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APPLICATI�1 FOR CONSTRUC�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257•8810 <br /> fl DEMOLRION ❑ COMBINATION ❑ BUILDIN(i ❑ MECHANICAL �LUMBING Ci SIGN <br /> PROJECT ADDRESS <br /> � <br /> ON'NFn 4�4�UONE55 GiY SP NphE <br /> Jr��,-,2. Sa�n. �HLi c,-o,.� ,�. ��.,,..� <br /> TENANI M�M1ACpqE55 CpV IP pqry[ <br /> �11C11i1CCiOPCE54NCP M�R�OpI[55 GIiY 2D �ry�q� <br /> f.CHERILGp1iP1Ciq1 Y4L�pp11[SS Clry SV pp1¢ SiAiEl6EN5E• <br /> MECN41iGLCONiP41pR M�R�DpfiC55 CIfY ZN A1pNC Si�lEIiCCIR[• <br /> MlI1ABitqCbllPM't01i YMLApqIC55 LItY 1N' fYlplE u�; Si�1ClK[NSC• <br /> � 5 g zib- v JnnocFto.r,Gf' <br /> car��H�nrns[or��ronn <br /> 9� SZ'C `=- HEATING SYSTEM: ❑GAS C7 ELECTRIC ❑ <br /> ocscmec xn K um sou.nc roo.wc iKuavco cw.�ct nrnsonu�o nwnE ra <br /> I HEREBV CERTIFV THAT I NAVE PEAD AND E%AMINED THIS <br /> APPLICATION AND NNOW TME SAME TO BE TRUE AND CORRECT.ALL <br /> rrrorouo u5E a eurtD��a PROVISIONS OF LAWS AND ORDINANCES GOVERNING TMIS TVPE OF <br /> WORK WILL BE COMPLIED WITH WNETHER SPECIFIED HEREIN OR <br /> lEG4DC5CPiVIIONCFP110PER1YI51qWNpEIOW OilAfi�CNINOCCPI(S� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> iar eiaK or AUTHOPIiY TO VIOLATE GR CANCEL THE PROVISION OF ANY <br /> OTMER STATE OR LOCAL UW REGUUTING CONSTRUCTON OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I Ahl AOiHORIZED OV THE <br /> OWNEH OF 7HI5 PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITM TME STATE <br /> n.ncc�ree i o rmsmcn CONTHACTORS LAW 1827 RCW AND 29fi200 WAC. <br /> � � r�.! ��.//��C �'/G/:�-////(r <br /> CON51RVLipN tOAN IENIXB,AppPC55.iEl[PIqNE NUMBEP <br /> 5 URE 0�1[ <br /> dh BUSw[SS LKCv;t NJ <br /> PLUMBMG MECHANICAL <br /> NO. TVPE OF Fl%TUflE Ofl ITEM FEE NO. TYPE OF EOUIPIAENT FEE <br /> WATER CLOSET(TOILET� MC—AMNDLG UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASM OASIN) HEAT PUMP <br /> SHOWER i UNITHEATERS <br /> KITCHEN SINK d D�SP CLOTMES DRVERS <br /> DISMWASHER pANGE MOOD <br /> LAUNDRVTRAY WATERHEATER <br /> CLOTNESWASHER ! WOODSTOVE <br /> URINAL ! METALFIREPLACE�WOODBURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT(WO00 BURNING) <br /> FLOOR DRAIN GAS FIREPUCE <br /> BACNFLOW PREVENTERS GAS RANGE <br /> SINK�SEflVICE—BAR.ETCJ GAS PIPING <br /> E%HAUSTFAN <br /> i <br /> SUB�OTAL 5 SUBTOTAL 5 <br /> PERMIT 5 PERMIT 5 <br /> TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: � <br /> IPONi5E104M PEMS[18KN ypESE1B/L6 PIANdIK6NL4BER !CE 116[IPINO <br /> us[eou[ iot�nu v�eeHiSrtE FEES VALUATION FEE <br /> ❑YCS n� BUM1OINp <br /> MCN'iNipYit�iqN N001'OWLLLI�q SQCOL&WTI <br /> UNIfS ROYBPq <br /> i'CUCINLY NJC[$�OA(S CCCVPI.NiIOAp BASEM[N! 4EM�NC�L <br /> t� OOV <br /> ❑vcs orw <br /> IIHESPRIMtC11RE00 PEdSDN ��I�qNµpUHCNECN <br /> Oi��CR <br /> 1 iP[��/.P\I P[00 flEA$pN <br /> S�RE BOilpx6 SURCMMGE I <br /> r�rEorcoxsr vuxs�oanonoar CITYOFEVERETT weiawa+ns <br /> LOCALSALES <br /> oue TAX CODE IS 7105 70T�L <br />