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' APPLICATI� FOR CONSTRUCT�PI PERMIT <br /> • CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVEREIT,WA 98201 •(425)257-8810 <br /> �joDEMOUTION ❑ COMBINATIOI{ _ pc�UILDING, ❑ MECHANICA_ ❑ PIUMBING ❑ SIGN <br /> PROJECTADDRESS� ��7 � �CLFw t5 %J1 <br /> Nttr-4c - --` -- - -`- - ^is .-�,.-+�_" -- <br /> //p`M�fi1 44tnCC�f55 ^ Ott h�' VNON[ ` <br /> �J��/:lAnJE L�.,ll5'¢yer. nut 6�n..�y .�..-. ��-� Y . 44:n /�,�.�{-q99S <br /> iY�11A 4U1/.IIIX1F55 .'.IIY IIV %1M:F <br /> ��qrnnpl0�bf4G�.N uul�Wnf55 Cilv lir rypr.( <br /> p�y»r�a Ce,�r�,k.ny�c.e ?A. 3�r 1Ao _�.,,.•+L.Ww 'Itl�1 Cjm�YYl�'1Y�I4 �MEGafsrSvl <br /> (���E14ll:OMlll�t.l(XI MYII.IXI�f55 CiiY li� lMN4[ t��ILli[�NSF• <br /> ViC11�NIL4f,(WInIf.1pR 4�il�DCPES$ f.lry l�' i'I�Otif [��1flICENSC� <br /> f1uVPP�GCOI1�H�f.ipi 4ul�IXInE55 CRY !i> pHONF SO�FIIC[h5i• <br /> rnvm�c;rnic[u�wonK — <br /> HEATING SYSTEM: ❑GAS �ELECTHIC O <br /> tXScnine wpne�4U SOW a[�W rep[ryvplvEo ca�t�cr vfn5w+rvn rvmqr qo <br /> �P.�nZ� - �s �o sp.✓ �� --_ <br /> I HEREBv CEPTIFY THAT I HAVE READ RND EXAMINED THIS <br /> APP�ICATION ANO KNOW TNE SAME TO BE TRUE AND COARECT ALl <br /> rr¢vrosroas�or nmiorMc: PROViSI0N5 JF LqWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORN W�1 L BE GOMPLIED WITM WHETHER SPECIFlED HEREIN OP <br /> i[r,noEsournp�wniqrEnttisrqwr�euowonr.nr.curxocan[9 NOT. THE GFANTING OF A PERMIT DOES NOi PPESUMG TO GIVE <br /> io� aioce cr AUTNOPITY TO VIOIATG OR CANCEL TME FROVISION OF �NV <br /> OTHER STATE OR LOCnL LAW REGIILATING GONSTqUCTION OR THE <br /> SEE ATfALME�` PERFORMANCE OF CONSTRUCTION.TMRT I AM PUTHORI2E�BY THE <br /> OWNER OF THIS PPOPERTY TO PERFORM TNE WORN FOR WNICH <br /> L � .� APPLICAiION IS MADE AND I COMPLY WITM THE STATE <br /> renctt uv i o mrvxtn • CONT TOR LA B 2l GW AND P96200 WIC. <br /> LON5�111ICIIf]NIO�NIfNXfI.NNYI[SSICI(fY�WEMWpF11 x � B <br /> "�1 � U IL <br /> — 32814 <br /> arreuSrrtssikixa[vo <br /> PLUMBING MECH�NICRL <br /> NO. TYPIi OF FI%TUNE OR ITEM FEE NO. TYPE OP EOUIPN,ENT FEE <br /> WATER CLCSET(TOILET) fJC—P/HNOLG UNITS <br /> BATHTUB PORCE�AIR SVSiEMS <br /> IAVATOR'/(WASN BASIN) NEAT PUMP <br /> SHOWE'i UNIT HE/.iERS <br /> KITC'1EN SINN d DISP CLOTIIES DRVERS <br /> DFNWASHER R�NGENOOD <br /> I AUNDRY TRAY WA1ER HEATER <br /> CLOTIIES WASNEH �M1'OOD STOVE <br /> URINAL NETAL HREPIACE hN00D BURNItlG) � <br /> ORINKING FOUNTF W F�.AEPIAGE INSERT(W000 BURNING� <br /> FIOOR ORAIN GA$FIRE�IACE <br /> BACNFI OW PfiEVENTERS GAS RANGE <br /> SINN(SERVICE—�RR,ETC� GA�PIPMG <br /> E%MAUSTFAN �_ <br /> SUBTOIAL E SUBTOTAL 5 <br /> PERMII f PEPMIT 5 <br /> TOtALFEE S TOTALFEE f <br /> FOR OFFICE USE ONLY: <br /> �nnmviwr. Pr�nRloYn S�M;F�84x ruMurtcavvunrn rfr �frrmnq <br /> v:iio�: �oi���u wcw�src ��5 VA�U�TION FEE <br /> ---r— <br /> ❑.rs ❑r:u num�.ur. <br /> �.t i�an nv�uuo. ao a nwnuw sire or uoen� --'— —_ ' <br /> rvns rnrvnrvc <br /> ur�a.:r ,.e�ur. a.nm�r���om e�sfutri wn:uuu'n ._'"__ '____ _ _._ '__— <br /> r.d.-vr � <br /> O.�s ❑nn — .__ _____ _"' <br /> �-�.:rni��auia[au--- nvnrrn — �owuowiri�vnac� <br /> onrtn -- —' <br /> �.(.�i�nuni�no � nf��nr - <br /> suqnunu�vcsunnunr.� _ . '�� <br /> '�rvnicovc� n.wsn�rnnvrne+ CITVOFEVERETi niaiu:w���r� <br /> LOCALSALES - -- --- — — <br /> i�,;� TAX CODE IS J105 TOTnI <br /> . _ - ___ _-- ��y.� m� (r /O.DD <br />