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APPLICATI�! FOR CONSTRUC�N PERMIT <br /> CITY OF EVERETf•BUILDING DMSION � <br /> 3200 CEDAR STREET•EVEREIT,WA 89201 •(425)?57-8810 _ , , � n{_ <br /> �N_...�__.. - <br /> EMOLfT10N MBINATION �BUILDINfi ❑ y�CHANICAL�� ❑ pLUM81NO ❑ 8Niq <br /> PROJECT ADORESS: D� .` <br /> /�l�//��P12_�T7' G-ni£ 2Y+`bSi'. �C'LL.[dµ 7�f'eoi��6K.JSSJ-� <br /> OWNER YlMdllb� OI� M '1KWE <br /> IFNANI MM�UM1f55 Giv (i AqN[ <br /> �NCN11G�10FC�(L/`��5�/7/A_ / I�ry '�I t r . L . �R Y� .I��E IiLEME� <br /> — yT <br /> bELN1MC�LCCNIN�LiOP YLR�Od1G15 pry b� VIIOME iGIFlKENSF� <br /> PlU4BmGCp11F.1f.iIX1 Y�0.�OO�IE55 GM1 Iro V�pE St�fEIICEnSF• <br /> � <br /> CONfMG MYC Of WpHlt <br /> HEATING SYSTEM: S ❑ELECTRIC ❑ <br /> OESCIYliwJRR�rw5�E�00�M[ V[O troNl�LirtnSONiv9V��OMENO <br /> 1 <br /> 'Z S� <br /> �('/KTL I/Lr� I HEREBY CERTIFY THI.T I H�VE RE�O �N� E%AMINEO THIS <br /> >uaros[ous[or eimdxo �� APVLIC�TIOH AND I(NOW TME SAME TO BE TRUE AND LORNEC7 ALL <br /> PROVISIONS OF UWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORN WILL BE COMPUED WITX WHETHER SPECIFIEU HEREIN OR <br /> {fG�lOEXPoPi1p10�P1�01'EPiY15H[�`/MlFlONM1T.�CNMpCORE51 ppT, TNE GF�NTING OF�PERMR OOES NOT PRESIME TO GIVE <br /> io* eiax _or AUTHORITY TO VIOUTE OH CANCEL THE PROVISION OF ANV <br /> OTHER ST�Tc OR LOCAI.LAW REGUUTIN(3 CONSTRUCTqN Oq TNE <br /> PERFORMANCE OF CONSTRUCTION.TH�T I AM I1UTTqRIZED BV THE <br /> OWNER OF TMIS PROCERTY TO PERFORM 7HE WORK FOR WHICH <br /> APPLIC�TION IS MAOE AND I �pMPIY WITM TME ST�TE <br /> �r�i o�E CONTRACTORS lAW 1827 RCW�ND 7g6200 WAC. <br /> � - �S 002 '- 0 000 <br /> SIFUCiIOMIWNIENOERMMES�.TElER10MFMMEII x <br /> Sq1U.i11PE p�lF <br /> prvlUSNFSSlCENSCIq <br /> PLUMBING IAECN�NICAL <br /> NO. TYPE OF FIKTUIIE OR REM iEE NO. TYrEOFEOUlMFlIi FEE <br /> WATER CLOSE7(TOILEn bC—M11ALO UHrt9 <br /> 9ATHTUB FORCEO NN SYSTEMS <br /> tAVATORY(WASM B�SIN) HEAT PUMP <br /> SMOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISP CLOTHES DRYENS <br /> DISHWIIS!i'cR RANGE HOOD <br /> LAUNDRY TRAV WATER HEATER <br /> CLOTHES WASHER W00�STOVE <br /> URINAL METAL FIREPLACE(WOOD 6URNWG) <br /> DRINKINC FOUMAIN FIREPLACE INSERT(WOOD BURNIN6) <br /> F100R�RAIN GAS FIREPUCE <br /> B�CIlFLOW PRGVENTERS GASPMI(iE <br /> SINK(SERVICE—B�R.ETC.) G�15 PIPIN6 <br /> EXHAUSTFAN <br /> SUB TOTAL S SUB TOTAL f <br /> PERMIT f PERMIT f <br /> 70TALFEE S TOTALFEE i <br /> FOR OFFICE USE ONLV: p O)� <br /> f11t1MiSFlp/.f.M II�MSFIBI�CR S�CfSFIM[K YICIRQy/II�MEPM !Fi 11Ff.Fiilq <br /> Da `� <br /> USEIOMF IOI�PF� VKW�SI�E FEES V�lUA11ON FEE <br /> ❑�ES �W lll�ldYC <br /> IRIGIIIIIMil��IPY MpOSUWfIIIW SljfpqpN�l <br /> IIM�I( �V��, <br /> � <br /> CIX:IHMNC� �.O ry SIM15 IX:CUP�Nt lOW B�SFMFMI <br /> f.11.']U1' YfCN�MUI <br /> OY�S O M — <br /> [iuESemNRLLRPFO'0 �f�50Y �Oa�CW4.ttW0<Q <br /> m <br /> OIMFP <br /> fINE�W1MflW0 Of�SOV — — <br /> SIN[ld10M1 Al11CH�M( <br /> �rrEorr.p��� ru+s�vrnovroe. CRYOFEVERETT nirK.au� <br /> LOCALSALES — <br /> o�tt TAX CODE IS�105 70TIIL <br />