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APPLICATIO�FOF� CONSTRUCTIAhI PERMIT <br /> CITY OF EVEREI?•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257�8010 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL PLUMBING ❑ SIGN <br /> PROJECTAODRESS <br /> �ol}7�Wti S � O �cJ�/Z P�N /�{- <br /> ow+�r u enonr.s, irv <br /> o� �yl � zm ri�w+e <br /> i� /%��/c� .�i3D e''�e2Greer2 r✓.a� y',.,[- 9�Zo �/LS LSZZY35 <br /> �- Ess cirv zm r��or+E <br /> Sf'/�- <br /> nnc�mcctquucsp� �ooness eirr zro vrpx¢ <br /> JE� <br /> E Lew1tp,� HAll�W0E55 GIIY ZM MqN[ SlqElpEl6Ei <br /> 1��� <br /> O O t DO E55 LIIY ZN RI01lE SIAIELI[CNSE• <br /> �el� <br /> �uM +� . w„caa mrc zw ruouc steieuceuse. <br /> � <br /> conmectrn or �x <br /> /Za� HEATING SYSTEM: �GAS ❑ELECTRIC ❑ <br /> OESCNOEWO(iN�NOSWM FCOiAGEIIN .W pplIAC�1`[115011NIOF110NEIq <br /> rc� <br /> � �� o.0 �:�:.�7 ��¢.1c7� '�a— <br /> 'IL (, LP/L— C _/u � � NEPEDY CEfITIFY iHAT I HAVE READ AND E%AMINED THIS <br /> � � APPLICATION AND HNOW THE SAME TO 6E TRUE AND CORRECL ALL <br /> rnw�oseo use oF ommnm(/J��p PROVISIONS OF LAW S AND ORDINANCES GOVERNING TI IIS TYPE OF <br /> " —���6� WORK WIIL OE COMPLIED WITH WHETIIER SPEGIPIBU IIEIIEIN OR <br /> �¢ce�oEsrnmirorvo�nnuvrnrv�sno+mo¢�owonn*ucuivrocoric;� ��pT. THE GRANTING OF A PERMIT �OES NOT PfiESUME TO CIVL <br /> ior oiacN ar AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW qEGULATING CONSTRUCTION O!i THE <br /> PEflFORMANCL OF CONSTFlUCTION.THAT I A1A AUTIIORIZEO�Y TIIE <br /> OWNER OF THIS PROPERTY TO FERFOqM iH[WOflK FOR WH�CH <br /> APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br /> rnnc¢�i�x m.rmuo[a CONTRACTORS LAW 182I fiCW AND 296200 WAC. <br /> CO�i90UC➢ONlOyui,l[NO[0.�ppqE55.lE1[P11011ENVu0E11 x— ���17 /v/�j0(/�[ l/ /r ,{�� <br /> ,y� S�GNA�O�E �� <br /> / DeIE <br /> CIIY OU4H[55 LICEIISE NO. <br /> PLUMBING MECNANICAL <br /> NO. TYPEOFFI%TUREORITEM FEE NO. TYPEOFEOUIPMENT FEE <br /> WATER CLOSET(TOILET) AIC—P/HNDLG UNITS <br /> BATHiUO FORCED pIR SVSTEMS i <br /> IAVATOflV�WASH0A51N) i HEATPUMP �— <br /> SHOWER � UNITHEATERS <br /> KITCHEN SINK d DISP I CIOTHES ORYERS <br /> DISHWASHER RANGE HOOD <br /> LAUNURYTPAV WATERHEATER � <br /> CLOTHESWASHER i WOODSTOVE —��— <br /> URRlAL METALFIREPLACE�WOODBUflNING) ! <br /> DRINKItJG FOUNTAIN i FIREPLACE INSERT(WOOD DURNING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> DACNFLOW PREVENTERS � GAS RANGE —~— <br /> SMK(SERVICE—BAR,ETC.) i GAS PIPING <br /> � E%NAUSTFAN � <br /> i <br /> t <br /> i <br /> ---i— <br /> SU�70TAL 5 SUDTOTAL 5 <br /> _ PERMIT 1'EqM1T 5 i <br /> TOTALFEE � TOiALFEE b <br /> FOR OFFICE USE ONLY: �O(I'DOZ <br /> f�Ot�tSEID�LN 11EAq5E10/.CR Si0E5E1B�CK IUNLUECK`NMOEO iEE �ECflPi�q <br /> us¢roe�E toruiE♦ veturt5rte FEES VALUqTION FEE <br /> ❑YES ❑q0 OIIRUrtq <br /> uE�G11RIMIWpN NOOFpW[LLllq SREOLOIIXYfI -� <br /> wms <br /> MUMOING <br /> OLLV�R6Y Iqp510P¢5 CCCU�ANfIO�p 9.15ENENI HECIIANICq <br /> Gl�OUP <br /> ❑YES ❑Ip <br /> f�0E5PN0nlER�EOO OEASON A�OI�qNqpUJIC1IECN <br /> I <br /> ani[n <br /> vine�umaneao nEeson <br /> SGIE W tt�4p SUOCNApGE <br /> ivrEaccor�sr vur�serrnweonr CITYOFEVERETT we�awonxs <br /> LOCALSALES <br /> oere TAX CODE IS 9105 TOTAL <br />