <br />.1 ASOv <br />sulr BunuNcsl,rcv.nct <br />G )S] <br />n0E(N COINS' <br />PLANS APrINTv( B BY <br />CITYOFEVERET-r <br />nIN H:vgNKs <br />Gen <br />LOCALSALES <br />TAX CODE IS 3105 <br />TOTAL <br />— <br />7i <br />3 D I (JJ <br />