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APPLICATI� FOR CONSTRUC7�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257-BB70 <br /> O DEMOLITION ❑ COMBINATION ❑ BUILDING ECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDqESS � � � �- <br /> � v, 5305 �,�,� �✓� C Zti -3h�-����U <br /> OWqEP NA0.AWFE55 CIiY I/P� %qNE <br /> TENANI M4LACORE55 CIiY �IP� PlqllE <br /> ♦RLXIiELiO{10ESIGNEP MAR�ODPES$ CITY IF VIpME <br /> �w�fQGu-s ��`fIo5Z3��f'LI,J �,�er 9�03[ (�,���-,Fz14 sui�7G5o65C.� <br /> MECMeNiCqCONiRACIOR MAILe0WE55 LIIY ZV � SUtEICEN$E� <br /> VLUMOiNGtONI��G10F AURM�PE55 CITY tiP RIONE Si�iELICENSE• I <br /> CONiPALi PRqE Of WOflK <br /> � w ' ,/' , HEATING SYSTEM: AS O ELECTRIC ❑ <br /> OESCPIOEWOPNANO$OUAPE�WLAGEI EO fANi�CiPEPSONIJ1pV11LWE —���1 � �1' <br /> I G ( f (i 1 <br /> / en <br /> I HEREPY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND NNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> GPOPoSEDUSE OF BUit�iNG pqOVI510NS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> WORN WILL BE COMPLIED WITH WHETHER uPECIFIED HEREIN OR <br /> LEG/�L�ESCR:VTIONOiGROPEP'Y�S1qWHBELOWOFAilACN1WOCOPIE51 NOL THE GRANTINO OF A PERMIT DOES NOT PRESUME 70 GIVE � <br /> ior___aicc. o� AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL UW RE�UUTING CONSTRUCiION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV TO PERFORM TME WORN FOR WMICH <br /> APPLICATION IS MAOE ANO 1 COMPLV WITM THE STATE <br /> veace�naio.nuuoeA — CONTRACTORSLAWIB. CW ID29 OOWAC. <br /> CONSiPULiqNtOR1LENpER./.ODPESS.IELEPNQ4ENUM0EP x �/f <br /> ' /o /z od <br /> 5 PE ATE <br /> CITY BUSwE55 L¢ENSE N0. <br /> PLUMBING MECMANICAL <br /> NO. TVPE OF FI%TUHE Ofl ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A/HNOLG UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) MEAT PUMP <br /> SHOWER i UNITHEATERS <br /> KITCHEN SINK 8 OISP j CLOTMES DRYERS <br /> DISMWASHER � RANGEHOOD <br /> LAUNDRV TRAY WRTER HEATEfl ~ <br /> CLOTHES WASMER � WOOD STOVE � <br /> URINAL � METALFIPEPLACE�WOODBURNING) <br /> DRINNING FOUNTAIN i FIREPIACE INSERT(WOOD BURhING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACKFLOW PREVENTERS GAS MNGE <br /> SINK�SERVICE—BAR,ETC.) i OASPIPINO { <br /> � E%HAUSTFAN i <br /> i <br /> SUBTOTAL S j SUBTOTAL f <br /> PERMIT E PERMIT f � <br /> TOTALFEE S TOTALFEE E <br /> FOR OFFICE USE ONLY: <br /> �NONi5E104Cft PEARSELBALN SIpESEtB�CN PUNCNECNNUMBER iEE RECEIPTNp. <br /> usezor�e ioree[n wcu�tsne FEES VALUATION FEE <br /> ❑YES ❑M1O BWlWNO <br /> NEIG11ilIMpl.ipN IqOfOWELll1q SQEOiMp(NI <br /> UNI15 <br /> RUM911q <br /> CLCIIV�NLY I�pIX510P(5 OCCUPAN}LOAO BASENENI HECHANILIL <br /> GPOOV <br /> ❑YES OIID <br /> RnESVPiNNIEPRE09 REI.SON ADORpILLLVWICNELN <br /> OMEP <br /> �6�EAURMpEO� nEA5W1 <br /> SiA1E BUM101lq SUHCHMpE <br /> .weorcous*. ri.ws�rvaov¢oer CITYOFEVERETT weicwaas <br /> LOCALSALES <br /> o��E TA%CODE IS 3105 ,TOTAL <br />