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APPLICATI� FOR CONSTRUC'i�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257-BB70 <br /> ❑ DEMOLRION ❑ COMBINATION - BUILDIN� ❑ MECRANICAL ❑ PLUMBINQ ❑ SIQN <br /> PROJECTADDRESS / � � O E lr[� <br /> �1 � 4. <br /> °f�ryER n �Y��/4�''°�E55' n//�� 10 CIIY IV R�VE <br /> I�nc���� ht✓Q /�� d�s `_JS ��- <br /> rE�r u � o cs cin zo n <br /> E e : 1/0� oc:�tiA�� £.x•Y�F SH, 2�2 <br /> APCNRECiONO[54N[R HI.II�DME55 ��TY �n %�E <br /> ..°MER�L 1R�GiCA MIM1AWNE55 LIiY IM' M�OME 51�IElqCNSE• <br /> � �CJ � �� <br /> � � cnr ziv r� s tc �c[ <br /> 4ECIIANiC�LCTC�O� NAltAppR65 <br /> Al11Al01hiC'JMfI?CiOR YAM1�OOPES$ CIiY IIp RqNE Sil.i[LiCENSE• <br /> � c`o����ar.c�vncEa HonK HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> OFSC BEWd�rI�NDSW�AEi00i�G[MvO:VE G.Ni�G1VCaSON�INY��OnENO <br /> �e,v�o 2o C. ". v� �...t�� ( <br /> ��Q � �� I( ' L.F. a� �✓ W���w.f <br /> I HEREBY CERTIFY THAT I HAVE READ ANL EXAMINED THIS <br /> (ti, L U.ti APPLICATIUN AND KNOW TME SAME TO BE TRUE AND CORRECL ALL <br /> p seouse o� �ndtl� PpOVI510NS OF UWS AND ORDINANCES GOYERNING TNIS TYPE OF <br /> �,�1. � 1 � n�S WORN WILL BE COMPLIED WITH WMETHER SPECIFIED HEFEIN OR <br /> LEG0.M~SC�nwipr�avaoocemswwneeiowa+e*ucNm�oeo�iEs� NOT. THE GRANTING OF A PEPMR DOES NOi PPESUME TO GIVE <br /> `o* e«rc � AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR LOCP.L LPW REGUUTING CONSTHUCTION OR THE <br /> PERFOR6IANCE OF CONSTRUCTION.TMAT 1 AM AUTHONIZEO BY THE <br /> OWNER OF THIS PPOPERTV TO PEHFOPM THE WORK FOH WMICH <br /> APPLICATION IS MADE AND I COMPLY WITN TME ST�TE <br /> pu¢cuiuiDr�uMaEe CONTRA O iB 7RCWAND246.7.00WAC. <br /> (qxSiPUCiIpNLOI.NLENCER�V.`C�ESS.i[L[vHONFNU��BEP x �� � �� �_/� �� <br /> SqwIDR[ DUE <br /> OtY BUS�NCS.LICCNS[110 <br /> PLUMBIN6 MECMANICAL <br /> NO. TYPE OF FI%TURE ON ITEM FEE NO. TVPE OF EOUIPYENT FEE <br /> WATER CLOSET(TOILEn A�C—A MNDLG UNITS <br /> BATHTUB FORCED PIR SYSTEMS �_ <br /> LAVATORV(P/ASH BASIN) HEAT PUMP � <br /> SMOWER UNIT HEATEPS <br /> KITCHEN SINK k DISP CLOTHES DRYERS <br /> DISHWASHER RANGE HOOD <br /> LAUNDPV TRAY WATER HEATER <br /> CLOTHES 1NASHER WOOD STOVE <br /> URINAL METALFIREPLACE�WOOOBURNINC) I <br /> DRINKINC�FOUNTAIN FIREPLACE INSEflT(WOOD�URNING� j <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACKFLOW PREVENTERS GAS RANGE <br /> SINN�SERVICE—OAR.ETC.I GAS PIPIPIG <br /> E%HPUST FAN <br /> i <br /> SUDTOTAL 5 SUBTOTAL 5 <br /> PERh11T 5 PEFMIT 5 <br /> TOTALFEE 5 TOTAI.FEE 5 <br /> FOR OFFICE USE ONLY: <br /> rnartsne+a nunsc+a.c+ voesne.cK n�+cnanryGua[�/� �EE ncccrvrw. <br /> �J / <br /> usezo�ic im<au veur'tsrt[ FEES VALUIUMN FEE <br /> �res ❑� ounwrvo <br /> ��carrtuwr•ipH w�aow[un1c s�zeosein:'ri <br /> 3�, ,, M�ua�� <br /> CCLIIo�ACY �qIX4W£5 CCCVCAN1l0�0 NSEN[Nt MKN�NC0. <br /> G�W� A \'1 ✓YES ❑NJ � <br /> � MO�110N4PLAHLNECM <br /> !�P[SI'nNnl[nPE00 PUSJN <br /> (5 `tf STG. on�cn <br /> r�neeuaumm� nwsorv / <br /> %� S rf STY• S1�IE&IRM1f SURCNMOE <br /> rrreorcor�sr vurvs onoov CITYOFEVERETT weicx�s <br /> V! ' �I n LOCAL SALES <br /> �L o��E -vo TA%CODE153105 TOTAI <br />