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APPLICATI(..� FOR CONSTRUC7 .JN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259•8870 <br /> O DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL 8"PLUMBING ❑ SIGN <br /> PROJECT ADDRESS c�I 3 p�1 „���e �.. _ <br /> �OYNIE/R'� quL�Dq/tEss �iry /� 7m /�r��pNc <br /> VC0�.7 � Sc�/c �•der �Su�U Rai t />VG �UPre7T 9�.70� <br /> IEN�NT (/ 11q1 R1OhC5S f.IIY plP pi�pH{: <br /> /�C� �'�� .3��ai .�°�� � -f� 9e�oi �2sb' - 9ytis <br /> c.- Av.= f.=u<.-e <br /> �RGPo�ECTdi�ES�GNfR M�II�WRE55 GITv ]n' PnONF <br /> GENEOAIGONiR�CIOfi MMIADDpE55 �IIV �If PIION[ $I�1C11�[NSfr <br /> MECN�NIC�I CONiR11G10R Al�ll�ODPE55 f.ITY IIP PIION[ SI1f(IICENSE• <br /> ` PIUMBINCCONIRAf.TORc M�II/�DORE55 CIfY ZIn PIIONE SGIELICENSE� <br /> v �eor� � ✓c�r�c•dPr <br /> CONfpAtt iCE OF WOftl( —"----- <br /> HEATINCi SYSTEM: ❑GAS ❑ ELECTRIC ❑ <br /> OESCWBE WpiN�NO SOUARE FppTAGE INVOIVED f.(NIGC�1'Cf1tON�NO PNONE NO <br /> �� / I <br /> T YG�` f� oi� .SCW��• �n2 <br /> Ici Hew/ /, �G '7�u ���q � �•< �Q�,',� I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> VPOPO ED USE OF BUILDIN(i APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> Q X��s�.� WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGIILDESCRIPTI PIqPERtt�910VMBElOWOQQl�LH1WpCO1ME5� NOT. THE ORANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ior eiocK or AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STA1E OR IOCAI LAW REGUUTIN6 CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTFIORIZED BV THE <br /> OWNEH OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> wacet Tex i.o.riur.reeR CONTHACTORS LAW iB27 RCW AND 296200 WAC. <br /> ta+sraucnow iaw iEN�n.�ooness.tFiEMror+E r�aen X . c.>6 — /�/— 9�v <br /> sic IURE �•i� <br /> GIfV BUSINE55 LILENSC NO <br /> PLUMBINCi MECHANICAL <br /> NO. TYPE OF Fl)(TURE OR ITEM FEE NO. TYPE OF ECUIPMENT FEE <br /> WATER CLOSET(TOILET) � NC—/VHNDLG UNfTS � <br /> BATHTUB ; FORCEDAIRSYSTEMS ; <br /> LAVATORV(WASH BASIN) � HEAT PUMP � <br /> SFIOWER � UNIT HEATERS <br /> KITCHEN SINK 8 DISP ; CLOTHES DRYERS ; <br /> DISHWASHER RANGE H000 <br /> UUNDRY TRAY ; WATER HEATER ; <br /> CLOTHESWASHER � WOODSTOVE <br /> URINAL � ME-TAl FIREPLAC[(WOOD BURNING) ' <br /> DRINKING FOUNTAIN i FIREPLACE INSERT(VJOOD BURNING) i <br /> FLOOR DRAIN � GAS FIREPLACE � <br /> BACKFLOW PREVENTERS ; GASRANGE ' <br /> SINK(SERVICE—BAR,ETC.) GAS PIPING �— <br /> EXHAUSTFAN <br /> � � <br /> � ' <br /> SUBTOTAL 5 � SUBTOTAL S <br /> PERMIT f PEHMIT S <br /> TOTAL FEE f � TOTAL FEE S <br /> FOR OFFICE USE ONLY: <br /> iRONTSETP�CR PE�RSFTflQ.N SIDESETB�CK PIANCIIECMNUMpflt fEf RFCFIPINO <br /> S� • � <br /> USEIONE tmenen �'eC�Nt51fE FEES VALUATION FEE <br /> ❑YES ❑ NO p1111MNC <br /> NEIGIIT LIMIT�iION NO Of UwEtIING SIZE 4�BlU(irtI <br /> 11N115 <br /> MUGpMG <br /> OCCUPANCY Iq p SIpNiES OCCUPANILO�D B�SEMENt MFCIUMGI i <br /> GRWP <br /> ❑YE$ ❑NO — — — " <br /> FIPESPNNKLERHEO'U �F�504 �f101I1pNs1.P�M+GIff.N , <br /> — ____�___ <br /> i <br /> OIIIIII <br /> FlPEAIMMREOD AE�SON — -- <br /> SfRI[pOIIDINf SIIfIC11ApOE <br /> trveorr.or+sr rinNserrnov[oer CITYOFEVERETT runiir.wonres <br /> LOCAL SALES -- ----— --------— <br /> ��.�i TA% CODE IS J105 TOTAL <br />