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APPLICATlOR FOR CONSTRUCT�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVEFETT,WA BB201 •258-BB10 <br /> ❑ DEMOLITION O COMBIN�TION ❑ BUILDIN6 ❑ MECHANICAL ❑ VLUMBIN6 ❑ SION <br /> PROJECT/1DDRESS�_ ��i S � Mcr�w Y�c nr f'vt r ff �820� <br /> {z•L. '�i. �n{�x .�I'dl F& �r V�c .`_'nc�YSt��m9?OD( r��wc52- 1/ UY <br /> �'�'����MYI�W�f 55 <br /> X , 4�M1ADME55 Gb !�� nl���. � <br /> 1FNN�� <br /> ARGH�LCI q1 OES�f.N[11 <br /> uulYMnE55 Li1� l��' r,�E <br /> UFH[114COMIMLIIXI M ^�p�M[SpS �/ A � <br /> biv --l�l•-_— P�qNF 541ElICENSE� <br /> / f �SCTT C'T/�"'r �/ '��n f'm�Q61 n� � )iJ �11'.�� <br /> !rc )i� p�pryE SGIEI�C[MSE� <br /> YtCN�N�GICOM�04fW MNIAMM�f55 <br /> RU40�GCp�In�C�IX� <br /> 4epWtN�65 GlY !��' ���E S�AIELILEMR� <br /> cprt inmctaaa�gd HEATINGSYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> `� �'1- Dy-p . <br /> nwur.�ru�san�wn r��ax[Ho <br /> oexnmer.wiu�Hosow�crow�a[wvav¢o �J r T_(-� '�92-/LUy I�� <br /> �C I/!�721L_ 'M'C S l��a.LC n¢n�1� � <br /> ��rt��h�E DAJLY _- I <br /> 1 HEREOY CFRTIFV THAi I HAVE RE0.D AND L%AMINEO 7HI5 � <br /> APPLICA71C9 AND NNOW 7HE SANE TD BE TRUE AND CORHECT All <br /> Piq1Y15EOVSE O�'MNIpM` PROVISI�N5 JF LAWS AND O�DINANCES GOVEANING TMIS TYPE OF <br /> - 3j�i�/����- Ot✓hR=RS �h���St NOT. 1HELGRAIITINOPOF A E MITMDOES NOTEPPESUME TO GNE <br /> iEcu o[uwnna+a rricrcntt ivw�+��ciwl w�n�.cn two ca+cs <br /> AUTVIORITY TO VIOLATE OR CANCEL TME PflOV1510N OF ANY <br /> ��� s��K « OTNER SiATE OR LOCAL UW REGUUT�NO CONSTPUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.TH�T I MI�UTHORIZED BY THE <br /> O'NNER OF 7HI5 PROPERTY TO PERFORM TME WORK FOR WHIC11 <br /> Af PLICATIO'1 IS MADE ANO I COMPLY WITM THE STATE <br /> CONTR� ORS LAW 102T f�CW 2962 WAC. � <br /> PNIDEL UJt�D MNBEN f � <br /> LWSiPI�CnTIl0�11lFXOFf1.MWfSS.fCIFA�OMEMNlE� � µ,.[�''' / D�IE �//O�� � � <br /> $i` lTE I <br /> Grv�u4uE551[Ew5CN0 I <br /> PLUYBINO MECNANIC�L I <br /> NO. iYPE Of FlIfTUNE ON REM FEE NO. ^C—����N�IPMEM <br /> FEE <br /> WQERCLOSET�TOILET) — FORCEDAIRSYSTEMS <br /> BATI/TUB - I <br /> UVATORY(WASH OASIN) NEAT PUMP <br /> SHOWER UNIT HEATERS <br /> CLOTNES DRYERS <br /> NITLNEN SINN 8 OISP {V.NGE HOOD <br /> DIS��MMSHER WATEfIlIEATER <br /> UUNDRV TR�� WOOD STOVE <br /> CLOTHES WASHER <br /> MEfAL FIREPIACE(WOOD BUHNING) <br /> URINAL <br /> DRINNING FOUNTAIN _ FIREPLACE INSi:RT�Y000 BURNINO) <br /> FLOOH ORAIN CAS FIREPLACE <br /> BACKFLOW PREVENTERS GAS RANGE <br /> SINK�SERVICE—BAR.ETC.) GAS PIPING <br /> FXHAUST FAN <br /> SUBTOTAL f <br /> � SUBTOTAL S pERM1T f <br /> PERMIT S _ 7p7/�FEE S <br /> TOTALFEE S <br /> FOR OFFICE USE ONLY: � <br /> fF4 uFf.F�PiM <br /> fPONtS[iRKM P[�115fiMCY. SICES(IE1Ct M1��1�IWf�^ <br /> USEId�E IOII.nF� V�CYI�LIC <br /> FEE v W1LUIITION FEE <br /> OYES ❑� OtntOwf. <br /> HEiGnINnU1qM NOOMv[4Ma 54EC'ltOGrtl ' <br /> V111Ii �r RIIVIII4C ��� <br /> OCCUPuiC� M d SI 5 OLCU�AN�W�0 l�SENfNf yF�uemUl <br /> GnOUP /� OKS ❑M <br /> 4 N �pdIH1H�1�'I�NCIIfCR _ <br /> fIPESVWm(lEflPfO'0 �f�5p� <br /> OIVEII <br /> fIPEINOMP 00 �E�� � <br /> ( {111F 0�111�NrXi Si11Y.1�MCI <br /> n G <br /> �rnear,ovv rinNs�rrnom r qTYOFEVEREIT n�^�r�""� <br /> LOCALSAlES -- <br /> "��/ ����E . TA%CODE IS 0105 tO7A� <br />