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APPLICATI�1 FOR CONSTRUC'�N PERMIT <br /> CITY OF EVERE'f7•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 982 1 •[57•8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �HANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS��O� �� n �L � <br /> /T <br /> OWNEf1 MMtApOnE55 ���y Tp pH�E <br /> .Tiv,� l�N�rr�J��� �S';�hn� �UatC/T � zo3 �2� ��_ y�o� <br /> E � LI�WRE55 <br /> CitY ZiV RIONE <br /> AOLIIII[CIOflDESpNEq YAI��ppqE55 C�IY I PNONE <br /> GEN[ LCONL11Y.t0fV MAILAOOi1F$u pJy jm A�E <br /> SLAI[IILENSE i <br /> MCCIIANiC�LCONiMCi00 MAR�ppqE55n p ' / %10NE <br /> L}7'/r ��l L ��'� N O� 1�cir���� t/l�vf/ ��7 �� n sur�iKvsc• o/1 � <br /> wueaccoranncton uuuooness cir. 7 �/'�/ /���`��1/TU II <br /> � � %19NE SiA1ELICENSE• <br /> co�nnncrrnceor <br /> HEATING SYSTEM: / GAS ❑ELECTRIC ❑ <br /> oacnio� onK�wowu�eroprmewvavco / CONIACiPERSCN/NOPIIpAE <br /> � � L �� <br /> G � -P�/t �' � c-�ii <br /> I HcREBY CERTIFV TH4T I HqVE READ AND EXAMIIJED THIS <br /> rnoroseo uss os ouuonm APPLICATION AND HNOW THE SAME i0 BE TRUE AND CORC.ECL A�� <br /> PROVISIONS OP LAWS ANO ORDINANCES GOVERNING TI{IS TVPE OF <br /> icaeioescmvno�+orvnoa¢un�swwrvoeiowonnn.cnrnocovies� W�RK WILL BE COMP��ED WITH WHETMER SPECIFIED HEREIN OP <br /> NOT. hIE GRANTINQ pF A PEqM1T DOES NOT PRESUME TO GIVE <br /> �or___o�ocn or AUTHORITY TO VIOLATE OR CANCEL THE Pfl0`.a510N OF ANV <br /> OTIiEN STATE OP LOCAL LAW pEGUU+TING CONSTRUCTION OR THE <br /> PERFORMANCE OF COp'STRUCTION.THAT I AIA AUTMORIZED BY THE <br /> OWNER OF THIS PROPERN TO PERFORM TNE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WI7H THE STATE <br /> rnnceiuxiu.r�uMuen CONTM TORSLAWIB�CWAND296207WqC. <br /> CON:iIWGIi0Nl0INlEIrtfff1,A00RE55.iElEPNONENU4BE11 1 —� —L� � <br /> .� ! <br /> SIG � E <br /> OAtE <br /> C�tY BOSM[SS lICE14E 1q. <br /> PLUM9ING MECIIANICAL <br /> Na• iYPE OF FI%TUqE CR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET)__ A/C—A/HNDLG UNITS <br /> BATIITU� ! fORCEDAIRSYSTEMS <br /> LAVATORV(WASH DASIN) � HEAT PUMP �'�— <br /> SHOWER i UNITHEhTERS -- � <br /> HITCHEN SINK 6[11SP � CLDTHES�RYERS <br /> DISHWA54ER RANGE H00� <br /> LAUN�RYTHAY WATERHEATER <br /> _ CLOik1ESWASHER WOODSTOVE <br /> UFINA� : METALF�qEPLACEh'JOODBURNING} <br /> DRINKINGFOUNTAIN i FIFEPLACEIN3ERT(WOODBU(iNING) i <br /> _ FLOOlt DRAIN GAS FIREPLALE <br /> �ACNfLOW PqEVENTERS GAS RANGE � <br /> _ SINK�SEflVICE—DAR,ETC.) � <br /> i GAS PIPING � � <br /> EXMAUSTFAN i <br /> _ <br /> I <br /> _ � � <br /> SUO TOTAL 5 � SU�TOTA� i <br /> — i e <br /> PERMIT 5 i PERMIT 5 i <br /> TOTALFEE S TOTALFEE .5 <br /> FOR OFFICE USE ONLY: �Y1O3p -6 <br /> FOONf5ET0ACN PEN15El0ACR S�OGSEiOACN PINICNECNMI4BER fEE <br /> NECEIPi HJ <br /> usezoxE ior�nu v.CevrSrtE FEES VALUpT10N FEE <br /> ❑rEs ❑uo owm��w <br /> IIEIp11TLIMIiqpN IpO�OWELLIIq SIIEp4ptC!✓11 —�- <br /> UNIIS <br /> PLL'\!]i� <br /> Q:CWeNCY Iq�{Sip11[5 CCCUP�NLWLO B�SEYENi <br /> G��(UP 4ECIIA111�A1 <br /> OYE$ ❑NO <br /> FIII[SPfiWNLERf1E00 p[A5011 IWIIIUN4PLV1(NECN 11 <br /> 1 <br /> illl;�UF4!I[00 11EA50l1 Oill@ f <br /> S1tlE BUILD11q SIIIICII.NpG ( <br /> tYPEOiCON.i �U�'$�PV11pyEp0Y I <br /> CITY OF EVERETT weicwones <br /> LOCALSALES <br /> onre TAX CO�E IS 8105 707AL i <br /> _._ i <br />