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APPLICATI�1 FOR CONSTRUC�N PERMIT <br /> CITY OF EVERETi•BUILDING DIVISION � <br /> 320tl CEDAR STREET•EVERETT,WA 98201 •257•8010 <br /> C DEMOLITION L?'COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBIN(i ❑ 31fiq <br /> PROJECTAUDRESS <br /> 71.�d Qc:�..- i�r <br /> OWNE� 4��l�MRE55 ��ry pp p�k� <br /> \i.6T R'ic CnnSfcvcira.. I�.c� �vy, �uy� F�v_tt+ �,p SSZo3 V2T• 3rrA-3/� <br /> ifN41i M4l�O0PE$$ CIiY Iq p�}� <br /> AP�NI�[LIIXVp[$ICNC11 Y11�ApGlf$$ �IIV IIV MqNC ii:S3n8 3��— <br /> S ;T R, �c c ,n � n,c.�a�� 40 3or ao</� Eve2+� va Sb2o' Su57Rc#c.7) zG <br /> GtN[qµL01�'MC1011 M�M1�CnE55 CIIY IN %�p{ 51/.1ElA'ENSE• <br /> ��CCN�NiCAI[pl}p�ICip L111L� E$$ CIIY IY' �Yq11E $I�l[ll_[NSE• <br /> >lUAl01NGCOi1�MCipV YUL�DCP65 pIV Im vp11G 511iELCENSE• <br /> WNiMQ VP�C[Of 1VCPR � <br /> NEATING SYSTEM: '�pS ❑ELECTRIC D <br /> ocserieE vronn u:o sauu+c roor+ce nrvav[o �orn�cr rcawr�um r�qHc ea <br /> �A5 � � � �nA++ y.2s3o8-31�5 <br /> S O� —O I HEREBY CERTIFY TMAT I HAVE RE.� lNfl E%AMINEO TMIS <br /> rpmpSEo u5e ov Bm�w�+c APPUCATION A�D KNOW THE SAME TO BE?tlUE AIJD CORRECI ALL <br /> PqOVIS10NS OF LAWS AND OfiDINANCES GOVERNING THIS TYPE OF <br /> WORN WILL BE COMP�IED WITH WHETHER SPECIFIED HEREIN OR <br /> �Eouxscam�qr�orcnovcnnisrrnrxpo.owonerucHmocoriEs� ryOL TME GRANTING OF A PERMIT OOES NOT PRESUME TO CIVE <br /> �or ptC:.e__ a AUTNORITY TO VIO�ATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OFl LOCAL lAW BEGULATING CONSTRUCTION OR TME <br /> Ll1T � O�C 5� ,�oo I -03 0 5-S�r� PERFOFMANCE OF CONSTRUCTION.TMAT I AM AUTMOPIZED BY THE <br /> ��� OWNER OF THIS PROPERTY TO PERFORid THE WORK FOR\YHICH <br /> �� � APPLICAl10N �S MADE AND I COMPLY WITM THE STATE <br /> P��CEt t�e io m!weEe —� CONTFlACTOR lAW 1927 RC\Y AND 29fi2C0 WA�, <br /> CIXiS1RUCipNID�NLEIAlEl1.�CpIC55I[1CP11b�GINMO[P "� �,_i�l��./� � �f'V' <br /> ���3(n Gbe1 O/ � pOOy- sqH�runc o.rz <br /> r <br /> <IhBU5n�R5tKEN5E�q <br /> PLUMBINO 1.1ECH�NIC�L <br /> NO. TYPE OF FIxTURE OR ITEM FEE N0. TYPE UF EOUIPMENT FEE <br /> 3 WATERCLOSET�TOILET) A'C-0.HNDLGUNITS <br /> BATHTUB FORLED AIR SYSTEMS <br /> _� LAVATORY�N'ASM BASIN) HEATPUMP <br /> SHOWER UNIT HEATERS <br /> KITCMEN SINK 6 OISP CLOTHES DRVERS <br /> ( DISMWASMER RANGE NOOD <br /> LAUNDRV TRAI' WATER HEATEf: <br /> CLOTHES WASHEp _ WOODSTOVE <br /> URINAL METAL FIREPLACE�WOOD BURNING� <br /> DRINNING FOUNTAIN FIREPLACE INSERT(WOOD BURNINC�I <br /> FLOOR DRAIN GAS fIR.PWCE <br /> BACNFLOW PREVENTERS GPS.iANGE <br /> SINN�SERVICE—OAR.ETC.� GAS PIPING <br /> . EXHAUSLFAN <br /> _ SUDTOTAL S SUBTOTAL S <br /> PERMIT 5 PERMIT 5 <br /> TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE'JSE ONLY: � Oj Ol3 <br /> fPC6t5pOK� PE�PSfIDACn JpES[104'R P, ICN[�NN01fBiN fEE pELEIViIA <br /> u-�� 2v' v�'-oo <br /> usE:��K�/ IOIARE♦ v�ur�rsrte FEES �41LU�TNIN FEE <br /> J ' n res n rro eoawnc <br /> r�[ic�tuuirn�qr��2 rnorow[uiui Su[oro�a;ti � 6l� I <br /> L��� ui�1i5 ISQ f RUUBiNG <br /> I J <br /> CCLtlnpgy �q�SMF(5 CCfUCWitO�O O4 YENi 4ECN�6Y4 <br /> C�R p <br /> R•ro�� 2 �.Es � <br /> rmcs�•r•�vuEaacoo auson wonicw+i��.�cnccx <br /> nr.uununmo nusoe <br /> omo� <br /> srerc euu ona:suxruncc <br /> ivr��r�o�is ttu1s�rvnonoer CITYOFEVERETT we�qww+Ks <br /> LOCALSALES <br /> ' wic J�/y�� TA%CODE IS 7105 TOT�I <br />