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APPLICATI� FOR CONSTRUCT�N�� � <br /> CIN OF EVERE7T� BUILDING DIVISION <br /> 3200 CEOAR STFiEET•EVEREI"f,WA 98201 •(425)257-8810 MQR 1 01g <br /> ❑ DEMOLITION ❑ COAIBINATION ❑ BUILDING �,MECHANICAL Q1J'PI�Mp�p . .❑ SIGN <br /> PROJECTADDRESS:��n4 L7?f[R 'niD�C R� E^Oineerinpip�b���tSEty es <br /> �i <br /> 17iti�+�5 t�wOLCOON E��y_ qPPiR Q�04L RO [vr 9820,) (415) 353-SS'S9 <br /> OvhfO unln[ORE55 GM1 SM rvqY[ <br /> �IN�41 u4i�(Ipy55 fJlY ryn h�pr�F <br /> u1C�xifLlMOENGN(n 4�ry�IXI��f55 Crtv /iv M1qNf <br /> �xfnµ[q'11�CILA 4�M1MIM�(Sf ��t� )ii' 1'ixnt t1�111KlNSF� <br /> o..:ucR <br /> u.c�.muicrnnn.r.rrn vuuooness nrv �m n�a�:r ��nrirt[xsc. <br /> hauP��GCOVIP�CIM 4ulK'M65 CIY liV P�qNF SIMf11C[NSF� <br /> �rwrn���rm.i ar wa�e — <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> r+arn�nr wou.�w;aun��oor.cr x.vavcn covr.c.n nsrn..+m rwm�ro <br /> _Ty)TOLI/1T1O�� eP wep� Ji. <br /> I HEREBY CEPTIFY T11AT , NAVE RERD AND E%AMINEO THIS <br /> rmvns�o�rc[n ni�xo��.n �PPI�CaT10N ANO NNOW TNE SAME 10�E TRUE AND CORREGT QL <br /> PROVISIDNS OF�AW$AN�OROiNANCES GOVERNING TNIS TVPE OF <br /> WORN WIIL BE COMPLIED W17H WMETHEB SPEGFI[0 NERE�N OR <br /> ur.n nrxmm��r.pr v�rorumrsrqwr�auowon�%curvptdnsi NOi. THE G��NTINCa OF q PERMIt DOES NOT PRESUME TO GIVE <br /> �o�_ o�ore M AUiNORITY TO VIOLATE OF CANCEL TNE PROVIS�ON OF ANY <br /> OiHER 51ATE OR LOCAL L�W PEGULATING CONSiRUCT10N OR TME <br /> PERFORMANCE OF GONSiRUC71ON THRT I AM RU7MORIZEU DY iHE <br /> OWNER OF THIS Pf10PENiY TO PERFORM TME WORN FOR WNICN <br /> APPUCATION IS MRUE FND I �OMPLV WITN TME SiRTE <br /> ne r, i w i o miup�n GONI qpC70R5 UW IB D PCW ANO I96 200 WRC. <br /> 435- 000- dtz- nnoh <br /> (.MSIO�KIRMIOINIfM¢R NIOP[55 1L1[AqMF NVMKl1 <br /> u L ' �,..�.1..., 3-� �H <br /> �sxrr.a„� �,�� <br /> CII1BIIt�µS51KLNc[4V <br /> PLUMBING MECN�NICRL <br /> N0. 7YPE OF FURURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER LLOSET�TOILET) A/C-A/IINDLG UNITS <br /> BATHIUO fORCEDAIR SYSTEMS <br /> LAVATORY(WASH OASINj HEAT PUl.IP <br /> SNOWER UNIT NERERS <br /> NITGN[N SINN b DISP ��pTHE50RV[RS <br /> DISNWASHER RANGE HOO� <br /> LAVNURY TRAV WqTER NEATER <br /> ��pTNES WASNER WOOD SiOVE <br /> _ VtiIN4L ;dET/+L FIREPL :E MlOOD BURNING) ,(i '�� <br /> pRINKING FOIINTAIN FiREPLACE INSERT hvO008URN�N3� <br /> FLOOR ORRIN GAS FIREPLACE <br /> OACNFLOW PREVENTERS GAS R�NGE <br /> S�NK(SEFVICE-OAF,ETC� GAS PIPIIJG <br /> E%NAUSTFAN <br /> . SUOTOTAL f SUOTOTAL 5 3n �h? <br /> VERMIT f PERMIT f � <br /> TOinIFEE f TO7ALFEE f 3J 'rn <br /> FOR OFFICE USE ONLY: <br /> ��� �. +rouk nFm5rtN4 S�Msr�PKK M�MUrtr+uuwftn rFr nrrtmtrq <br /> � n^�r imun• v.u+�snt FEES V�LUIITION FEE <br /> ❑vli ❑vU N�iM� <br /> �I .��iV�l��i. . Yl'w111iW.: ��Itp9lOG�1 ' <br /> n.. ,�1.. I�i4PlY�1 <br /> " . __ _ ___ __. _j _. <br /> ..i r. . . ��. IIiI.�Nlll)�I� R�ifW41 MIl.i��4X�1 <br /> ❑�!S ❑MI . . . • <br /> i.. �� .ril�i��fr�'.i I�IA'.i�il �Ilplr(}y�l�I�YG�ff� <br /> nt..tn -.- —_' _ __ <br /> � .....� :i.ci n-' ��r�.;:�"_— _" _" <br /> V��I Ru.�UwnSinfnuN:( <br /> � <br /> ,�� ,�..n•i�• �5�i�.�.��ovno.— CITYOFEVERETT ���mmH.m..� -_ "_ _' _' <br /> LOCALSRLES -'�--- --- - -- . .. .-- ' <br /> . . . 1,.,.t ..__"_ TAX CODE IS 3105 t07AL______' __'_'. <br />