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APPLICATI� FOR CONSTRUC�N PERMIT� <br /> CITV OF EVERETT•BUILDING DIVISION <br /> 32U0 CEDAR STREET•E'v�i1E7T,WA 98207 •259-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �MECHANICAL ❑ PLUMBING p SIGN <br /> PROJECTADDRESS: '�(� I�- ����A�1�' �L�\I {'l��q �ZGI <br /> aw[n uuim�ss nrv t�o p�E <br /> ,��.��;�_��J-�"-�i�� �-4� l �03 -Si�! <br /> ` urv rin vrroxE <br /> )/-�-N\� <br /> .nnn.cc�onusicvcn uu�bor�ss orv tm r�roNr <br /> � <br /> Lfrv[I�NCWIMCId1 44LI.Cp1[55 [IIY ll1' Nq4F [f1tElIC[XY• <br /> ;��( �,1 �,-�-�Nrn1��e a4,ct� 'II�IGR��DI�k� �"r;a I� tRlQq [1�4�7N� i���i,s.��, <br /> K�C � — � fAIY IIP �ql�l iII.IEIICENSE� <br /> �7�Cy} Z9,Z '�-{00 <br /> 1'IIIUBMKCWIRY.tCQ Y1M1/.ppYf55 GM1 IIV PIqNf SIAIEIICCNy• <br /> CMIMC�p1kCE IX Wplx <br /> � � G - HEATING SYSiEM: GAS ❑ELECTRIC ❑ <br /> �xscnec wwa�w sou.nF roouc¢wvavEo r.wuc.rmsov.Ho rr�w1E rro <br /> 1 � <br /> i_ - Z�SZ � �c �,; <br /> I HEREBV CERiIFY THrIT 1 HAVL READ AND E%AMINED THIS <br /> nnaroxousE or auip.q - /•PPLiCATION AND NNOW THE SAME TO DE TRUE/ND COAPECi q�� <br /> PPOVISIONS OF UWS AND OPDIWANCES GOVENNING THIS TYPE OF <br /> WORK WI�� BE COMPLIEO WITH WMF.TMER SPECIFIED HEFEIN OR <br /> �Ev1o�s�nP�a�aPirorc�rv�vrowr�atiowon�n�cHiwvcoeic5� NOT. THE GRANTING OF A PERAll7 DOES NOT PFESl1ME TO GIVE <br /> �m aiocx p AUTHORITY TO VIOIATE OR CANCEL THE PROVISION OF ANY <br /> OTMER STATE OF LOCAL LAW REf+ULPTIN6 CONSTRUCi'OW OR iHE <br /> �EBFORMANGE OF CONSTRUCTIO THAT I�M AUTRORRED BY THE <br /> OWNER OF TMIS PRO�P �77V,TQPE FORM TME WORK FOR W111CH <br /> APPLICATION IS�pfp�7ip� � COMPLV WITN TME STFTE <br /> rucc�iui0suuecq C011TRRCTORS �AW AN 296200WAC <br /> �I �C �.�-� � �Cc� , /. <br /> ca�s�nuc*iM�awl[voFn.ww ss rF�[wroriExwe[n x <br /> 51GNMUOE p�iC <br /> b1Y&151NESS IICENY 1q <br /> Pf.UMBING MECNANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. 7YPE OF EOUIPMENT FEE <br /> WnTEH LLOSET(TOILEn A/C—M/NDLG UNRS <br /> OATHTUB FORCE�AIR SYSTEMS <br /> IAVATORY(WASH UASIN) NEAT PVMP —�— <br /> SNOWEii JNIT HERTERS <br /> NITCHEN SINK d�ISP CLOTHES ORYERS <br /> DISNWASMER RANGEIIOpD <br /> UVNDRv TqqY WaT[R HEATEP <br /> CLOTHES WASNEH WOOOSTOVE <br /> UlIINAL MLTA�FIREPLACE h'JOOD BURNING) <br /> DRINKING FOUNTpM FlREPLAGE INSEflT(WOOD BURNING) <br /> FLOOR URAIN GAS FlREPLACE <br /> UACKFLOW PREVENTEflS GAS MNGE <br /> SINK(SERVICE—OAR,ETC.) GAS PIPIhG <br /> E:(HAUST FAN <br /> SUBTOTAL S SUOTOTAI S <br /> _ PERMR S PERMIT S <br /> TOTAI.FEE f TOiALFEE f ?�� � <br /> FOR OFFICE USE ONLY: <br /> !11(IN�{lI11.�Cx p[MtF1p/J:F SIC[SF10�CF M.WCIiFCRMIYP(11 /' ff( 11(f.f1��N0 <br /> �' <br /> ` �r�"� ���""�" v"ter�tvtf FEES VpLU�T10N FEE <br /> ❑res n�,v ouioma <br /> r�l��'.��IIIVi11l10rv x0p![)wCIIIMG SItEOfBIOGtI <br /> lrvil[ <br /> ✓111Yp1� <br /> UCNvnrv�♦ inqS�IVN15 ULCorv.HIl0�0 9�5EMFNI 4fLn.1Ni[4 I <br /> LnWv <br /> ❑�FS ❑M -� <br /> � ���+itIFNNCO� 11F�SPv �W��ION4A�NC��lCR <br /> ��;�� <br /> ., n.A11M11fOO � 0�1�[I1 <br /> f��CH <br /> 51�1[Bm1�M.A��r.N�ll(:E <br /> nT•iircwst ri�x5�nvnovrnBr CITYOFEVERETi ruqiir.won.a <br /> LOCALSALES — — <br /> _ _ ��,��� _ _ _ _ TAX CODE IS]105 IDinL_ <br />