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APPLICATI�1 FOR CONSTRUC�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201•257•8010 <br /> i i DEMOLRION -�. COMBINATION ❑ BUILDING yCMECHANICAL ❑ PLUMBING ❑ SIGN <br /> Pp'�Jf.CTADDRESS • A RSTAVE <br /> �'��LSTONAS '"•n.ornas crtv zv naec <br /> i�H.v� uuir,owcss ci.r zc nro.[ <br /> •11CNIliCi0i10E5G1r_4 MI.RI.CME55 LIiY $A Aq1R. <br /> f.(MR�LCCNiPK1pR I��A�CCN[L$ C�1Y Sf RqNL SI�IC_�C[NSE• <br /> YCCI CifY IP Aql{ $l�tElKl�15[• <br /> RY�1�S`�`'{�.�MDI�i��.�'19330124TI1AVEN.E.,ARLINGTON96223 (160�03-7462 RO-01•NP-•272C2 <br /> M1IMOIIGCONLP�LIpI M4L�OJNCSS L�lv IF PMA'K S�LtLCLMSF• <br /> wrm�.*ancc«wona 5�3� HEATING SVSTEM: �'GAS ❑F.LECTRIC ❑ <br /> MUcnieE wOUN I.MJ SOV�nc rOOrACE��rva\[o cOXt�tr r�P5p1�r�o nqM NG <br /> KGN R081NSON•ELMSLIF. (360�403-7462 <br /> I MEREUY CERTIFV TNAT I MAVE READ AND E%FMMED THIS <br /> APPUCATION AND KNOW TME SAME TO BE TRUE AND CORRECT.ALL <br /> ruonascoosc or om�orcn SINGLG FAMILY RGSIDf:NCG PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THI$TVPE OF <br /> WORK WILL�E COIdPLIED WITN WNETMER SPEGFIED NEREIN OR <br /> acuocscuwtwMarnaa[nn�s�rowrvoaowen�n.�ce*wocor�ts� NOT iME GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ia� �aK p AUTHORITY TO VIOL�TE OR LANCEL THE PROVISION OP ANY <br /> OTNER STATE OR LOCAL lAW REGUUTING CONSTRVCTION OR THE <br /> PEPFORMANGE OF CONSTBUCTION.ThAT I AM RUTHORRED BY TNE <br /> OWNER OF THIS PROPERN TO PERFORM THE WORN FOR NMICH <br /> pPFLIGAT10N IS M>�E RND I COMPLV WITH TME ST�TE <br /> v�rc:¢uF i o mnnntn CONTRACTOPS LAW 1B 27 RLW AND 29fi?OD W�C. <br /> co�isinuc�ia��o.H�er�ecu.�cuncss.rziu»�oncNUMe�n x ���0� �J/29�I0 <br /> ;ice.i ac �.*c <br /> OiVBO5Wf65lIL(NSE�q <br /> PLUMBING MECHINICAL _ <br /> N0. TYVE OF FI%TURE OR ITEM FEE N0. TYFE OF EOlIIP1AENT FEE <br /> WATER GlOSET�TOILET) A'C—A'HNDLG UNITS <br /> BATHTU� FORCEDAIR SYSTEMS _ <br /> LAVATORY(WASH�ASIN� HEAT PUMP <br /> SHOWER UNIT MERTERS _ <br /> KITCNEN SINN A DISP LLOTHES DRYERS <br /> I DISMWASHER RANGEHOOp <br /> LAUNDRY TRAY H'ATER MEFTER <br /> CIOiMES WASHER WOOD STOVE <br /> �RIN�L �dETPLFIREPUCE�WOODBURNING) _ <br /> DRINNING FOUNTAIN FIREPLRCE INSERT�WOOD BURNINGI <br /> FLOOR ORAIN GAS PIREPLAGE <br /> �ACNFLOW PPEVENTERS GAS RRNGE <br /> SINN�SERVICE—OFP.ETC� GAS PIPING <br /> EXHAVSTFFN <br /> SUBiOTAL E SUBTOiAL S <br /> PERMIT S �'ERl.11T S <br /> TOTALFEE b TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> �PO!rt9ROKe PG�SE1d�CG SOCS[tO�Ln R�NCn[CtIN40[B f[E �KEroiM <br /> 3 01 �t�U <br /> uta�o��c w*��u wuv+sn[ FEES VALUIITION FEE <br /> "r[5 fl u0 Bun�iN:. <br /> I�EI(IrvIIIVilI.1qN 117ClD\VCLUN3 S�IECfPLail <br /> VNIiS �VMpIlG � <br /> p(�pn�NLV N9Cf510nE5 aLI1P�v1tOW NSCu(41 4CCNWCµ <br /> 4�1WG <br /> n�cs or10 <br /> �ppi110NY R�N CMECM <br /> �N1ESCf1�N141PRE0� f�[�SCN <br /> or�,�a � 00 <br /> rmc�uvunEao in�son <br /> s*+rc eua�iHc su�c�.ncc � <br /> ,vrEormus* M�MYR'��T�A� pTYOFEVERETT A�e�cwen..s � <br /> ��� � LOCALSRLES <br /> �„ri �� j, TA%CODE IS 7105 TOU� � <br />