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APPLICATI�! FOR CONSTRUC�N9 PERMIT <br /> CITY OF EVERETf•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 9ffi07 •257-8810 T <br /> ❑ DEMQLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING rl SIGN <br /> PROJECT P.DDRESS <br /> owrv[n Muinooness cm zm <br /> �� � 1H. 5�3a. �o�"���� FuEzem 9fS��� 'i,�; yv7-lC�n4 <br /> �F��A��1 $ CILY $W � <br /> 1'MONE <br /> ML11R[C!OHOESA'+flEP IAIilApppE55 Cltt IiP PIIpNE <br /> tiB1EMLGONiPACiCR YAI�AOM1E55 LILY IiP %19N[ SUiELICENSE• <br /> �LLSV �TO\EC `�•L'ILS <br /> �+ecurncualltqACiON M�II.AOOfE55 LRY 21P PNON[ SGiELKEhSf• <br /> VLVNOWOCONiqIQOR MAllA0JNi55 LITV ZIP PIIQJE 54LEULE�SE• <br /> ' �I , <br /> CONiPACI PI1KE OF ViORR <br /> HEATiNG SYSTEM: Ct7GAS ❑ELECTRIC ❑ <br /> �ELLNB[WORN ANO 5�ONE FOOUGE INVQVEO COryGLi PEF5011 NIO PNONE Iq. <br /> � C � <br /> I MEREBV CERTIFV THAT 1 HAVE READ AND EXAhIINE� THI$ <br /> �no�os[o us¢oremmuq /+7FlICATION AND KNOW THE SAA1E TO�E TqUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING TNIS TVPE OF <br /> �wacccc?.��uorvonveorrnrv�s��onHoe�owonerrecnrnoconies� W�RK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN Oq <br /> NOT. TNE GRANTING OF A PERMIT OOES NOT PPESUME TO GIVE <br /> �or etacK ov AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER ST?TE Oq�OCAL UY!PEGULATING CONSTRUCTION OR THE <br /> PERFOfllAANCE OF CONSTRUCTION.TMA1 I AM nliTNuniZeu or Tric <br /> OWNER OF THIS PRGPERTY TO PERFORM THE WORK FOR Y�HICH <br /> APPLICFTIOIJ IS MADE AND I COIdPLY WITH THE STATE <br /> onacu*u i o.xuMou� CONTRACTOPS LAW 1B2]RCW ANO 2962C0 WAC. <br /> LOIlitRULbpNtOANLENOEP.A00PES5.iELEVqON[MIYBEB x �i� /_`_�� .a��� <br /> 6iGN t RE r <br /> �AiE <br /> CIiY OUSwL55 L¢ENSE N� <br /> PLUt.IBINC MECHANICAL <br /> N0. TYPE OF FI%TURE OH ITEM FEE NO. TYPE OF E�UIPMEAT FEE <br /> YJATER CLOSET(TOILET� NC—A7INDLG UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVAiORY(WASH BASIN) HEAT PUTAP - <br /> SMOWER UNIT HEATEPS <br /> KITCHEN SINK 8 OISP CLOTHES DRYERS <br /> DISMWASHER PANGE HOOD <br /> LAUNDRY TRAV WATER HEATEP <br /> CLOTHES WASHEfI WOOD STOVE <br /> UflINAL METAL FIREPLACE�WOOD BURNING) <br /> DPoNKING FOUNiAIN FIREPIACE INSERT�WOOD DURNING) <br /> FLOOR ORAIN GAS FIREPLACE <br /> BACNFLOW PREVENTERS GAS RANGE — <br /> SINN(SERVICE—BAR,ETC J GAS PIPING <br /> EXHAUSTFAN — <br />' SUBTOTAL S SUBTOTAL 5 <br /> FcRM1T S PERMIT S <br /> TOTALFEC- 5 TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> �PONTSEfBaCx REAqi[iDACN S��ESEiB.KN nLWCNECKNUMO[p fEC PfCEIFirvO <br /> �. ��- D� S <br /> us[1or�e iorrace vecnr1isrt[ FEES VpIUATiON FE[ <br /> fJYES ❑NJ BOitWq <br /> IIEIOIIiU1Artq1pN IIbOFpVIELLIHO SRCOiBLOG11 <br /> UIIIIS VWYBkq <br /> OCNvuCY iqprSJF{5 OCCOP�N1l01.0 B.15EAIENI <br /> GROUG M611AN:CR <br /> ❑YES ❑Np <br /> qflESPPPINIEPPEO� FE�SCN �L91iq/ULFUNCIIECF I <br /> i <br /> OP1EN I <br /> RRE�LARMHEOp REASON <br /> SieiE OWLOixG SOPCHMGE �_ <br /> nr¢ovco�ar aiursevcaav¢oer CITYOFEVERETT ruemwoaxs I <br /> LOCALSALES <br /> w�e fAR CO�E IS 3105 TOTAL <br />