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APPLICATI(� FOR GONSTRUC7�N PERMIT�}. <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259�8810 ��" <br /> ❑ DEMOLITION ❑ COMBINATION � I�,�BUILDING p ❑ MECHANICAL ❑ PLUM9ING ❑ SIGN <br /> PROJECT ADDRESS: 7 Z0� y)u fJ i P�.R 11 �• EJE�t�I I l,()f� <br /> ��i�aA�� .� �f� 72a�i \ 13�Q�-2 E�,E�il '9�b3 Y2S3.�3961� <br /> OWNER uuLM[aE55 UIY I�o �y�� <br /> �ENI.Ni YUII.DDIIE$$ GIY jIV ryqNE <br /> �K�41CCIqiqS�Gn[N 4nrtIAME55 CIfY pp p�qryF <br /> �l�h� f <br /> L[NFmICOtlIP41ry1 uutMOn[55 Cuv I�P PR1NF [lel[liC[pSF• <br /> �/ECX�HiC0.CONiREC1IX1 M.Vll.ppRE55 fJb )R puOAE SI1iElICENiE• <br /> MUUBWGCG11f1UCfp1 Mu��pppE55 Ci1Y I�n vu9iE A�IELICEvS[• <br /> CON�R�C�VIUC[W wLV�K <br /> HEATING SYSTEM: ❑GAS ❑ELECfflIC C�] � <br /> ocsc, iecv5gx�vosau..nErooucFi voi o �- coHuc�rrnsoHumn�onE <br /> A�O� IroN " ��I��IC-� E-d,onnet� �Es� �e,'3- 9�/(�_ <br /> � w <br /> I HEfiEOY CEfiTIFY THAT I IinVE REA� AND E%AMINED TNIS <br /> viprpSEovsEorBunDiNG l.FP:ICFTION AND NNOW iME SRME TO�E TRUE AND GOFFECT ALL <br /> S r� PROVISIONS OF lAWS AND OROINANCES GOVEPNING THIS TYPE OF <br /> YlORK WIIL OE C�11APU[0 WITH WHETHER SPECIFIED HEFEIN OR <br /> IEG40CSCnivpryi0lPOqSprv�AqwNBE�OwMep�Cp1P9C0ViE51 ��OT. TME GRANTING OF A PERMii OOES NOT PRESUME TO GIVE <br /> iai e�oca or AUTIIORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> Ic1/� (� (� 1L OTf1ER STATE OR LOCAL UW qEGULATING CONSTRUCTION OF THE <br /> �.p 1 3 �}/J�� J�iAL �0.}'r d^1 � lp[h3 PEFFORMANCE OF CONSTRUCTION.TNAT I AA1 AUTMORREO BY THE <br /> o /7� I OWNER OF TMIS PROPEFTY TO PEFFOPM TME WORK FOR WMICM <br /> SN_��RFSI 14S P�Q I�R�I�ECDQa N-� Vd�� Q APPLICATION IS MA�L' AND I COMPLV WITH TME 57nTE <br /> r Etiucio rmue[n CONiPA///GjjjpRS LAW/,�/q 2]RGW FND 23fl200 WAC. <br /> �"L'� .J %��� �i7'� ;��'J �� X_E��/"� ����/ � <br /> ca+smuc�rt�io.r�i[xocn..00ncu.�eu n�ar�c r.uuecn <br /> SIGN/.IUIIF p��� <br /> GlY 9USIIICS$l�C[IISC NO <br /> PLUMBIN4 MECHANICAL <br /> NO. TYPE OF FURURE OR ITEM FEE NO. TYPE OF EOUIPMEN7 FEE <br /> N�ATERCLOSET�TOILET) A/C—MINOLGUNRS —���—_ <br /> OATHiUO FORCEO AIR SYSTEMS <br /> LOVATORY(WASH OASIN) HEAT PUMP <br /> SHOWER UNIi NEF7ER5 <br /> KIICHEN SINK 8 DISP CLOrHES DRYERS <br /> CISIIYlASHER MNGF 11p00 <br /> � Ln'.INDPY TRAY WATER HGTER <br /> � CiATHF5WA5HER WOODSiOVE <br /> � ������A� M[fALFIREPLACE(1VOODOURNING) <br /> C RINNING FOUNTAIt! FIqEPLACE MSERi(WDOD f7URNING) <br /> FLOOR JRAIti GAS FIREPLAGE <br /> CACNFLOW PR[VENTER: GASRANGE <br /> S INK(5[RVICE—DAR,F7C.) GAS PIPING <br /> EXHAUSTFAN <br /> SUOTOTAI 5 ' SUB TOTA� S <br /> PERMIT S � <br /> PERMIT f <br /> TOTALFEE 5 TOTALFEe f <br /> FOR OFFICE USE ONLY: �, � C�7 <br /> (IIONISEIOaLN 11f��iFiBKY. $Ip[$f10i1CM ryulCli[CXNUNpftl f(f �f��IPINp <br /> �:�:�.E � �o�.��E:`� — '�2rL�~� ��b�'`` — <br /> —p v�cr.e�snr FEES VAWATION FEE <br /> �rtmnruuireri� 1 rw�4r�n sv�oremw� �� nmmixr. �/ � �.r __ <br /> d/ 7 <br /> �p] � VNilt �IIIYOI4fi /C/� <br /> �� 26 S,F. _� {_ <br /> (`CCUPeN]Y q10�51M[5 CCCIICeNfl041 R�SFYENf ' i <br /> 4�OVP 4fC11�MICI�I <br /> U-i � ❑Y[$ � �_- <br /> nr�csvn��.icnuo'o nvesa� .nauor�un.xcurce � <br /> —__ �—�— <br /> onrtn , <br /> nncnwwnmo wE�cpv <br /> surz oun uuc�unc�unc[ i" <br /> - ----�-- !�r� <br /> rt�[nrcrn�s rinq��nnnovmor CITYOFEVERETT �•���ucho�.,: �;` <br /> ^�'' . / LOCAL SALES -------- ----- .�=.:— <br /> _y��( ��•�E 7 Z 9 TAX C07E IS 9I05 TOTAL , <br /> ��___ _—__--__1__'--_'-- __'._._ _ . : <br />