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rm, r, <br />APPLICATIOI. FOii CONSTRUCTI�.N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 99201 • 259-8810 <br />O DEMOLITION ❑ COMBINATION �BUILDIN(i ❑ MECHANICAL ❑ PLUMBINO ❑ SI(iN <br />PROJECT ADDRESS: / � �i,�. �u�M � <br />OWNER <br />IWL�OO�IE54 <br />CITY I�P VNONE <br />G7Y <br />OENEMLCONTMCTOR " MIulMIX1E55 arv - ���' n.�.�e ��w�c.�...�_. <br />7-Lakvs Const rn� �o// O/vP /�VC S-lc�n�.waA l✓q q��q� I�s)65�-7�oa, 7�w%'cL.rOS2L�✓ <br />yIECNANIG/�l Cq�1qACT0ii M�KMM�E55 CITY � SIP - PIIONE iTATE LICENSE � <br />pWLMqCpN�qACTpq NNI/�C�1E55 Cltt IIP P1qNE ST�TELICENSE� <br />F:f�:3 <br />IEON.OE9CNPTqF OF VIIOYERTY <br />�oi I %- � � e�oac _ <br />cov�sl <br />CONSi1NICl10N L01W lENOER. MO�ESS. TELERIONE MMlEP <br />�onF <br />RU1101116 <br />NO. TrPE OF FlXTURE OR ITEM FEE <br />WATEA CLOSET (TOILEn <br />BATFiil18 <br />UVATORV (WASH BASIN) <br />e'ri0:iE1i <br />KRCHEN SINK 8 DISP <br />qSHVNASHER <br />L,AUMORY TRAY <br />CLOTHES WASHEH <br />lNUP1AL <br />DRIN(MNiFOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PfiEVENTERS <br />SMIK (SERVICE — BAR, ETC.) <br />SUB TOTAL S <br />� TOTAL FEE f � <br />FOR OFFICE USE ONLY: <br />i110NT SE7MC1( REAR SETBIICK .SIOE SET <br />USE 2pNE t0 A 11 VAC T&fE <br />_2 o.Es <br />�aNr urwr��a+ u�i+rta owe�ura szE oa xoau <br />LO�D <br />1 <br />DYES <br />HEATING SYSTEM: ❑ GAS CYELECTRIC O <br />� HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF IAWS AND ORDINANCES 60VERIANf3 THIS TYPE OF <br />WORK YVILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE aRANTINO OF A PERMIT DOES NOT PRESUME TO (i1VE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE 09 LOCAL LAW RE6ULATINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZL�D BV THE <br />OWNER OF THIS PROPERTV TO PERfORM iHE WOtiK 1=0R NMICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTMCTORS UW iB27 RCW AND 296200 WAC. <br />�L/Z/Yb <br />x �� L � <br />��� � <br />l��SI i I <br />arv euswess icer� no. <br />7YiE OF EOUiMlM � FEE <br />/V�I � /YTR <br />FORCEDIUR <br />HEAT PUMP <br />WATER HEAiER <br />WOOD STOVE <br />GAS FIREPIACE <br />SUBTOTAL <br />FEE S <br />PlANG11ECNNUMBEP fEF RECEIPINO <br />s a 3� __ <br />� � euion+r. <br />� Pl1iMBING <br />MECM�UIIf.�L <br />�NU <br />•ODIIION�L 1'I/�N CNF.CK <br />OTNEN <br />r.besr au.+s VFDBY CRY OF EVERETT <br />� LOCALSALES <br />o�Te a/Z/1(� TAX CODE IS 3105 <br />STAIE BUIIDIN(1 SIIRCH�f1GE <br />ruei ir, wonKs <br />TOTAL <br />