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APPLICATI� FOR CONSTRUCT�N PERMIT/� <br /> CITY OF EVERETT•BUILDING�IVISION ���� <br /> 3200 CEDAR STREET•EVERETT.WA 98201 •257-8810 � <br /> �-� �EMOLITION I I COMBINATION I I BUILDINCa f�l'MECHANICAL i'�. PLUMBING � �� SIGN <br /> PHOJECTADDRESS 1� �1 1'ID� � 11 _ —� <br /> \ � l ���� <br /> on�rt� u.a�uo�css <br /> �� �C I��,, ,1.�1s l�o� V-to�r �..� L.,} �lg7.Ol �`!Zf 335-us, <br /> ,��..,� u.�.�Ess ��,. :r <br /> .n:�a�rcr..»:...m vui�mmss cirv +r nae¢ <br /> GH:U�nL ONIIUCLON 41RAOO�C55 CI�V SY' Pq14 SG�ELiCE16F• <br /> I.�.11.��n. LCIXI111�C10t1 � M�RADMIL..S CIIY SV 1'1qllC $I�ICIILI�15[� <br /> ����.�.c 5 ,Lv�S� � Il I � <br /> ru��a�.rucnrv�n�c�on uui�oon�sc arv [n i sunucir�st. <br /> u%����nmcea�won� — HEATING SYSTEM: f I GAS f 1 ELECTflIC i <br /> ���.u.r�wonK uc.wmE vaorec[rrvuv[o carvuc�rcnvr�u�n rrrcnrc rro '— <br /> u'� .v. Sw.c.�`�(iS�S�e.R- <br /> I HER[�Y CERTIFY THAT I NAVE PEAD AND EXAMMED 7NI5 <br /> APPL�CATION AND NNOW iHE SAME TO DE 7 RUE AND CORR@CT.ALl <br /> ��,ouuos[OrBmiDi�a PROVISIONSOFLAWSANDOR�INANCCSGOVERNMGTHISTYPEOF <br /> ��_ WOfiN YtILL OE f,O1dPLIEO YlI7H WH[7HEP SPECIFlED IIEIlON OP <br /> ii,.0 m:eniniq'iorrravUarR�nnve�nn�nia�en�enrvroeaPns� NOT iN[ GP�NTINf, OF A ,''EIIMIT DOES 1J07 PP85U�dE 10 GIVG <br /> AUTNOPI7Y TO VIOLATE �R :.AtIGEL T11E PRPVIfiIOtJ OF ANY <br /> �„' &a"--u` pTHER 57ATL OR LOCAL L�\V/fEGULATING C01�5�f1UGTION OR PIE <br /> PERFORIdANCE Cf CONSTIIIG(ION.THpT I F1d AU7110f.IZLD pY TIIF <br /> — CWNER OF TMIS PROPEFTV 1'J^EPFORId THE YlORK FOR WHICN <br /> APPLICAiIDN IS IAAOF A�'0 � COIdPLY YlRH TIIE STAT@ <br /> CONTR�CTORS LAW IB21 RCNi nND 29G 2 W WAC. <br /> v.li,i i uR�o ma+eEn I <br /> co�e;mw;uur�w.xiErm[n�a�25s.tHtnw�sruwcn x � ��� �JS 'UJ <br /> snw�m�E uFr <br /> cnreus��rtssikr�rsrrm <br /> PLUMBING MEGHANICAL __ <br /> NO. TYPE OF FI%iUNE OP ITEM FEE NO. TYPE OF EOUIPMENT FEE _ <br /> WATER GLOSET�TOILET� NC—A'NNDI.G UNITS '_ <br /> _� pATMTUO ! FOPCEDAIR SYSTEM$ �_ <br /> L�VATORY�WASN BASIN� I HEAT PUMP __ <br /> SMOWER UNIT IIEaTERS _ <br /> kITGHEN SINH A OISP CLOiMES�RYERS _ <br /> -- p15HWA$HEB — MNGB HOOD _ <br /> LAUN�RY TRAV W�TLR HLATER <br /> GLOT4ES WASHER WOO�STOVE __ <br /> URINAI i METALFIREPLACE�WOODOURNING� _ <br /> p!ilflKlNGfOONTAIN FIREPLACEINSERTI�M1'OOD�URNINGI _ <br /> fLOOR DRMN GAS FIRCNLACE �_ <br /> pFCKFLOW PREVENTERS GAS RANGE <br /> SINK�SERVICE—DAR.ETC� G�5 PIAMC _ <br /> � E%HAUSTFAN <br /> _— ' __ <br /> SUOTOTAL S I SU9TOTAL 5 <br /> -� PERMIT 5 PERIAIT 5 __ <br /> TOTALFEE 5 TOTnLFEE S _ <br /> FOfl OFFICE USE ONLY: — <br /> rnnr��,iin.cx m�ns��wc� s�ccs��oa� r+r.xcr�c�xwmcn rEc ncccmrro <br /> mc!o i-cti�8 — <br /> i �::,�rn �o�nnu u�tsnc FEES VALUATION FEE ._ <br /> •rtF5 Ill/J BV40�N6 <br /> �r �ililli11iq11 M'l�'Fl!.'Iflti�Y: 5ilEC(Blf%'.11 <br /> ' vvirs nuumrq ' <br /> : . cv�iq W 5t0�A5 q:NP�HI LO�U M3L4fN� NEGNLMC4 . <br /> �� ' �ires n�n <br /> /.pp11RN14 AAI1CIIfCR I <br /> 1�.1 '�. Ir.LUIIlCOU �E/SON �' <br /> O�IIER <br /> � .i.i.n.�ncao nc.sau <br /> s�.�c e�aoxu sun�u¢c I <br /> iTi-�i�.onn r��us•i:�����':mo. CITVOFEVERETT �vmcwonns � <br /> LOCALSALES '� <br /> i„�� ___I TAX CODE IS 9105 ioTAL _ __� _�_ <br />