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APPLICATif� FOR C�ONSTRUC�N PERMIT <br /> CITV OF EVERETT•BUILDING DIVISION � <br /> 32�i0 CEDAR STREET•EVEflETT,WA 98201 •257-BB70 <br /> ❑ DEMOLITION ❑ COMBINATION . BUILDINO O MECNANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS I�5 GP��� <br /> � <br /> owrhn � Ci�ooncss arv zs . nqr.c <br /> MARDE�GN � IGbS G�AtiID �l1E�ETj' q$ZOI 'd¢Z5-Z;�Z-78�j(o <br /> lE I MqA0ME55 CIiY jp pp�( <br /> r�h� �vic{er�. WI9 Ca��r✓u.rual �nQ�r+�s 3�0- �-202-22430 <br /> MCIIIIECiORpE5GM11 M�lA0WE55 CIIY jp ' Aq14 <br /> �uinC'r <br /> 6EMMLCONIPAGIq1 YM�pq1E55 LIIY TV PIIp1E St�IELCENSE� <br /> MECN�NICqpON�PACIOfI 4�M1�p011E55 CI1Y SP AqllE SI�1ElKCNS[� <br /> 1'IUMB�NGCOIIIPAGip1 NIM1ACORE55 GIV 2P Aqlh SIMEIXENSE• <br /> CON111ACI%1i�Oi Kp4t <br /> HEATING SYSTEM: ❑OAS ❑ELECTHIC O <br /> oc cmeewon��wsauu�eraor�ecn v[o c �rcntov vr w <br /> �JYI YI � L <br /> - .zsa til��rdc�� <br /> I HEREBY CERTIFY THAT I HAVE READ AN� E%AMINEO TIIIS <br /> rn [ous¢as nuno�.1n APPUCATION ANO NNOW 7HE SAME TO BE TRUE AND CORRECL ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS 7YPE OF <br /> WORK WIIL BE COMPLIED WITN WHETHER SPECIFIED MEREIN OR <br /> i[a fo�[sc�n1ro^�qr�orrnro[nrv�iS�w�uHeciow�a�e�n,.�c1e.rw�oconi[si NOT. THE GRANTIN6 OF A PEPMR OOES NOT PRESUME TO GIVE <br /> io*1:�Z�aiaa�-C—a_L.Ld11�L �� AUTHORIiY TO VIOLATE OR CANCEI iHE PROVISION OF ANY <br /> c -1' , , , OTHER STATE OP LOCAL lAW REOULATING CONSTPUCTION OA THE <br /> �I�1/`Yl �� LUL��!'YI' � P�AFORMANCE OF CONSTRUCTION.TMAT I AM AUTHORIZED BY THE <br /> 8 OWNER OF TMIS PROPERTY TO PERFORM THE WORK FOR WHICN <br /> APPLICATION IS MAOE AyD I COMPLY WlTfi THE STATE <br /> v i uz i o rn1MBEn CONTR�ORS LA (�8.27 RCW AND 296200 WAC. <br /> S3 54 �OGd? � <br /> CONSiRIIt`qN10�111E1AER.�00fiE55.1ElEnlprtMlu9F11 x <br /> Nj{ 5 V 0 �E <br /> CirvBU5MF551 NSENO. <br /> PLUMBIN6 MECX�NIC�L <br /> NO. TYPE OF FI%TURE Oq ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER LLOSET(TOIIET� NC—NHNOL611NIi5 <br /> OATHTUB FORCED AIR SYSTEMS � <br /> LAVAiORV(WASH OASIN� HEAT PUMP <br /> SHOWER j UNITHEATERS <br /> KITCHEN SINK d DISP CLOTHES DRYERS <br /> DISHWASHEP RANGE HOOD <br /> LAUNDRYTRAY WATERHEATER <br /> CIOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPUCE(WOOD BURNING� <br /> DRINNING FOUNiAIN i FIREPUCE INSEHT(WOOD OURNING� <br /> FLOOfl ORAIN GAS FIREPIACE <br /> BACKFLOW PREVENTERS GASAANGE <br /> SINK�SERVICE—OAR,ETC.) i GAS PIPING <br /> � EXNAUSTFAN <br /> i <br /> i <br /> SUOTOTAL f j SUBTOTAL f <br /> PERMIT S 'PERMIT S <br /> TOTALFEE f 70TAlFEE S <br /> FOR OFFICE USE ONLY: BpO I I-01 <br /> fPONi5E1BA�' PE�NSEIB�/ SIDESEIBKM1, RNICNEC R /� (EE _� /� IIECEI�tNJ <br /> V <br /> usc:art wr.nc. v.cwrert[ FEES VALUATION FEE <br /> �Z o,�s � a�,� <br /> r�E�Gr�luuiruqN NaorowEun1G 9xEar0lor.'�i <br /> � � u�n�5 SS S, RWBiuO <br /> $ L✓`ai <br /> OCCU1'�NLv 19IXSIOPES CCCW'IJIIIO�O B�SFUEIR ���u��� <br /> ciroun <br /> �V[5 O ND <br /> FMESvnM�tlE11�E0O �E�SON �ODi�CM�l11ANPIEGt <br /> ourtn <br /> rn[u�nuncoo RE�SOX <br /> St�R Nrtdrq S�M�CwnOE <br /> rrveacars� v��Hs�rnnovEoev CITYOFEVERETT wxcwawis <br /> LOCALSALES <br /> oe�c Lq � TAX CODE IS 3105 TO7�L <br />