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APPLICATI�1 FOR CONSTRUC�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIV�SION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257-BB70 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDINQ ❑ MECMANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS <br /> * /� ; - Q n�1e s <br /> _�pWNE11 WR/.OM�ESS ��T� Ip p�< <br /> Ar�ev�e ��nc�cl� ��e . ei-� 9€�al �a� as9 �aa7 <br /> r[H�r�r u�a�oouEss crtr :n n�orrt <br /> ��CNII[GiM�E$IGNEF IAAttA0ME5$ CILY ZG 1'llpl[ <br /> DEMEA�ICONIR�C1pH YI.4�OM(SS CIIY ZN' PMCNL Si�IEIICENSE• <br /> nw h E� <br /> HECN�N6HCON1R�l"OF 4�i1�W�1E55 CI}Y I�' A�dIL SGiELICCNSC• <br /> 1'LUVBiNGLONIH�C101 PAIL�pDRC55 CIIY 2W %ICII[ SUI[LKRAE• <br /> �-f��p'`��`E���� HEATINGSYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> �'���.�<� �����w�}re rav[o1 e Q�e r coHucircnsor�.Honwxcra <br /> Y1 <br /> , a�• ec, o � <br /> I HEREBY CERTIFY THAT I MFVF READ AND EXAMINED THIS <br /> APPLICATION AN�KNOW TME SAME TO BE TRUE AND COPRECT qLL <br /> vnovos o s¢ r emmn+c PROVISIONS JF LAWS AND OR�INANCES fiOVERNING TNIS TVPE OF <br /> WORK WILL BE COMPIIED WITH WMETMER SPECIFIED HEREIN OR <br /> iwu �scmorpHpvvacvice�ris�awr�ec�owonen�cnmocoviesi NOL THE GRANTING OF A PERMIT DOES !7JT PRESUME TO GIVE <br /> ior e�ocn or AUTHORIiY TO VIOLATE OP CANCEL TME PROVISION OF pNY <br /> OTHER CiTATE OR LOCAI LAW REGUUTING CONSTRUCTION OR THE <br /> PERFORMANCE OF LONSTRUCTION.THAT I AM AUTHORI2ED BV THE <br /> OWNER OF THIS PPOPERTY TO PERFORM TME WORK FOR WHICN <br /> APPLICATION IS MADE AND � COMPLY WITH THE STATE <br /> � r•�Cu*�i o rmuotn CONTPACTORS LAW 1027 RCW AND 296200 WAC. <br /> C01151PUCiqNl041LE1N[R..�WRESS.iElEfl10MEMIYBCR y�1 L��{�(/��L <br /> STiH�• �OAIC <br /> Clrv BUSMCSS IiCCNSG NO <br /> PLUMBING MECN�NIC�L <br /> NO. TYPE OF FI%TUNE OR ITEM FEE NO. TVPE OF E�UIPIAENT FEE <br /> WATEF CLOSET�TOILET� NC—A'HNDLG UNITS <br /> BATMTUB FORCED AIR SYSTEh1S <br /> LAVATORY(WASH BASIN) i HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCNEN SINK 8 OISP CLOTNES DRYERS <br /> OISHWASHER AANGE MOOD <br /> LAUNDRV TRAY WATER HEATER <br /> CLOTHES WASHER 'NOOD STOVE <br /> URINAL METAL FIREPIACE�WOOD BURNING) i <br /> DRINKING FOUNTAIN FIPEPLACE INSERT(WOOD BURNING) <br /> FIOOR DRAIN GAS FIREPLACE <br /> BACNFLOW PREVENTERS GAS RANGE <br /> SINK(SERVICE—BAR,ETC.1 GAS PIPING <br /> E%HAUSTFAN <br /> i <br /> SU�TOTAL S SUBTOTAL 5 <br /> PLRI.7IT S PERMIT 5 <br /> TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> iPONiS[iBeCR PURS[iOKK SiDE5L1Bl.LR PWiLN C6N049CP ` i[! PECEiPTNO <br /> - �C� <br /> usczoue io�enu v¢+utsre FEES V�LU�TION PEE <br /> []YCS I]NO �ItDIN(i <br /> IIEI.'��IL11411A�IQN IIOCiUWCLLIIIG 512EOFHlDJII � <br /> UNIIS RNIBING <br /> CCfOVpe11CY Iq�l51La(5 OCNP�11t10�0 B�SWENI MEbUNK0. <br /> ❑YCS ❑HO <br /> fIWESPRiN�ICpNWO PE�SON M�iip1UL1'1A11CN[CR <br /> orHrn I <br /> fIF[�WRMRWO PGSVI <br /> Sie1E BWLpuG SUnLeNGE <br /> �wwcr,or�s* ttwrsevrrwvmor CITVOFEVERETT woianon+s <br /> LOCALSALES <br /> o,,r� TAX CODE IS 7105 TOT�L <br />