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APPLICATIO�FOR CONSTRUCTION PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> , 3200 CEDAR STREET•EVERETT,WA 98201 •259�8810 <br /> ❑ DEMOLITON O COMBINATION � 8 LUI DING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS: Ll7r I.F /SEA�K/�C1/ �/�� <br /> EA 44LMLVIFSS <br /> �nQauf �o� i�imN�s����� ���u� � ;����-�n <br /> rzwH� uuieooncss un rin ruone <br /> �[� l�t�ll,n a-k�r.• I�i la�tain� l� �In ri i�� � s, 3 <br /> ���� l E55 Grv lir �— <br /> GENFMI IPKIpq y- 44lApppE55 GIY 8� �OMf i41C11C[u5(� <br /> ` �ID BO �1 Od A�� <br /> uEcw�wCutor�}tn�acrO��\ uutM�nEss� att rm mw�:t Si1�L1�CCNSf• <br /> �J !�1� I1�0�/IA�IUr/1 <br /> PIVUBwOCOX�q.1��pq uuIMW�E55 Grv <br /> l�P PIIOIi( $�AIf IICEHS�• � <br /> .ov �ccy��rv awau <br /> � HEATING SYSTEM: p GAS ❑ELECTRIC ❑ <br /> �ESCa!__EMWwNW Rf(OOi EwVq ED ������ -L4b� <br /> ��a <br /> (S/{'F'(W � I HEREUY CERTIFY TNAT I HAVE READ AND E%AMINGD TIaS <br /> ♦noros[ousE a euipw APP�ICATION AND KNOW THE SAME TO�E TRUE/NU CORPECT Alt <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING Tt115 TYPE OF <br /> �Ea�°Ex°'^�w"aPnoe�A�'� BFIOWORARACNM9COflE51 WORK WILI�E COMPLIED WI7H WMETHER SPECiF1ED HEREiN OR <br /> NOT. THE OflANTINO OF A PERMIT DOES NOL PRESUME TO GIVE <br /> ��� �� � AUTHORITY TO VIOLATE OR CANCEL TME PROVISION OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATINO CONSTRUCTION OR TNE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AVTHORIZED OY TNE <br /> A,.�,.� OWNER OF THIS PROPERTY TO PERFORM TNE WORK FOR WNICN <br /> ����'C-�i��(S �U[/ APPIICATION IS MADE ANO i COMPLV WITH THE STATE <br /> PAqCELUItIO.M1Y6(R CON1TRAC3ORS IB��F�WAND296200WAC. <br /> COMS1nUCTpllpu'IEHOER�WnESS.iElEnqxEMIUBEP X /I/�/''1/�y lo�/�y,(� <br /> l.JLls�d L �/ <br /> - SICMetun¢ �j p��� � <br /> �l�O��d�i <br /> _ C�tY BIILNESS IiCFNS[�q <br /> PLUMBINO MECM�HICAL <br /> NO. TYPE OF fll(TUqE Oq ITEM FEE NO. TYPE OF EOUIPMENT <br /> WATER CLOSET(TOILET) FEE <br /> A/C-NryND�G UNITS <br /> BA7HN0 FORCED AIR SYSTEMS <br /> UVATORV(WASH UASIN� NEAT PUMP ��-- <br /> SHOWER UNIT HEATERS <br /> I(RCNEN SINK 8 DISP CLOTHES DRYERS <br /> DISM WASHER NANGE NOOD �— <br /> IAUN�RY TR�Y WAIER HEATEq <br /> CIOTHES WASNER \VOO�STOVE — <br /> URINAL IAETAL FIpEPIACE M1Y000 BUflNING) <br /> DRINKINQ FOUNTAIN FIREPLACE INSERT hVppD BURNING) <br /> FLOOq ORAIN GAS FIREPLACE <br /> BAC6FLOW PREVENTERS GFS RANGE <br /> SINK(SERVICE-BAR,ETQ) GAS PIPING <br /> E%MAUSTFAN <br /> SUB TOTAI S SU�TOTAL f <br /> _ PENMIT S PLRMIT y <br /> TOTALFEE f TOTALFEE f <br /> FOROFFICEUSEONLY: ,7�'�� y '� etL /d�7.�-2.. <br /> fHpliYiO/L; PEenSE�BKK Si0E5FiB4M/ ry.W����pK�uBP� f[F OfCP�iNO <br /> USEI , ��CA �'� 7.�� <br /> Q"�j tor�nEn v�[w�a�E FEES V1ILUATION FEE <br /> ��� �'-� G'Ul?F M.cs a�.o - <br /> oumwn N Et� (� > � �� <br /> Mc�r uwu�an Ho v ow;w�w vte a eioorti <br /> 1 uMns — <br /> � � �cS �$O riuuowo <br /> OCNnANC� 1OOfS�CWf OCOPAN�IO�O BASEu f <br /> 6PpN 4fC�1/.MiCY <br /> FI .l : � �O 3� O�T' O.[5 0 <br /> ME3WWWEN11F0D PF�SOqN �DpllJN�l1Y�MC��[CM .�. <br /> Y�� ��/Jc n 7n. i� �) �� ---�-- <br /> rweuuwnEov nE.zw oii¢n <br /> v" � suicowio��ns��xH.not <br /> .�- J /Q. e^ _ 'L . :� <br /> �recatavst ouMs opov[oer -- <br /> CITYOFEVERETT rueir.won.s <br /> ✓- �� , �� LOCALSALES � _ _ <br /> onE -�fl _�' tCXCODEIS310> TOTAL �/ �:�'�' ,� I f,• <br /> t.' <br />