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APPLICATI� FOR CONSTRUC�N PERMIT <br /> • CITY OF EVERETT•BUIIDING DIVISION � <br /> 3200 CEDAR STREET•EVEREIT,WA 98201 •259•8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING FJ-t�ECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS: ifio ..sea� �ecr�c PK✓✓ <br /> ox+�ce..lq2�/2G.t�r�ui�oonesl.SC�`.� -Z/7GF�j rv'�3G1�I VFct Jr�/O�'roNc <br /> SaAwA� �r�r .a- .Jcdr, n <br /> �cry�qi uulRIM65 [�tr Pr nqriE <br /> 1(y�..ti •c,ss io�o ..�e.e,c �..t i.�..y svctass <br /> •ncrurcaona � uuiwoncss urv iu• r�qr�r <br /> nEMFMICW�NcIOn Yul�oon[ss Olr IP rvwM[ S�MEUC[MSE� <br /> TAcer♦ <br /> ^•+Pia� p <6 p,eev/ tn,� ae ? A 4a"� o�r � vNar vec-e+ro v.re�F�a��cv <br /> MfCN41�GlCON1P�C1011 M.VlApp11E55 LIIY Iif PIbN[ Fi/dE4CEN5F� <br /> FWNBINGCONiN�CIIX1 YI.�UpORE55 CIIY !IP PNONE $IAIEIILENSE� <br /> con�n.¢trn�ceaww�e NEATINGSYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> � <br /> ocuwee wonK u�o sown[roorae wvavco ca��.c�rmsor��no wwNc.w <br /> 'R j�D 6 P K LE25 T 1 � <br /> SPRiJ��pRS 1 HEREDY CERTIFY TNAT I HAVE READ AN� EXAMINED THIS <br /> � "n �t r 4'�' qppUCATION ANO KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> 'OSEOUSE OF BNLpN� pqOVI510N5 OF LRWS AND ORDINANCES GOVERNING THIS T.'PE OF <br /> WORN WIIL OE COMPLIED WITH WMETHER SPECIFIED HEREIN OR <br /> iee�toc5cmm�morrnorcnm�v�ow�enowon•n.c���woco�+csi NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> tor oiocn or �UTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR IOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANGE OF CONSTPUCTION.TMAT I AM AUTHOAIZED BY THE <br /> OWNEII OF THIS PROPEflTY TO PERFORM THE WORN FOR WMICH <br /> APPIICATION IS MADE AND � COMPLY WITH TME STATE <br /> PMGFI iw�i o.M1ueER CONTRACTORS LAW iB37 RCW AND 296200 WAC. <br /> LdI51NULTONLOu1lE�NEP.A0ME55.lElEhqxEMluB(11 X �7� '�.} (\ � 4`IL I47 <br /> SIGN�IUIIE D�IE <br /> GtY BU4uE55l�LCxSC NO <br /> PLUMBING MECH�NICAL <br /> NO. TYPE OF Fl%TURE OH ITEM FEE NO. TYPE OF EOIIIPMENT FEE <br /> WATER CLOSET(TOILEi) NC—NMNOIG UNITS <br /> BATHT U� FORCED AIR SYSTEMS <br /> UVATORV(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISP LLOTHES DRVERS _ <br /> DISH WASHER RANGE HOOD <br /> UUNDRY TRPY WATEH HEALER <br /> CLOTNES WPSHEH WOOD STOVL <br /> URINAL MEiAL FIFEPLACE pVOCD BURNING) <br /> URINKING FOUNTAIN FIREPIACE INSE{7T(WOO�BUflNING) <br /> ( FLOOR DRAIN GAS FIREPLACE <br /> � BACNFLOW PREVENTERS GASRANGE <br /> SINN(SERVICE—BAR,ETC.) GAS PIPING <br /> E%HAUSTFAN <br /> � G � <br /> SUOTOTAL 5 SUBTOTAL S �}D � � <br /> PERMIT S PERMIT S <br /> T0T4LFEE S TOTALfEE S — <br /> FOR OFFICE USE ONLY: <br /> rnpvtsmnaK PGnSEIoeGK sioestm.a rueaicanuMstn rrn �rcnrir�o <br /> �cao�e m��nu v�cerv�viF fEES VALUATION FEE <br /> pYES O NO pUIU�xC• <br /> IIEIGIIiI�MIIAl10N MOC�ON'fIUNG $Ijf�IBIC('a�11 <br /> UN11t C�1)4OING <br /> CCCUI`ANO .W(V5�(Mu6 CCCUP�NIl0�0 fln$[MENf 4[PI�NiC.AI <br /> GPWP <br /> ❑v[5 ❑NO <br /> R1IESPNNNLEFPEO� PfA50N �ODIIqN�l14ANpIfLM ' <br /> �i— <br /> OII�EII <br /> RIIE/JANMPEO'O AEln�p1 <br /> [41E BIIM1D�nR SIOIO�MOE <br /> rvreorr.ovs* oinxs�rrnOvmar CITYOFEVEHETT rumv,wones <br /> LOCALSALES <br /> a�re TA%CODE IS J105 TaTAL <br />