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APPLICATI� FOR CONSTIRUCT�N P�RMIT�}�. <br /> CITY OF EVERETT•BUILDING DIVISION uv <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259�BB70 `����r <br /> O DEMOLITION f] COMBINaATION �7 ❑ BUILDIN MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS• ��J� ��/PAAUI �/�� /j,� <br /> owm�'7�S'Q� \`'o r'(-mi,� (li �r ��Y) e�/�LL 9O�Z� <br /> n � iecvn�s cm rnor�[ <br /> f�ar�l- Gl,a+ti /Tl� <br /> IFN�Nt u�n. .ss c�rv rm r�roa¢ <br /> A{1�NIl[Ci011�f$IGN[fl 4/.11��011E$$ CI�Y 111� 1'NONf <br /> �ax)S� -�xRo <br /> G[H[II/.,GON�111CIp1 441��p11[55 C1�� l�l' h10ME tf��GIICFNSE• <br /> .5.» �,. F• �„�s ilDi ._ <br /> �c s;�sf � S�1j'' A�� t= / � u.4 S.fvJ�/ sivrr�-HFsi3�ar <br /> ECNeN�C0.CONin�Llq1 M�M1.wncm Clb D� M�pNf S4fFlICENSF� <br /> PWMBMGCON�P�CIOtI uu1�00�E$$ CIIY )IP pIqNE SIqELILfNSE• <br /> CW�nqi f11ryf O[W0116 <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> oc�nio[won+�uo sau�nr r�r.cE wvavco con�•cr nrnso��r�o vHone xp <br /> 1- a.s�t //. �:o.. �-F l9/1 -F;� �p�in� Lo '� La lc ��5,,�9�6 -iR80 <br /> .�j.e�s . '1' fl�rt '�9 <br /> I HEREDY CERTIFY THAT I HAVE REAO AND E%AMINED THIS <br /> nnorosm usc ov nwio-Ha APPLICATION AN�KNOW THE SAME TO OE TRUE AND CORPECT ALL <br /> PROVIS�ONS OF lAWS AND ORUINANCES GOVERNING TMIS TYPE OF <br /> WORK WILL �E COMPUED WITN WHETHER SPECIFIED HEHEIN OR <br /> �ccuncu�innworrnorcnniv�owr�p[wwon•n�cniwatoncs� NOT. THE GfiRNTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> io� oiocR or AUTHOfiITY TO VIOIATE OR CANCEL THE PROVISION OF ANY <br /> 0T11ER SiATE OR lOCr1L LAW qEGUTATING CONSTPUCTION OR THE <br /> PERFORIAANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPIICATION IS MADE AN� I COMP�Y WIiH TME STATE <br /> ru�cEl irs io r.v4oEn CONTqACTOPS lAW 1827 RCW AND 296200 WAC. <br /> cwsmucnorliou�icvoEn.uwntss.�ticnron[xuuntn x .v�oo . �j� '�-�� c17 <br /> s�cy�unc p��� <br /> [� <br /> C�1�BU9NESSL4ENSCNO � � <br /> PLUMBING MECMANICAL <br /> NO. TYPE OF FI%TURE Op ITEM FEE N0. iYPE OF E�UIPMENT FEE <br /> WFTER CLOSET(TOILET) A/C—P/NNDLO UNITS <br /> _ �ATHTUO FORCEDAIRSVSTEMS <br /> LAVATORV�VASM DASIN) HEAT PUMP <br /> SH0IYER UNIT IIEATEPS <br /> KITCNEN SINK 6 DISP CLOTHES ORYERS <br /> DISHWASNER RANGE HOOD <br /> LAUNDRV TRAY l'JATER HEATER <br /> CLOiHES WRSNER _ tvO005TOVE <br /> URINAL h1EfAL FIREPIACE hl'OOD�URNING) <br /> DFINKING POUNTAM pIqEPLACE INSERT hVOOD OMNING) <br /> FLOOR ORAM GAS FIREPLACE <br /> OACNFLOW PREVENiERS GASRANGE <br /> SINK(SERVICE—DAR.ETC.� GAS PIPING <br /> ESHAl15T FAN <br /> SUOTOTAL S SUO TOTAL f <br /> PERMIT S PERMIi S <br /> TOTAIFEE S TOTALFEE S <br /> FOfl OFFICE USE ONLY: <br /> rnwtsern�tK nunsrto.ce sioesEta�a ruun�mRm�unrn rcf ncr.cm�Ho <br /> � <br /> u5[luvE imenu v�oeq�p¢ FEES VALURTION FEE <br /> ❑YES ❑NO OIXIOM6 <br /> 11(ILIIilIM1IAlIOM IIOCIOW[ll�Md $II[OIOIDGRI <br /> um�s <br /> nwumvc <br /> CCCUC�NCY NJMSIIw�.I$ CCCU1'ANIlO�� B�SfMFN� i <br /> G�WP I 4Fb�nWUl - ; <br /> ❑�CS ❑NO <br /> ❑OESaRINNtF11PCOD �f�iW Mp110N4M1�NC�?G� `l�JiC <br /> �) LJ <br /> OIH[II C,n //� ' _ <br /> n:+�eununmo nuarn <br /> s�.�cou�mn,r.suna�.nc.c _ <br /> nrrorr.ousr ttnqs ��`�ov[oor — <br /> � CITYOFEVERETT rnniicwon.s <br /> LOCALSALES — � <br /> o.,� z,-�6 ,°+1 rax cooe is a�os Tora� �� <br />