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APPLICATI�1 FOR CONSTRUC7�W PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET�EVERETT.WA 9820� •257�BB10 <br /> rl DEMOLITION C7 COMBINATION ❑ BUILDING ❑ MECHANICAL PLUMBIN6 ❑ SIGN <br /> PROJECT ADDRESS <br /> ow� p ��.��+noncss crtv zn naxc <br /> � h(✓hi'T— 6�F�c.o�eLC'..F� Ai7t� �L�S'c�n7T 9�iv( r!h' -25Yi-S��/ <br /> lEu q�� ��n�W�E55 Crtr SW Nronl <br /> I.PC�ni[CIpPMSGNCt1 �14LApOPE55 Citv IiV P�qq[ <br /> uCNlH4COYiR�CiOP �IUL�0IX�E55 CIiY ZW �[ Si�1El:CE115C� <br /> �rliM•.iC4CONiB�tlO� 1���L�ODN[55 Lllv ZIp PNON[ S��IClILE115E� <br /> �.t'.'I�4�.]CGdIMLiOB IA.4,�,1�'JJP65 C11Y ZN' P��OkE SGiEIKENSE� <br /> OW <br /> cc��iiacr�nKcornonK /Q HEATIN6SYSTEM: ❑GAS I�ELECTRIC � <br /> caaunr�we�.u+os. +�c�oo+� ertrcav[� co��ucrren�ey �orr�o . a ...� <br /> 5�ae�.ac,�,� ..C<( � LiN �� � <br /> _�.��[y��:i -f �Ti�.. 2 ' _ Z'�i� S?3 L <br /> / 1 HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> qPPLICATION AND KNOW TME SAME TO�E TRUE ANO CORRECT ALL <br /> r«crp��o us or ounu� PROVISIONS OF LAWS AND OROINANCES GOVERNING TNIS TYPE OF <br /> � ' - 1YORK WILL OE COMPLIED WITH WNETHER SPEQFIED NEREIN OR <br /> uc.�risce�v�or�q pnorwrv�sa�+. eua'.von�n�eMneoca+es NOT THE GRANTING OF A PERtdIT DOES NOT PRESUME TO GIVE <br /> io� �ia� 0� AUTHOPITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OiHER STATE OR LOGAL LAW REGULATR:G CONSTFUCTION OR TNE <br /> �i6�1E/L11 CI� Dr� 2 �Jl"-T �� BI� '� PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED 8Y THE <br /> OWNER OF THIS PROPERTV TO PEPFORM TME WORK FOR WNICH <br /> OL� CO� �'� Z L� APPLICATION IS �.1AOE AND I COIdPLY WITH TNE STATE <br /> �.ncu rex�o��a�mca <br /> CONTRACTORS LAY11B2]RCW AND 296200 YlAC. <br /> Un��3�2-_`[(�FLc.!— ' . �� <br /> ccnr,en�cnorr.o+�nu�nra•n�rtss.mcrrror.cr+uuecn X <br /> scH+�un� n�iE� / <br /> CIIY OUSiNC55 UCCNSC 110 <br /> PWMBING MECMANICAL _ <br /> N0. TYPE OF FI%TUHE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> 4VAiER CLOSET(TOILET� AC—AHNDLG UNITS <br /> BATHTU� FORCED AIR SYSTEh15 <br /> LAVATORY 6YASM�ASIN) Hi.AT PUl.1P <br /> SH0IYER UNIT MEATERS <br /> NITCMEN SWK A OISP CLOTHES�RVEFS <br /> OISNYJASMER RANGE HOOD _ <br /> / LAUNOPYTRAY WATER MEATER <br /> _y) CLOTNE5IVASMER WOOO STOVE <br /> � URINAL IAETALFIREPLACEI�YOODBURNING) <br /> OPRJNWC FOUNTAW FIREPLACE INSERT�WOOD Ol1RNING) <br /> FIOCF�RAIN GA$FIPEPLACE <br /> A4CK1 LOW PREVENTERS GAS RANGE <br /> SINK;SERVICE—�AR.E1C� GAS PIPING <br /> E%MAUSTFAN <br /> �— _ <br /> _� __ <br /> �— 51J0 iCTAL S SUB TOTAL 5 <br /> � PERt�IT S PERM1IIT 5 <br /> 7 iOfALPEE 5 TOTALFEE S <br /> _i_ —__'__ <br /> FOF OFFICE ��SE ONLY: P �—OD7 <br /> i.pu..1•��. � �i'.�SrIDnrn S�OESE194x MrvG�¢�rciwPcn r[[ A[cO�iNO <br /> � <br /> -- ,--'-- o�u—, r�cunsne FEES VALU4TION FEE <br /> . .•� I' ❑�Es :1v0 BunpN6 I <br /> �1�. �.1.�1/�Ip:JI M'1'4UlYLl11Y'.i $L'CCfPIDOTI <br /> UM1IIS CLU49�ip <br /> , . ... .'I'��n5'l�'_3 IJ�'CW'�VM1G.O ��5[9(HI 4CO��NiCµ <br /> • � 1�C5 :'I:J <br /> .��.v�..LLP'�COL Ff�^C'1 �:Di1qN4hWCNECK <br /> OI��[P � <br /> l�l 1�1[]O NC�$ON I <br /> $fAIC 9U�lDOq$U�C�UALE I <br /> I <br /> ?,.i.-��r=rvsr vur�s��:'��.��m CITYOFEVERETT i`uei[naus � <br /> LOCALSALES <br /> TA%CODE IS 3105 TOTAL <br />