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APPLICATI� FOH CONSTRUC7'�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR 3TREET•EVERETT;WA 98201 •257•BB70 <br /> i] DEMOIRION C COMBINATION G BUILDINd ❑ MECHANICAL ❑ PLUMBINO ❑ SIGN <br /> PROJECT ADDAESS „� � <br /> ¢ +un�ooncss crtr :c <br /> tENINi Y�IL• E55 ��N 1� �'��E <br /> ♦RCNi1W�CA0E5GHlfl 4�M1ADMC55 CITi IP PIKKlL <br /> GEN/Gg�r/.CONiR4iMi MMIAppP455 CIIY IO' Rq1C Sl�tElCENSU <br /> ! ////�.Q�1� <br /> M eHiLR<oxtn+CiOn uuL�Wu[ss tirv I�P AqNt SL1EliCcxS[• <br /> RVYBiNGCOH1F�LtOF Y4L�DJPC55 COv IP P1qN( S1�ItlIRNSE• <br /> CONiR�C i P11ICC Or NpiY <br /> IiEATING SYSTEM: ❑GAS ❑ELECTRIC [� <br /> ocscaiec wonx+.r�souu+e roo.�e[mvauco conr•ci rcns�uro rwrrt w <br /> I HEREDY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> APPLICATION AND KNOW iME SAME TO BE TRUE�ND CORRECt.ALL <br /> rnorosm usc a'eutio��x: PROVISIONS OF LAWS AND OROINANCES GOVERNING TNIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETMER SPECIFIED HEREIN OR <br /> ucnasCnivtquorrrovwn�swm+o[mwonec r,Hnvpcorrtsi NOT. THE GRANTING Of A PERMIT DOES NOT PRESUME TO GNE <br /> �or �p�K pr_ AUTHOMTV TO VIOLATE OR CANCEL THE PROVISION OF AN� <br /> OTNER STATE OR LOCAL LAW REGUUTRlG CANSTRUCTION OR THE <br /> PENFORMANLE OI'CONSTRUCiION.THAT I AM.IUTHORIZED BV TNE <br /> — OWNEP OF TMIS PROPERTV TO PEPFORN TIIE WORK FOR NMICM <br /> APPIICRTIDN IS MACE AND I COMI Y WITH THE STATE <br /> nnncu u�i�nuMece CONTriRCTORS LAW IB 27 RCW AND 296200'NRC. <br /> � <br /> CpISiPL'CipNIO�NL[NIXP.ADMESS,IR[PHCNFNUMBCP X /fd�� ���j—���'�'� <br /> SGN�NRE DeiE <br /> CIiY BUSINESS lIC[NSC'q <br /> PLUYBINO MECMINIC�L <br /> NO. TYPE OF FIRTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER GIOSET�iOIIET) NC—NHNOLG UNITS <br /> BATMTUO FORCED AIR SYSTEMS <br /> LAVATORY(Y/A5H DASIN� HEAT PUMP <br /> SMOWER UNIT MEATERS <br /> KITCHEN SINN 8 DISP CLOTMES DRYERS <br /> �ISMWASHER RANGE HOOD <br /> LAUNDRVTRAY WATER HEATER <br /> __�_ <br /> LLOTHCS WFSMER WOOD STOVE <br /> UPINAL � METALFIREPLACE�WOODBGPNIN:.� <br /> DRINKING FOl1NTAIN FIREPLAC'c'NSERT(WJOD BURNING) <br /> FLOOR ORAIN GAS FIREPLACE <br /> OAGNFLOW PPEVENTERS GAS RANGE <br /> _�_ <br /> SINK BEPVIG[—�AP.ETCJ , GAS PIPING <br /> E%HAUSTFAN <br /> SU�TOTAL S SU�TOTAL S <br /> PERMiT S PERMIT S <br /> TGTALFEE S TOTALFEE 5 � <br /> FOR OFFICE USE ONLY: ,�(OCb —OO <br /> rnoeiscm.cn �ua;n�.a siocs[tB+cn ttr.na�¢nxuuocn rre uEtEmtrq <br /> v:r:o�+t imme• wue�srt¢ FEES V�LU�TION FFE <br /> r:res n rw ounnna <br /> nLuMli�/iA'pN NOO�LTSLIUMi 9ZC01&]:ll <br /> l'N�15 1'iUMBIN[' <br /> IX:�'�:��bCV MC�S�JP45 CCV"'LM1iL0�0 9150LNi il[CN4NCµ � <br /> cn000 �� <br /> ❑res nHa — <br /> rw� ;—ra.r�.,iaasw eusa� �:r�u:we+cMcen <br /> OiRER I <br /> iu.[4�HUPEJO REL;An T <br /> S1�lE&IIIC�NG SURCN\PGi I <br /> Iv�'[G�CONSL Pl�NS�PV�OVfOBr � <br /> 4•. qTV OF EVERETT rueic waars <br /> LOML SALES <br /> ___ �„i _ TA%COOE IS J105 70TAL__ �_ <br />