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APPLICATI� FOR CONSTRUC�N PERMIT� <br /> CI i Y OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257-8870 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PWMBING I7 SIGN <br /> PROJECTADDRESS <br /> > >00 rnf,�Q��c CR� K P�2Kw�c-`/ su � ioi �v��� TT- <br /> pWHER M�RApppESS GiY 2P RICNE <br /> IfNUli MAIL��ORC55 CIiY SN P11CN[ <br /> �P uiCCiOR0E54NER IURI.DW�[55 CILY SY' %qNE <br /> on/cscO Zo�-76z-5969 <br /> [I�iHALCONIR�CIOP IIAIL�D011E55 CIIY I�� %ION[ Si�iElKENSE• <br /> •1[C11AWC0.CONIPACiM N4L�WPE55 LIIY ZIP %phC SUiELICLIRE• <br /> 1'Wl19PYCONtPALLOR Y�M1�DCRE55 CItY LP MWIE Si�IEIICCNSE♦ <br /> co�an.c*vn,c�,or ' _ HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> / <br /> ocscn� Kumsouurt oor�rEnrvc���co covr��Owr,u'o�6�� � <br /> ��GCt� � a Sc E <br /> '�/ I HEREOY CERTIFY THAT I HAVE fiEAD AND E%Ah7iNED THIS <br /> APFUCATION AND KNOW THE SAME TO�E TflUE AND CORRECL ALL <br /> rno�os[�usc a om�onu PROVISIONS Of LqWS AND ORDINANCES GOVERNING THIS NPE OF <br /> Y�ORN WILL BE COh7PUE0 WITH WMEiHER SPECIFIED HEREIN OR <br /> iec.�o:ueirneNorPAa�canisHowHonowonen�ceiwoeowcsl NOT. TME GPANTING OF A PERMIT OOES NOT PRESUAIE TO GNE <br /> �o� B�ocK _or AUTHOFITV 10 VIOLATE OR CANCEL THE PROVISION OF ANl' <br /> OTHER STATE OR LOCAL LhY!REGUTATING CONSTRUCTION OR TNE <br /> PERFORMANCE OF CONSTRUCTION,iHAT I AM AUTHOPREO BV THE <br /> OWNER JF THIS PROPERTV TO PGRFORIA THE WOPK�OR WHICH <br /> APPLICATION IS MADE AND I C047PLY WITM TME STATE <br /> na�r,ruum.rvuuofln LONT C RS 18. D296. WAC. <br /> CO'�SiRVCiqNIOANLENOCR�CWE55.iElERYJNEN114BCP � ��z �G <br /> .N�i �E ��iE <br /> CIIY�USNCSSLKCNSEIq <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE Ofl ITEM FEE NO. TVPE OF EQUIPMENT FEE <br /> WAiER CLOSET�TOILET) AC—A HNDLG UNITS <br /> BATNTUB FORC'_D AIR SYSTEMS <br /> LAVATOFY(lYA$N BASIN) MEAT PUh�P <br /> SHOWER UNIT HEATEPS <br /> KITCHEN SINK 8�ISP CLOTNES ORYERS <br /> 01SHWASHER RANGE HOOD <br /> LAUNDRY TRAV �'�A1ER HEAiER <br /> CLOTMES\4ASHER N'OOD STOVE <br /> URINAL METAL FIREPLACE(WOOD OURNING) <br /> URINKING FOUNTAIN fIREPLACE INSERT(WOOD BURNING) <br /> FIOOR ORAIN GPS FIREPLACE <br /> BACKFLOIY PREVENT[RS GAS RANGE <br /> SINK(SERVICE—DAR.ETC.) GAS PIPING <br /> E%HAl15T FAN <br /> ---i-- <br /> SUDTOTAL 5 SUBTOTAL 5 <br /> PERhtIT 5 PERMIT 5 <br /> TOTALFEE 5 : TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> lPONISEIDCCN PEI.PS[19ACN 9pE5E1BALM CN CNNUMB R iE[ �•� PCLE�pLNO <br /> �-a�3 �� <br /> usc;ci�c �oinn[� vr.twisitc FEES VALUATION FEE <br /> [tYCS I]NO BUM1D�NO <br /> NOGHi41.UlAlION Ii00i0WClUYf1 S�ZCOipIDGTI <br /> uwrs cwuena <br /> occuv.r�cr ruorsrw[s aaru�iiow wscucr�r uccN�r+c�u <br /> �nour <br /> ❑YES ❑NO <br /> RRESPPi1MlCPPEOD REASON GWIfq1NLPlA4Q�CCM <br /> � O1NER � <br /> fiNE�UFNPWD AEASON <br /> STAfE BNIOiNG SURCI�MG[ <br /> .mcorcorvs* Pw+sr. nov CITYOFEVERETT �+a����s I <br /> LOCALSALES <br /> �.� � ��•�� TAXCODEIS7105 TO7AL <br />