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APPLICATI� FOR CONSTRUC7�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201•257•BB70 <br /> O DEMOLRION ❑ COMBINATION ❑ BUILDIN6 ❑ MECHANICAL 'u�PLU6IBING G SIGN <br /> PROJECT ADDRESS � <br /> 1330 �o�.�-����n. a�« <br /> OKIIEP N�M1�OCiIf$$ CI{Y $i %MK <br /> t�C�iMC, �3�.� ('olbvlkre �v�4{- Wa �l`d2a1 <br /> iE1W1i M9l�WRE55 CILY Sb A1011L <br /> MCNi1CCTORLESGNCP 4uL�IXl+C55 CIIY .'i RqNf <br /> GENER1lLON1R/C10P 4�4�WRC55 C�1V IV RY�IC SiL1FLKENSC• <br /> n���,� n��.s� B o n Qs� €v�+l q�� c� B �o�- �� - � <br /> 4CCIIRIIKAtCONl11�L1CA A1I.tlAppRC55 C�tY IP AqNC $iAl l�C[NSC• <br /> 95a�-GY/.7-�- <br /> ROMB:NGGCN1P�Ci(M �1Mt�DJNE55 CILY S1 ���HMC SlA1ClKENSC• <br /> �aacxcc�wt�scc�. (�$41e 11Sb.r� S �x �.�+ < laci� CLE�4l�Lt1IQ51P� <br /> cor��n�c+n�cc�u wonK <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> CESCPI ORK�t4� 41CiOJtJ�CEiH:IX�E� � Q� CONIACIPEPSONI.NOPIUN[Iq <br /> 5 <br /> _=6-_�0' ��r �ocA�: 1 Si.t�� � <br /> ��,� I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> rnorosco us'E a Bwiw�r+' PPOVISIONS OF LAWS AND OR�INANCES GOVERNING THIS TVPE OF <br /> WORK WILL BE LOMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> iccu.ocsa�mtarvariwvcnrv�snoxHouan•r+�rtncnnwcurvcs� NOL THE GFANi1NG OF A PERMIT DOES NOi PRESUME TO GIVE <br /> �or �p�K pr AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> QTHER STATE OR LOCAL LA'N REGULATING CONSTRUCTION OR THE <br /> PERFORMA4CE OF CONSTRUCTION.THA7 I AM AUTHORIZED BV 7ME <br /> ' OWNER OF THIS PROPERTV TO PERFORM THE WORR FOR WIIICH <br /> APPLICATION IS MAOE AND I COMPLV WITH TME STATE <br /> vuKci u�i o Houu[n CONTRACTORS LAN'IB 27 RC\4 AND 296200 WAC. <br /> cor�sraucra�.iou��r..xa..omEss.iarvnuxE r�uuecn '� � 7�?.p0 a <br /> SNi f D�tE <br /> cirv eus�nEss iK[NSE ra <br /> PLUYBING MECHANICAL <br /> NO. TYPE OF FlITURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET fTOILET� NC—AHNDLG UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY pYASH�ASIN� HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 6 DISP CLOTHES DRYEF$ <br /> DISMWASHER RANIiE HOOD <br /> LAUNDFY TRAY WATER HEATER <br /> CIOiHES WASNEF VJWD STOVE <br /> URIKAL ! METAL FIREPLACE(WOOD BURNING� <br /> DP�NNINI.FOUNTAIN FIREPL4CE INSERT(WOOD OURNING� <br /> FIWR DRAIN GAS FIREPLACE <br /> BACKROW PREVENTERS GAS PANGE <br /> SINK�SERVICE—BAR.ETC.I GAS PIPING <br /> E%NAUSTFAN � <br /> i <br /> SUBTOTAL 5 SUBTOTAL 5 <br /> PEPMIT S PERMIT 5 <br /> TOTALFEE S TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> IPONTSF194K PE�PSEiB4K Si0E5EiBdCM NC�(CRNaNBEa FEE PEfCNTNO <br /> C{�0 - 0 0 <br /> usczor�e �or�ec� wcu�*si+¢ iEES V�LUA�ION FEE <br /> ❑YES Crv0 �M1D�� <br /> NE1u1RLIYii�iVN IqCFCNRIIN"+ SREOrBIWTI <br /> IlNitS RU4BiN] <br /> GL�p Kv MO Ci SRu45 CCCVVANi tO�D B�SEUENi MECN1NN:µ <br /> CVFS ❑NO � <br /> fIPE6l'RINaICRREOD RE�SON MOi1qn4RAYCNfLK <br /> OMEF <br /> liNE�UAMPE00 PE�SON <br /> SI�fE BWI�iM SUaCN�aGF <br /> *msorcavst rurvs�nvnovcoe. pTYOFEVEqETT PUBLCN'�RRS <br /> LOCALSALES <br /> o,r� TA%COOE IS�105 7oi�L <br />