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APPLICATI� FOR CQNSTRUC�N PERMIT <br /> CITY OF EYERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •251-BB10 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL � PLUMBING ❑ SIGN <br /> PROJECTADDRESS - <br /> �� l ��, i �•7 '-�f�f �i <br /> OWNER L4�W�E55 � � CIIY ZP P11d{ <br /> )% . , _ k �, � ���I�� f�Yll'f�•� Pi;t�lr; �8,1�i U�3, �i'S�'-��.`�� <br /> Ewwr uI'rt�ndi[ss cm zn nqrrt <br /> ARCHItECiORMSGH[P Mut�ClA1E55 CItY 1�1' P11011E <br /> GENER4CONIR�LLOB Y�R�OCP[55 CIIY IU' Rq1B Si�IEIK[NSF• <br /> M[CNINIC4CONIP�Ciq1 Y�R4`W�65 L�iV ZIV %q11F SG1ElCCNSC• <br /> `����ABIIqCONtR�LtM M�RAOCR[55 CItY ZV N1CNL Si/.1ElICENSI� <br /> �� — . (1 :)�:'. (1 - - � il ri.- � <br /> �C�.n� �a. ��Hn� � L ���. : uY'l` r/(a �..1�� - f.=� 7%)�� 1� ;/^�l �1:�,:LC�,� <br /> corv*q�cZca�cc or wo}�ry <br /> �� -�- __- HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> CE CRiBEWIX1NAN05011�11EfNibEI1NClVED _ [ONI.�CiPCR{ONAMphqNClq � <br /> l <br /> V'" � � t , Ar> 7HC"' . u .��� �-1�-'1" .-)r�- —.7 (:-i <br /> �_� <br /> I HEh�BV CERTIFY THAT I HAVE READ ANO E%AMINED TMIS <br /> vnq+osm wE a awm�rvc: APPLICAi!�N AND'.,�,•'• ;"�SAME TO BE TRUE AND CORRECT.ALL <br /> � �, \n\ ' ` PROVISIONS uF " 'iANCES GOVERNING THIS TVPE OF <br /> YlORK WILL BE � '�+� Y " AMETHEfl SPECIFIED HEREIN OR <br /> iecuxscAr� CGPPOI'ERiY151pWNU�LOWCNN1EC11TVOCOPIES) NOT. THE GRAR�IA .��F��'�'.�PT DOES NOT PqESUME TO GIVE <br /> to* o�ocK or AUTHORITY TO . �_�.Sc �� � CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.TMPT 1 AM AUTHORIZED DY THE <br /> OWNER OF THIS PROPERTY TO PERFORM TNE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COM1IPLY WITH THE STATE <br /> rnncn r�r m�uam -CONTRAGTORS LAW 1827 RGW AND 296200 WAC. <br /> ccr�sra�crmrviou�i[erocn.�ooncss.tc�cwanErvuuecn Y /'�(.� ��yy t J1_ �I%�, <br /> �qnuunc . ' o.ic <br /> .��..1 �0 i U��, <br /> LIIY BUSiNC^5 UCCNSC 1q <br /> PLUMBING MECNIINICAL <br /> NO. TVPE OF FIXTUNE OP ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER LLOSET(TOILET� NC—A'HNOLG UNITS <br /> BATHTUB FORCED AIR SVSTEMS <br /> LAVATORY(WASH BASIN� HEAT PUA7P ~�— <br /> SHOwER UNIT NEATERS <br /> NITGMEN SINK 8�ISP CLOTNES DRYERS i <br /> OISHWASHER RANGE HOOD <br /> LAUNDRYTRAY ! WATERMEATER <br /> CLOTHES WASMER { WOODSTOVE <br /> URINAL � METAL FIREPUCE�WOOD BURNINf.) <br /> DRINKING FOUNTAIN FIREPLACE INSERT(WOOD BURNING� <br /> FLOOR DR�IN GAS FIREPLACE <br /> BACKFLOW PREVENTERS GAS RANGE <br /> SINK(SERVICE—BAR,ETC.� GAS PIPING � <br /> E%HAUSTFAN <br /> i <br /> SUB TOTAL 5 � $UB TOTAL 5 <br /> PERhVT 5 PERMR 5 <br /> TOTALFEE 5 TOTALFEE S <br /> FOR OFFICE USE ONLV: <br /> iPO�R5EiB4K PUqSEiB�C6 S�DESEIB�CK PlN6n[CKxVuo[n fEE A[CEivT'q. <br /> G <br /> usctoxe �o*�nce vu+ntsrt[ � FEES VALU�TION FEE <br /> ❑Yf5 ❑NO W0.DVq <br /> N[pNili4li�IqN 1N1Ci0W[llM] SItECfOICG'il <br /> U4115 <br /> . RUA�OiNG I <br /> <KCUneHCv �00�5*WES OCLUau1IW�0 9�SE4EN1 I <br /> GnOo> uEC1UN�CK <br /> ❑YES ❑NO —j� <br /> iin[S�PiNnIEPPWD aEeSON MD�1qt�4PLANCNECR I <br /> OMEP <br /> I��:I�UFtIPEO� PE�SQY <br /> SLI[BUIIDIlK SORpIMGE <br /> nreorcor�sr riu+sernr+ovmnv CITYOFEVERE7T we�Kwonxs <br /> LOCALSALES <br /> wrE TAX CODE IS 3105 TOTAI <br />