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A►PPLi�ATI� FOR C06d.'',"(RiJCT�aI PERMIT� <br /> IN OF EVERETf•BUILDING OIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259-BB70 ��'�"' <br /> ❑ DEMOLITION ❑ COMBINATION �y❑�B`UI�L�D'I�NG ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTAUDRESS: �Q�S22 T�/Tu56�A.t5 S� �7 <br /> �� y�n�./ � f�,r�',. ��l'If�.�3 z <br /> � 1 Mul�ppnESs � cilr rir - r� N( <br /> � ,9 �'" <br /> : 'i� � s�.� l�l ,,' �'n ljz(.1r-i ��f/iuiP_<< ) N1/ all,��Y�lr' �� <br /> 1MAM � . 4MlLOCPF.SS :'�11 1N P�qNf <br /> MKIII�[C1b10E51GN[fl �[4Yl.��iE55 1�f1 � l�1• � N�OIIf <br /> _�f��lTl <br /> cro�ne�cwnna uenwoncss �Qj�� Fii—_— r�r r��o�iz� ziunic[�ss. <br /> lr�a���.t�s � �r.�,,.� .s��n=�rc,s �n�.. S�� �r-��� (G.'�sT�136� <br /> 4[LIUIUCµLpN111�L10l1 MNtAf1IN1E5$ (lM1 )iP f1iONf G��If 14LN5E� <br /> 1'W411YiGCONIP�f.:q1 4�I1�00�f55 LIIV FI` 1`�OMC S.VEIiCENSf• <br /> LQYIf1AC1 CNL[W WOIIM <br /> __�. �Ui HEATI,�G SVSTEM: ❑GAS ❑ELECTRIC ❑ <br /> ocscnm[wonv�vosou�nEroouccwvavco uw-��nacns Hum(�+Fr�o� � <br /> �ID/4hF7bl�l �� .S�QI < < �j.A.UlXbW4�}�. 2Lo–piDl–!�l�O __ <br /> // �Ay Sryi�C — I HERE6Y CERTIFY 1�'AT I HAVE READ AND E%AMINEO TMIS <br /> �' � r�`T"� — APPUCATION AND NNON THE SAME TO�E TPUE AND COPRECT ALL <br /> rrqroxo use or oµyoi^� PROVISIONS OF LAWS AND OR�INANCES GOVERNING THIS TYPE OF <br /> L WORN YIILI OE COMPLIED WITH WHETHER SPECIFIGO HEREIN OR <br /> icce�cecrnmua+arpnorEatt�uwvmoeiawoqen�anvmcones NOT. THE GR4NTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> io� o�ocs ov AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTt1ER STATE OR LOCAL LAW REGULATING CONSTRUCTION Ofl THE <br /> PERFORIAANGE OF CONSTRUCTION.THAT I AM AUTMORIZED BY TME <br /> OWNER OF Th115 PROPERTY TO PERFORM TME WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPIV WITH TME STATE <br /> rnncau.rio�+uueea CONTRACTORSLAW1027 CWAND296200WAC. <br /> ca�sm�cnp�iou�icu�n.now�ess.�EicnwnErivuoEn X � ���� <br /> SiG De <br /> CIIYBUSNESSIIL[HSC110 <br /> PLUAIBING MECHANICAL <br /> NO. TYVEOFFI%TUNEOPITEM FEE NO. iYPEOFEOUIPMENT FEE <br /> WATER CLOSET QOILET) NC—AMN�LG UNRS <br /> OATHTl10 FORCED AIR SYSTEMS <br /> LAVATORY(WASH�ASIN) HEFT PUMP <br /> SHON'EF UNIT HEATERS <br /> KITCHEN SINK 8 DISP CLOTHES DilYERS <br /> OISHWASHER RANGE IIOOD <br /> LAUNDRV TFl�Y WATER h1GTEF <br /> CLOTHES WASHER WOOD STOVE <br /> UflINAL MEfAL FlREPLACE(lHOOD OURNING) <br /> DRINKING FOUNTAIN FIqEPLACE INSERT(VJOOD Bl1RNING) <br /> FIOOR�PAIN GAS FIPEPLACE <br /> DACKFLOW PREVENTERS GPS RANGE <br /> SINK(SERVICE—OAR.ETC.) GAS PIPING <br /> FJ(f IAUST FqN <br /> SUB TOTAL f SUB TOTAL S <br /> PERMIT 5 PERMIT S <br /> TOTnLFEE S TOTALFEE f <br /> FOR OFFICE USE ONLY: �' � <br /> IIInNIGf111�CR I�F��ICf1pACN $IDES[19�CM f1�Nf11Cl:MNl1Yf11�1 !1 � � �'t �fFIPINO <br /> /�" � �� � <br /> usrm�u io�u�u v.r.ernsnr �-- VAIUATION FEE '— <br /> —_ � <br /> ❑ves ❑ua nuno�er. <br /> uucm uun�unN Mo ar uwtwnc sae Or emr.m — � <br /> uNns riuuuwr. <br /> (%tVCI.NCv h�M90w6 Uf:NlqNll041 PaSFMENI � M[b��MiGI <br /> cnnor ' <br /> ❑YFS �]N�) - ' <br /> finC6PlIn�eII11PLOD 0(�5(M' N1WIiON�l1'I�Nb�(Cv � � <br /> 01��[O �.n. �7 / i <br /> nncr�nm.�nm'o i�f.snm — <br /> tiurtBi�no�x sunnunr.[ <br /> nri�i�i i�r:s� r�m�s � mwor CITY OF EVERETT ninucwnn.s -- --"_—�' -- — <br /> � . LOCAL SALES ---- -�� ---- —� --�—�----'— <br /> n+�t - I 7 �� 1A%CODE IS 3105 TOTPL �_ <br /> —_.._ _—_ L=— -- ___—_.—___. --.___ <br />