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APPLICATI� FOR CONSTRUC7�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT.WA 98201 •257•8810 �-•- <br /> I i DEMOLITION ❑ COMBINATION ILDINO �MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS �ya � �`��n/ ,�1 _ ; �2 _.L�-�- <br /> i/+^� pn e�.t <br /> owrv�n -fn+�i� u.n.o9"C�stiC�yL /�/�/ Ct-rLo/ zCUt�iL�l E r.J/� �zs)�S�-9,30 <br /> �J " <br /> tEN�n� wM�DDR[55 GtY Zp %qN[ T <br /> ♦RCNII[CIORpCS�GMCP NAi�ACMC55 CIiY SP AIpK <br /> f.(H[MLLOMP1Llq1 4�ILAppPE55 LIIY ��' %1�< SI�iELCENSE• <br /> IACOIANC0.LOIItP�LiGR M�R�W�C55 CIIY IF A1GIE SiqCLKCNSE• <br /> PlllnlplMCON1P��iCR u�RI.00PE55 LIfY 1� ���E SLIELICLNSE� <br /> /.i1/I � • <br /> (/f/f/ <br /> caun�crrnKc woa� HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> � <br /> ocscme[wonK Pwn[roor�ccn vc^� / ca+r�ctrcasaiwonwr+[ra <br /> (1� -� - ��,( - <br /> � �/� '�LL.�)- /L) C�CJ <br /> I HEREBY CERTIFV THAT I HAVE READ AND E%AMINE� TNIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECi ALL <br /> rn��o t$1usc ar emmiuc: �/�J�,� qOVISIONS OF LAWS AND ORDINANLES GOVERNING TNIS TYPE OF <br /> �!'jC.� '� / '�K�"^ � � WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> icr.uceuamravoF'vrqr[nrvisr�oHHe¢�owOnenecntwowncsl NOT. THE GRANTING OF A PERMIT OOES NOT PflE5U61E TO GIVE <br /> �or �/ oiaK p� AUTHORI7V TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> —'y— OTHER STATE OR LOCA�LAW REGUUTING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZ[D DY TME <br /> OWNER OF TMIS PPOPERN TO PERFORM THE WORN FOP WHICN <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> �������r� � CONTRACiORS LAW 1B 27 flCW AND 29fi200 WAC. <br /> '��.�J�'2�'S // � /� <br /> <OrISIPVQiONtO�MIENDCR��uf(SS.IEI[VIq11EM14BEP x <br /> $IGN�IU� / DAi[ <br /> CIry BU5MC55l�:ENSL 1q <br /> PLUMBING NECN�NIC�L <br /> NO. TYPE OF FI%TUflE Ofl ITEM FEE NO. TYPE OF EOUIPNENT FEE <br /> WATER CLOSET�TOILET� NC-A'HNDLG UNITS <br /> OnTHTUB FORCED AIR SVSTEMS <br /> LAVATORV(WASH BASIN) HEAT PUMP <br /> SMOWER UNIT HEATERS <br /> nITCMEN SINK 8 DISP CLOTHES DRYERS <br /> DISHWASHER RANGE MOOD <br /> LAUNDRY TRAV WATER HEATER <br /> CLOTMES WASMER �.'OOD STOVE <br /> URINAL METAL FIREPLACE(WOOD BURNING) <br /> �RINNING FOUNTAIN FIqEPLALE INSERT(WOOD BURNING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> DAGKFLOW PREVENTERS GAS RANGE <br /> SINK(SEHVIGE-DAR.ETC.) ! GAS PIPING <br /> E%MAUSTFAN <br /> i <br /> i <br /> SUBTOTAL 5 � SUBTOTAL S <br /> PERMIT S PERMIT 5 <br /> TOTALFEE f TOTALFEE 5 <br /> FOR OFFICE USE ONLY: S-O( <br /> [PObIXIO�.N �E�AS(10KN 90ESEi8�GG PlAN02Ctl BEP iEE PREIPiIq <br /> as�rai•c io*�au wcwrs*e FEES VALU�TION FEE <br /> ❑vE5 O NO �u� <br /> I�EIGr1IONIiElq11 �a6NCLUN] S4EOi&OGTI I <br /> PlUM911q <br /> CLLVPNICY MpS�fS CLCIIVANtLOdD B�SEMENi MECN�NK0. 7 <br /> OqOUV <br /> ❑YE$ ❑NO <br /> iWESMMnIEPPE00 PEASON �DD�1qINLMANCNECR <br /> onrtn <br /> rmc�ununEoo nusa+ <br /> SA1E 611M1p�r3 SURLNMGE <br /> iYPEO�CONSi R/J:SACpPOVEDBV qTYOFEVERETT R10LqNMkS <br /> LOCALSALES <br /> p.�� TAX CODE IS 9105 TO7�L � Z �j <br />