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APPLICATIO, FOR CONSTRUCT�N PERMIT� <br /> ' CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201•257-8810 <br /> I� DEMOLRION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBINO ❑ SNiN <br /> PROJECT ADDRESS <br /> OWIEIi YAAAWRE55 CI{Y tV R1J11E <br /> �,� of Err�r� �9.b Wrh�+ae AJE. Ev�vrfi WA 9f�1 415-23�-S�I`! <br /> TEwu1t uM�oMF55 crtr ip RqME <br /> I.�CNiiEGTOROE54xER WLM01�E55 CiIY Si M1IOME <br /> cEAEMLCONIIUCtOP MNL�OqR55 CRY IIV R10NE Si�TEIICENSE� <br /> 9s2+i �i,v�awewkl.`ro �o.Bef 3iY .�ak,vlm tu� 9rz>S b2S'-.3'/I-tTrY,y�.v£� <br /> YCCHANIC.LLLONIPA�i(M Y�R�CCPESS CIIY ZP P11p4 Si�IEIICENSE� <br /> PWUBiNpCpNiq�CTOR M/.R�Oq�E55 CIIV IV N9ME Sil.lELiCENSE� <br /> CON�11�Li PRCE Oi WpIN � <br /> HEATING SYSTEM: ❑(iA3 ❑ELECTRIC O <br /> pESCRiBE WY1Y.YM$OIIME fOJt�GE WV0.vED CONI.�Li RR5011 NC Rq1E NO <br /> ��-e ceo,n o <br /> 3�Z� I�{�e ST I HEREBY CEflTIFY iHAT I H�VE READ AND E%AMINED TMIS <br /> nwros[D us[or euKwHb APPLICATION AND KNOW THE SAME TO BE TRUE AND CARPECT.ALL <br /> PROVISIONS OF UWS AND OROINANCES GOVERNIN6 THIS TVPE OF <br /> WORK WILL BE COMPLIED WITH WHETMER SPECIFIED HEREIN OR <br /> IEOMCE$CRIPIKINClVfIOPER}Y�SIIQWNBFLOWOR�RACNIWQ�OVIES� NpT. THE ORANTINO OF A PERMIT nOES NOT PRESUME TO OIVE <br /> iot azocK a AUTHORITY TO VIOL�TE OR CAN,:EL THE PPOVISION OF ANY <br /> OTHEP STATE OR LOCAL LAW EOULA77NG CANSTRUCTION O!i iNE <br /> PERFORMANGE OF CONSTR ION.THAT 1 AM AUTNORIZED BY T/E <br /> OWNER OF THIS PROPER PERFORM THE WORN FOR WHICH <br /> RPPLIC ION IS MAUE D I COMPLY WITH TME STATE <br /> Pu+cEunX m. Meen � CONTR TOR$LAW 1B. 7 AND 296.Y00 WAC. <br /> cons�nuc�auiwutcraE .wdrtsirtic�ruuaEn X W"' (.{N Q '2,�'�� <br /> s rurce o�re <br /> arv eusrrtss icEr�sc tq. <br /> PLUM&NQ MELH�NIC�L <br /> NO. iYPE OF Fl%TURE ON ITEM FEE NO. TYPE OF EOUIPMEM FEE <br /> WATER CLOSET(TOILEn NC—M1NOL�UNITS <br /> &1THTUB FORCED AIR SVSTEMS <br /> LAVATORV(WASH BASIN) HEAT PUMP <br /> SHOWEN UNIT MEA7ERS � <br /> NITCHEN SINK 8 DISP CLOTHES DRVERS <br /> DISHWASHER RANGE MOOD <br /> LAUNDRYTRAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URIN�L METALFIREPLACE�WOODBURNING) � <br /> DRINKING FOUNTAIN j FIREPUCE INSERT ry/OOD BURNI ) � <br /> FLOOR DRAIN GAS FIflEPLACE <br /> BACKFLOW PREVENTERS GAS RANGE i <br /> SINK(SERVICE—BAR,ETC.) GAS PIPINO i <br /> E%HAUSTFAN � <br /> ! <br /> SUB TOTAL S � SUB TOT�L S I <br /> PERMIT E � PERMR S <br /> TOTqLFEE 5 TOTALFEE f <br /> FOR OFFICE USE OTIILY: <br /> iR011i5EiB�GN I,EAPSEiB�CN SW'ESEIBI{R 1'W�CM[LNMMRP fEE PECEYTMO <br /> Ob3 <br /> us[zor� io*u�c� wun*sirt PEES VAW11110N FEE <br /> ❑YES ❑1q &ILDMO <br /> NCb�IfLIMiIAtpN lqCfpWCLLIMO SIZECf&Odfl <br /> IM�i3 0.U10N0 <br /> OCCVe�NLr MVSRn(5 OCCIR�NiIWD MYYEMI 11ECH�ML4 <br /> cnouo <br /> OVES O NO <br /> FPESMINitLE1111E0D PEA$ON '���������� <br /> OlxEil <br /> fPEMAHMREOD REA$pN <br /> Si��E MIIpNO SU1CN4qE <br /> *.rEarcor,sc n�vs•wravcoer CRYOFEVERETT wucwaus <br /> LOCALSALEB <br /> wrE TAX CODE IS 0105 TOThL <br />