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APPLICATIOI�OR CONSTRUCTI�1 PERMIT <br /> CITY OF EVEHETT•BUILDING DIVISION � <br /> 3200 CEDAR STHEET•EVERETT,WA BB201 •258-BB10 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDIN� O MECHANICAL ❑ PLL INO O BION <br /> PROJECT ADDRESS: 7�9 ��??'!Jj��'� <br /> eo4 4 Q�-< W 'ril�..�,.QL�, Wn_9Qa•�ss ?4�• (a°/P�l <br /> owF[n r.�ul�Wness Cirv tm ni�MiE <br /> IENW! YNIIJYNIf.55 QIY !iV hqNE <br /> ��-.--nn.�.a.:a..�.-�..-- _ �'v-k.�!' ��a 9�0o R i c�! <br /> rcwrzc anoesmv[n uu� ¢ss �ur im ��q� <br /> ,..,/,�,,.�, �:Q„� Cti�,,.: __�y�-lyRy C-,neN2Nior�n� <br /> 6FMFMlC1)N�ML1M MuIeDME55 ph-----/�p P�qN[ 541E1KFM5F� �' <br /> Cl(�2Y ;.en{�I �.f <br /> NECNLMvGLC(ON1�Mf.�Ofl � M�Il�M1I1F55 �IIY pl' pllplE S��IEUCFN$[• <br /> C�11� 1�l!1..��1'..-11 <br /> rwuB�cco�nn�f,�On :u�iupOnEsS cirv —�—"jm -- riqqE Sre�EIiCEMSE• <br /> CONtO/C!1'NLE Of W011N ----- <br /> HEATING SYSTEM: f�CIqS �F:LECTRIC ❑ <br /> �ESC11i0EWIX�M�Nf15WAPEfOOtMEh1VOlV[p f.(H1I�Lf1'[j�ONANp1�Np11ENp ' •—_ <br /> l�1ElJ CioN2TR1ACTiD /-� I�ovl��a :��/� . �y,p�/ <br /> ,n I f1EREBY CERTIFY THAT 1 MAVE REAO ANO E%�MINED THIS <br /> ��01VSEU WE Of BNIpNU �JL-- APPLICATION AND NNOW THE SM4E TO BE TRUE AND CORRECT�Ll <br /> S Z�y Pf10VI510N5 OF LAWS AND ORDINMiCES GOVENNINO THIS TVPE OF <br /> WORK WILL BE COMPLIED WITH WMETHER SPECIFIED HEREIN OR <br /> tecuoeuwvtroHorvnor[nrc�srrom�e[iaww n,�yHtwocooi¢s� NOT. TNE ORANTINO OP A PERMIT DOES NOT PHESUME TO OIVE <br /> io��qLOCM a S �t � 6 ' (O _ AUTHORITY TO VIOUTE OH C�NCEI THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REODUTINO CONSTRUCTION OR THE <br /> PERFOHMANCE OF CONSTqUCTION.THAT 1 AM AUTNORIZEO BY THE <br /> OWNEii OF THIS PROPERTY TO PERFORM TNE WORK FOR WHICH <br /> APPLICATION IS MqDE AND 1 COMPLY WITH THE STATE <br /> Fw¢Ei lex i o:n'�ti[n CONTRACiORS lAW 1827 RCW ANwD 286.200 WAC. <br /> C SIIIUGIIO'��O�HI �EII./.p�E .IEIFPIpNE�'S. � �a �O�f1p�.,` u�� � \\'V � f��y �`,e�^ <br /> J M� _�' .�` �UMrti O^�'�� aj;�/ <br /> (aSpS � I1��7"$W T L.A �r'rE 1? cmeus�essic rn¢ trro <br /> PLUMBING MECHIINICAL <br /> NO. TYPE OF FIIITURE OR ITEM FEE NO. TYVE OF EOUIPMENT FEE <br /> ,�� WATERCLOSET�TOILET) A/C—AMN�LOUNRS <br /> �% BATHTUB S'NOWF. FORCEDAIPSYSTEMS �_ <br /> � LAVATORY(WASN BASIN) HEAT PUMP <br /> � % SHOWER <br /> UNIT HEATERS <br /> KITCHEN SINH d DISP CLOTMES DftVERS <br /> DISHWASHER MNGE HOO� <br /> LAUNORY THAV WATER f1EATEFl <br /> J_ LLOTIiE5WA5HER WOODSiOVE <br /> URINAL MEfAL FIREPIACE pNOOD BURNING) <br /> �RINKING fOUNTAIN FIREPLACE INSERT(WOOD BURNING) <br /> FLOON bHAIN Gn5 FIREPIACE <br /> �ACNFLOW PREVENTERS GASMNGE � <br /> SINN(SERVICE—BAR.ETC,) --�—� Gp$p�pING <br /> '� E%IIAUST FAN <br /> �__— <br /> _ SUBTOTAL f SUBTOTAI f <br /> PEHMIi S PERMIT f <br /> TOTALFEE S ��— ?OTALFEE _ <br /> FOR OFFICE USE ONLY: <br /> rnOursr�nef.x nf,nn[r�eeCtl SNFSt�MCM ReNN[L✓.NOWT IIif.0rIN0 <br /> r.0 20 /o' ,I'"� .5G�077 �.::�, <br /> ustiwip, imn�r• v.u��s�E FEES VdlU11TION FEE <br /> � ' / ❑VfS O HII pU1111Nu <br /> IIf�C11111MI1��lON IIU(X IIWEIIING $Ilf O(�IUCRI � <br /> q p / UNII[ P1114pMf: � <br /> ��(J I67Z 30 _S.F ------ <br /> OCCIIC1NCv I��MS�IMIS OLCIII'ANIIO�U p�5 fH� <br /> f�IWn MII'11�M(,nl <br /> �•3 U•l � C.Iv15 �(N�I ' � <br /> flli!$f'111NN.ff111C0'I) �fl.Spl ' �IIU1�1I1Nnl 1`I�N�;IIfLM <br /> 1)IIIL11 � <br /> f111kAUflAlllEO� nF�t()r� � <br /> SIME OIIIIII�NIi SIlnf,lUM[ � <br /> nrfnrrous� nnus�rrnpvvnar CITYOFEVERETT �'����ir.wnn+•. /�� <br /> LOCALSALES — I(L'�= <br /> �—,iJ unie �' 14 TAXCOOEIS3f05 TOTAL <br />