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APPLICATIO� FOR CONSTRUCT�N PERMIT <br /> CITY OF E'lERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVEREIT,WA 98201 •(425)257-8810 <br /> ❑ DEMOLITION �COMBINATION ❑ BUILDING ❑ MECHANICAL �`PLUMBI�!d O SION <br /> PROJF�CT qDDRESS/ l"1/6��5�/ S i,J E�• � � <br /> �-1Cr!-=c I'4.0 l�lJ, lCCY� SC cu. An�LLt�:AyS.1��Za tIJ SlZt:;{� 5�25-�, -�?9 <br /> rn yu«w�[ss C i�r vnwc <br /> 1�`�G�ci� � <br /> RNevt - uui�twn[ss crtr bo vrqqF <br /> �NLwTfC�OA�E5IGH[n YLiI WpuE55 Gfv )�I` 1'XONF <br /> GfNff14CONiMC1(Ni M�R10l111E55 LVY hP P�qV[ SIULIICENSF• <br /> MFLH�111L�1(,O4If1�C10R �7� 441�Wf1E5$ Llry llf' Vrq�if CI11FlICFNSE� <br /> C�.tJ5512UAf�.$ Lbht�^pCL--� <br /> 1`PIUpiNGLON�F�f,tM M�II�INMfSp Llh I�� PMpNF Si��F110ENSf� <br /> CONtORi�HICf UpM1nR <br /> ����; HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> oruaiarwon���vnsnw�c�oo+.c[wvavEo /� � r.ox��c�v�nsa.��mnwwcrq <br /> � �L�; , <br /> Sf/E�r (L��1L -- u L,,u � ` �,�„ ?_� zz-�c�� .s <br /> I HEREB CERTIFY THRT 1 HAVE FEAD AND E%AMINED THIS <br /> �PPLICATION M1D NNOW TNE SAME TO BE TRUE�ND CORFECT�LL <br /> nnorosenuse av nun�r.ue PROVISIONS OF�AWS AtlD OHU�NANCES GOVERNING 7HIS TYPE Of <br /> S�ri:C^,LC �� �tL(L WORK WILL BE COMPUED WITH WMETMER SPECIfIEO HEPEIN OR <br /> irm�oescn�nnp�o rnonniv.�s�qwrveciowonenecxrvroeonssi NOT. 7ME GRANTIryG OF A PEHMI7 DOES NOT PPESUME TO GNE <br /> ioi ._eia:. or AUTHOpITV TO VIOLATE OF CANCcL THE PqOVIS�ON OF ANY <br /> OTHER STATE OR LOCAL LAW REGUTATING CONStPUCT10N OR THE <br /> PERFORMANCE OF CONSTRUGTION.THAT I AM AUTHORIZED BY TME <br /> OWNER OF TyyS PROVERTY TO PERFORM THE WONK FOR WHICH <br /> APPIICJAON IS MADE A D�rOOMPLV WIiH TME $TATE <br /> nurcFi����o HvuF:,p CONTWACTORS LAW 1B 27 AND 746200 WAC. <br /> _� �< � � �:� oo�� _ �3t��� <br /> ��� CONS�IIIKi1M10�NIfNpfPA[NInEiS.ICIf�MOMENU�MfR X � <br /> I5 �tpl � D��[ <br /> CIiV W LNCSS I�CENSC NO <br /> PLUMBING MECMIINIC�L <br /> NO. TVPEOFFl%TUREORREM FEE NO. NPEOFEWIPMEM PEE <br /> WATER CLOSET�TOILET) A/C—AMNpLG UNffS <br /> Z. BATHTUB FORCEDAIRSYSTEMS <br /> � �AVATORV(WASM BASIN) HEAT PUMP <br /> SHO W ER UNIT HEA7EP5 <br /> ( KITCHEN SINN 8�ISP CLOTHES DRVERS <br /> ( DISHWASHER fL1NGEHOOD <br /> LAUNDRV TRAY WA?ER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE(VJOOD BURNING) <br /> DRINKING POUNTAIN FIREPLACE INSERT(VJOOD BURNING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACKFLOW PFEVENTERS GASRANGE <br /> SINK(SEFVICE—BAF.ETC.) GAS PIPING <br /> EXHAUSTFAN <br /> SUBTOTAL E SUBTOTAL f ' <br /> T <br /> PERMIT 5 PEHMIT S <br /> TOTAL FEE 5 TOTA�FEE S <br /> FOR OFFICE USE ONLY: <br /> inrnuanmu. nr.nsnp•c. sio[s¢�e�c. ruxa�¢�unrn r¢r nrcrmrr.o <br /> r � <br /> ��r�irovr �o�urz. vuv�sn[ , FEES V�IU�TION FEE <br /> _ <br /> —r <br /> __ ❑vF5 ❑� P�Rpwn <br /> 1�1�(:��II�vi1111U1 M1OC�I�Wl.11l� $IIEO�BLCG�II � ' <br /> itiilv v1�i4P�Nf. <br /> 1 _ . —� <br /> O'..�Ilf'.�M� �`.�i�l (%.f1i1.IN11(1�11 B�Sf4CN1 Mff.11�NiC�1 <br /> � CII'llll' ___ __ <br /> ❑v[ti ❑YO <br /> Fn., unuuoiro�u-- ��n�ov � �owi�oNunuuurtc. _ —_ _ __ <br /> � aurrn -- — ' — <br /> -�auoatai� �- ��Nsov .�— —_ <br /> ti1111 Pllill)Ml'�Si111C11�11[iF <br /> _ • <br /> a,.�n•��� rinvs�rrnwrno. CRYOFEVENEiT rnxur.wa�ec <br /> LOCAL SALES -- — ---- -- ' <br /> u•,t TAX CO�E IS 3105 To7RL _ <br />