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APPLICATIO� FOR CONSTRUC��N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 320�CEDAR STREET•EVERETT,WA 98201 •(425)257-8810 <br /> [] DEMOLITION ❑/CJOqMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PR JECT�/ADDRESS:�/J//�D_=��Z��E�,"��/1 Li/t�7��1�V��if prn�� <br /> J/�1/J!f .!L/J��,�S1���1��1�✓C'Y_c1(.—l�1G0� <br /> Ifqp�l 4NIMM[55 f.11V l�� P��ONF <br /> Cl��llf"tO��ES�L'.[n � MAi1MfIPf55 CII� li� f'rl(iyf <br /> /�!<r�f�.���f.�h�l'��rf��,��.�9�/T��a�7�7 s�z� <br /> rrn�nniro��tn�qpq tien�qmFsS cil� Ar I'npqc 54RUCfHS�. <br /> A�'1 S <br /> uFCnpuCqcONin�f,l0n Uut�tiM�E55 C�rv T�r {42N [1�4UC[NA� --� <br /> P�V�IpIbGC0111R�Ciq1 4�M1�GME55 Gry jiG f4lpqj SGI��1C(HSf• <br /> lO'.���CI I`IIILC U�WOnF <br /> //�,��£��� HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> ne:cn;nrJTnx�r.n�copucannow[o / carn.crvrnso��umr��ovn:o <br /> hf / l <br /> I NEREDY CERTIFY TNAT I lIAVE READ AN� E%AMINEO THIS <br /> i�n�r�s�o oswr nmmi�.n APPLICATIOH ANO NNOW TNE SAIAE TO OE TRUE AND CORRECT ALL <br /> PPOVISIONS OF LAWS AND OpDINANCES GOVERNING T��IS TYPE OF <br /> WORK WIIL BE COA7PLIED WITH WHETHER SPECIFIED H[REIN OR <br /> �rr,uncscnn•up�orrrror[nttrsiaw»ec:awon�nanrxown[5� NOL TIIE G�7ANTING OF A PERMIT �OES NOT PRESVM[ TO GIVE <br /> ioi oir,�K_ or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSiRUCTION OR TME <br /> PEPFORIAANCE UF CONSTRUCTION.iHAT I PM FUTHORRE�AY TME <br /> OV�NER OF TMIS PpOPERTY TO PERFORM TIIE WOFK fOR WHICM <br /> APPLICATION IS MA�JAND I COMPLV WITH TIIE STATE <br /> rnncnuxiornrwn[n CONTRACtO LA �T"pCINAND296200WAC <br /> crnt�ntiCna��o�r��r�+t%�iMM�[•,s.i[�[M�orvENuunEn X j �//!� <br /> LLNI.Ip . p�it <br /> Ci1rBUVNE55lIL[�6f NO <br /> PLUMBING MECNANICAL <br /> NO. TVPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOIIIPMENT FEE <br /> WATEH CLbS[T(TOILET) A/C—AMNOLG UNITS <br /> BATHTUB FORGED AIR SYSTEMS <br /> LAVATORY(WASH�ASIN) HE.1T PUMP <br /> SHOWER UNIT HEATERS <br /> KITGHEN SINK 6 DISP CLOTHES�RYEPS <br /> DISNWASHER AANGE HOpO <br /> LAUNDRY TRAY iVFI ER HEATER <br /> CLOTHES WASHER Y�OOD STOVE <br /> URIHAL METAL FIRLPLAGE(1Y00D�URNING� <br /> DRINKING FOUNTAM FIREPLACE INSE��hV00D BURNING) <br /> FLO�ii ORAIN GAS FIREPLACf <br /> �ACHFLOVIPPEVENTEHS GASFANGE <br /> SINN(SLHVIGE—�AR.ETC.) GAS PIPING <br /> E%HAl15T FAN <br /> SUBTOTAL S SUOTOiAL Y <br /> PERM17iT 5 PERMIT 5 <br /> TOTALFEE E TOTAI.fEE S <br /> FOR OFFICE USE ONLY: <br /> I�ONI[RII�CN (V�I15(1RLC[ S�OCSfIB�CR PI�NC��[L✓.NU4PfP fFF �FffIP���O <br /> Co� <br /> �.�erro�ir �oi�n¢e wc�wsne FEES VALUATION FEE <br /> - — T— <br /> ❑YES ❑HO Np�t11`If. <br /> ��Iifn��PWf�lip4 NOO�pWfIIING SR[OIBIWT � ' <br /> 114i1\ <br /> riiiun�rn <br /> (Kluv4.::v x.`O�.ii'�u11 Vl:fun�NllO�[� O�SfMLNi NIII�MiUI � �� � � � <br /> l.11,�tll• <br /> � ❑Y[$ ❑N�l " - <br /> /uR4�'n:i�xLCPF[9'D �f�titM �OD�bONCIP114U�fLx <br /> anrtn <br /> iu:�zinnvata�� nf�spv -- ' <br /> s�ut nu.m�..r.snnc�un�'.r <br /> �rrr rn cOva rinvs�rrnovrnov CITY OF EVERETT rnnucnnu.� '--�� _"� '"'— <br /> LOCALSALES -� — --�— --- -- -- <br /> �;��E TA%COOE IS 7105 TOTAL__ __ __ _� <br />