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APPLICATIC� FOR CONS�RUCTAN P�RMIT�w� <br /> CITY OF EVERETi•BUILDING DIVISION <br /> 320��CEDAR STREET•EVEHETT,WA 90201 •257-8810 <br /> i� DE�dOLITION ❑ COMBINATION BUILQING ❑ MECHANICAL fl PLUMBING il SIGN <br /> PROJECT A�ORESS �n �7 C)�� /�� <br /> _�G � <br /> c:.n,n � rnuLno0nE55 Grv piv nuoNc <br /> �,i✓, S,r, k��-��w�yCo, 3N�9 Is�sr, �✓P.� �gzal Yzs->'oY-66S6 <br /> IG1i}NL ILRD�f1E:5 CIiY 21P P11011[ <br /> �o tkJ F��n�s tFEw � D/Ne�GE�i <br /> �au�Ecror�ccsn;�cn / uniir.00P ss crt" zia reoxe <br /> 3�,.s'r, a�,�w�w s���,�s DEPT: , , , � , � <br /> GcM1H�nLCONiRACiO� G�IUGDNE55 Gtl SiP plqN[ GiA}ELICENSE• <br /> �A[C��.!.i[p�[ONfPnC1CC. I.UIL�DOPEiv fIIY IIP pNONI $IALELIC[115E• <br /> V'LL".'l111GCUNtRILi�P M41L<O�HESS CIIY 11� PIq1:E SiGtEL�LE115EI <br /> LRiIRA�i pF.CE Oi WOflY. <br /> HEATING SYSTEM: 7 GAS I;ELECTRIC ❑ <br /> LL4raprµcnNeNosoWPEF00LGElrl�'avEo �oli r n xaqpru rC�:O [ tL <br /> E <br /> _k�i�crX 30'x��z� FS�Y PocE 8�+�6, vh� 2,7us�G �lzS- 3a�1 FESE xn�i •!7Y`� <br /> �},�i�� /j Z�l��� I HERE�Y CEflTIFY THAT I HAVE READ AND E%A�d!NED THIS <br /> APPLICFTION AHD KNOYJ THE SAI,'�E TO BE TPUE AND CORFECT ALl <br /> r�icrc..co we oi emmn.� PROVISIONS OF LAYlS A�D ORDINANCES GOVEiiNING THIS TVPE OF <br /> VlOPK WILL DE C01dPUED WITH N'HETHER SPEQFIED HEREIY OR <br /> uw_o[;carnorior�poacett�snmvr�oElowonuu.Hrwocov251 NOT. TME GRANTING OF A PEPldIT DOES NOT PRESUIdE TO GIVE <br /> wr B�xa _or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY I <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> _ PERFORMANCE OF CONSTPUCTION.THAT I Ah1 AUTHOpIZED OY Th1E <br /> O`NNER OF?HIS PPOPEFTY TO PERfORM TI!E VJORK fOR WHICH <br /> APPLICATION IS MA�E AND I COtdPLY VJITH iHE STATE <br /> ra�ca�a.m�wuaEa CONTRACTOFS LAW 1827 RCW AND 296200 WAC. <br /> i <br /> Cf1::i11:pLiiONlO?NlF.NOEP.I.00BE551CLEPNONFNUAI6EP x '�'� � 3` zZ•-0 / <br /> :IGNINIrE OAiE <br /> � <br /> urvoucirass'r�.:ur,c r:c <br /> PLUTABING MECHANICAL <br /> NO. TYPE OF FI%TUfle OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � WATERCLOSET(TOILET� AiC—ANNDLGUNITS <br /> BFTHTUB FOFlCED AIR SYSTEIdS <br /> LAVATORY(WASN DASIN� HEAT PUMP <br /> SHOWFR UNIT HEATERS <br /> � NITCMEN SINK 8 DISP f,LOTH[5�RYERS <br /> DISHVlASMER I RA1GE HOO� <br /> LAUNDRYTRAY P;ATER HEFTER <br /> CLOTHES WASHER l"lOOD STOVE <br /> URINAL �dBTAL FIREPIACE(W00�BURNING) <br /> DRP:HING FOUNiAIN FIREPLACE INSEflT�WOOD 6URNING� <br /> FLOOR�RAIN GAS FIREP�ACE <br /> DACNFLOW PREVENTERS GAS RANGE <br /> SINK�SERVICE—BAR,ETC.) GAS P�PING <br /> E%HAUSTFAN <br /> SUBTOTAL S SUBTOTAL 5 <br /> PERh11T 5 PEflld1T 5 <br /> TOTFLFE[ 5 TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> rnorirsE�:� n[nnsct�K sioESErp� �ur� ����neen rc��D� nEtEmrr�o <br /> .7 <br /> maimn� ioranca wcayrsne FEES /V�pLUATION FEE <br /> � �— — ��.res � aunonic L / <br /> unc�rtur.+rtnion r�ooro�.vnurm �¢[Ore�m�i � <br /> urms' <br /> p Piur.�Wr�c <br /> occuv,v.;v .o ai src.ies �occu�nxnoao onseuuir I <br /> GNOU�1 > MECN�IIIGI <br /> 2 nres Yr�o �— <br /> .i�+Eivn�,N[�tnr[Oo aEnsoH �O�O�oNelpu�iGrtCn <br /> I <br /> OThCR I <br /> nnEnL�nrnRWD R6RGn <br /> �� S1AIE Bll'�LOING SIIRGI�AiGc � <br /> I <br /> ?rr�coicor�sr PurvsnP ��Eoov CITYOFEVERETT ruo�krvoaKs 1� li ' <br /> . / � j LOCALSALES � <br /> V �V r.<�¢ _ TAX CODE IS 3705 TOTAL I <br /> " i <br />