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AaPLICA71�1 FOR CONSTRUC7�N PERMIT���� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•3VERETT,WA 98201 •257•BB10 <br /> ❑ DEMOLITION ❑ COMBINATION F� BUILDING C4MECIiANICAL ❑ PLUMBING ❑ SIGh <br /> PROJECT ADC^ESS <br /> ��� � r� � 3.�� ,�� S� <br /> CWNER NA�L�OM1E55 GiY 2W PIpNE <br /> C[T.sN �!�.�. (' �,� '/�' .,� d�. SE Euu��/ QB20d v�5 337 5273 <br /> TENWf NNL�O E5� � � LITY ZIP PIqNE <br /> MCXrtECTOPpE51G4EP AUtLe00RE55 CRv Ii %pNE <br /> � /. �/j'l.Vf <br /> GENEMLCONiR.1 OR M�IL�DDPE55 G�iY Z� %KKE SiA}EIICENSE� <br /> i.hER ?ZL-n/ Ho�(/. � �i�5"JJ752.73 GOERrN7 P),1vGn <br /> IAECN.W'ULLONLR�LiOP '41tPDDPE54 CI}V ZW PIpNE SiAi[LILENSE� <br /> �PJ��p� � �L� � � J I G�G� <br /> PLUA10i1GCON1 Iq1�ipR Y�IL�O��RS Cltt qp p110NE Sl1tELICENSE• <br /> c1LL — G�IAU .S �IiR � P <br /> CONiqP01 VRICE OF WCflR�^ — / <br /> HEATING SYS" 1: C�AS ❑ELECTRIC ❑ <br /> OESGPiB•:WOFNANOSOWREfWiAGEINVOIVW WNV.CIFERSOYTN'"mJNElq <br /> A/, <br /> �i a s <br /> I .:EREBV CERTIFV THAT I HAVE READ AND EXAMINEO THIS <br /> vPa�oSE[ ;s[ov Buiminc APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> PROVISIONS OF LAWS AN�CROINANCES GOVERNING THIS TYPE OF <br /> , SJ,�/G LF �AM/LV �'�> � 'NORK WILL BE COMPLIED WITH WHETHER SPECIFIE�HEREIN OR <br /> iccuoesCa�r*roao�vaoPr9rris� wHec�ow en ��cniwoccvies� NG�. THE GHANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> io*�,;iac+ o� PP�.I hUTdORITV TO VIOLATE OR CANCEL THE PROVISION OF AYY <br /> nn h On I OTHEA STATE OR LOCAL LAW REGULATING CONSTRUCTION OP THE <br /> �/_`'�9-99 PERF08MANCE OF CONSTRUCTION.THAT I AM AUTMORIZED BV THE <br /> OWNER JF THIS PROPERTY TO PERFOflM THE WORK FOR WHICH <br /> APP�ICATION IS MADF ANO 1 COMPLV WI7M THE STATE <br /> venc¢�rex i o.Huuece CON'iFlACTO LAW ifl27 RCW AND 296.200 WAC. <br /> 2�j'�SOS 2 02zOC� <br /> CONSiRUL ONIOANLENpEP,MDPESS.iElEPXO� M1tlBEP % / y`� a y �� /� � <br /> { � SqNqURE � � O�fE <br /> CIiY 9p51NE55lKEN5E NO. <br /> PLUM9ING MECHANICAL <br /> NO. TY^=OF FI%TUflE JR ITEM FEE NO. TYPF.OF E�UIOMENT FEE <br /> WALEP LLOSET�:OILET) NC—AhINDLG UNITS <br /> —i-- <br /> BA'�MTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN� HEAT PUMP . <br /> SHqW EH UNIT HEATERS <br /> Y.ITCHEN SINK 8 DISP CLOTHES DRYERS <br /> DISHWASMER / RANGEH000 <br /> LAUNDRYTRAY WATENHEATER <br /> CLOTHES WAShER NOOD STOVE �— <br /> � URINAL METALFIREPLACE�WOODBURNING) <br /> CRINKING FOUNTAIN FIREPLACE INSERT(WOGD BUHNING) <br /> FLOOR ORAIN GAS FIREPLALE <br /> BAChFLOW�REVENTERS GAS RRNGE <br /> SINK(SERVICE—BAR.ETC.� GAS PIPIN� <br /> EXHAUSTFAN <br /> — i <br /> SUBTOTAL S SUBTOTAL 5 <br /> P'cRMIT $ PF.RMIT S <br /> TOTALFEE S TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> iPONiSEIBpCIt REARSEt��CN SIOESElBAOy VUN��NNUY9E� iF�� � HELflPiHO <br /> D <4• S l9 <br /> usezwis �or�ece wcH+tsrt¢ FEES VALWTION FEE <br /> _� Q nres ❑iro emmrw: (y Z�/g <br /> PEIGNiLIM11Ai1M1 fqOi WEIUNG 54EO�BlC4Tl <br /> �r'� UN115 n �)� �O S/. PLUMO�NG .. <br /> a � r <br /> OCCUP.�.`ICY IqLfSlCllLS CCCU>�N1LOM bASEMENI M�µ�H�4 <br /> `�°�J Z ���Es � ' <br /> cmEsanirKicWac�o nt�wx wonarv.ivur+c�ccK I <br /> otHcn <br /> FlPEAUP4PEOD RE�SON � <br /> STAiE BV�lDY16 StIRCN�pGE <br /> rraeormr+sr ruHsevrnwmer CITVOFEVERETT wei�cww+as <br /> � / LOCALSALES <br /> N wre S Z TAX CODE IS 3105 70TAL <br />