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' � APPLICATI�1 FOR CONSTRUC7�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAP,STREET•EVERETT,WA 98201 •257-8870 <br /> ❑ DF.MOLRION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SI6N <br /> PROJECT P.GUNESS , I � / � �� rn/ n .� � <br /> T �U2 <br /> OWNEP MRLA0G11E55 GiY liV RM1E <br /> l'�r -r�:�r-cEA/ � �o � Fr� :(� 9�'z-C.� Y�s"ss� S-z�3 <br /> TGN�xi uuLI.WPES �� LIIY bP aIONE <br /> ��� �3 �,,,/ �,__�E_ y B 2.O A <br /> APCNiIECiM [SqNEP IA�LL�DME55 GILY ZV N �E <br /> _Q2� ' --/ <br /> GENiRI.L[GIRPALIDP IAPIF�OFHS CIiY 2iY PNONE SUiELICENSE� <br /> MEGNMnGLGONiMC10R 4uLA00RE55 LItY Z�P P11011F Si�IEIICENS[• <br /> YWMB�NGGO�II�LCiOF IUiL��DPE55 Cliv Z�P P��ONE SiALElIC96E� <br /> COII1PALi PPG[W WORN HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> pE5CPi0EV/pPNANp50V�AE�OG .uGINY0.Vl0 CONiAQPCR50NAN0�NON[NJ <br /> n � FJ6NL'w ��l �' 09� <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINE� THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> ea000seo use or emmn+r PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETNER SPECIFIED HEREIN OR <br /> LEG�L�ESGRiGIIONGFpPOPEPry�SNOWNOROV1WiAiiI.CNLWOCOPIE51 NOT. THE GRANTING OF A PERMIT WES NOT PRESUME TO GIVE <br /> ior ��_e.oc. or AUTHORITY TO VIOLATE OR CANCEL THE PHOVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTiON Ofl THE <br /> �� � � //�� JJ PERFORMANCE OF CONSTRUCTION.THAT I AM AUTMOHIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WOfK FOP WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> cnaceiux io r1uusee CONTflACTORS LAW 1827 RCW AND 296200 YlAC. <br /> � �9�.Sr('f' Z -OZz - oe0C1 (�/ /� <br /> cor�srauctwH��Axi[nom.nooncss.tci[v�ror�¢r�uuo¢n x lLt/�..l,�� (p /�S � <br /> S�GiuIUPE �� OAIE <br /> LIT\'OUSME55 LKfliSE NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE ON ITEM FEE NO. TY7E OP EOUIPMENT FEE <br /> '! WATER CIOSET�TOILET) NC—0.?INDLG UNITS <br /> BATHTUB FORCED Alfl SYSTEM1IS <br /> LAVATORY(WASH BASIN� HEAT PUMP <br /> � SHOWER UNIfHEATERS <br /> 1 KITCHEN SINK 8 DISP CLOTHES DRYERS <br /> � DIS�WASHER RANGE HOOD <br /> I LAUNORYTRAY WATERMEATER <br /> CLOTHES WASMER WOOD STOVE <br /> - URINAL METAL FIREPLACE�WOOD BUFNING) <br /> DHINKING FOUNTAIN FIPEPLACE INSERT(WOO�BURNING) <br /> FLOOR ORAIN I GAS FIFEPLACE <br /> BACKFLON PHEVENTERS GASRANGE <br /> SINK�SEHVICE—BAR,E�C.� GAS PIPING <br /> EXHAUSTFAN <br /> ___—� <br /> SUBTOTAL 5� SUBTOTAL 5 <br /> PERMIT 5 PERMIT S <br /> TOTALFEE S TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> FROIIi5E19AIX PERPSEIDACR Si0E5E10�CN VUNCNECMNU4BEP FEE AECEIPilq <br /> .'�'CI ZO .5 - (n- r�o� n° <br /> us�zoue io*eaee veuHrsne FEES VIILURTION FEE <br /> . � ❑ves n ra om�oirvc <br /> ��cic«rurni.•.aN r+oocowrurza su[ocaia.Ti <br /> � uNi�s `Lll� 4 8 vwunixc <br /> pCLOUPANLV IqfFSfUF{S OCLI1PANiLO�O B�5(UENi MECMANICAL <br /> rt•3 o-i Z ��E� ✓ <br /> nRESPRnNLERPE00 flEA5011 ADDITIJN0.VWIGNECI( j(J '� <br /> OiNEP <br /> �mEAImMPEOO �WSOt1 <br /> SIAiE BWIDING SURLMMGE <br /> iYPEGFCANST FlANS�PPROVEOBV CITVOFEVEHETT NBLqWOPN$ <br /> , I LOCALSALES <br /> —N onr(o Z'�v�0a TA%CODE IS 3105 TOTAL <br />