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- • .� .�r <br /> APPLICATIO.� FOR CONSTRUCT�.�M PERMIT <br /> CITY OF EVERETT•BUILDING OIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259-8810 <br /> ❑ OEMOIJTION ❑ COMBINATION ❑ BUILDIN(i ❑ MECHANICAL ❑ PLUMBNKi '�SKiN <br /> PROJECT AODRESS: O�� 1�1t Ie 7l L?� . <br /> �-���-���)��j�-n�---��l1�lU� .� <br /> t� t7CD�� � LlA)Ul.!1'.W, a��.��'/�p�,�l � 02�02^ o�oQ`Y <br /> �acr on o[sor4n ►w�oonE cm zm CY warf <br /> �. <br /> a¢ nution ►w ss arv rm v��or� cG1ElICENSE� <br /> � �� <br /> IEdUNIC�lCON7MCTp1 MIR�Od1E55 dTY 21G PIIONE STAtEIICEIEE• <br /> �- <br /> RINMACONfMCTqI MNL�OOIIE55 pTY iIP PIqHE SUTELICENSE� <br /> CONiMCT/IMCE OF 1YOIIK <br /> �t HEATING:,YSTEIA:�OAS ❑ELECTRIC ❑ <br /> ot waw�roaaw[ �crv�saa�ro ra� <br /> , <br /> L - <br /> ` ( ZI� 1 �� � I HEREBV CERTIFY THAT I HAVE READ AND EIfAMINEO TFi1S <br /> '��o���� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PHOVISIONS OF LAWS AND OROINANCES 60VERNNK3 THIS TYPE OF <br /> WOHK Wlll BE COMPLIED WITH NMETMER SPECIflED HEREIN OR <br /> �atecwnawavno�nn�awnenoww�rt�cNiwoav�s� NOL THE 6RANi1N0 OF A PERMIT DOE8 NOT PiIESUME TO OIVE <br /> ipT wocK pF AUTHORITY TO VIOLATE OR CANCEL THE PHOVISION OF ANV <br /> . OTHER STATE OR LOCAL UW pEODU1TiN0 CONSTRUCTION OA THE <br /> ' ,� PERFORMANCE OF CONSTRl/CTION.THAT 1 AM AUTfqpIZEO BV TME <br /> ONMER OF TINS PROPERTV TO PERFqIM TTIE WORK FOR NM1MCN <br /> �� APPLICATION IS MADE AND I COMPIY WITH THE STATE <br /> ���.a�p CONTRACTORS LAW 1827 RCW AND 286.200 WAC. <br /> �,�.�,�.,��.,�,�� x�t. � . �Q�i�.� 5�- f�i- 9(� <br /> SIpM SMIE�,! I �M d1TE <br /> �� ^YJ �I�1 <br /> pT'!V]NF.SS L�CENSE ND. <br /> K�b ���C� • <br /> ND. TrPE OF RXTUIIE OII ITEM FEE NO. TYPE OP�IIMI�IIi FEE <br /> WATER fXOBET(TqLETI ' MC—NHNDLO UMT8 � <br /> '. BATHTUB ' FORCED AIR SYSTEMS ' <br /> LAVATORY(WASM BASIN) � HEAT PUMP � <br /> � 8Fi0YVER � UNIT HEATERS � <br /> � KITCMEN SMIK i qSP � CLOTHES ORVERS � <br /> q9HWA6HER � RANOEFpOD � <br /> � �� WINDRY TRAY ; WAlEH HEATER ; <br /> CLOTMES WASHER � WOOD STOVE � <br /> INMN�L � METAL flFiEW�ACE pN00D BURNINO) � <br /> pqMIKNq FOUMTAMI , FlREPLACE INSEFiT(1NOOD BURNIN(i� � <br /> � FLOOR DRMN � OAS FlREPLACE � <br /> BACKf1.OW PREVENTERS � OAS RMJ(3E i <br /> SMK(SERVICE—BAR.ETC.) � (iAS PIPINO � <br /> � DfHAUST FAN ' <br /> � Y_ <br /> � , � <br /> � � <br /> SUB TOTAL { ' SUB TOTAL t —T— <br /> PERMIT t � PERMIT f � <br /> TOTALFEE f � TOTAL FEE S ' <br /> Fon o�rce use oN�r: <br /> CIIONT SETMLN 11EM SETMCK SIDE BFTd1CM PI�N CIIECIf MUMEEP • iFF �e pFCE1Pf NO <br /> /(J <br /> (�- <br /> ua¢ta� _j tor�� v�cu�TS�re fE S L"ATON FEE <br /> '�J ores ❑no euaoR+a � <br /> � <br /> �aNt wr�nd w a owcwra site or sioorti <br /> urnts vwuamo � <br /> �riu+cr wo a s��s a�r iow etisenrtHt ' <br /> uecNunui ; <br /> OYES O NO <br /> ���R�,p ��� �OdfION�IM�✓IC11F.G1t � <br /> O111En � <br /> i <br /> FIREAWiMpEO'D PE�lpN r ��y� <br /> $T�IElU1lDIN(iSURCNAOf.E —_ ii7 // <br /> ?'�= <br /> TtPEOCCONST PUNSMf�OVEU r CITYOfEVERE7T MIlIM.WOIIRC ' <br /> T!�'- G LOCAL SALES —J— <br /> w,re TAX CODE 13 3105 TOTAL Z � <br />