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APPLICATI�1 FOR CONSTRUC�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98?01 •257-8810 <br /> ,: DEMOLITION i-1 COMBINATION i i BUILDING f! MECHANICAL I-; PLUMBING ❑ SIGN <br /> PROJECTADORESS <br /> � z r � o�ks v�• �VE�?E'►' u>�. <br /> onru[n u+�i�ooncss �irv nr rrqr¢ <br /> L� � aN �U oq �t r7JGtf�� u.RS' ��S�f- !A e G <br /> +[r�.nr u�iienon[ss ���v :ip mro�� <br /> rJtFMEt �va�N�-r� y�.�,�'64-�s .rss.vosE-.9s�9e 36,res•�es�- <br /> nRC���1CC10�D[5�(:�1ER I.IP�L�IX11�C55 Cllv IIP fryqlR <br /> _���r vrv.vc� <br /> G[NCR L IIPALl011 RM��OUPC55 CI1V 21V Hp11E SI�I[lKCNSC• <br /> Mu•..:diCµCpNIPALiOB YM��ppPE55 CItY IN' q1p11E SIMELCCIISCi <br /> �'WMOOKaCONiP.�C1pf1 M�ItMONESC. Ury Zil. P121I[ SL![IICCNSE• <br /> CCniR�Gl M[E Oi Wp�R <br /> HEATING SYSTEM: fl GAS 1 ELECTRIC ❑ <br /> ccscniec wonK��ro sour.ac roor�ct nrvavm �pr�r,�c�PcnsoH um Mw�rc ra <br /> �G�D.+L LL <br /> I HEREOY CERTIFY THAT I HAVE READ AND E%Ah11NED TMIS <br /> rnc��os[o as[or ew��irir: APPLICATION AND NNOW TME SFIAE TO BE TRUE AND CORRECT ALL <br /> 3^D.I� G-/� �j.G,� PROVISIONS OF LAWS AND OR�INANCES GOV[RNING TMIS TYPE OF <br /> WORK WILL DE COtAPLIED WITH WHETHER SPEQFIED MEREIN OR <br /> �fr,•.�[SCawrrorvacnotterv�5raweauowon�rten�rv.oCorrts� NOT. THE GRANTING OF A PERMIT DOES NOT PqESUME TO GIVE <br /> io* oixn or AUTHORITV TO VIOLATE OR CANLEL TNE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> _ PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORRED OV TNE <br /> OWNER OF THIS PROPERTV TO PERFOflM TME WORK FOR WHICN <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> mncu*ez iD r+ouetn I� � O�. � CONTRACTORS LAW 10.27 RCW AND 296200 WAC. <br /> �{' 0 366- bo9 <br /> ccris�nucriouia��uE�w[n�ooncssrri[���a�Eriwecn X �'-�j -O� <br /> sar�uunc o��s <br /> arc ousw�ss ucc�+sc�q <br /> PLUM9ING MEGNANICAL <br /> NO. TYPE OF FI%TURE Ofl ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET� A C—0.'MNDLG UNITS <br /> BATHTUB FORCED AIR SVSTEMS <br /> LAVATORV�WASH DASIN� HEAT PU1.1P <br /> SNOWER UNIi NEATERS <br /> NITCHEN SINK 8 DISP CLOTHES DRYEFS <br /> DISHWASHER RANGE HO00 ' <br /> LAUNDRY TflAY 1VAT[R NEATER <br /> CLOTHES WASHER WOODSTOVE <br /> URINAL ptETAL FIREPLACE(WOOD BURNING) <br /> DRINKING FOUhTAIN FIREPLACE INSGRT(WOOD BUPNING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> OPCKFLOW PREVENTERS GAS RANGE <br /> SINK(SERVICE—OAR,ETC.) GAS PIPING <br /> EkHAUSTFAN <br /> SU�TOTAL 5 SUD TOTAL 5 <br /> PERldli S PERMIT 5 <br /> TOTALFEE 5 TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> rnorv*scio�cK nc�nsno+c�� vnescta�cK� ru �ccKruuocy,_�/ rE[��� CD ncccir*ra <br /> ()LJ 4 <br /> o;clC• . �oru+ • v�cervi5u[ iEES VAWRTION FEE <br /> � — loG7�X.7 rv�s nr+o ammna <br /> rrticurtmrterroN^ q15coNElt�xG SQEOiBLDGn � <br /> / <br /> OO 5 �[ PtU4B�N0 <br /> (%CVG�IILY �qCl5i0F£5 OCNi1Nil0�0 p�5C41kNI I <br /> GN IIV � � �NCCN�NiL'K <br /> �`� f1YE5 f/HO <br /> {m[5�'NiHxIEHPEOD PE�SON �WIIpN4PlANCNECx <br /> OIIIER <br /> I IV1(/.I�NM PE00 IIEAS�'fl <br /> sr.rc eunowc suacHu+cE I <br /> nv[acor�sr vw,>�vraovcoev CITVOFEVERETi NBtCK9Px5 <br /> LOCALSALES I <br /> ' � wrc Z'� TAX CODE IS 3105 TOTAL I <br />