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APPLICATI�D':v FOR CONSTRUC�N PERMIT�� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CF�AR STREET•EVERE'fT.WA 982�1 •257-BB10 <br /> i-! DEMOLITION I-I COMBINATION ❑ BUILDWG I� MECHANICAL fl PLUMBING ' �� SIGN <br /> PROJECTADCRESS �87-�Y 3S3 YYSS <br /> :U J .3.� /'�s'�� 1�f £i rc-�' Pr�a�c <br /> uuu�un[ss LOY sm <br /> �..°E� t � t+ 591ov 3 rs rrfs <br /> � �� s�4,w. � �r�� i�,ii �� - - <br /> i[IUN1 M�IL�UORE55 � <br /> P�GII1�LCI Of1 OFSIGIIEII 1AI.IL ACOflE55 <br /> CIIY IY' C11�11E � <br /> nin�n..�mrrtaecron u��on[ss <br /> un [w r�rouc s�e�e�corsE. <br /> C �� �i�y iN r��o�+� s*�*E�rccrrr.. <br /> r.ncran�cucorrtaecron u�M1nooe[ss <br /> I`LI:A�II?�iLOfliMLlOf1 N�LLACOflE55 <br /> LI\Y IW A�IX@ S��IELCkriSE� <br /> coumeuen�ceorwonr HEATINGSYSTEId: fVGAS f1ELECTRIC !'1 <br /> oi rcnmc rionK eno sawae roouce nrvavco <br /> co�u�c.rrnsouuio rnarvc i�o <br /> sw,�a . Na ,_1 C �s _+ i � <br /> I HEREOV CERTIFV TIIAT 1 HAVE REAO ANU [XA1.11HED THIS <br /> APPLICATION AND FNOW THE SAIdE TO�E TRUE AND CORRGCT.ALL <br /> i�nccucm asE ov ew�o•� PROVISIONS OF LAIYS ANO OROINAACES GOVERNING THIS TVPE OF <br /> WORN VlILL OE COt.1PLIED V/ITH YJHETHER SPEGIFIED HEiEIN OR <br /> ii,;,ii�i..,�nmuonarrrorcnn�sawi+ouowone�ua�rv+ocavrs� NOT. iHE GFANiING OF A PERMIT �OES NOT PPESUAIL W GiV[ <br /> AU7MORITY TO VIULATE OR CANCEL TIIE PRCVISION OF ANY <br /> �,.� o�a" °� OTHER STA1E OR LOCA:LAW REGULATING CONSTRUCTION Oft 11��E <br /> PERFORtdANCE OF GONSTRUCTION.THAT I A!d AUTMOB¢EO OY T��E <br /> OWNER OF THIS PFOPERTV 70 PEPFOPId TNE WORK FOR YJHIGH <br /> APPLICATION IS MADE AN� 1 COMPLV WITM TNE STATE <br /> CONTflACTOPS LAW 102]RCW AND 29fi100 WAC. <br /> rnice�or iv r�mmcn <br /> n .. L .T-J' /-P�-d/ <br /> ceren�ucnornounewcneooness.�E�cn�a+erw++acn sicru�m�c °°�� <br /> u�r uusivus'urrrr,t'rw <br /> MECNANICAL -- <br /> PLUM�ING FEE <br /> ryp, TYPE OF FIXTUNE Ofl ITEh1 FEE N0. TYPE OF EOUIPh1ENT _ <br /> WPTER CLOSET�TOILET� NC—h'HN�LG UNITS <br /> BATHTU� 1 FORGE041RSVSTEI.".S . <br /> LAVATORI'IWASH DASIN) NEAT PUIdP <br /> UNIT HEATEFiS _ <br /> SHON'ER <br /> CLOTHES DRYEFS — <br /> KITCIIEN SINK 8 DISP pANGE HGOD <br /> DIS41VlASHER �yq7ER HEATER — <br /> _ LAUNORYTRAY WOODSTOVE <br /> GLOTHESVlASHER <br /> METFL PIREPLACE�WOOD BURNING) <br /> URINAL FIREPLACEINSERT�WOODBI/RNING) _ <br /> DRINNIL3 FOUNTAIN GAS FIPEPLPGE . <br /> FLOOR�RAIN GFS RANGE <br /> _ BAGKFLOW PREVENTERS � GAS PIPING <br /> SINK�SEPVICE—�AA.ETQ) E%HAUST FPN <br /> SUOTOTAL S <br /> SUBTOTPL 5 pE,��,�lT 5 <br /> PERh11T S TOTALFEE 5 <br /> TOTALFEE S <br /> FOR OFFICE USE ONLY: nr.cear'+o <br /> S,OESEIBKK 1M1N1C��ECN1111�f0E11 iFE <br /> ff1011t5E�0>LN f1[PfiSLIpACK ^�0� ^ �_^/ <br /> i� L� �. <br /> unczor�r imnnr< vec+Hrsue <br /> FEES �A�UAlION FEE �_ <br /> nrss nr+o o�noixa <br /> �,nr.�u�m�rt<�rorv uoorowaunc s¢eorotocai <br /> uuns rmuawa <br /> wucr rqorsronis a:wrurt�oeo o.sw[nr ucouxicu <br /> i:���ur nres ❑Ho <br /> wurta�u�r�u�o�ccK L_ <br /> ��lS�I11NNLEI1f1EOD IIC�SON � <br /> on�cn � <br /> �=�cnununeoo neeson � <br /> Sre�E nu�mina su��uncE <br /> n���.u�coxsi ru�iserrnoveoer CITYOFEVERETT �ueicwonKs <br /> LOCALSALES i <br /> TAX CODE IS 9105 TOTAL _ L— <br /> i,>rt -- <br />