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APPLICAT14.d FOR C�NSTltUC7 .JN rEltMIT� <br /> CITY OF EVEFETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 88201 •259•BB10 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDINU ❑ MECMANICAL ❑ PLUMBIN(i ❑ SIGN <br /> PHOJECTADDRESS: /[-/,�7 /(�}j�,S�S�.J � //�, <br /> pWI�F M 55 ./ yCif`Y 7iP P��"E / <br /> !V �5 -/�� /Yo�7 /�D � Jf' S c.��ll� 94� �3 -"�•!�s/`� <br /> IEN�rvn uMl�IMMKSS �.��r l�P P��OHE <br /> ( '��,r��s ��,�e_/�.� 5��.�.� a;a - L•33 � <br /> �qGMt.CfOROF.SK R / M�IIMIO�E55 CIIY 7i1' I'IIpNF <br /> OENE11y�ONIMLI M�II�•�^F55 f.IIY J�� .1 ���ONf I��E Ilf.[NSf� <br /> /�- / �o��� sLl�ma.�e�..diu� ,�i�� 3`��� � 7/ y �/ �JCJ �'�i�C�v�.� <'�C..� <br /> NELNANILALCONTP�Cfpi M�Ili1Dd1E55 f.ITY ZIP PIIONf SGTE IICFNSE� <br /> Ai �»vr3H��o9l�c�'C� <br /> %UMe1N6CONfR1f,TOf1 MNl�UURE55 Clrv Iln PUONE SU�E IiCENSE r <br /> COMfMGf PRICE Ot Wd1N <br /> HEATING SYSTEM: ❑GAS C7 ELECTRIC rJ <br /> OE9CWSE MI011K�MO 5(l1URE f001/bE INVOIVED f.t»11�C1 P(n50N�MO PMO�1E�M <br /> O/l. s. ��Z�Jl-� ��jC� '�!'��-� _ <br /> I HEREBY CERTIFY THAT I NAVE READ AND EXAMINED �.�IS <br /> nPPLICATION AND KNOW THE SAME TO 9E TRUE AND COHRECT AlL <br /> PIqPOSEO U9E OF DUIIpMO PROVISIONS UF LAWS AND ORDINANCES OOVERNINQ THIS TVPE OF <br /> WORK W�LL BE COMPLIED WITH WHETH[R SPEC(FIED HEREIN OR <br /> IEO�L0E4GiMPflOflOfP1101'ERTYI�������ARI.f.NINqCOP1ES� NOT. THE ORANTINO OF A PERMIT DOES NOT PiiESUME TO OIVE <br /> im �eiocK ar _ AUTHORITV TO VIOUTE OR CANCEL TNE PROVISION OF .".NV <br /> OTHER STATE OR LOCAL LAW i1EQULATINO(:ONSTflUCTIf1N OR THE <br /> PERFORMANCE OF CONSTqUCT10N.THAT I AM AUTHOqIZED BY THE <br /> OWNER OF THIS PROPERTV TO PERFORM iHE WORK FOR WHICH <br /> APPLICA*ION IS MADE ANO I COMPLV WITH THE 6TATE <br /> PMLEL T/�71 U MIAMER CONiRACTORS LAW 18Y7 RCW AND 288.200 WAC. <br /> CONSTRUCTIONLOiVIIFNOFR.�01M1E55.TE1EM10NENUMeE11 _ XNr���'A.il✓ �'�Z' fl' <br /> 5 I1111E ��TE <br /> f,1T�BUSINESS L�CENSC NO <br /> PLUMlINO MECHANICAL <br /> NO. TYPE OF FlIRURE OR ITEM FEE NO. TYPE Of EOUIPMENT FEE <br /> WATEACLOSET�TOILET) � NC—AMNDLOUf�fTS ' <br /> BATHTUB ' FORCED AIR SVSTEMS <br /> UVATOFY(N�ASH BASIN� � NEAT PUMP _ � <br /> SHOWER � UNIT HEA7ERS _ ' <br /> i <br /> KITCHEN SINK 6 DISP � CLnTHES DRVERS � <br /> OISHWASHER � RANOE HOOD _ ' <br /> UUNDRY TRAV � WATER HEATER i _ <br /> CLOTHESWASHER � WWDSTOVE � __ <br /> URINAL � MEfAL FIREPLACE(WO00 BUHNINO) ' <br /> DRINKINO FOUNTAIN i FIREPLACE INSEi1T(WOOD BURNIN�) � <br /> FLOOR DRAIN � GAS FIREPIACE ' <br /> BACKFLOW PREVENTERS � OASRANGE _ � _ <br /> SINK�SERVICE—BAR,ETC.) i l3AS PIPINO ' <br /> — -- EXHAUSTFAN <br /> i <br /> i � <br /> i ' <br /> � <br /> � —�_ <br /> SUB TOTAL f SUB TOTAL S <br /> i'ERMIT f PERMIT f i <br /> TOTAL FEE S ' TOTAL FEE f ' <br /> FOR OFFICE USE ONLY: <br /> iR(M/T4F7P�CIt � aE�RSF�M S�OESETl�litlt PI�NCnEf.K F11 fH HFf.FIPINO <br /> , � u 4 � <br /> USE7d1E� io�e:+re , p • v�cearsrtc FEES VAIUATION FEE <br /> — --___r'._ <br /> � X(J,S OrES ❑ 'x� <br /> O�nIMMfI � �) n <br /> IIEIQIQ IIMIT11TlOr NO 0�DWEllINO S�iE O(&06RI — � <br /> IIMIIC PIIIMPI� <br /> � 2f3R(d� 0611:. --- ---}-- <br /> �G6�Up�NCV Iq M SIMfS OCCUPIINI IU�D e�SEMENt y/ MFGUN�f.M —___ ___ 1 _. . <br /> K-3 ❑rE9 O/�0 — — _ " .. <br /> �ODIIION�I M�N G6CN � <br /> iIRESPR�NRIERREOD �F�SON -- — —�--- <br /> � r <br /> on�en ' <br /> RNENMMHEO'D �F�SON i <br /> St�IE fli11101Hf SIIIN:d��RE 1 ' � � <br /> 1 J <br /> _ _ ._ �. <br /> f1VEfXl:ONSt f'1�N5�PP11CFn�r CITVOFEVERETT ���p����w^''"' � <br /> � I LOCAI SALES —�–� —�"-- � ; � 1 <br /> ��� o.�e f� iS �r7� TAX CODE IS 3105 iOt�l . . : . � <br />