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� <br /> APPLICATII.�! FOR CONSTRUC1 .dN PERMIT�'�}1 <br /> CITY OF EVERETT•BUILDING OIVISION �I,� <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259-8810 e������ <br /> �� <br /> ❑ pEMpLIT1pN ❑ COMBINATION ❑ BUILDINO ❑ IiAECHANICAL ❑ PLUMBINO ia,SIaN <br /> PnaECT�ooness: �3zo Ncw;t�' A�< �vu�� Lt/`t 5�'�?�l <br /> p� ` wK�oonEss an , zm nwNc <br /> �jycO .S���krl'G Po �� �/D Ev�!� 9�'2a6 as�-rra6 <br /> C.Y� MNL.00RE55 aTr lio o��ONE <br /> n�,„�,s,,,�JrarR6� P. a,/�e� PlD Er�/Gf�' 9�•20� 2 S"4-S"/a� <br /> OESKi11ER 411M 110011E55 GITY 7�1• PNONF <br /> /fJ�21HAu✓16NJ 2��2 �v�iN/�v< ��cii/f 9��a� 2 rS-�Pa� <br /> ����T� w.,�u �v� S�G! 2S't' �Ml .S,E.��� <br /> /h9Rl/�i912 ,f/l�l 21 I 2 �"c✓uif�'�✓< <br /> cprtw�croa rur�oonEss cm rm %a/+E ST�fE LICENSE� <br /> R CON1p�ICrop y��pq�55 Llfv IIP P110NE St�fEl10ENSE� <br /> N <br /> °~��-�' ,� ��( HEATINO SYSTEM: ❑OAS ❑ELECTRIC O <br /> n[ ,rqwc uo eawi[�rwt uvaveo r.oqr�ct nsoN u�o �ra <br /> �y I� I cK a,3 N�eN 2 f9�S/a� <br /> k:N.f i' K Ne �Ei9 �' � 6� l�4 N� <br /> � ,f 9�� 5.���� I HEREBY CERTIFY THAT 1 HAVE REA� AND EXAMINEO TMIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> • rnaoa[o we a euinra � � pqOVIS10NS OF UWS AND ORDINANCES OOVEANNI(i TFiIS TYPE OF <br /> WORK Wlll BE COMPLIED WITH WHETMER SPEGflED MEREiN OR <br /> �oEsciwmonoFrnov�mr�yawMenowon�rt�cNrwocov�s� pqT. THE ORANTINO OF A PERMIT DOES NOT PRESUME TO 61VE <br /> � im �� � AUTHORITV TO VIOIATE OR CANCEL THE Pf10VtSI0N Of ANY <br /> OTHER STATE OR LOCAL LAW REOULATIN6 CONSTRUCTION OR TME <br /> - PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTMORIZED BV THE <br /> � ONMER OF THIS PROPERTY TO PERFORM TME WORK FOR VYHICH <br /> � APPLICATION IS MI10E AND 1 COMPLY WITH TME STATE <br /> ►MC6TWl1.D.M1IMER CONTRACTO LAW 18.27 RCW AND 286.200 WAC. <br /> ys�� - a-ao� -oa� ,i'i�.L,,� T� s/L/,� <br /> , �ONgTINICTION LONI LCNOER.�Od�ESS.7ElER�ONE MMlFN X <br /> SqNATIMIE WTE <br /> pT'SUSMESS IICENSE NO <br /> K�6 MECHANICAL <br /> . N0. TYPE OF R%i1ME OR ITEM FEE NO. TYPE OF EWNPMOlT FEE <br /> � WA1ER CIOSET(TOILET) ' �—�4�g � <br /> � ��� ' FORCED AIR SYSTEMS ' <br /> IAVATORY�/VASH BASIN) � HEAT PUMP ' <br /> $�py�p � UNITHEATERS ' <br /> KITCHEN SINI(8 DISP � CLOTHES DRYERS � <br /> q6HWASHER � RANOEFi00D ' <br /> LAUNDRV TAAV i WATER HEATER i <br /> CIOTHES WASHER � WOOD STOVE ' � <br /> � ��N� � MEfAL FIREPLACE(WOOD BURNING) � <br /> DRINKIN6 FWNTAIN � FIREPLACE INSERT(WOOD BURNIN6) � <br /> �����N � GAS flREPLACE ' <br /> BAq(ROW PREVEN7ERS ; GAS RM1GE � <br /> SMIK(8ERVICE—BI1R,ETC.) � GAS PIPING ' <br /> � IXHAUST FAN � <br /> � <br /> � ' <br /> � � � <br /> SUB TOTAL S ' SUB TOTAI f 1 <br /> PERMIT S � PERMIT S � <br /> TOTALFEE f ' 70TALFEE f ' <br /> FOR OFFICE USE ONLY: <br /> iFONTSETBACK REMSE Ic SIOES�lAtlf /! PIANGIIES���n fFF/�O REf.E1PTN0 <br /> 0 <br /> ��=p� ��� v�cu,r rc FEES VALUATION FEE <br /> � OrEs O NO �� <br /> omin�r+r ' <br /> 11EIOHT 4Mi�T �Oi DWEIUNG S�ZE OF KOOR� <br /> P111Y0MG <br /> ��T— <br /> p�WI1HC'/ IqMSIMES OCCIIPANTl0�0 B�SEMEN7 MECII�MLAI i <br /> OIqIR _ — " <br /> [JYES ❑MO <br /> FIRESPIqNIQEHRE09 REI150N �Op110N�LR�NCI1ff•M . � _ <br /> i <br /> ' omen <br /> FqE/�IARMREO'D REASd1 <br /> ST�IE BUIlOiNf SIInCtUO[E �s� <br /> _' �— <br /> rrve a cor+sr PlANS�qynov[o er CITY OF EVERE7T ruei ir.wonK� � <br /> JYI IOCAL SALES � >>-+ <br /> o��E � � TA%CODE IS 9105 TOTAL r� <br />