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APPLICATI� FOR CONSTRUC7�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3^e00 CEDAR STREET•EVERETT,WA 98201 •257•BB10 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING G MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS <br /> OWNEn uen�DM�Ess drv zw IhpNE <br /> 1�¢w.FE�v�e � rEe�'�s De.vnns ivey a��� Fvs,9c��1. SP:�i yz� a- ys� <br /> T[N.Wi� uqte0pn[ss clir ZP MqN[ <br /> APtN�i[CIOII�ESGHLII Uut�OME55 CIiY ` IM' M1qNI . <br /> F-ufiffir BcOGs. itir• z4�ze Yl�'A��ti'E .�Pu�r� S�'2z3 vzs�3s3• �ia l c�r��8 aaP�I <br /> ccHcnuco�nn.aa� mneooncss an zir wiart snreiqcese. � <br /> YEO��N�UICONtMLiOF Y�IL�COPE55 CitV ZIP MplrC S1AILlICEM1SE• <br /> PW40�NGCQYIR�CLIX1 4�RIOJPC55 CIIY IiV RKKIC 5I11F1Kf15C• <br /> �a„ra.�.�a�Ea„�o 371v — <br /> i' HEATING SYSTEM: ❑GAS �ELECTRIC ❑ <br /> ocscn�ec�vonK�xosou•acrao..:c�r.av[o r IY ccn*�c�r spH�Horrwryyry� <br /> �Lj 2PafaOq�P lJB�!' !'�7 +V �/Z.$- t'� � /6� <br /> L'V• � [TA IL`[ca �n tN <br /> I NERE�Y CERTIFY THAT I HAVE PEAO AND E%AMINED THIS <br /> APPLICATION AND KNOW THE SAME TO DE TRUE AND CORRECT.ALL <br /> rnorosw usc oc eunDmc 5,r ^ PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> � �L WORK Y�ILL BE COMPLIED WITH WHETHER SPECIFIEO HEREIN OR <br /> �E�:•icescnni uavaovcarvis�,awnacirnvon.rr.cnmocorics <br /> p �r J� ' JT. 7HE GRANTIKG OF A PERMIT DOES NOi PRESUME TO GIVE <br /> ia� �J�F aiocK�a `f ��✓' '� . JTHORITV TO VIOLATE OR CANCEL TNE PROVISION OF ANY <br /> OTNER STATE OR LOC4L LAW REGUTATING CONS(RUCTION OR TNE <br /> PERFORh1ANCE OF CONSTRI'CTION.THAT 1 AM AUTMORIZED BV TNE <br /> OWNER OF THIS PROPERN TO PERFORM THE WORK FOR WHICH <br /> C�'S� �JJ�I—��SI" Q..ZSOO APP�ICATION IS MAOE AND I C061PLY WITM TME STATE <br /> wacui�e io�ueEn CONTPACTORS LA�IB27 RCW AND296200 WAC. <br /> CNI511WCiqNl0�111£M1DFP.I.CLY�CSS.1ClClYqHE1N49CR x ��(J ����(.(�tl.i �p��[/'Q� <br /> SN:N�IV11f O��E <br /> btv BUSiFL55l�L[v5[1]J <br /> PLUMBING MECH�NICAL ,f/ <br /> NO. TYPE OF FI%TIIRE OP ITEM FEE NO. TYPE OF EOIIIPMENT FEE <br /> WATER CLOSET(TOI�ET) A C—A HtvDIG UNITS <br /> BATHTUB FORCED AIR 5Y3TEh15 <br /> LAVATORY pYASH BASIN� HEAT PUMP � <br /> / SM0IVER UNITHEATERS <br /> KITCMEN SINN 6�ISP CLOTHES DRVERS <br /> DISMWASHER RANGE HOOD <br /> LAUNDRYTRAY \VATERNEATER <br /> CLOTHES IVASHER \YOOD STOVE <br /> URINAL h7ETAL FIREPLACE�WOOD DURNING) <br /> DRINKING FOUYTAIN FIREPLACE INSERT�WOOD BURNING� <br /> FLOOR DRAIN GAS FIREPIACE <br /> BACNFLOW PREVENTERS GAS RANGE <br /> SINN�SERNCE—BAR.ETCJ GAS PIPING <br /> EXMAUSTFAN <br /> SUBTOTAL 5 SUBTOTAL S <br /> PERh11T 5 PERMIT 5 <br /> TOTALFEE S TOTA�FEE 5 <br /> FOR OFFICE USE ONLY: <br /> 44011t5E18�CM P[�P51�9�C/. $ICESELB�CK RANCH(CRNV\1pCP {EE AECEIPiNp <br /> 2 ' 2�' s ' co�tY, -oz �73° <br /> usemne im�n��/�/� wc+rvrsrtc � FEES VALU�TION FEE <br /> IZz /�l�/ � .lYES ?!'!q BUIlD:4G S� <br /> ��E�G��i4MRtlpN , qiWO�L4liNG S4ECiplC4T1 <br /> � a R�uBiNG <br /> CCNM!qr IqUS':,P(5 OCNC�WIOAD 84i[u[Nt <br /> GgpVo �'E6UIIiC4 <br /> K•3 n.cs .� <br /> fIRESVP:NFtCNBC00 REASqI �W�1qN4{'LWl'NCCN <br /> ororn <br /> r�nuunuvcoo neesor� <br /> Si�IE BmIDiM SUPCN.1nGE <br /> n.�covcorvsr nu�s�vmovcoer qTYOFEVERE7'f �vei[nanns <br /> LOCALSALES <br /> �—/J �,.� � TA%CODEIS9f05 707�L �_ <br />