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� � <br /> APPLICATIO.�I FOR CONSTRUCTIJN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS: �a'�� [�rnnal/ �,ve+t�_____.__ <br /> ONRIEP MiUlA00RE55 Qtt liP PIION[ <br /> ��� l'�ir9��l� � ZOl �T/'a�t� r✓ ����--- �-� 5d S7 <br /> tawwr uui•nowess r.rtv nr rirorm <br /> M1LINTEGTOROESIGNFII M�IIAfIfN�ESS CIfY li�,-'��"'_�—� PIqNF <br /> sol•p BIdcS �S�H Tvr�et, D, F� _-`JgZo.3-----353-z37► So r Bz �s3o5' <br /> OENEMLCAMTMGTOR Mutl10DHE55 C�IY /iP Pi1pNE SI11t[IICEN � <br /> MEC111WKMCONTNACTOP M/UlADq1E55 CIfY IIP � PIIONE S71,IEUCENSE• <br /> �oJ.L, l� QIbG �D �X 5z9 �,5u� _q$Z10.__ QiGCN 0 lSg�,� <br /> "MUAl�NCrCONTR�CTOR M�ILADDRE55 CIfY 71I' PIIONE ST�TELIGENSE� <br /> coNriucrracEa��/ IiEATING SYSTEM: ❑GAS ❑ ELECTRIC ❑ _ <br /> oestwee wau uu sou�ae toot�n+vaveo rne�urr v sa+ r+n r �+p <br /> ag�__�OliG 3S3' �'33) <br /> i ' m <br /> 1I• „ � � I HEREBY CERTIFY THAT I HAVE HEAD AND E%AMINED THIS <br /> 7 APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> ������� r � PROVISIONS OF IAWS AND ORDINANCES GOYERNING THIS TVPE Of <br /> L WOPK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> �EpkpESCRIpTIpNOi1+IqPERTY�51qWNBELOWp1�TTACNTWOtOP1E5� NOT. THE ORANTIN(i OF A PEFMIT DOES NOT PRESUME TO GIVE <br /> �OT�_9�pp( Z 2b pF � I- AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER S'fATE OR LOCAL LAW RE�ULATINO CONSTRUCTION OR THE <br /> FERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZEO BV THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOfi WHICH <br /> APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br /> p�qce�iNc i.o. _ � _ �_ CONTRA�TOpS LA 1827 RCW D 296200 WAC. <br /> Z /i` <br /> Cp16TM1L110NLWMlENUER.ADp1ES5.TELE%IOHEMIYlEP x l� S�3 �5,6 <br /> SION�TUIIE DATE <br /> CITV BUSINE55lICCNSC NU <br /> p�V�pp MECHANICAL <br /> Np, TYPE OF FlXTURE OR ITEM FEE NO. TYPE OF EOUIPMENi FEE <br /> WATER CLOSET(TOILEn � NC—AIHNDLO UNffS ' <br /> gA7�7�g � FORCED AIR SYSTEMS ' <br /> T <br /> LAVATORY(WASH BASIN) � HEAT PUMP ' <br /> gF{pyyEq � UNIT HEATERS ' <br /> KITCHEN SINK 8 DISP � CLOTHES DRYERS � <br /> DISHWASHER � RANGE HOOD ' <br /> � LAUNDRY TRAV ; WATER NEATER � <br /> C.LOTHESWASHER � WOOUSiOVE ' <br /> URINAL ' METAL FIREPLACE(WOOD BURNING) ' <br /> DRINKING FOUNTAIN � FIREPLACE INS[RT(WOOD BURNING) � <br /> FLOOR DRAIN GAS FIHEPLACE ' <br /> BACKFLOW PREVENTERS ; GASRANGE � <br /> SINK(SERVICE—BAR,ETCJ GAS PIPING ' - <br /> � Z EXHAUST FAN <br /> i <br /> _ � <br /> — � s— � <br /> SUBTOTAL f ; SUBTOTAL S <br /> PERMIT S � PERMIT f � <br /> TOTAIFEE S ' TOTALFEE f <br /> FOR OFFICE USE ONLY: <br /> f11plTSEiB�GK AEANSF.Td1Ck S�OESETB�CIt �I�NGIIEf.NN11M11(f1 fE( � ��F��'�� <br /> � � o • � sioip - <br /> uSEi IOiARE� wc�nts�re FEES VALUATION �E <br /> ' ZH �JI I��� � A ❑YES � p1111PWu Z i <br /> NE16NTUMIUTION NOOtDWElUN6 SIIEOIBLOG/II '-"- --'----- �•A� ' <br /> 8 UNIIS � � PIqLU1N--- _"____— _ �-�e'�"�'�� <br /> �PANCY MO 0�51(riF5 OCCIIP�NI 10�0 B�SEMENf — � <br /> Mf1:11�Nlf.�l /��_.__ <br /> ❑Y[5 NO '--' � <br /> FIRESVNNKLERREO'0 ' RFASON �f1U1110NM.1`I�HC�Iff.K ' <br /> ���__ <br /> ouirn � <br /> FlREMMMREO'D AE�cpN '— 1 `T <br /> s�eir nwiomr,snm:�mnce 1�J (J <br /> Trvear,orisr PL�NS�PPRpVEOBY CITYOFEVERETT runnr.wonKs ' <br /> _� J I� LOCAL SALES --- ---- — — —��— <br /> DIITE 3 TAX CODE IS 9105 TorAL <br />