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'• ! <br /> APPLICATI�1 FOR CONSTRUC�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3207 CEDAR STREET•EVERETT,WA 98201•257•BB10 <br /> ❑ DEMOLITION ❑ COMBINATpN ❑ NIILDNRi �MECHIINICAI ❑ PLUMBIN(i fl SIGN <br /> PROJECTADDRESS �O� L"- G�/V/�C AI/E <br /> �=�ERE7T ,�''��o/ �75-3o,jo� <br /> OwNER u��L�DMC55 GT' 1n ppryE <br /> FL�'�Hr:��. A�,<•� �/cq � c.k:vi�� A�r. ��rn- ;52ci 91„�3c3-osc� <br /> TEMANt M�LMd1C55 CIiY Sq p�� <br /> �RCNItECiMOCSGNCP M4LApMC55 LITY Ip �� <br /> G(MR4CIXItP�Lip1 44l�CONE55 CIiY 1V PXpN[ SillEI�CCNSf• <br /> MECN�NitltCIXllPaCtOR Y�iI��C/IC55 PIY �iv RNNC StA[LKCNSI• <br /> ,�}"/�f�lii�, i,�'ii: /isz� 5;;. ll.u� Fi�ar�r 9F�'c9 9?5- 3z ) .CyEi('TA�O//br <br /> 1'LIMORqGON1R�L10N M4L�hME55 �I1Y l�p Ap4[ SLIELKWSE• <br /> CONIP�LT NICE M HC{IN <br /> ' OD�` HEATING SYSTEM: �'GAS ❑ELECTRIC I—, <br /> CCSCRIBE WOAR'IN SOUME f�T�GC IHJIXKO Cp1��Ci t'CRSON AN�MqNC Iq <br /> � <br /> I HEREBY CERTIFY TNAT I HAVE READ AND E%AMINED TMIS <br /> reorosm use cr aw�wrq APPLICATION AND NNOW TME SAME TO DE TRUE AND CORRECL ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING TNIS TVPE OF <br /> WOPK WILL BE COM°UED WITH WHETHER SPECIFIED HEREIN OR <br /> «cuocuem+ro�orrwccnrv¢rn�vmecwwon.n.cnTMocor�csi NOi iHE GRANTING OF P PERMIT DOES NOi PRESUME TO GIVE <br /> iot Biatx a AUTNORIiV TO VIOLATE OR CANCEL TME PROVISION OF ANY <br /> OTMER STATE OR LOCAL UW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.TMAT I AM AUTNCPRED BV THE <br /> OWNER OF THIS PROPEPTY TO PERFORM TME WORN FOR WXICH <br /> APPUCATION IS MAOE AND I COMPLY WITH TME STATE <br /> r.rrcu re.io rvuMecn CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> CONS1P�iqNIO�NI(NMR..�ppfIL55.lIlC%qNCMIMBCR %��4 ��� ��(A� /��f iY/) <br /> �T� C.i)�vV <br /> SqN�NPE / i f 04E <br /> CIIY Bu5�FF55lICCNSC!q <br /> PLUNBING MECX�NICAL <br /> NO. TYPE OF FlXTUHE Oq ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A'C—A'MNDLG I/NiT.S <br /> BATHTUB ! FORCEDAIRSYSTEMS . <br /> LAVATORY�WASM BASIN� HEAT PUMP <br /> SHOWER I UNITMEATERS <br /> NITCHEN SINK 8 DISP CLOTHES DRYER$ <br /> DISHWASHER RANGE HOOD <br /> LAUNDPY TRAY WATER HEATER <br /> CLOTHES WASHER WOODSTOVE � <br /> i <br /> UNINRL I.IEi0.L FIREPLACE�WOOD BURNING� <br /> DRIkKING FOUNTAM FIREPUCE INSERT(WppD BURNING) <br /> FLOOq ORAIN GAS FIREPLACE <br /> �ACKFLOW PREVENTERS "OAS RANGE <br /> SINK(SERVICE—�AR.ETCJ GAS PIPING <br /> EYMAUSTFAN <br /> SUBTOTAL 5 SVBTOTAI 5 <br /> PERhtIT S PERMIT 5 <br /> TOIALFEE S TOTALFEE b <br /> FCR OFFICE USE ONLY: <br /> fn01.i5Ef0�Cn PLI.115[1B4t SIMSE10eCx PUMOrtCNryVMBilI iCE RECFo�ryp <br /> �M <br /> W <br /> us[zar.¢ iar�nse v+cmrsrtc FEES V U�TION FEE <br /> nvEs �rvo eunp�uc <br /> r�cmvruuir�troN Hoorowcwru. s�zcaeiocl� <br /> UNitS <br /> RUUB�N6 <br /> IX;LUCLN{;Y NOtl5fMC5 OLCUI'ANtW�D B�SEM(Nf Y[CN�NiL0. <br /> cnouv <br /> ❑VES ❑NO <br /> 1iRE5VRMxlCRPE00 PE�$@! ���bM4PUNCNECR <br /> OMCN <br /> IRIE�URMPCOO PC�SON <br /> SI�IE BW OINO SIIRLNMGE <br /> r.rearwr�sr ruHsrvvuov�oer CITYOFEVEREI'f rue�cwoa.s <br /> LOCAL SALE: <br /> n�r[ TAX CODE IS 31Da TOTAL <br />