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�PPLICATI� FOR CONSTRUC'1�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259•9010 <br /> / <br /> O DEMOLITION ❑ COMBINATION ❑ BUILDING f� M/ECHANICAI ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS: ZS�� LnfYf�'G���� E{(������ <br /> OWNEfl M�R�LIX1E55 � Pry iiP P11pME 1/ a <br /> HD��1Gj✓�rCNS , /;Ai�� 2?2a /dm F)�i� /���f���lo�/ �3/�� <br /> ICM�N� YInLI.Oq�C CIIY I�� MqMC <br /> �fIC11RCL�011DE$KaN[11 � YYIi�D�11E5$ CIIY T�� 1'NONE <br /> Z8Z'��ao <br /> cE�Eniacor�nenrn uutwa�Fss arv rm ruoxE �uiEi¢[�se. <br /> �1�,,1 ��rc�zrt6,�-r�,e zSn�� ����,�,�1r�1���r�A��9�/ �l���c�i��io���> <br /> MELII/.MILAlLON1MClpf1 M4t�bOBE55 CILY I� PIqNE [GiEUCEN$E� <br /> PLVYBINGCONIR�CIOR 4YLAOd1E55 CIIY 11V FIqNE 541ElICENSE• <br /> eartiucrvnic[ovv.one - � ,� HEATING SYST�M: GAS ❑ELECTRIC ❑ <br /> CESCPiBENOf11tANO5d1�REf001.KEWVOLVE� LONIAL�FER50NANOPIqNEL QL�E <br /> ' �I Z V <br /> I HEREBY CERTIFY TNAT I MFVE READ A�D E%AMINED THIS <br /> APPLICAiION qN0 NNOW THE SAME TO BE TPUE AND CORRECT ALL <br /> vrarououse ar�uiwra PROVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS 7YPE OF <br /> WORK WILL BE COMPLIEO WITH WHETHER SPECIFIED HEREIN OR <br /> 1EG0.0ESCNPiip10iP110PEPIY�910VMBElOWOf1ArtLL�ITWOCONE51 NOT. THE �RqNTING OF A PERMIT DOES NOT PRESl1ME TO GIVE <br /> im n�ocK or AUTMORITY TO VIOLATE OR CANCEL TME PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TME <br /> PERFORMMlCE OF CONSTRUCTION.THAT 1 AM AUTNORIZED BY THE <br /> OWNEH OF THIS PR PEqTV/T0 PERFORM THE WORN FOR WHICM <br /> APPLICATION I MADE A B PLV WITH TME STATE <br /> vMCE�TMio.rvuuaca CONTRACTO LAW1827 296. 00WAC. <br /> �{��t i �1�� OZ oo� <br /> CONSi11UCTpIl041lEN�E11,�O0nE55.IElEA1MENUM�EN X_ � <br /> SIGNMVf1E OAf <br /> Cltt BIIyNE55 4CENSC NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF Fl7(iURE ON ITEY FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER LLOSET(TOILEn A/C—MINDLG UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATOflY(WASH BASIN) NEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINN 8 DISP CLOTHES ORYEPS <br /> DISHWASHER HANGE HOOD <br /> LAUNDRY TRAV WATEF HEATEF <br /> CLOTHES WASHER WOOD SiOVE <br /> URINAL MEfAL FlFEPtACE(WOOD BURNING) <br /> DRINNING FOUNTAIN FIREPLAC['NSEFiT(VJOOD BURNING� <br /> FLOOR DRAIN Gf.S FIREPLACE <br /> BACKFLOW PREVENTERS G�15 RANGE <br /> SINK(SERVICE—BAR.ETC.) GAS PIPING <br /> EXHAUSTFAN <br /> SUBTOTAL S SUBTOiAL S <br /> PERMIi 5 PERMIT S <br /> TOTALFEE f TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> �POu15EiRtGx pE��SiiBeCR 90ESFiB4x DI�NLnECNNUMB[P ffF 11Ff.fiPINO <br /> !��dJ'�� <br /> usElwe iounfe wCer�t9tE FEES �AlUA710N FEE <br /> ❑vE5 O NO BUIIOMfi <br /> nEiGnll�ull�ilON NOO[OWCWNG SIIEWBIIXMI � <br /> UNIIC pl11MpING <br /> � <br /> CCCVPANC� Iq p51ryb6 CCCUPANIl0�0 B�SEMENI 4EC�1u�IGl <br /> G11Wo <br /> ❑vf5 ❑r�p - <br /> nnESFNwtLFNFEOD �f�SM �Wi1bN4hANCnfCx <br /> O���Efi <br /> �mENA111N11E0'0 AF�Sfn <br /> $iME BUIIOiNf.51111CN�OGE <br /> nreorr.ovsr ninxs�rvnovcoor CITYOFEVERETT runur.wonK� <br /> LOCALSALES — — — <br /> out TA%CODE IS 3105 T�TAL <br />