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APPLICATI�1 FOR CONSTRUC�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISIOi� � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •:57-BB70 <br /> ❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS <br /> � /u G�PJ <br /> En • �ut�oou[ss ntr ir M� <br /> C�(.APIrISk���Oi�� 11o2Lra,,,� 7�y.c�l-1 ul4 9k�ol �4ZS2�'fL 89t O <br /> E wM1 DDRtss G r In qp� <br /> _(hort �•KG�v`hc� 4�-13 oti .�n,vl �rt �Yu�r.t��l4 �f2.S"91�� <br /> �c cc ouocsc . ooncss nrr z r�wrvc <br /> GENEPKGp1ip�CiOq u�rtApp0E55 GiIY tr p � %qNE SUTEUCFNSE� <br /> ildii/ Hi �A /Y �iJ� /n � � ' /O�i/oD <br /> K a c o ii css nrr iw nwrrc sureuccnsc. <br /> PWYOINGLpi1Mp10R YAIt�00PE55 �IiY ZM1` hqNE SAtEIS[NSC• <br /> C0�11A I pRCFpF'WqIN <br /> �W U HEATING SYSTEM: AS ❑ELECTRIC ❑ <br /> �E f1�0[Kd�R Sp11�PE�O0i�0[IHJQVED CONI [R5[p IMOPIqNE11] C <br /> Ll� � �n �i ����O 7�C� <br /> •G R,•�k - <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THiS <br /> rnoeoseo use r ewioi APPUCATION AND KNOW THE SAME TO BE TPUE AND CORRECT.ALL <br /> _ �j�R PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> WORK WILL BE COMPLIED WITM WHETHER SPECIFIED HEREIN OR <br /> icw�o inn P1M^ EPry�51qM1 iovt onert.cniwo oncs� NOL 7HE GRAN7ING OF A PERMI7 DOES NOT PqESUME TO GIVE <br /> w� 5 I��ppK_�.��p���• AUTNORITY TO VIOLATE Oq CANCEL THE PROy1SION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTMORIZED BY TME <br /> OWNER OF THIS PROPERTY TO PERFORM TNE WORN FOR WMICM <br /> APPLICATION IS MADE �I I COMPLV WITM THE STATE <br /> venceituii 'NUMBER CONTRACTO e AND296.200WAC. <br /> / �� <br /> CONSiP1:LipNt041t[ND[R.I.p11R[SS.1RNqN[INYBEII x �2��� <br /> IAIUNE O�IE <br /> CRYBUSMESSlCEN5EN0 <br /> PLUMBMa MECHANICAL <br /> NO. TYPE OF FIXTUflE ON ITEM FEE NO. TYPE OF EOIIIPMENT FEE <br /> WATERCLOSET(TOILET) /� NC—AMNDLGUNITS <br /> BATNTUB � FORCEO AIR SYSTEMS � <br /> LAVATORY�WASNBASIN) /! � NEATPUMP <br /> SHOWER � UNITNEATERS <br /> KITCHEN SINN 8 OISP CLOTHES DRVERS <br /> OISNWASHEH RANGE HOOD <br /> LAUNORY TRAY WATER HEATER <br /> CLOTHES WASHER ' WOOD STOVE <br /> URINAI, � METALFIREPLACE�WOODBURNING) <br /> DRINKING FOUNTAIN i FIREPLACE INSERT(WOOD�URNING) <br /> _ FLOOR�RAIN GAS FIPEPLACE <br /> BALKFLOW PREVENTERS i GAS RANGE <br /> SINK(SERVICE—BAR,ETC.) GAS PIPING <br /> E%HAUSTFAN <br /> i <br /> SUB TOTAL 5 SUB TOTAL S <br /> PERMIT 5 PERMIT S <br /> TOTALFEE S TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> lRONiSEiB�[rc PE�RSEt9ALG StCE5EiB6N PIN�MECNMIMOEO � iEE RECEWTNJ <br /> ,�� COO�L�"OOa. <br /> u5E nE i,Qr�nE� wtuiiSrtE FEES VALUATION FEE <br /> — ' �JSL� ❑res 'Qlra eunnwa 33 5�� � , <br /> r�ca�rtuu�runri uowowEuu+a SiZEOi&04TI <br /> .� uHrts � A3'J S nwwr�c <br /> occue��r wanwcs accuv.ntiow e�.sEu[nt u����x�K <br /> cnoup <br /> 2 � o�a <br /> fIFE]FPoIItlIEPPE01 PE�SQY ACOIIqNµPIWWECM � � <br /> OMCR <br /> iwE�VaMPEOD pEASpry <br /> SiAfE BUNWq SWICIIMGE <br /> rrreorcorvsr rw�s�arrrovcoer CITYOFEVEflETT RIBIKWdVaS <br /> LOCALSALES <br /> —N o�rt O / R7 TAX CODE IS J105 TOTAL �'7� � L�� <br />