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APPLICATI�1 FOR CONSTRUC�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257-8810 <br /> I,; DEMOUTION ❑ COMBINATION (] BUILDING ❑ MECMANICAL ,. PIUMBING ❑ SIGN <br /> PROJECTADDRESS <br /> 3i1S bnKs �lve � E✓ERETT` w� q$zo3 040�� O <br /> OVINEP M�IL�Dx[5$ CITY 2M IM1q4i <br /> }IO�� N�. �loPE SA3u �veRGQc¢N Wqy E�E0.err 4ETo3 'fz S- 3v7- 6SS6 _ <br /> i[N�Hi �AMlA0p�E5$ CILY 1� �✓�K <br /> nncnnm*onecsourn ueKeoor[ss crtr rm rrwut <br /> G G �, O 1�91 SEt u0 NvE SwT ILSo SEAtr�E WA 98�01 o�17G— yL7'S82$ <br /> r.Exra��cam+•ua+ uui�ooAess em rm ��r�orrc sre+c�ccuse. <br /> SYNFR6Y CON�jp�lclmAl ICaRlA �5'Ji4 AvE �_WOuOW��LLE 94�12 �/7S1QY'4'Soo SYPER�I /o174 <br /> P6wroc4cov;u.Llen n�u�/.uL%�t5 Urv iin mrou[ I snl[�KtNs[. <br /> ��S=i lGS <br /> �? viuuo�rc vnuaon ue�u , [;,s/� � o/r7 em �/ /� / vc /� su�uKcr�se• <br /> M1I�� 1� t�r✓��dL�/�ML b ' �ISc�/"�K Fl �i�lv a /' � <br /> 'iP"�` � �°°�" NEATING SYSTEM: f�]GAS !l ELECTRIC f7 _ <br /> ocscnmc ww+K.r�o s:n.aE roc*.c[im�a�to cor���c*rwsoH�rvo n�w¢rro <br /> I MEH[OV GERTIFY THAT 1 HAVE READ AND E%AlAINED THIS <br /> APPUCATIUN ANO KNOW TNE SAME TO DE TPUE AND CORRECT.ALL <br /> rnonasec use ur ew�orm pqOVIS10N5 OF LAW S AND ORDINANCES GOVERNING THIS iVPF OF <br /> WORK WILL�E COMPLIED WI7N WHETMER SPEGFIED MEREIN OR <br /> .ace�oeswm�wno�vaorcn*.�sNov:nnnewoeuucniwocevicsr NOT. TME GRANTING OF A PEHMIT DOES NOT PRESUME TO GIVE <br /> ,pi�R o� AUTMORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTMER STATE OR LOCAL LAW FlEGULATING CONSTRUCTION OR TME <br /> PEPiORMANGE OF CONSTRUC�ION.TMAT I AM AUTMORREO BY TME <br /> OWNER Of THIS PROPERN T�PEHFORM THE WORN FOR WMICH <br /> APPLICATION IS M,1DE AIJD I COMPLV WITM THE STATE <br /> v�ncc�*+rm xouecn /J <br /> CONTRACTORS LAW 10 27 RCW AND 29fi200 V�AC. <br /> cevstAut*ia+to�H�cHocn wont55 rutoral•[�iuMeEA X � �/�� 3/3'"'�v <br /> snH+iunc o�ic <br /> Cllv BUSM[55 L1LCN5[Iq <br /> PLUMBING MELHANIC�L _ <br /> NO. TYPE OF iiXTUPE OR ITEM FEE N0. TYPE OF EOIIIPMENT FEE <br /> WATER LLOSET(TOILET� A'C—A HNDLG UNITS <br /> BATMTU� ' FORCED AIR SYSTEMS <br /> LAVRTORY(WASH DASIN� HEAT PUMP <br /> SH0IYEH UNIT HEATEPS <br /> KIIDNEN SINK R OISP _ CIOTHES OFYEflS <br /> DISHWASHER RFNGE IIOOD <br /> ' LAUNOPYTRAY WATER MEATEF <br /> CLOTMES\YASNER WOODSTOVE <br /> URINAI. METAL FIREPLALE(WOOD BURNING� <br /> DRINKING FOUNTAIN FlREPLACE INSEfiT(WOOD�URNINGI <br /> FLOOR ORARJ GAS FIpEPLAGE <br /> BACNFLOW PREVENTERS GFSFANGE <br /> SINK�SEPVIGE—BAR.ETCJ GAS PIPING <br /> E%HPUSTFAN <br /> SUBTOTAL 5 SIIBTOTAL 5 <br /> PERMIT S PERMIT S <br /> TOTAIFEE 5 ?OTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> fa�^,NtiEi04N PE�PSCiB�CR SiDE5E1B�CK MNCNELnNVMBEP RE R6EiGiM <br /> us�tiia im�ac. vnc.xi 5ne FEES VALUATION FEE <br /> CVES ��i0 BUM1DixG <br /> rR^:•�IV4iL.11pN NOC�I1VIRlirvp SREC�BtCGT <br /> VNRS p�UMB�NG <br /> �qi�r�YCv �qp510irt5 OCCVC�HLIO�D B�SFMEN! qELM/,N'44 <br /> t:liOJo <br /> C VC5 �NO <br /> 111.{�Sn�ir�r,�[ppf0� PFI.SON Wp1110MµPUNCNCCx <br /> or�ce I <br /> rini«.Auncoo uc�son — i <br /> Si�iE BWIDiNG bu11Ln/.RGE <br /> I <br /> ..rcaco��st runs�waovmer CITVOFEVERETT rue�cwonns i <br /> LOCALSALES <br /> n•rE TA%CODE IS 7105 TaT�� <br />