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APPLICATI� FOR CONSTRUC7*N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201•257-8810 <br /> ❑ DEMOLITION ❑ COMBINATION [?�UILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS <br /> � 3�D M �lP ST �✓e�P <br /> OWNER M�ILM%WCSS GiY ZW �OME <br /> (��Pn �.il.'v,,��/. 7�,/O_ lN��� sr E--�P� 9R70� �S'Z5� 3D3-80�.� <br /> icrv�Hr u�nwoucss cm zm r�e <br /> •IipuREG�ORL!iVNER 4�ttAppPC55 LIiV ZP RUME <br /> �O~ � <br /> GENIiULCONIR�GIOA MA�I�DDRE55 CILY ZY %�< Si�RLICENSE• <br /> M /' <br /> 11ECNENN:AlC011iMLiOn u�ILAppaF$$ CITY Z hK4A SiA1ELKENSE• <br /> FLWBiNGCd�1P6iOP MAR�Oq165 CIIY ZP NqlE S1RElICENSE• <br /> cu�+iw.crraccawonK HEATINCaSYSTEM: ❑IiAS [. LECTRIC ❑ <br /> DESCRIBE\YdiKANOSOUARE�00TAGE1NVClVE� � ����.cT��A���"/�p���� ,�/ / <br /> 7 i� /�pr P '''�� ! t�-/.Ml�+a1. !�l.�✓a�Af/ <br /> � � � SZ�nRf .5 � 3- Di5 _ <br /> I HEPEBY CERTIFV THAT I HAVE READ AND EXAMMED TNIS <br /> r1P?�ICATION AND KNOW 7HE SAME TO BE TRUE AND CORf.ECT.ALL <br /> vno'o'�cousc or xm�on+c ppOVISIONS OF LAWS AND OItDINANCES GOVEHNING THIS NPE OF <br /> r � WqqN WILL BE CO!APLIED WITH WHETHER SPEGFIED HEPEIN OR <br /> i[ce�ceua�P arrroFenrris�a�nmee�owoeenrsn�_iwoeow[s� NUL THE GRANTING OF A PERMR WES NOT PRESUME 7U GNE <br /> b B�aK�a 4.p �z�,: I� pUTHURITY TO VIOLATE OR CANCEL THE PROVISIOP' OF �NV <br /> wr]L__ZZ�— pTHER STATE OR LOCAL LAW REGUUTING CONSTRUCiION OR TME <br /> 3 �� �oC- PERFORMANCE OF CONSTRU�TION.TNAT I AM AUTHORIZED UY THE <br /> —' OtYNER OF THIS PROPERN TO PERFORM TME WORK FOR WH�CH <br /> APPLICATION IS MADE AND I CGIAPLV WITH THE STATE <br /> CONTRACTOHS LAW 1827 PCW AND 256200 WAC. <br /> r•acu*��o rmuecg .� e <br /> S/ f .SA� 03 i O� z-.Xxi�' /�?'�iY�� <br /> CONSiPUCiION LO�N IENpFN.�IX.hC55,TEIfN�ONE MI�A6EN �-q-zon a <br /> SKwAi11PE D�IE <br /> L�lr BUSixE55 LICENSE N0. <br /> PIUMBINO MECH�NICAL <br /> NO. TYPc OF FI%TURE ON ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A'C—A�HNDLG UNITS <br /> BATMiUB FORCED AIR SYtiTEIAS <br /> LAVATORY IWASH B0.51N� —�! HEAi PUidP <br /> SMOWER j UNITHEATERS <br /> KITLHEN SINK 8 DISP CLOTHES DRYERS <br /> DISHWASHER RANGE HOOD <br /> I IAUNDRV TRAV WATER MEAT&R __ <br /> CLOTHES WASHER ? WO00 STOVE ' . <br /> URINAL ' METAIFIREPUCE(WOODBURNNW i _ <br /> �RINKING FOUNTAIN FIREPLACE INSERT(WOOD BUPNING) <br /> FLOOR DRAW GAS FIREPLACE <br /> BACNFLOW PREVENiERS ! GAS R�NGE <br /> SINK(SERVICE—D�R.ETC.� GA$PIPIN6 <br /> E%HAUSTFAN <br /> � V- / <br /> / , ,^_i <br /> i <br /> SUDTOTAL S SUBTOiAL 5 <br /> PERMIT S PERMIT S <br /> TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLV: <br /> rnorrtscrn�rc nE�ASEio�c� � sioeseta�cn J cu nrtcxry1ue[no, .�I jL� ucccivtra <br /> US[LOUE� � i01er+E� WGN15nE JFEES V�LUATION FEE <br /> f'1T^ ❑1q &1ROiM <br /> HEIGNTLIY11AfICN/ ��a�KCII�NG ���CCT��� <br /> MVUPnG <br /> OCGIIP�NLV M'IC�StCP45 OLC�NM11iL0�D B�SP�(NI �� 4CCNAHC0. I <br /> a� ❑vE5 L�nO " <br /> • NOIlqu4 tt/.N CA�ECe <br /> (I{IE$lRINRLCflNE O �C�SON <br /> 4MC11 I <br /> FpiEAUPYPEOO �EASON i <br /> SOIE BU�O✓+G SURCNMGE � <br /> ivreorca+sr �µs�����oa`' CITYOFEVERETT ��«w�^"s <br /> ' I LOCALSALES <br /> �ry� oe*e 7 OO TAX CODE IS 0105 70TRL <br /> 1 <br />