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APPLICATIO:�: FOR CONSTRUCTI JN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259�8810 <br /> ❑ DEMOUTION p COMBINATION -{�, BUILDINO ❑ MECHANICAL ❑ PLUMBMNi ❑ SION <br /> PROJECT!A�DDREBS: �'' lo ���'�l.�i�-�' q r /(�` <br /> LK.�P f0t-�IM ^�.JLIN nEss �' —"pN � 1�•0 � ,�0 �� P� �J-��i1-- 1 ] (/ Q <br /> �� <br /> IEMIWT MM�OOIESS Gtt z�p p�qryE <br /> � � — �// <br /> ctwoesKsr� wu�oonEss un nr mar4 <br /> y/�{��..�Q.�/�d�Q3�k�,.A.4_ ,a _ � .���t 9 aa� ��' - ` 3 <br /> OEMEMI GONTMCTOR 110dE55 QTY 1M MqNE $MTE l N9E� <br /> �2-�`P�'orok z <br /> �cNiwcKca+m�cmn wu��ooaess an Iiv plqf� Cf�TEIICENSE/ <br /> PIUI,lANiCp1T11Iit10R MYL110011E55 Gfv 2ro P1qNE Sf11TElICEMSE� <br /> ca�m�cr oncE a wau <br /> 4/O , d� HEATING SYSTEM: ❑GAS ❑EIECTRIC ❑ <br /> OElLIYE WOIIK A/O SOIMRE FOO7AOE 11VOL / CONT�ICT PETSONIIND%1d1E NO . <br /> V \ <br /> � �� l I HEREBY CERIIFY TNAT 1 HAVE READ AND EIfAMINED THIS <br /> pp�p���� APPLICATpN ANO KNOW THE SAME TO BE TRUE AND CORAECT ALL <br /> V � ' PiiOVISqNS OF LAWS ANO ORDINANCES WVERMf16 T1NS TYPE OF <br /> WORK WILL BE COMPUED WITH NMETHEp SPECIFIED HEREIN Ofi <br /> �oesawna�orv� �sNownenawan�nw.wrwoco �5� NOT. THE ORANTINO OF A PERAAIT DOES NOT PHEBUAAE TO OIVE <br /> �ot xoac or AUTHORITY TO VIOIATE OR CANCEL THE PHOVISION OF ANV <br /> OTHER STATE OR LOCAL UW REQULATMp CON9TqUCiqN pq THE <br /> PERFORMANCE Of CONgTqUCT10N.THAT I AM AUTNORIZED BY THE � <br /> OYVNER OF THIS PROPERTY TO PERFOpM iME WpIM( Fpq W1N�H <br /> APPIICATION IS MADE AND I COMPLY WITH THE STATE <br /> ..�.�.�.o.�u� 3 / 0.3 S GY�O.S� corrcw�croAs uw�es�ncw rwo zse.zoo w�c. <br /> WN4iR11CilONIONIIE .Mp1ES3.TELERI0NEM111EEN x� -� � , <br /> saH� Q _S��b wrE <br /> arv eus�ss��rue�a. <br /> K�4 AIECMAMCAL <br /> N0. TYPE Of R1fi1J11E OR ITEM FEE NO. n/E OF�011lMBli FEE <br /> WATER CLOSET(TOILET) � NC—NHNDLQ UlNT8 � <br /> �T�� ; FORCEDAIRSYSTEMS � <br /> LAVATOqV(WASH BASIN) � HEAT PUMP , <br /> �R ' UNIT HEATERS � <br /> KITCHEN SINI(8 DISP ; CLOTHES DRVERS ; <br /> DISFIWASiIER � RANf3E F100D � <br /> LAUNORM TMV ; WATER HEAiER ; <br /> CIOTHES WASHER � WOOD STOVE , <br /> � URMIAL � MEfAL FlREPLACE(WOOp gURNINf� � <br /> DRM�KMKi FOUNiA1N � flREPIACE INSEqT�W00p BURNINf3) � <br /> FLOOR DRAIN � (ii1S flREPLACE � <br /> BAq(FLOW PREVENTERS � 6AS RANOE ' <br /> SMIK(SERVICE—BAR,ETC.) � (iAS PIPNJfi , � <br /> ' E70ilW3TFAN � <br /> � <br /> i � <br /> SUB TOTAL S ' SUB TOTAL t ' <br /> PERMIT f � PERMIT f � <br /> TOTAL FEE t � TOTAI FEE S ' <br /> FOR OFFICE USE ONLY: <br /> FIIONt 9ElMClf NE�N SETMLK SIOE SETMLK PI�N L11Eqt MMIeE� 1 fEF /Iff.EM`T fq <br /> r�u �� <br /> usem� ioTu�� v�c1wtyte FEES VALUAiqN FEE <br /> �.ES 0 r�o Buio�m v ; <br /> �aNr u►�uraH ra ar oweuna s�a soari � <br /> IN/IIS <br /> PlUM8Rl0 <br /> OCIXFANCY ND(�SI(riF5 OCLIIPAN�IO�D lASEGENI ��H�u � <br /> OIIOIR <br /> ❑YES ONO � <br /> FNESPRIMUFHREOD REI150N �DD�IHIy�Li'LANCNf.CM � <br /> O7NEP � <br /> FlRENARMREO'0 RE�cp1 � <br /> SG1E BUIIDINfi SIIRGk�11GE � !�v <br /> _. �_ <br /> rvrear,or+sr %�NSAPPPOVEDBY CRYOFEVERETT �IIMIf.Wd1NC ' <br /> LOCAL SALES i-- <br /> D�TE TAX CODE IS�105 TOTAL � � �d� <br />