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APPLICATIO� FOR CONSTRUCT�N PERMIT� <br /> CITY OF EVERETT•DUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 90201 •259-BB10 <br /> ❑ DEMOUTION ❑ COMBINATION ❑ BUILDING �YMECHANICAL ❑ PLUMIB�NG ❑ SIGN <br /> PROJECTADDRESS: <br /> OWNER 4M11Mp11C55 GIF 111' PIWNC <br /> � �j \T�04'C'�C �¢ <br /> �aeHt uuupUn[55 �� n�v !�r ruoriE <br /> •IICItl�[CIq1MSIGN[11 MYI�IK111[55 ��ry )II' � I�IIONE <br /> G[N[fUICONlt1lCtOt1 4�ILI.IXXIl55 • fJ1V lll` � �IION[ iI�ICIICCNS{� <br /> �ECNpIGICDN���C1011 MMtApqiF55 Qh ]iP MbNE SiUEI�CENSE• <br /> ��// <br /> ROMBINGCON�MCipl MLp�IXNI(55 CI�Y l�l' PIqNC Sd�EiCEMSE• <br /> COMtMLIPNC Oi q — <br /> - ��CSLY 1 . C�1 HEATING SVSTEM: ❑GAS ❑ELECTRIC ❑ <br /> xumacwanvuro uen� romnce�vvoiven a»,uc�rn�srnuHnrvrovup <br /> — _ (� c.� ��� • n n �.I <br /> � —�---..�T__' <br /> I k1ERE0Y C[FTIFY THAT I NAyE REAO ANU E%�MINED THIS <br /> n�q5Fou5E or Bmipun APPLICAiION AND NNOW TNE SAME TO DE TRUE AND CORRECT 11LL <br /> PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE OF <br /> WOf1K WILL �E COMPLIED WITN WHETMER SPECIFIED NEREIN OF <br /> �cceioeummronovrrowxnrv�sroxwnaowrn�n¢mvqcon�sl NOT. T11E GRANTING OP A PERMIT DOES NOT PRESUME TO OIVE <br /> iot aiotn or AUTIIORITY TO VIOIATE OR CANCEL THE PROVISION OF ANY <br /> OTl1ER STATE OR LOCAL LAW REGULATINO CONSTRl1CTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.TNAT I AM AUTNORIZED BV THE <br /> OWNER OF 7H15 PROPEflTY TO PERFORM THE WORN FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> rrx[u�v i o.uwecn CONTRnCTOf15 LA�B 27 RCW ANO 296200 WAC. <br /> cor1smucnon�ou�icxn[n,�oq�css.rticMqr.erNunEn ��, ��� 3 I � /!� <br /> �� <br /> SMNetU1R / o+�E <br /> V <br /> GIY IIULNf$$lIC(MSC NO <br /> PLUMBINC MECIIANICIIL <br /> NO. 7YPE OF fl%TUPE OP ITEM FEE NP. TYPE OF EOUIPMEHT FEE <br /> WAiERCLOSET�TOILET) N/C—M1NDL6UNITS —�— <br /> �ATHTUO FOf10ED AIR SYSTEMS <br /> UVATORY(WASH OASIN) HEAT PUMP �— <br /> SHOWEFl UNIT NEATCRS <br /> NITLIIEN SINK 8 DISP ClOT11E5 ORYERS <br /> DISHWASHEH MNGE fi00D <br /> UUNDRY TPAY WATERlIEATER <br /> CLOTHES WASHER WOOD STOVE <br /> _ URINAL METAI.FIREPLACE(WOOD BI1qNING) <br /> ORINKING FOUNTAIN FIREPIACE INSERT(WOOD BURNING) <br /> FLOOq DRAIN GAS HRf:PIACE <br /> DALKFLOWPREVENTERS ' GASF7AryGE <br /> SIKK�SERVICE—OM,ETC.) �;— GAS PIPING <br /> UHAUST FAN � <br /> SU8 TOTAL f SUB TOTAL S <br /> _ PERMIi f PERMIT = <br /> TOTA�FEE S TOTALFEE f <br /> FOR OFFICE USE ONLY: <br /> fPON�S[III�LI( R(A11$(1BI.CM $ICf$f�B�CM 1'1�11f11[('FMIWIf11 fIF 11(f.fIPIryO <br /> S�L�/_5Z <br /> us[rove w�m[e vecer�isirt FEES VIILU�TION FEE <br /> � OrfS ❑Mo nmUxMr <br /> uflG�Rli4idlqN NOp[�W[llitq SitEOfBIOG/11 - <br /> IlNllt <br /> 1'111WINf1 <br /> OLNVAHCf xOlY5�Ml5 IXCUMM�W�� B�SE4FM1 -i� <br /> MWP 4FbuMf.N <br /> O�[5 ❑rM -- <br /> l�IIESPNUItL[11PE0D �R�SOn EfIMI�OMNP1�NCi�If.M <br /> Ulu[n --- -- <br /> b11CAtAlIM0G0D O(A[lY� __ <br /> GI�I(11111111i111iS1111f.IlI.�I <br /> rvvcorcovs� rinr�«rrnrn�rnor CITYOFEVERETT nmirwrnr.�. <br /> LOCALSALES --------- <br /> n��t _ TAX CODE IS 0105 TOTAL <br />