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APPLICATI� FOR CONSTRUC�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 90201 •259-8810 <br /> fl DEMOUTION fl COMBINATION fl BUILDING fl MECHANICAL �1 PLUMBING fl SIGN <br /> PROJECTADDRESS �y1� / _� /�� <br /> O'7� /..O��r-o <br /> l/ulo.h<,1.�._, �.c��� ��50o SS.�i�,.c.� !(�. � 9�aa� .��-_�� <br /> TEN�Ni _� M/JL.�LqiES$ CIIY I1V %1Q'IE <br /> N1CNIlCCiORpESKiNCf1 M/JlIlKK1E55 CIiV li1' IIqME <br /> 6LNC �C�q1I�fO^AL�iM/ MYLKOf1C55 q1Y MW: itATiliCiwSE� <br /> �WI�M/ <br /> NEL111WG0.fAN1RI.f.ip1 M�Il�Ib1E55 Clry IiP OIqNE Sl�¢I�CCN�E� <br /> Pl11MPHbCp1111�f,�G1 NYL1bOPE55 LI�Y IIP P11plk S1FlElILENSE� <br /> corirn�cr rnr.E or wanx <br /> HEATING SYSTEM: IIGAS �IELECTNIC fl <br /> otscniec wanK uro sau�roouc[rcrvavco cw+ucr rrnsar��r�n n�prt rw <br /> d� � _ <br /> I HEPEBY CERTIFY TMAT I HAVE READ AN� E%AMINED THIS <br /> m..�sEo Use or Pui iuo � APPUCATION AND NNOW THE SAME TO BE TRUE AND CORRECT pLL <br /> PROVISIONS OF lAWS ANO ORDINANCES GOVERNINCa THIS TVPE OF <br /> WORK WILI DE COMPLIED WITH WNETHER SPECIFIEO YEREIN Ofl <br /> i¢a��oFscmrnonarrwr[nr�vqr iowoqenecenwca+csl NOT. THE GPANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> iot eioc� or At1THORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> UTHER S7ATE OR LOCAL LAW REGULATINQ CANSTRUC710N OR TME <br /> ?ERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM TME WORK FOR WHICN <br /> APPIICATION IS IAAUE AND I COMPLY WITM LhIE STATE <br /> Pu1[Etva i D MMBEn CONTNACTORS LAW 1827 RCW AND 296200 WAC <br /> LOx51l1UC�lONION�LE�NER.AtW11E55.iE1[nqMEMI4PF11 ..��/ � ���� <br /> S VII[ �C <br /> CIIY BU4NESS IICENSC HU <br /> PLUMBIN� MECM�NICAL <br /> NO. TYPE OF FlI[TURE OR ITEM FEE NO. TYPE Of EOUIPMENT FEE <br /> WATER CLOSET(TOILEn P/C—MiNULG UNITS—H.P. <br /> BATHTUB FORCEO AIR SYSTEMS—B.T.U. M E.A. <br /> LAVATORY(WASH BASIN� HEAT PUMP <br /> SHOWER UNITMEAIERS—B.T.U. M <br /> NITCHEN SINK 8 DISP CLO7HES ORVCRS <br /> DISHWASHER VENTILATION FAN <br /> LAUNDRYTRqY AANGEHO00 <br /> CIOTHES WASHER WATER HEATER <br /> URINAL WOOD STOVE <br /> ORINKING FOUNTAIN METAL FIFEPLACE(WOOD BURNING) <br /> FLOOR ORAIN FIREPLACE INSERT(WOOD BURNING) <br /> BACKFLOW PREVENTERS GAS FIREPLACE : <br /> T <br /> SINK(SERVICE—BAR,ETC.) GAS flANGE <br /> GAS PIPING <br /> E%HAUST FAN T <br /> T <br /> SUB TOTAL S SUB iOTAL S <br /> PERMIT S PERMIT f <br /> TOTALFEE S TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> TCNtSFiPMN Pf�11SFipACN 4pESE18�LM PANCIICQNVM9f11 I!( (�FCFPiNO <br /> usrzovr IOIAIIG vec�vrs��c FEES VRLU�TION FEE <br /> urEs n ru� nmmac � � — <br /> ucinnuunenaH �ooruvrtwra sar.oreionni , <br /> .mins rmunnm <br /> oc^�ru.cv rn nsrrn�ts occur�rv�lo�o e�sEucNr �������i I <br /> cnwa <br /> IIY[5 II NO <br /> (111I�1MM11E00 fINSON A[NM�IONNrL.WCMELM <br /> ou�sn <br /> nn�srnwxiFnnFon nr��oa+ — <br /> s�nrt nunoiNa s�mounc:E I� <br /> imFcxcaHv r�nvserr�rov¢ner CfTYOFEVERETT riipnr,wonKc <br /> � � LOCALSALES � <br /> ����f// Q�I TAX CODE IS 3105 TOTAL �I � <br />