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APPLICAi1C�i FOR CONSTi�UCT ��N PERMIT <br />CITY OF EVERETT • BUIIDING DIVISION �e,C�y�� <br />3200 CEDAR STREET • EVEHETT, WA 88201 • 259•BB10 � <br />❑ DEMULITIOH � COMBINATION ❑ BUILDING ❑ MECHANICAI ❑ PLUMBIIXi O SION <br />PROJECT ADDRESS:�O S � n�„� P I, S� —' f l''� + U$a /�$ <br />�lJf�ma��"� �-}�1M�5 �"L21p Fle ���+Y �d10 -�nn'f�- f�Va p aSQ 42O(� <br />uN�- OOA 11[ss--' cirr /in <br />r� <br />TEN�MT M�.11f1ptIf55 -�� � �-----�` <br />� _ , fAIY !II ourwe <br />n <br />1�oi 'DI^ NUC'"'1/fft — � <br />DEECRIlE MI� �1q $p��/� fOOfME wvOlVEO <br />res��rn�-icx� <br />P110P0lED USE O:lULOINO <br />�i 7.'7 ] fee-f . as rnc.aetA p�ons � <br />ieouoesemr•,.r�avnorEnnlsravmeEiowaa�n�eHr c <br />io� _.� �, e�oac _� ar� <br />o ��,_��_� ��--�,—�'�- <br />���irm o �r 3R10-000 - U12 - <br />PML�I iAM 1 �. NUM9ER { 1 A 1 <br />� _ " <br />�IMRE49. <br />WATEi"1 ClO3ET <br />BATHTUB <br />UVATORY�WAS <br />SHUWER <br />KITCHEN SINK 6 <br />DISHWASHER <br />UUNORV TR�V <br />DRINKINO <br />FLOOR DF <br />OR ITEM <br />SUB TOTAI_ f <br />PERMIT f <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />iRONTAETBM:M / PE�IISETB�C1t <br />U9E Zd1E� l0t �nE� ' <br /><�. � <br />_ /= ci <br />NE1011f IIMIlAiIOM / !p pi pyi[����p <br />UNIIE <br />OfCUV�MCY lq IX f�MFf OGCUPANf IO�D <br />IICENS[ � <br />HEATING SYSTEM: � GAS U ELECTRIC ❑ <br />f.ONGCIP(p$ONANDp11�JNEpp � <br />T . :� -� �� <br />_ ��c.'n � 20(� � �/8 027� <br />I H..HEBV CERTIFV AT I HAVE NEAD AND EXAMINED THIS <br />APPLIL'ATION AND NNOW TNE SAME TO BE TRUE AND CORRECT ALL <br />,i PROVISIONS OF LAWS AND ORDINANCES GOVERNIN6 THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER 5PECIFIEO HEHEIN OR <br />NOT. THE ORANTIN6 OF A PERMIT DOES h0T PRESUME TO 61VE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />? OTHER ST1lTE OR LOCAL LAW RE�UUTINO CONSTRUCTION OR THE <br />p, PERFONMANCE OF CONSTRUCTION. THAT I AM AUTMORIZED BV THE <br />OWN[R OF THIS PpUPERTY TO PERFORM THE WOqK FOR WHICH <br />. APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTR RS LAl 18.27 RCW AND 298.200 WAC. <br />aiGn��� 1 •� _ �---L.`__ <br />OAIF <br />- � �r <br />� CIfY U INESSL�CENSEND <br />FEE NO. TYFC OF ECUIPMENT FEE <br />�Iynrl NC—NMNDLOUNRS � <br />"7 �OO I FORCFD AIR SYSTEMS � <br />� 0 O HEAT PUMP � , <br />i7 �Oa UNIT HEATERS � <br />% i O� I CLOTHES DRVERS ' <br />T � <br />� RANOEHOCD � <br />�_ � WATER HEATER � <br />�D WOUD STOVE �— <br />� <br />' MEfAL FIREPLACE (VJOOD BURNIN6) � <br />i FIHEPIACE INSERT NV(�D yURNINd) , <br />� �AS FIFlEPLACE � <br />i0 GASRANGE � <br />� �AS PIPINO <br />' EXHAUSTFAN <br />—� <br />� <br />__ ' <br />� SUB TOTAI f � ' <br />PERM�T f � —T— <br />TOTAL FEE f f <br />/ SIDESifB�Cl{// Pl�NC11ECKNUMqF11 <br />�s� _�3y2� <br />veceH� sn FEES <br />�� � � � IIUlf11Nf. <br />SIIE O! BI.UIIR 1 — <br />O S.F riuum�«i <br />!�5 4ENI � uFf.lUNif.M <br />❑�ES <br />— �Db1IlONeI M�NCI�fCM <br />nm[n <br />sr�i¢ aimown sunciunnt <br />CITYOf'EVEHETT ���Riir.wonRs <br />LOCALSALES <br />TAIf CODE IS 9105 70TAL <br />�E � N_ I RFf.EIPf NO <br />