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APPLICATIOR FOR CONSTRUCT�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEUAR STREET•EVERETT,WA 98201 •(425)257•8810 <br /> ❑ DEMOLITION �COM8INATION ❑ BUILDING ❑ MECMANICAL ❑ PLUMB�N6 ❑ SCON <br /> PROJECTADORESS: S '—? A�`1xF FL� . ,SI.��' . �.�7 E /1'I,4TTHEWs _GLENWt�o <br /> �,a.����,� �w..'���""'- 7/•7��c�w 3C �.Kf.,...t 4�F 9Et5o .�il 'j'�• � _ <br /> pWNFn uu�• E55 On im v1qNE <br /> RN/.N� uMl RIOUF55 O�v T�V PrqMF <br /> /.�1CIIR�C10�fIf51GN[n M�IIAfWE55 CIIY ll� I'HM? <br /> -/� ) `' ` ` ' ;s>-s•.zs LI,�E«Hz�a��� <br /> . �y�� y`C l _ c�v. � {/L /�"��. d�� P��M/41 �- 7Q 7C <br /> 'f.fNlfUlf.ONip�Clryi 4���pI1nE55 C�Iv t�l` I'iHH4 GIL�LUCENSF• <br /> YFCIUWGLLO'11�4L1UP NUtAMME55 f.ltt l�� F�Id:f c1�fFl�CENSE• <br /> PIIINBMGCONINLCIp1 4�il4NME55 CIfY Ili PIqNF Sil.fElKfNSE• <br /> cwmect nn�c[or vrcme <br /> HEATING SYSTEM: QGAS ❑ELECTRIC ❑ <br /> bfSLPipFV/OUX�NI)SOU�AC�P'li16fWWlVED� Lpu�CiCIq50N�N[11' FM1O .] <br /> �� i: /.5 5 S �� �/i�� rni'�i I� u ST �i.�C-�c H .�.3 7— .3 S 2 R <br /> J'i,- � "!7 iZ.�: <br /> I /IEFEBV CF.RTIF'! 7HAT I HRVE READ AND EXAMINED THIS <br /> APPLICnTION AND KNOW TME SAME TO BE TFUE AND CORRECT ALL <br /> rnorosfn us[a ewmnm PNOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> WORN WILL BE COMPLIED WITH WHETMER SPECIFIED MEFlEIN OR <br /> im•inescumnoriormrorenrvis�avmeaowonr.nen��wccuncs rypT, THE (;RANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> ioi� _eiocx or AUTNORITV TO VIOUTE OR CANCEL THE PROVISION OF ANY <br /> ��. c�� ..� OTMER STATE OR LOCAL LAW REGl1LATIN6 CONSTRUCTION OR TNE <br /> a� PERFORMANCE OF CONSTRUCiION.THAT 1 AM�UTMORiZED BV THE <br /> �� _���q ;. �f.` , �,�, .� OWNER OF THIS PROPERTY TO PEFFORM TME WORK FOR WNICH <br /> i l 1 i C I - 3- c {-)- C c�• 2 APP�ICATION IS MADE ANO I COMPLY WITH THE STATE <br /> renen u�io m�unen 1 <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> CONS�ry�IL1iM110�NIfNZ1ff1I.I:0��LS51Elf1'NOMENWRFP X �� `��'��`�"� <br /> ; :�N r� r.: nn N r. s��.r�E o.�� <br /> CitY WLNE55lCEN5C NO <br /> PLUMBING MELNIINICIIL <br /> NO, TYPE OP FI%TUNE ON ITEM FEE NO. T'PE OF EWIPMENT FEE <br /> T <br /> �i WATER CLOSET(TOILET) NC-M7NDLG UNRS <br /> / BATHTUB FORCEUAIRSYSTEMS _ <br /> LAVATORY(WASH BASIN) HEAT PUMP _ <br /> / SHOWER UNITHEATEPS �_ <br /> J NITCMEN SINK 6 DISP CLOTHES ORYENS <br /> OISH WASHER RANGE HOOD _._ <br /> LAUN�RY THAV / WATER HEATER <br /> CLOTNES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE(WO00 BURNING� <br /> DR�NKING FOUNTAIN FIREP�^CE INSERT(WOOD BURNING) <br /> FLOOR OFAIN / GAS FIREPLACE <br /> BACNFLOW PREVENTERS GASRANGE <br /> SINN(SERVICE-BAR,ETC.) ,� GAS PIPING <br /> — E%HAUSTFAN <br /> v <br /> SUB TOTAL E SUB TOTAL S <br /> � PERMIT 5 PERMIT S <br /> TOTALFEE 5 iO7ALFEF. f <br /> FOR OFPICE USE ONLY: <br /> �n��u�c�inarn � n�� p� .�.Af SEtB�CK r1��+ci�E����� rFf � nFrfir�ho <br /> �i'� /l �`�/� � <br /> nd� :uvr � �o�enu v�c�vts��r _ FEES V�lWT10N _��FEE <br /> �-� � ❑Y[5 ❑rvU PINIO�Nf — �Ci /�L/7 //1//1 :�J <br /> �• ftjll <br /> uti�'+�tnvueu������� �O�YOwfIIMG S�tEpRl � <br /> ` y� '' � i I SS�J S L 1'lI1VPlYli ..... _ � <br /> J r• ^ <br /> U:>V�o.�v x` +.',.��q. VffWANlI'J�P R�SiMINI y//� 4f1'u�Y�'41 , �/�/ / <br /> �{/ �/ 2 ❑�FS Q�"' '__ ______ ___ .'�!!� <br /> F�/�!f__ __ ._— IODilipNq%�vpUf.µ <br /> 1 �.lnlll1�101� 111��'[1N _. — <br /> omrn _ -- <br /> i�ri�:�.iF7i:i��d-_ _ nupnv <br /> s,,,,w,.��,�,:��,��,,.�<:� 9.;so <br /> - - - /� <br /> nr�. n�ro�::�— -'�in�sumaovmov CRYOFEVENETT rvnucwon+s _�SL: - <br /> $ LOCALSALES -� - —�—� -"' <br /> ��� ��„t Z TAX CODE IS�105 To7�L _ <br />