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APPLICATI� FOR CONSTRUC7�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CE�AR STREET•EVERETT,WA 98207•257-8810 <br /> ❑ DEMOLITION �COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUM8ING C� SIGN <br /> PROJECTADDRESS <br /> Or1NNCP M4LM..^PE55 C Y Zi NIOIIE <br /> (iAill0.'�'� VYWdrll n 'C�9G� • <br /> /]��N� ��M�Il/j1�PEv5 ��CIII�//� '/ITf IMKK1L <br /> //aY� � �j�/ ' 7 I��� <br /> �PCIIItRiCPpESGNIP 4�M1�WPE55 Clf� IN' /1� P�K <br /> �� SILC. ���1/ TL�(_ . /�3/a �reyr,e�a��S /sV /11T/11fJ/�i0//Ll�+ <br /> �CCNf�AlCOt1IRAL10P M�It�CCn[S$ CI1Y II1' AIW1C $I�IfI�CCN$EI <br /> Y��,a ,Q�- I 98aa�� <br /> uecN.�m�crca uu�e�oa¢ss crtr rr• M�aa snn�curs[. <br /> n�tA — _ <br /> auuen+oc �*n.c�on u�iir,oanas ci�r z�n nro��c si�icikerrsc. <br /> CONIPAClCPCFOFI4pRR <br /> HEATING SYSTEM: ❑GAS 1 ELECTRIC i; <br /> seuie�c\n�r�o sownt�i�cc�Mavto ��^„�_ !,lj coni�c�rcasa�.xu na.rc rq / <br /> � �- �./Y/l��l��_ . �/�C��'� /���C����� <br /> 1� �v�� S � <br /> e � I HERC�V CERTIFV TNAT 1 NAVE READ AND E%AMINED THIS <br /> J APPIICATION AND KNOW 7HE SAME TO�E iRUE AND CORRECT ALL <br /> =aoroseo use o�euimir�c PROVISIONS OF LAN'S AND ORDINANCES GOVERNING THIS TVPE OF <br /> WOFK WILL OE COMPLIED WIiM WHETHER SPEpFIED HEPGIN OR <br /> ¢r.uo[scamiwvaneov[ervisrrom�ouowon�n.cNrnocor��si NOL THE GRANTING OP A PERMIT DOES NOT PRES��M[ TO GIVE <br /> �p ���i` S gip�K�or AUTHOfiITV 10 VIOLATE OR CANCEL THE PR(`V�SIOA OF ANY <br /> OTNER STATE OP IOCAL L4W REGULATING CONSTRUCTION OR TME <br /> (l' � �— PERFORMANCG OF CONSTRUCTION.TNAT I AM AUTHORIZED DV THE <br /> OWNER OF TNIS PR�PERTY i0 PERFORM THE WORN FOR NR11CH <br /> �f3��.a,�6o��0� APFLILATION IS MAOE AND I COMPLY WITH THE STATE <br /> r�^i r�*ex ip nuuocn CONTRACTORS LAW 1827 RCW \YAC. <br /> � ��� � 6"'��/?�/ <br /> GOGS'RUC1iONlOWI NU[R.4%N1ESS.ICI[PNJHEM140E� <br /> S�:N110PC O�IC <br /> FSr``/`, \VS Ci1YBWiM55l4UR[NO <br /> P MBING MECHRNILAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TVPE OF EOIIIPMENT FEE <br /> WATER CLOSET(TN.LET) A'C—AHNDLG UNITS <br /> BPTHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASM DASIN) HE4T PUMP <br /> SHO\YEfl UNIT HEAfERS <br /> KITCMEN SINK 8�ISP CLOTMES DfiVERS <br /> p15MV1A5HER RANGE HOO� <br /> LAUNDiiV TRAV �NATER HEATER <br /> CLOTMES WASHER WOODSTOVE <br /> URINAI METALFIREPLACE�WWD�3URNIN�� <br /> DRINKMG FOUNTAIN FIPEPIACE MSERT�WOOD BURNING� <br /> FLOOR DRAIN GA9 FIREPLACE <br /> DACKFLOW PREVGNTERS GAS RANGE <br /> SINK�SERVICE—OAR.ETC.1 GAS PIPING <br /> E%NAUSTFAN <br /> jLi .4 <br /> SU�TOTAL S SUB TOTAL 5 <br /> PERMIT 5 PEfiM1T 5 <br /> TOTAL FEE 5 TOTAL FEE 5 <br /> FOR OFFICE USE ONLY: O 'O.7 u I Q -O� <br /> {�p1115E1flA�N �E�RSEfBK� y $1DESEIBKR �4YC1)CCnNVA�pC f[[ AFCEIPTN] <br /> " .�, ' Pd��* ' o�-oaa <br /> us[:o•.[ 'J ioreeu veCwrSrt[ FEES VALUATION FEE <br /> _�- `- �ZrX-�'�' �rcs �io ou�ion+c Go � <br /> M1OillitiMiG�qN IqCiOWCLUIti SiICC�BIDGT <br /> UNIfS A/� � S�G. P1U40�NU <br /> L[. S- <br /> occ�o+rsr w�nsroncs occuvu�rio.w as��cHr � �����H�µ I <br /> nrEs ./f+o — <br /> naesnn:vntEuaGoo nusow �DDnroeunr.H<�[cx <br /> onrtn I <br /> riac�ununeoo eeeson — <br /> s.�rc aunmrvc sw¢x�Acc <br /> trreueca+sr viu+s+�rrrovmnr CITVOFEVERETT ..crouas I <br /> —� LOCALSALES <br /> ���� ,9 TAX CODE IS 3105 T�TAL <br /> I <br />