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APPLICATI� FOR CONSTRUCT�N PERMIT� <br /> C�TY OF EVERETT•BUIL�ING DIVISION <br /> 3200 CEDAR STREET•EVERETT.WA 98201 •257-8810 <br /> I'i DEMOLITION f: COMBINATION (� BUILDING f3"MECMANICAL ❑ PLUMBING ��" SIGN <br /> PROJECT ADURESS �831 UPPER RID('E RD <br /> ������'DR EN7ERPRISGSM•�"�ss cirv xm m�� <br /> 1[I:�tli Mn4I.OML55 C1�Y 1'�' Mlqi[ <br /> PR�IIIIECiOROESG'%'R M�M1AOUIE$$ CIfY IV qpN[ <br /> (:[NLRNCp1tRI.(.IM M�M1/.pOP[55 LIIY [M` plpH[ St11LlICENSE� <br /> °LCH���S�}��'�.UMUf}Z��s;29330 124TH AVG N.G�ARLINGTON 9622} (;60i�034462 RO•B�I�NP'•272C2 <br /> norle�w:cc�nonen uuuemcss eiT em rrKa.. ;u�n¢ere. — <br /> cown�;,�vncewwor+� SZ500 HEATINGSVSTEM: rGlS ❑ELECTRIC f-�. <br /> ���scnmc wonn�w sounnc roo��cc rcrvuvco cair.a rcAsor�exo r�ror�¢rq <br /> KEN ROUINSON•FLMSLIE 360 03•7462 <br /> --INSTAI.tt'IRC51'RThIICLER-SYSrEIqI <br /> I HERE�v CERTIFY THAT I NAVE PEAO AND E%AhUNED THIS <br /> AFPULAi:ON ANO KNOW THE SAM11E TO�E TRUE AND GORRECT.ALL <br /> rnoinsmase W euuona SINGLG PAMILY RGSIDENCE PROVISIONS OF LAWS AND UtiDINANGES GOVERNMG THIS TVPE 0F <br /> WOFK WILL BE Wh1PUED 1YITN 19HETHER SPECIFlED NLREiN OR <br /> u�;uo[scnarwqc�vacawrviswvmetmwon�n�c�nvcconrts NOT. iHE GRANTING OF A PERMIT DOES NOT PNESUME TO GIVE <br /> ii�r eip�K pp AUTHORITY TO VIOLFTE OR CANCEL TNE PROV190N OF ANY <br /> OTNER STATE OR LOCAL LFY!REGULATING GONSTNUCTIO�OR THE <br /> PEBFORIdANCE OF CONSTRUGTION.THAT I AM AUTNOH�ZED pV THE <br /> OWNER OF THiS PROP[RTV TO PERFOPtd TME R'OPN FOR WHICH <br /> APPLICATION IS MADE AND I GOMPLY WITN TNE STATE <br /> �•ni,;�i uv io Navew CONTRACTOPS lAW t ]RCW AND 296200 WRC. <br /> (O��'ii11ULIiONIO�Nt[fCCR./.D�IIES�iLIEFMOHCHIIMPLN X ���. �l./� p//L/I <br /> YC.N�NnE O�iE <br /> LIIY BUSn1C55liC[NSC Iq <br /> PLUMBING MECHRNICAL <br /> N0. TYPE OF FI%TURE OR IiEM FEE N0. TYPE OF EOUIFMF.NT FF.E <br /> WA1ER CIOSET�TOILET) A C—A H�DLG UNITS <br /> BATHTUO FORCED AIq$YSTEMS ' <br /> LAVFTORV(WASN pA51N� NEAT PUM1iP <br /> SNObER UNIT NEATERS <br /> FRGH[NSINNBOISP ' GIOTHESDPVERS <br /> DISMWASHER ApNGE MOOD � <br /> LAUNDliV TRAV WATER HE�TER ' <br /> GLOTHES WASHER WO00 STOVE <br /> URWFL METAL FlREPLAGE I1YpOD�UPNING� <br /> �RWNING FOUNTAIN FIRE�'LACE INSERT pYOpD 11URNINGI <br /> FLOOR DRaIN � GAS FREPLACE <br /> OACRil01Y PREVENTERS GAS PANGE <br /> SINK�SEFVIC[—6AR.ETC.) GAS PIPINC <br /> E%HAUSTFAN ' <br /> SUDTOTAL 5 SUDTOTAL S <br /> PEAI.4T S PEFIdIT S <br /> TOTALFEE 5 :OTALfEE 5 <br /> Ff R OFPICE USE ONLY: <br /> „It�Cip�CN 11[�11cf10�Cn $�OCS(iB�CM CUNf.I�[LnN11��P[A 11! P(CLICINJ <br /> 1 C OlD ' O J.. <br /> �,., ,.�.r imne�. v.euasrtt FEES VALUATION FEE <br /> ar[s nrro ewionu ; <br /> �r.i:!IIlIA1ii/.iqN N00lLNiLL� S�lEOlBIWTI � <br /> vrvrts ric�.m�Nc <br /> - rnwv x�css.r=Fs occur.uiio.n w�ucxr uco�+N�ck � <br /> :.J'J� <br /> mcs r,xo <br /> i i.srnm.�cnncoo nu:an �ooirro�u�>w+artCK <br /> n�i� I <br /> 1�>LI.I�PYPEOO RE�SpI <br /> SI�1LBllil�nM.$URCM�PGE I <br /> i.reorcoxsr niw�irov�er qTYOFEVEAETT rveicwa+xs j <br /> ` LOCALSALES <br /> ��„r0 G TAX CODE IS]105 TOTAL <br />