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APPLICATIG.� FOR CONSTRUCT JN PERMIT <br /> CITY OF EVERETT•BU�LDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259-8810 ��rr <br /> ❑ DEMOUTION ❑ COMBINATION ❑ BUILON�!(i � MECHANICAL ❑ PLUMBING ❑ SKiN <br /> PROJECTADDRESS: 1111 PAc�F�t #VE EvE�{} .n14 9g201 �5� �S(S^9 �$G <br /> �R.GoR�oo 9pw S <br /> �p MNLIIWIIE55 an ��P p� <br /> 1EN�MT MNL�D011E55 GTY r�p pq� <br /> ARCM�EGTOROESIC.NER 4W111UdiE55 GITV 21P PHp1iE <br /> 6EM{EMlCp11MGTOR N/�1L�WRE55 CITY zl� PoqqE SfATE11LEN5E� <br /> Qy_S I�EA}�NqGoL,c. .SD6E. Mpii� Sf ►rnnRDE 982�1 79Y-�3AL �SHEAcily'7Sp <br />' MECM�M�CALC�NTRACION MIIL�Ud1E55 GTY zlP P110NE SUTEUCENSE• <br /> RUYlR1f'CONTRi1LTOR 4iYLA0d1E55 dTY ZIP PIqNE ST�TE LICENSE� <br /> CdiTIMGt PNLE O�rYdll( <br /> / (e$G•°a HEATING SVSTEM: GAS ❑ ELECTRIC ❑ <br /> OE9CIME WOMc IVO SOIMRE FOO7ME MVOWED �/ CONT�1Ci PENSON uO PMp1E ND <br /> RE�7lWL'�REE EEC.FM4N4tE E lq(L w/f11 EW (}�5 u Al <br /> r,.�3lh nia coud.�roNRs <br /> CDWI �'+� e�aL � HEflEBY CERTIFY TFiAT I HAVE READ ANO EXAMINED THIS <br />� �p���� APPLICATION AND KNOW TME SAME TO BE 7AUE ANO CORRECT ALL <br /> PROVISIONS OF UWS AND ORDINANCES 60VERNING TFNS TYPE OF <br /> WORK WILL BE COMPLIED WITN WHETMER SPEqflEO HEREIN OR <br /> �aesawraNacwqrerrtv�s�awHeeiowoa�n�cwnv000v�st NOT. THE 6RANTIN6 OF A PERMIT DOES NOT PRESUME TO OIVE <br /> irn xaac oF AUTHORITY TO VIOUTE OR CANCEL TME PROVISION OF ANY <br /> OTHEA STATE OR LOCAL UW RE6ULATINQ Cq�STRUCTpN pq TME <br /> PEAFORMANCE OF CONSTRUCTION.TMAT I AM AUTMOf11ZED BY THE <br /> OMMER OF THIS PROPERTY TO PERFORM THE WpRI( Fpq yNNCH <br /> APPIICATION IS MADE AND 1 COMPLV WITH THE STATE <br /> PAqCEI TAl(I.D.MIIAER CONTRACTOHS LAW 1827 RCW AND 286200 WAC. <br /> CONSTRUC110111WMlENOE#.Md1E53.lELEA10NEMMEER ���w.��'�� 2-24 � 9�u <br />� . , S101UN17E WtE <br /> . . C�TYlUSINESS LCENSE N0. <br /> ��� ��A�� <br /> ND. TY�E OF RIffIME OR ITEM FEE NO. TYPE OF[OIM�MNf FEE <br /> WATEN CLOSET(TOILET) � A/C—AMNDLO UNfTS � <br /> �T�� ' FORCED AIR SYSTEMS � <br /> UVATORY(WASH BASIN) � HEAT M1NW , <br /> ��ER ' UNIT MEATERS � <br /> KITlk/EN SINK i dSP ; CLOTHES ORVEHS ; <br /> q6HWA&/ER � RAN(iE F100D � <br /> UIUNDRY TRAY ; WATER MEATER ' <br /> CLOT11E3 WASHER � WOOD STOVE � <br /> URMIAL ' MEfAL FIREPUCE(WOOD BURNINO) �_ <br /> ORMKNKi FOUMTAIN i flREPLACE INSEfiT(1NOOD BURNIN(i) <br /> fLOOR DRMN � (iAS FIREPLACE � <br /> BACKFLOW PREVENTERS ; GASRANGE ' <br /> SMlK(SERVICE—BAR,ETC.) � (3115 PIPING � <br /> ' IXHAUST FAN � <br /> � <br /> � , <br /> SUB TOTAL f ' SUB TOTAL f O ' <br /> PERMIT S � PERMIT { � <br /> TOTAL FEE f ' TOTAL FEE t �.7/ ' <br /> Fon o�use on�r: <br /> FlIOMf 9Eie11G( REMi 5ETl�CK SIOE SETS�CIt PLIW CIIECN NIMF.R fEF HFCEIPT Np <br /> � <br /> usemr� L0T11REA v�cu/rare � FEES VAWATION FEE <br /> ��S �NO euiaNr, 7 <br /> neKwr urwr�non .a a owe�ura stE or e�oarti <br /> � <br /> VNITS PlUM61NG <br /> �Y Iq R SIORIfS OCCW�Nf IO�D l�SEMENT ��- <br /> MECN�NIC�I i <br /> ❑YES ❑NO � <br /> i <br /> PIRESPfIRMIFRREO'D RF�SON �DD�IIONM.PUNGNf.CN � <br /> OT11ER <br /> FlR.-/UMMPEO'D RE�cpN � <br /> i <br /> 511qE BUIIDMC SUnCN�fME � <br /> ___ �_ <br /> trvEovr,oasT PUNSAM'ROVEDBY CITYOFEVERETT �IIBIIf,WOPNS <br />, LOCAL SALES — —�— <br /> o�TE TAX CODE IS�105 TOTAI { <br />