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APPLICATI� FOR CONSTRUCT�N PERMIT <br /> CIN OF EVEREIT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•P/ERETT,WA 98201 •(425)257-8810 <br /> ❑ DEMOLITION ❑ COMBINATION�7 ❑ BUILDING $1 MECHANICAL ❑ PLUMBIN� ❑ S16N <br /> PROJECT ADDRESS: I I�Co C�i^/�i��/ Q.!/! <br /> OwNfn 4ut�OME55 Ott nr PMM[ <br /> �c11 reie�r<ie �i��l'���.�-�A✓� �,�o,��N 9�av� .�l�s- �-�3R3 <br /> 1[M�M� 4MI��q�f55 C1�Y lli MIONf <br /> IObnifCf011DE51GN[� M��I�Df1nE55 UIV )�I` P�KRf <br /> c.retn�icov�n�c�on MEiI�Cp�E55 C�IY )T f4k{'�C 541LUCENSE• <br /> !.� <br /> �L1�P�C'7G.J��n✓i1�Co IPti�II.J.¢lrntYL Fil?fP� �.�l; ..RI.R'7 erYnnetrwn�n <br /> ufcNuic (ONin��lon Nut�0pnE55 Cin )ir r�qNf Sr�tfl�tFN,E• <br /> 1`IIIMRh�GCONIIU[IM M��140[Y1E55 GIY I�P 1'NONF Si�IFIICENSF• <br /> Cq1IML�1'111CC Of WOi1N <br /> — HEATING SYSTEM: �.GAS ❑ELECTRIC ❑ <br /> UFSCniBiv.plK�w1�5W�nE�001�6EN 'FD COuI�.L�r�n50M�M�lqvFb <br /> 1�S�L.GL � C1�Lt� <br /> I HEREBY CERTIFY iH�T I NAVE RERD �ND E%AMINED TNIS <br /> rrroroSiDu c r Runa�xt APPUCATION AND NNOW THE SAME TO BE TRUE AND CORHECi ALl <br /> PROVISiONS OF LAWS RND ORDIN�NLES GOVERNING THIS TVPE OF <br /> WORN WIIL BE COMPLIED WITM WNETMER SPECIFIED HEREIN OR <br /> ircu scrvvnworn�nrv�sax+ienaw0u�m.cnrnocon[s, rypT. THE GRANTING OF A PERMIT WES NOT PRESUME TO GIVE <br /> ia� aiocn or AUTIiORITY TO VIOLATE OR CRNCEL THE PNOVISION OF ANY <br /> OTHER STATE OR IOCAL LAW REGVLATIN��pNSiRUCTION OR TME <br /> PERFORMANCE OF CONSTRUCTION.TMAT I�M AUTHORIZED BY TME <br /> OWNER OF THIS PHOPERTY TO PERFORM 7HE WORK FOR WHICN <br /> APPLICATIOY IS MADE AND � COMPLY WITH THE ST�TE <br /> Pu¢n w io�nr�xFn CONTRAGiORS LAW 18 27 RCW�ND 296200 WAC. <br /> cwc�ni�c�mxia�H�crmrn.i.omcss.�c�ti+wucriuuxra � {, ryY� }�(lUh"Yin �� Ilp� ��_ <br /> 5 elUltl: D�� <br /> .c�,���� �r a. <br /> CiIY 6U41R55 L�QHSC ND <br /> PLUMBING MECNANICIIL <br /> NO. TVPEOFFlIITUNEONITEM FEE NO. TYPEOFEOUIPMFNT FEE <br /> WATERCLOSET�TOIIET) NC—M/NDLGUNITS —� <br /> BATMTUB FORCED AIR SVSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT NEATERS <br /> KITCNEN SINK 8 OISP CLOTHES DRVERS <br /> DISPWASHER RANGE H000 <br /> LAUNDRY TRAV WATER HEATER <br /> CLOTHES WASNEH N'OOD STOVE <br /> URINAL META�FIREPLACE(WOOD BUPNING) <br /> OHINNING FOUNTAIN FlREPLACE INSERT(VJOOD fiUPNING) <br /> FLOOR DRqIN GAS FIFEPLACE <br /> BACNfLOW PREVENTERS GAS RANGE <br /> SINK(SERVICE—BAR,ETC.) GAS PIPINCi <br /> E%MAUSTFAN <br /> i_ <br /> SUBTOTAL f SUBTOTAL S ' <br /> PER611i 5 PEAMIT f ---� <br /> iOTAIFEE f TOTALFEE S 1_ <br /> FOR OFFICE USE ONLY: <br /> IMNIYfP�CN 11fM5f1P�LS S�GESCIBK✓. ryWC1�ILMA�VPfN f[f 11{(.flP�lp <br /> us6+orr �o�u�[e v�c�N�s��¢ FEES V�LUIITION iEE <br /> ❑r[5 O r+u �--- <br /> RUtIM� <br /> IIEIC��I1�411��IQV A'JbDWIIIING 51$EO�EIOG�II <br /> uNnG AuuPmC <br /> .__ _ _ ___�_ <br /> CU:111'A\I'v M C�SIn4!) lKf11n�N110�I� fl�tl VFNI Nff.11�rv�f�l <br /> 6NW1' <br /> ❑rE5 ❑M � ' ' '� <br /> Ii1�L5A�'�\alCfl11E0'U ��HiCN �CpIR1Y�l%�40�(f.v <br /> on�Fr <br /> iwuur+Mmm� �e•snv <br /> 51�11 R�LlfLN1i5V11b���Gt <br /> �rrrortor�s� nnvs�mnovtoov CRYOFEVERETT runur.wrn��s <br /> LOCAL SALES -- — - --- —� <br /> ��.�E TAX COOE IS 0f05 TOUL <br />