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A�PL.ICA'��N FOR COPlSTRUC'�N PERMIY���'�" <br /> CITY OF EVERETT•�UILDING DIVISION <br /> 3200 CEDAR STFcET•EVERETT,WA 98201 •257-8870 <br /> fN �EMOLITION Li COMBIN.ATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> � PP9.�EC3A�ORESv <br /> , _ /%Gc. /7iQ <br /> O:.I:C41 YAI:ADfIRC;i CILY 1'A PMONE <br /> XGq,,eocf y�„ec,�.�.E„r 98&' �•�v�`� �-^�a 89s/� 77s F�s- 7�o8 <br /> rcrurrt raei�eoo.�ss nrr na w�oue <br /> er,�,�irecronoes�cvea i.ui�eoonEu crtv ziv r�roric x C 7j/�A <br /> F�'XEL /�k�(FiC Co^�cY j il T£c�cx,NN REu/w�/.SN+ 9$11L ;Lo 75'�' a871 <br /> XGCi�Ep4CIXRMCTOP MMLAOCFE`.5 CIiY 2W p110NE SLAtELIC[16E• <br /> MECHIN4ACANiMCtOP M�M1AOWiE55 CiIY [IP %10NE S1e1EUCE�S[• � <br /> �WIApRpCOMRACiON MMMDfiE55 LILY IP PIIONE Si�iELICENSE� <br /> CCUIp>CT FP'{E Of KOfIN —" <br /> HEAT,NG SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> �oEsca:c_wonK u,o muu+c roo*.wc unav[o cor�rnc'r rcasorv u�o vnonE rvo. <br /> nEINUG�J7.�N eF t/�+G[! /.f�r�cY RiliDWc�! <br /> r />v� Sr <br /> I HEREBY CEqTIFY THAT I HAVE READ F.NO EXAMINED THIS <br /> APPIICAT10N AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> r'r�ovoSEDuseor miDnm PROVISIONSOF�AWSANDOROINANCESGOVERNINGTMISTYPEOF <br /> WOqK WILL BE COh1PL1ED WITH WHETHER SPECIfIED HEPERJ OR <br /> ircn�oewaiantrvorvrroveeir�s�ociowoaer*ecnrnrococi¢s� NfiL THE GRANTMG OF A PERh11T DOES NOT PRESUME TO GWE <br /> wr omcK or AUTHORtTV TO VIOLATE OR CANCEL TME PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAV7 REGULATING CONSTRUCTION OR THE <br /> PERFORlAANCE OF GONSTRUCTION.THAT I AM AUTHOPIZED BY THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WO(iK FOR N/HICII <br /> APPLICATION IS ldA�E ANO I COM1IPLY WITH THE STATE <br /> y,r.nce�*u i o.xuuoea CONTRACTORS LAW 782]RCW AND 296 200 WAC. <br /> �� 6ogG- oOo - ooS - boo q /f /ff/�J <br /> CCIL'ilIUCTIIXIlO.WIFNDEfl.�pOBE55,i[LEPIIONENUMBEH yT ��,,,�/"� G1d=� ,3/�/ pQ <br /> SIEN�LVflG pAi[ � <br /> fliY pU5wE55 LICFNSE NO <br /> PLUMBING MECMANICAL <br /> N0. TYPE OF FI%TURE OH ITEM FEE N0. TYPE OF EOUIPh1ENT FEE <br /> \NA7ER CLOSET(TOILET) AIC—AMNOLG UNITS <br /> DATHTU� FORCED AIR SYSTEMS <br /> LAVATORV(WAShI BASIN) HEAT PUMP <br /> SHOWEH j UNITHEATERS <br /> KITCHEN SINK d DISP GIOTHF.S DRYERS <br /> OIS4WASHER RANGE IIOOD <br /> LAI.NORV TRAY WAi ER HEATER <br /> GLOTHES WASMEfl WOOC STO\'E <br /> URINAI : META�FIREPLACE�VlOODBURNING) <br /> DFINKING FOUNTAIN FIREPLACE INSERT(WOOD DUHNING� <br /> FLOJR DRAIN GFS FIREPLACE <br /> BdCKFLOV/PREVENTERS GAS RANGE <br /> SINK(SEPVICE—BAR.ETC.) GAS PIPING <br /> E%HAUSTFAN <br /> i <br /> SUBTOTAI S SUBTOTAL $ <br /> PEPMIT $ PERMIT S <br /> TOTALFEE E TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> fR011T[C1pACN pEM5Ei0�CN SIpESETBACF MINCMECRNLMOEfl :EE PEC[IpiNO. <br /> u.^.Gzor.[ ioren_e v�cu�rsrtE FEES VALUATION FEE <br /> ❑vE5 O NO BULLOING <br /> PEiG��lIIMIUlpN IA.OLDWELLtN6 SIZEOF�LC4T. <br /> UNIiS <br /> PlVu911ry <br /> OCCOPANLY IpCf510Xrt5 OGNP.VrtlO/.� 0�5[V[N! <br /> GPOUG MECXANiCK <br /> OYES ❑NO <br /> FIBESPflINFLEPflCO'� PE�5011 A�OIiION.LLPUNCNECN � I <br /> OiNER <br /> FIflE/.LARNPEO'0 flE�50N <br /> Si4E�ULL�iNG SURCHMGE <br /> iYPEOFCONSi. PUNSAPPPpVEDBY qTYOFEVERETT PUOIICN'OBNS <br /> � LOCALSALES <br /> wh TAXCOOE153105 TOfAL <br /> i <br />� '-,- r ��. "4."Yi�„ ytr�+y 1♦ � ���� 1� 5ul�kFr,atlwh'S'T �" :�" �r :�.�_ n c���.b'� <br /> f� 4� r. . T . ,1.�.�� \5.�..,a.:a�vW y+ .:T'a.a- . . _'� . y <br />