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APPLICATI� FOR CONSTRUC�N PERMIT <br /> CITY OF EVERETT•BUILDING UIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 90201 •259•8010 <br /> ❑ DEMOLITIOI! ❑ COMQBINATION ❑ BUILDING LI MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS: ��2 J �((�Q�,���_C4� <br /> o�Icn /± uui wmEss nn in•-" riwrrt <br /> I�PO V�f1c nC� i <br /> 1ENIJIi 4AIt 55 f.1�Y !11' I'IqNE <br /> AfIC1111CCIp1ULSIGN[II 4111�f1A11E5$ LIIY )11' I�IIQNE <br /> GENFMICON�I1�CIp1 M4UIXX165 [.�IY bl' P�AWF $INEIICCNSE• <br /> 4ECNeMCAlLON111�G10f1 4M1��E5i f.lh IiP PIIONf [IAIEI�CENSE� <br /> � To•.,:n, a �\�lr�, 2�� C�cr����ihP- `�`U��t--3�3��5� Q�o�C-4k' 1�`tSZPL <br /> CIUSBIMGLON1PI.f.tOf1 M�IIAIXID[55 CIIY ll�' 1`IqNE SIAfElKFNSE� <br /> comn�c�rmccorwonK HEATINGSYSTEM: ❑GAS UELECTRIC ❑__ <br /> oEscnie[wonx�r.o sou�nc roa�cc wvuvco c�x1i�r.�n nsiwi uin r��onr rro <br /> ;. ( / _�.__'— <br /> I HEIIEUY C[RTIFY THAT I HAVE READ AND EXAMINEO THIS <br /> APPLICA710N AND KNOW TNE SAME TO DE TRUE AND CORRECT ALL <br /> >norascous[a ounuvo PqOVI510N5 OF LAWS AND OROINANCES GOVEf1N�NG THIS TVPE OF <br /> WORN WILL OE COMPLIED WITH WMETHEF SPECIFIEO NEREIN OR <br /> i[ee�cescmnrwNorrna�cnrv�vqxHonowpunarnxVconesi NOi. 7HE GRRNTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> iot eiocK a AUTI10111iY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> O711E0:TAfE OR LOCAL LAW REGl1UTIN(3 CONSTRUCTION OR iNE <br /> PEfiFOI1M11NCE OF CONSTRUCTION,iHAT 1 AM AUTHORIZED BY THE <br /> OWNEfI Of THIS PflOPERiY TO PERFORM THE WORN FOH WNICN <br /> nPPLICATION IS MqDE AND I COMPLY WITN THE STATE <br /> PMCELtM1O.MNPE(1 CO ACTORSLAWId.27 WRND296200WAC. <br /> Cd1SitlUGiIONIO�tIlCN11E11,Apq1ES5.1F1[AqNEMNBf�1 x��� S'� ��6�' - l I <br /> $IC1I�IIIIIf � OAI[ <br /> Gl�Y IIIILM[S I iCC�RC HO <br /> PLUMBINC MECII�NIC�I <br /> NO. TYPE OF Fl%TI1RE OP ITEM FEE NO. NPE OF EOUIPMENT FEE _ <br /> � WATERCLOSET�TOILET) A/C—M1NOl4UNIT5 <br /> � BATHTUB FOI10EDr11R5YSTEMS {_ <br /> UVATORV(WASH BASIN) I IEAT PUMP <br /> � SHOWER UNITIIEATERS <br /> KITCHEN SINK 8 DISP CLOTIIES�OYERS <br /> �ISHWASNER f1ANGC HOOD <br /> LAUNDRVTRAV �_ WA7Efi��G7ER <br /> CIOTHES WASHER W�OUSIOV[ <br /> �_ UaINAL Mf IAL FIR[PIACE hN00D 6UNNING) <br /> f'} ORINNING POUNTAIN FIRC.PIACE INSERT(IVOOD BURNING) <br /> FLOOR DRAIN GAS fIRf:PIACF <br /> OALNFLOW PREVENTERS GAS MNGE <br /> SINN(SERVICE—DAq,ETG) Gn5 PIPINO <br /> E%I IAUST FAN <br /> � SUBTOIAI f SUBTOTAL S <br /> PERMIT S o10 � PEPAIIT S <br /> TOTALFEE S / ' TOTALFEE f <br /> FOR OFFICE USE ONLY: <br /> f11d115[RIACG PUIISFIBLCK S�CESf184R PIANOI[fxMMpfp ![f �[f.OPINO <br /> �y�(n� <br /> usexa�¢ �a���e� ��uxrsnt FEES VALU�TION FEE <br /> pr[s ❑r+o ommwn <br /> �sicnruun.no� «oorowcwro s�zeaoioerti ---- — <br /> uuv[ r�uumHn <br /> "_—"_ "'_"'__ —{— <br /> occunevcr rnavrn�s ocCurnHtto•u e�sewea� MFCII/.NK.N <br /> cnwr <br /> Ov[5 ❑n0 --- — -- <br /> RBESPWNRLFNPWD fIFA5p1 MlU�10HqR�NC111fM � <br /> _� <br /> UIIRO <br /> iINEIUNMHE00 �E�SON --"--- — <br /> Sl�If1111i11�II11:ti1111C11�M[ <br /> rrr[o�ro'+5� �inHsenrnpvmor qTYOFEVEflE1T rumvwnn.s <br /> LOCAL SAIES ---- - � -- — — --— <br /> ____ u„� TAX CODE IS J105 Toinl ____ .______ __ __ _ <br />