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/l,PPLICATI� FOR CORISTRUCTION PERMI�' <br /> CITY OF EVERE7T•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA g8201 •259-BB10 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL f�,PLUMBING ❑ SIGN <br /> PROJECT ADDRESS:_ _ /O$09 /G7� LJj/ S< <br /> �G.r//nG �P�'/ �S Sc�'i.a, n�c�_�P�liv <br /> uut�Oq�E55 t�n /ir--� <br /> �aa S ycl��e w 'gD /1'lu�.�y�o �� ���E <br /> ;E�.�._ u� E55 >�a�5 �30 - ias/ <br /> ! L GIT 11P MqNE <br /> �t�-C�L\IICP'\_ �Lf/L.L <br /> ennuimionces en uu�uwness nrv �n� nr�F <br /> G/��'�'/_���13C'�LC.USTuL �.�7�7 $alJ, / arrSG'�lrf�l tm r�roHe srerc�¢[r+s¢. <br /> u�c���xi ucou�n�cron uui�wx+Ess —J��/'f��9y-•2 <br /> bh }iP CIIpNE [IA1FUCENSE• <br /> PIU4qINGCONiPA�lM MulE0pRE55 Cllv (Ir PIqNE SfqEIILENSE• <br /> � �� � P, � SS C l � " /7 17E BoLPff/G/Of7 <br /> canrn�c�vrncE w wonK <br /> �r -- HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> aSLniBE LXJSOVEnErOpiAGEwvavEo cOnu�ipCnsONAMIp��prvExO �— <br /> SnL�/2 ']' <br /> I HEREOV CERTIFY THAT I HAVE �?Z4D AN� E%AMINEO TNIS <br /> �rroroscousE or Bmiwuc APPLICATION qND KNOW TME SAME TO BE TRUE AND CORRECT qLL <br /> PROVIFVNS OF LAWS AND OROINANCES GOVERNING THIS TYPE OF <br /> i[euascniaupvocvriprEnnis�qwngeiawp�e%cnlxnconesi WaAK ,lILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PflESUME TO GIVE <br /> m� aiace pr AUTHORITY TO VIOLArp �p CANCEL TME PROVISION OF ANV <br /> OTNER STATE Ofl LOCAL LAW HEGULATING CONSTRl1CT10N OR THE <br /> PERFORMANCE OF CONSTflUCTION.THAT I AM AUTMORIZED BY THE <br /> OWNER OF THIS PROPEflTY TO PERFORM THE WORK FOR WHICH <br /> APPIICATION IS MADE AND I COMPIY WITH TNE STATE <br /> vu+cEL tmc i o xuuBER CONiRACTORS LAW 1827 RCW AND 296200 WAC. <br /> cor�s�nucn�w�ou�icHcen.�non[ss.�t�cr�onEr�uuo[n z �`�� �/�'U�97 <br /> SIfiNA VRE OAI[ � <br /> CIIY 11USINF$$IICINSC 11U <br /> PLUMB�NG MECH�NICAL <br /> NO. TYPE OF FlI(TUPE Oq ITEIA FEE NO. 7YPE OF EOUIPMEN7 FEE <br /> WAiER GLOSET(TOILEn A/C—AMNULG UNRS <br /> BATHTIIB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT NEATERS <br /> KITCHEN SINK 8 DISP CLOTHES DRYERS <br /> DISHWASHER RANGE HOpD <br /> LAUNDRY TRAY WAiER HEATER <br /> CLOTHES WASNER WOOD$TOV[ <br /> URINAL MEfAL FIREPLACE(WOOD BURNING) <br /> DRINKIIlG FOUNTAIN FIREPLqCE INSERT(WOOD Bl1RNING) <br /> FLOOR ORAIN GnS FIREPLACE <br /> O�CNFLOW PREVENTEflS GASP.ANGE <br /> � SINN(SERVICE—BAR,ETG) GAS PI?ING <br /> EXh1AU5T FAN <br /> _ SUB TOTAL S SUB TOTAL S <br /> PERMIT S PERMIT 5 <br /> TOTALFEE E � ' TOTALFEE f / <br /> FOR OFFICE USE ONLY: <br /> rnouisrmecx ne.nxrrnaK smcsv*ma ruHartcxvuwrn ne mr.rmreo <br /> us[ror+c �pren�e v�c�H�s��c FE�E�� VALUqTION FEE <br /> ❑res ❑�+n nmmi.ur. --r— <br /> NEIGIIlOMIf�IiON NOO[UWEIUNG SIIEOfOIDGrtI <br /> ukilG <br /> rvuunir�r, <br /> CCNC�NCY H�M9�4a15 OCCV1`�NIIO�U R15EMEN1 MfCUWiGI f <br /> G��OVI' <br /> ❑Yf5 ❑NA <br /> fIP[SPIIINNLEf1�1C0�0 ��fASON �Cb�iI1N11f�Ax[IIlCF <br /> ������ <br /> on�cn <br /> fIPEAUNMRECD aF�$04 <br /> SIAIC Olnlflnif.SilOCl4pf.E <br /> rrv6orro�i��'� rinNs�rrnovtnor CITYOFEVEHETT i•oxrn:�mx�.a <br /> LOCAL SALES ------ — <br /> _ _ w�t TAX CODE IS 9105 7o7AL ��� 1— <br />