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� f I APPLICATIO� FOR CONSTRUCT�ON PERMIT <br /> CITY OF EVEREIT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257-8810 <br /> ❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECH pL PLUMBIN6 ❑ SIGN <br /> i_ �� � �p <br /> PROJE f ODRESS: �0:-�- �s--+-T_.., �l,(lY,tlt /UL/L/ iL <br /> -�// � .�1' s3.Z /S�L"' f�/5,�,�cQ�o. ��i'6�a-GG8-SG�a� <br /> o fn wui�oon[ss pn rm rr�w[ <br /> i�wv� uu�uimrss u� r�o nror¢ <br /> �t.�ad /SO�'.Gtd /S" ���.,�Clx-� 503�?Zt" �yYFi <br /> C�M1�fL�OnMS�G�M11� 4�ry�OlH1[55 C11Y !�� ���F <br /> Le.7D/C � �arw�r Y"S32 /S�G"{�.SJE Sne. l`1•2;'G s"ii0- �ibg-5�21r <br /> cfe[n�tcoNiMc�On wit�ppnEss c�l� hr rvMYrt 54qlKtMR� <br /> , f �� � �..,���y��y tie�� �c,-�ys-r�,rrr <br /> YFC� 4i(/. f,N1MC�0i1 • M4l��f$$ GM1 I�I' R'1.M[ [I�IFIICFM$f• <br /> � . ii� v ��,rK Srr� .r .,t �h idCh^a .�a-��o-,zs3� <br /> 1'1114pi1iGCONIN�f.�p1 V�IL U�1L59 LIiY I�P VIqNf $1/.�FIICENSf� <br /> caan.a mKc o�wo�+ � � �' HEATING SYSTEM: 0 GAS ❑ELECTRIC ❑ <br /> f 'b/rS <br /> o�scnmFvronK�r�osau�nEroo�roEwva o cw�.c�nnsr�.rror�.artvp <br /> .�- / -,� <br /> �;, , ;r i!/l• <br /> � �L.�� ��G,� 1 NEREBY CERTIFY TNAT I HRVE READ ANO E%AMINED TMIS <br /> APPUCATION�ND NNOW THE SAME TO OE TPUE AND GORRECT pLL <br /> ��roroseo u�[or avi owo PROVISIONS OF UWS ANU OR�INANCES GOVENNING THIS TYPE OF <br /> ,5�� WORN WIIL OE COMPLIED WI7N NMETHER SPclIFlEO HEREIN OR <br /> imxocscmri�wanrrorennR�awr+eE�awa+em.cNiwoconcs� NOT. TNE GRANTING OF A PERMIT OOES Nit PLESUME TO GIVE <br /> m� <br /> � e�aa a ~ � 7 AUiHOPITY TO VIOUTE OR CRNCEL THE PRO!ISION OF ANY <br /> OTIIER STATE OR LOCRI LAW REGUUTINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTpUCTION.THAT I AM AUTNORIZED BY iHE <br /> OWNER OF TMIS PROPERTY TO PERFORM TNE WORK FOR WNICN <br /> APPUGATION IS MADE AND 1 COMPLY WIiN THE SiATE <br /> ru¢n i �i 0 u�rvrfn / CONTRA/CfTOR$LAW 1B21 PCW AND Y96100 WAC. <br /> ,"ji�.",,'., �7.J ��� (�:;l�U z /{i'� fil1�.(� � <br /> CWi11�11C11pYIlO�N1CM1F11.I�IXM�L55.1[lfl'11pNEMNRFII ✓f�[ <br /> �:IT $qTllL �C <br /> OIY RU4MSS lK[NSC NO <br /> PLUMBING MECNANICAL <br /> NO. TYPEOFFIXTUflEORITEM FEE N0. iVPEOFE0UIPMENT FEE <br /> WATER GlOSET�iOILET) A'L—AMNDLG UNITS <br /> BATHTUO FORCED A�R SYSTEMS <br /> LAVATORY�WASN OASIN) NEAT PUMP <br /> SNOWEP UNIT HEA7Ef15 <br /> �� NITCHFN SINK A UISP CLOTHES Df1YEA5 <br /> _L OISHN'�SIIER RM�GE1100� <br /> IAUN[1RY iRAV WA1ER MEATER <br /> / CL0711ESWASHER �VOO�STOVE <br /> �q�ryq� MLTAL FIREPIACE(VJO00 BURNING) <br /> DRINNING POUNTAIN FlREPLACE INSERT nN000 OIIPNING� <br /> FLOOR URAIN GAS FIREPLIGE <br /> OACRFLOW PREVENTERS GASRANGE <br /> SINK�SERVICE—OM.ETC.) —� � GASPIPING <br /> EXNAUSTFAN <br /> SUDTOiAL S SU�TOT�L S <br /> I� FERMIT f �' PEPMR S <br /> TOTAIFEE 5 " TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> n�nannn+tx nunsn�f.c� � soesna¢. n�xcu[c+rmonrn rrt nrcnr�w <br /> 7G: � C� � � �77i`� S�L oL <br /> usiiovr muuce v4�n�5n[ � FEES V11lU�lION FEE <br /> �l ❑.Es o� ,u,�,�, 83 638 ��� <br /> „-��,,,,,v,,.,,�,� �aa�wF«„� s,�Eo�a,w�, 7�L/e� �2� <br /> '� � �iw�v '�. �L s F� niwn:vr _ ' ' _�L�— <br /> resr.. v,rvs�„�u aan•er�i�o.o o.uocvi o¢n.vui <br /> 'n`3°u� 2 o,�s {� — �—�--- <br /> nntsrnud!m�m�o-- nr�snv �Ddtmru.rtwartc+ _ <br /> on�rn <br /> rnrz�w�vmm� � nr�wv � <br /> s�ur nvmwn so�ounr.r ^ i, <br /> _—' `7-4� <br /> �rrrtucoa�i rinvs�rrnwmnr qTYOFEVEREiT ninur.wn�ac ��� <br /> LOCAL SALES - --- �""�—� <br /> _�_.^L �,.�E Q �S� TAX CODE IS J105 To7Al ___ _ ��`, 9- �7j <br />