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APPLICATl� FOR CQ►IdS4RUCT10N PERMIT <br /> CIN OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)e57-B870 �•���O�A�77 <br /> �� <br /> ❑ DEMOL.ITION ❑ �C?OMBINATION ❑ BUILDING �MECHANICAL !�T PLUMBING ❑ SIGN <br /> PROJECTADDRESS� 1549'—FE�JA/1 �ZO^ ��'�� <br /> OWti4f1 M��{1Cpf1F55 CIiY !iP >r�CM1C <br /> //Z /JOOrP <br /> mi�ru� vn.m�rss nrv riv �..o.�p <br /> ��ICI�i(LI Of10FLG�2� 4u1�OOPF55 CI�Y l�t' t'�Kvlf - � <br /> f/.fN�fjll/qCUNiMC�O� �4'�}'I`�pU�E55 C�lv .i� I4M)ryf 511qiiC(rvSf• <br /> �lH/'��.�CU/Ll/• <br /> MFCiIV:,�'./.lfll4�f11(.�(111 �II.�t�f`M�f55 (Iry /R� ��IOM1f C111/�I�FN[C• <br /> fi�7Z6/.�e�v Sr.S/PzT,1iErA� /Li/E./�191✓�a/.r,y�DR. ��o/ .�- //y EY�71 SG�7�o�' <br /> riuuer�ar.ornwr,np� aute�r�nEss �nr 8r pwpq[ S�nri¢[Nsr. �- <br /> COr ff4C�GPiCf Ui NhBM �--'�— <br /> ��q � HEATING SYSTEM: .I�GRS ❑ELECTRIC ❑ <br /> nrscn�,nr waa��r�n sou.u.rooucc�ou�w conur.r n nsa�.Hn rHrnr uo -- <br /> Th/�YAGL !//Ii/T�i �`/.2'7�S -- �Q.�i /?A.t-�7L <br /> —� �5�- �//�/ <br /> I HEREBY CERiIFY 1NAT I HFVE READ AND E%AMINEO TMIS <br /> APPLICATION ANp NNOW TNE SAME 10�E TRUE AND CORFEGT ALl <br /> mqnosFovsE nr Pii'.:.Di�.n PROVISIONS Of IAWS AND ORDINANCES GOVERNING THIS T�PE OF <br /> �>l�R��J-[S�_, WORH WiIL BE GOMPLIEO WITM WHE7HER SPEG�FlED HEFEW OR <br /> IFrdipfYnmlipvptPiqpEuh'ISqx�IB[lOwputiKNiVDCOnES NOT. THE GRANTING OF q PERMR OOES N07 PFESUME TO GWE <br /> ioi_ oiocK or AUTNOPITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REf.ULATING CONSTRUCTION OR TIIE <br /> ^ERFORMANCE OP CONSTRUGTION THAT I AM AUTIIORRED�V THE <br /> OWNEF OF TNIS PqOPERiV TU PERFORM TME WORK FOR WHICH <br /> APPLICAiiON IS M0.0E AND I GOMPLV WRH THE STATE <br /> ru¢ri�eviommxc:i COMTRAC�U IB27qLWAND295200WAC <br /> C0441f1�IGtIG411�/�NIfNbFfl.lpfY1E55i[I(1'NOHEMV4pE11 � �� �jy��— �—�3 -�/Q <br /> fl" <br /> �•UII.IVfif � U�II <br /> CrtYBbSniESSIICFNS[NO <br /> PLIlIABING MECHANICAL <br /> NO. TYPEOFFlXTUREORI7EM FEE N0. TYPEOFEOUIPMENT FEE <br /> WATER GLOSET�TOILET) A/C—A/HN�LG UNITC <br /> _ BATHTUB FORCEDAIRSVSTEMS <br /> IAVATOR�(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEAiERS <br /> KIi�NEN SINK d OISP CLOTHES DRVERS <br /> DISMWASHER R�NGE HOOD <br /> LAUNOFY TRAY N'ATER HEATER <br /> CLOTMES WASHER YlOO�STOVE <br /> URINAL META�FIREPLACF.hVOOD BIIRNING) <br /> � �RINKINGFOUNTAW FlREPWCEINSEf7TpY0006URNING) <br /> FLOOA[�FaM GAS RaEPLACE <br /> OACKFIOW PREVENTERS GASPAN6E <br /> SINN�SEHVICE—BAR.ETQ) GAS PIPING <br /> E%HAUST�AN <br /> � SUDTOTAL S — SUD TOTPL f — <br /> PERMIT S PEPf.11T 5 <br /> TO7ALFEE S TOTAIFEE f <br /> FOR OFFICE USE ONLY: <br /> 'lll1111VI���,F f�f���fIP�CM SICkSFIB�C11 1'11Nf11([K1:114NlP ffF 1�FfFl�iNO <br /> � ,�02 —�+�% <br /> ���.iro�rt �- ip�.�n vnur�snr FEES VALURTION FEE <br /> ❑rEs ❑wa n�n�nivr. — --- _"" <br /> ��nc:�n rv�wrov eo a nwcwru c¢e a eioc�r — _——__ <br /> II4i�� p11:VP�Hf� <br /> �� <br /> f•ifi�l' ��..yv11 W'C11�'1H11U11� B15F4F�1 <br /> ..i..ri � M(INIMf4 <br /> ❑�f5 ❑'�O " _._ . � _ . <br /> r:.l' r- . ..IlRfil�L� (1f1VM ID6110Y�iM1I.NC�1lCM <br /> (11��(!� <br /> li:.l n...� . �1:10 11F1c�1� .—... . <br /> V�q Hli-1WHGSnnfY411:.F ' <br /> IY1� 1 �n I fl 'G f Yif111Y � . • .. <br /> �J' CITYOFEVERETT �.'. ��.,��.� �__ _t.. <br /> - � /- .. LOCAL SALES .. .. --- - ' t- <br /> '� ' �"` TA%CO�EIS]105 iOTAL <br /> ' __. _. _. ._� F __ __ .___ .__ . . _ . _ .__ ...�. __ <br />