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APPLICATI�1 FOR CONSTRUC�N PERMIT� <br /> CIN OF EVERETT•BUILDING DIVISION <br /> 3200 GcDAR STREET•EVERETT,WA 98201 •259•BB10 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL C/] PLUMBING ❑ SIGN <br /> PROJECT ADORESS: p -� � �- <br /> �. - <br /> ow.�aa �c TT c .JJ /30 5 c���irc7T ��06 303-//o� <br /> � w �awcss urc im ri�E <br /> 1FIYNt Yul�1%MIESS LIIY )�V PIICMF <br /> •I1GbCGIp1f1E51LN[q Y1�IN�IIE55 f.11V ��p p���y�F <br /> 6ENEMlCONIMLlq1 MYLAIXME55 f.�lv )p' � PiYNC 5t�1(IIC[N¢• <br /> YECNANIC/�LCON1MClM 44lAqNIE55 ry.fY lil• PIqN[ SGIElKENSF• <br /> �'[r Pl.u,.,h�n, 9 00� l03'�'FL,<-v� i K5U//� 4d��o �r,-�,c�b TZTFtn o-„r.a <br /> nuuewccarviu.�rn uuiuxncss air J n�• rirorrt surEiKcwsc• <br /> cor�rn.tir rnK[arpy�onK <br /> oF�� � HEATING SYSTEM: O GAS ❑ELECTRIC ❑ <br /> �r sauncroati.c nav[o ccwr�r.�rcnsniumn�roxEuo '— <br /> � nri - s c �'n c <br /> �✓ 90ji 5 G r` <br /> I HEHEOY CERTIFY TNAT I HAVE PEAD �NO E%�MINE� THIS <br /> �5[ousE a eintpr�o — APPLICATI04 AND KNOW THE SAME TO BE TRUE AND CORRECT AlL <br /> � � ` � S��� PROVISIONS OF UWS AND ORDINANCES GOVERNING 7HIS TYPE OF <br /> �¢ ace mmweorriqrcnrvivqwHcn I1I.CIIINOCOIVES� WORN WILL BE COMPLIE� WITM WMETHER SFECIFIEO NEHEIN OR <br /> NOT. TIIE OfiANTINO OF A PERMIT OOES NOT PRESUA/E TO GIVE <br /> im eioce w At1TIlORITY TO VIOUTE OR CANCEL THE VROVISION OF ANY <br /> OTIIEII STAiE OR LOCAL LAW qEGUUTIN6 CONSTRUCTION OR THE <br /> PEFlFOfih1ANCE OF CONSiRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM TME WORK FOfl WMICH <br /> APPLICATION IS MAOE AND 1 COMPLV WITN THE STATE <br /> P.wwi rq i o.riweEn CONTRAC Of15 LAW IB P7 flCW AN0 296 200 WAC. <br /> / / <br /> LONSf11UCiNY1lOullfNf)F11.MDf1[SS.lElEnqvEMl4pFf1 _./�G/�/�G RL � �� J �J <br /> X % / / <br /> �N�IINIE p�lC <br /> CI�Y IIIISV[iS ICEI15(Np <br /> PLUYBINO MELII�NICAL <br /> NO. TVPE OF FI%TUflE OP ITEM F�. NO. _ 7YPE OF EOUIPMENT FEE <br /> WA7ER CLOSET(TOILET) A/C—pA1NOLG UNITS —'�— <br /> BATHTIIO FOfiCEO AIR SYSTEMS <br /> UVATORY(WASIi DASIN) I{EAT PUMP <br /> SHOWER UNIT IIEATERS <br /> KITCHEN SINK 8�ISP CLOTIIES DRVERS <br /> OISHWASIIER �MNG[f IOOD <br /> UUNDRY TRAY - WATEf111EATER <br /> CLOTHES W�SHER W(�Il STOVE <br /> URINAL MG�AL FIfIGPLACE�WOOU OURNING) <br /> DRINNING FOUNTAIN FIREPIACE INSERT(WOOD BIIRNING) <br /> FLOOP DRAIN On5 flR[r'LACE — <br /> BACKFLOW PREVENTERS GAS MNGE <br /> SINN(SERVICE—BAR,ETG) GAS PIPING <br /> E%IIAUST FAN <br /> _—_ �_ <br /> SUBTOTAL f SUBT07AL f <br /> PERMIT S PERMIT f <br /> TOTAL FEE S 70TAL FEE S — <br /> FOR OFFICE USE ONLY: <br /> rnoursnn.c� nc.nsv.a.cs smtsne+cx nuini�cxrn� �m rrr nrcnrixo <br /> USFiavE �ounEe vecuny¢ FEES yALUATION FEE <br /> ❑Yf5 ❑NU OIFIfNIIf. <br /> IIE1611iUWiA�ION IqCipWElU1A SREWBIIK✓�I <br /> UHI�C <br /> 1'11i4�W11 <br /> CCCUPAI,CY ryprySlM($ OCCU1MNIlO�D B�SEM[NI Ylbl�Nlfq —! <br /> GRIXIP <br /> ❑�FS �M — _ <br /> 011EWNHqEqI1f0'D 0l15W �q1110N�1%.WOOC.x <br /> �� <br /> omm <br /> nnewriun[o'o nr+c(w <br /> Steil nontwx:s�x�r.u�m( <br /> txr6ar,pu5* n�evserrvqv[nor CITYOFEVEflETT runi¢wai.s <br /> LOCAL SALES ------�--�----— <br /> o.rt TAX CODE IS JI05 7o1nL <br />