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APRLICATI�1 F'OR CONSTRUC�N PERMIF� <br /> CIN OF EVERETT•BUILDING DIVISION <br /> 37.00 CEDAR STREET•EVERETT,WA 98201 •257-8910 <br /> � - DEMOLITION '-�. COMBINATION i=: BUILDING O MECHANICAL � PLUMBING I-��. SIGN <br /> PROJECTAL�RESS 2� � / ����� <br /> �� �P <br /> u::,:, / �i�ooA�ss rv zia vnart <br /> ,- i ' ��s=... `-��.c -�t-t� 9 �01 y'x�e.� ��s)as� -isi� <br /> *tr-.a* �.�vuooaess arr Im pr�piE <br /> .�:LCGI�llGLSiv�ILR M>LL�UO�[$$ CIiV !IV 1'IqNL <br /> , ����LIC�P'�^IPn�10P MVL�WPE55 CItY IW Wq1iE Si�lELKINSC• <br /> � � <br /> 1....�pl�i�]ILnNIR�IiGP MIILAppPEG$ GIiY I11� PHO11[ �iP1E11C[115C• <br /> �.����'l���IGCOf1iP�:,iC1i MAIL�O�PE55 CIIY IIC fMONC �1P�ClICIN�f� <br /> C✓:IPPCI PRK[OF Wq1R <br /> HEATING SYSTEM: ❑GAS !�ELECTRIC r! <br /> c�sca�ee wonn uro wwnc roo*ecc nnavm cwiuc�vci�sori.r.p r�iouc rio <br /> ( I HEREO� CERTIFV THAT I HAVE READ ANO E%FtAINLD TNIS <br /> APPLICATICN FhD KNOW TME SA1-0E TO DE iPUE AND GORRECT ALL <br /> ...:;=oy�p usc oc amm�rw PROVISIONS OF LAWS AND OR�INANGES GOVERNING THIS iVPE Of <br /> WORK WILL BE COIdPLIED WITH l4METHER SPECIREO HEREIN OR <br /> �--�cescmm�ouo�amPcarviseow�m[tonqa�n�tMrvmcow[51 NOL THE GPANTING OF A PER1.!IT �OES NOT PRESUME T� GIVE <br /> .. eip�K a AUTHORITV TO VIOLATE OR CANCEL TME PROVISION OF ANY <br /> OTMER STATE OR IGCAL I AY!REGULATING GONSTRUCTION OR TME <br /> FERFORNANCE OF CONSrRUCT10N.THAT I Ah1 FUTHORIZED DV THE <br /> — OYlNER OP THIS PROPERTY TO PERFORM THE VlORK FOR WHIGM <br /> APFLICATION L^, LtAOE AND I COMfLY PlITH THE STFTE <br /> �. :�.,.r�K ip H��aEq CONTRACTORS lAW 1B 2]RCW AN�296YOO WAC. <br /> ....n:�.�cncnmer�iervucn.woncss..n��nonexuueee X �l(s 'V I <br /> s�crwiw�� o.i� <br /> crtv ousu�ess ucerisc rro <br /> PLUMBING IAECHANICAL <br /> N0. TYPE OF FIXTl1RE ON ITEM FEE N0. TYPE OF EOUIPIAENT FEE <br /> WATER CLOSET(TOILET) A�C—A NN�LG UNIiS <br /> BATHTUB � FORCEDAIRSYS'EIdS <br /> LAVATORY(lVASH BASIDI) HEAT PUfAP <br /> SMOIYER UNIi H[ATERS <br /> KITCNEN SINK 8 DISP CLOTHES�RVERS <br /> �ISHWASHER RANGE M00� <br /> LPUN�RYTRAV WATER HEATER <br /> LLOTMESIVASMEp WOOD STOVE <br /> URINAL METAL FIREPLACE pY000�URNWG� <br /> URIt:kINGFOUNTAIN FIREPLACEWSERT�YlOOD�URNING� � <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACHFLOW PREVENTERS GAS RANGE ' <br /> SINH�SERVICE—BAR.ETC.� GAS PIPING <br /> EXHAUSTFAN <br /> SUBTOTAL S SUBTOTAL 5 ' <br /> � PERMIT 5 PF.RMIT 5 <br /> TOTALFEE S TOTALFEE S � <br /> FOR OFFICE USE ONLY: <br /> lPC111:C16<C✓. I+LFIISCIpP.'.N $IDkSCiB.�CM PUNLNCCIINU�A3 (EE PCCliFtllp <br /> �v�a <br /> o.. ..:'�.r w*�ne+ wcnrtsn[ PEES VAWATION FEE <br /> rvcs n"o omminc <br /> i <br /> ..�.nwn.reiar� r»ormv¢ueir, sctoroia:ti I <br /> . unns MUMBi� i I <br /> , .. �fV 'UUfS100.E5 lacoourt�am P�S[A�ElU 4EU14UL0. � <br /> IlYES ❑NO <br /> � . .qninLCPPE00 PW50Y �O�iipN4PlANCNECK I <br /> I <br /> on�cn <br /> i.. .:ma.�eroo nensorv � <br /> 9AIE BIIiIDWG SUP6IARGE � <br /> � -�!w�rs� rinri;�rrnuvioov CITYOFEV[RETT ��'�:��,�.,✓.ti, �', <br /> LOCALSALES — , <br /> ;�,�i j TAX CODE IS 3105 j TOTAL '� <br />