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APPLICAT�N FOR CONSTRU•ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ 81:ILDING ❑ 'MrECHANICAL L7 PLUMBING O SION <br /> PROJECTAD4RESS: ��2- I.ornb�rd Ave., EVereTT �/1�� <br /> C�rea<�r�� f aarbora Lic�,neckevl� I�o1 I-�mlx�r .I�Ve. E✓ere{�- Q81o1 <br /> �Ea ,,.,,.�Ess ��� �,� o �yx)a5a-63�� <br /> SQN'�Z <br /> 1CNAN1 441�VIMf55 GiY )�V ���WF <br /> A11CIpi(CfO�(�f5�frlEn M�II�Df1��E55 C��Y /1f �'KKWf <br /> GFNEIIµCON111I.L1IX1 NulAIXM1E55 C�IY )I� f�MJVE ����LLiCENSF• <br /> MFCP�N�UIL(W��1C1011 iIUU�E55 O!Y !iP ���ONf $I11ilKEMSE• � <br /> I <br /> PIU4BMGCO�IlN1C1IX1 MYI�OfM�E55 CIfY $�V P�OHF 5«�fIILENSf• <br /> covrn�crrmceurwona HEATINGSVSTEM: ❑GAS ❑ELECTRIC ❑ <br /> OFSCRIpFVf]qMAHDSW��EfOO�AGCW�MVEO OM��C�>fRSp��M!)1' O'<F O <br /> re lar�. �2" Wafer � helweek sl�wF-oF aw� avbara Ci� neckerl- C�I35)25�-63� <br /> �tousc W���� 3�4` Wa��ev i � <br /> I NEREBY CERTIFY THqT I HAVE READ AND E%AMINED TMIS <br /> APPLICATION ANU NNOW TME SAME TO BE TpUE ANO CORRECT ALL <br /> i%earos.o usE or emirn� PROVIS�^45 OF LAWS AND OROINANCES GOVERNING THIS TYPE OF <br /> N'ORK W�IL BE COMPIIED WITH WHETMER SPECIFIED HEREIN OR <br /> tEW�oEScmr�m�wrnorEnrv�srqm�BuawonertecHtWotonRi NOT. THE GRANTING OF A PERMIT DOES NOT PPESVME TO GNE <br /> im eioca ar AUTMORITY TO VIOIATE OF CANCEL THE PROVIS�ON OF �NY <br /> OTHEF STATE OR LOCAL lAW REGUUTING CONSTRUCTION OR TME <br /> PERFORMANCE OF CONSTRUCTION.TMAT I AM AUTNORIZE�BY THE <br /> OWNER OF THIS PHOPERTY TO PERFORM iME WORN FOR WHICH <br /> APPLICATION IS MADE PND I COMPLY WITH THE STATE <br /> r�ncci�uio MiueEn <br /> CONTRRC10R5 LAW IBY]RGW AND Y96200 WAC. <br /> CWS1I111Li1(YIIOANIfrvMO.MM[SS.1R[AIONENUMpEO % <br /> �'GN�IVIIE ���� <br /> CIiY B115NESS IILEl6C NO <br /> PLUMBING MECN�NICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE N0. TVPE OF ECUIPMENT FEE <br /> WATER LLOSET(TOILET) A/C—MiNDLG UNRS <br /> BATHTUB FORCED AIR SYSTEMS <br /> IAVATORY(WASH BASIN) HEAT PUMP <br /> SNOWER UNIT HEATERS <br /> NITCHEN SINK 8 DISP CLOTHES ORVERS <br /> DISHWASMER FANGE HOOD <br /> LAUNDRY TRAV WATER NEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREVLlCE�HOO�BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSEAT(WOOD BURNING) <br /> FI.00R DRfIN GAS FIREPLACE <br /> BACKFLOW PREVENTERS GASRANGE <br /> SINK�SERVICE—BAR.ETC.) GAS PIPING <br /> —-- E%HAUST FAN <br /> SUBTOTA� 5 SUB TOTAL f <br /> PEPMIT f PERMIT S <br /> TOTAI FEE 5 TOTAL FEE S� <br /> FOR OFFICE USE ONLY: <br /> rnnN1AiP�rY nrensfte�cv S�oEs[le�f.e rl�M nF[�MUM B n rrf nffFir�Mo <br /> C��'V� / <br /> �rs[rovr �o�r.nF� vurutsn[ FEES V�LU�TION FE__ET_ <br /> ❑ris ❑xo nmm�m: <br /> ��FiGHtl�MilA�10N NO fXpWFl11NG 5�lE W BtCG91 <br /> IINI�,f �III4P�.YC _ _ . ____��__ <br /> UCLIII'1\�r M1r1��I:iqlti U(:CUn1N11U1p B�$FYENI MF�'���Mf�l � <br /> f110V� <br /> ❑V[5 ❑X�I <br /> /.00�I�nN�I 1'1�N C���C� <br /> flffESPP:!!Nl[HPE7'� �FA[fIN — — — ' <br /> ou�cn <br /> r:r.iau�auiao � nr�.ov <br /> c111f fl1111UW1:5�I1Kll�llff <br /> �rc�orco��<< ruvserrnpvtnm CITYOFEVEN'cTT n�ai��:�++��nc _-" '_ <br /> LOCALSALES — —--- <br /> ���t TA%COUE IS J105 TOTnL _ <br />