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APPLICATI�1 FOR CONSTRUC�N PERM�T� <br /> CITY OF EVERETT•BUII.DING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257-6810 77 <br /> C DEMOLITION ❑ COIABINATION ❑ BUILDING ❑ MECHANICAL ,'fi PLIIMBIN3 ❑ SIGN <br /> PROJECTADDRESS "� <br /> SrUS� �,.�u'q f�� �il! , I <br /> o c !3l / � (N 4 �7r,ya(J� <br /> �� ���� �fV�M4��AOGl+LfS c CIiY jIP VNJNE <br /> 1l1'� ��\1-a�( \ L <br /> iC11ANi / �M/9ILIOCP S �� -- L/��_�y-v� <br /> �IPi1�12.�SC(�1 9��7 � � crtr �. rnnr�e <br /> MCNILECS�JflCf51GN[I��' 1.111LAOG�E`i_ Y ZIP �I <br /> / J/ f7 � <br /> �"/�/a776 � .i ��/,.n, ,ti 1�,� �A!� � /� � <br /> G�EIEN1lLONiR�LiOH� MMLAppp yS ���rc—��iY I�/°,. <br /> mr�e su <br /> / <br /> IACCHNLCµCpNiq�pipy 1Aq�A00PE55 CIfY ZIP %IJIiE Si�ICLKftlSE� <br /> PlWAORqCUIiOALlOR qA1LAD�BE55 LitV IR' nryDNE SiAIEUCCNSE• <br /> LOHIH�Lt PqqE OF V:OPN — �_ <br /> HEATING SYSTEM: �GAS ❑ELECTRIC ❑ <br /> GESCPIBE WOPN NIO SOVAf1E fCOiALE ItNQVED COfIIALi PERSON RI�VNONE Iq. <br /> \ <br /> IrS�'c� �9 hm ro- in i <br /> I HEflEOV CEHTIFY THAT I HAVE REAU AND E%AMINED THIS <br /> ceovosEo u5E a owiDu�c APPLIC4TION AND KNOW THE SAME TO 9E 7RUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND OR�INANCES GOVEf7NING THIS 7VPE OF <br /> iec«oeunivno�+ovPeovearvisMowrvas�owoaert.cHrviocwiesl WORK WILI BE COMPLIEG WITH WMEiHER SPECIFIE� HER[IN OR <br /> NOT. THE GRANTING OF A PERIAiT WES NOT PRESUTAE TO GIVE <br /> mr o�ocK or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTIOIJ OR 7 HE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY TME <br /> OYlNER OF TMIS PROPEHTY TO PEFFORld THE WORH FOR WHICH <br /> APPLICATION IS h1ADE AND I COh1PLy VlITH THE STATE <br /> ve.�ce�ue io rwuecA CONTRACTORS LAW I0:7 RCW AND 296200 WAC. <br /> CONSiPULt�ONLOiNLENOER��pRE55iELEFNONENUNOER X �\ �� /�/� /_n�-O/ <br /> $IGNAiUaE �J � <br /> wrc <br /> CRV BUS�NCSi L1CFlISE 110. <br /> PLUM6ING AICCHANICAL <br /> NO. TYPE OF FI%TUqE Ofl ITEM FEE N0. TYPE OF EOl11PNENT FEE <br /> WATER CLOSET QOILET� A�C—lvHN�LG UNITS <br /> �ATHTUB FORCED AIR SYSTEMS <br /> LAVATORV(WASH BASIN� HEAT PUhIP � <br /> SHOWER UNIT HEATERS - <br /> NITCHEN SINH 8 OISP CLOTHES DPYERS <br /> �ISHWASHER � pANGE HOOD <br /> iAUNDRY TRf.'/ WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL IdETAL FIFEPLACE(WOOD BUflNING) <br /> ❑FINKING FOUNTAIN FIREPLALE INSERT�IYOOD BUFNING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACHFLOW PREVENTERS GAS RANGE <br /> SINN�SERVICE—BAR,ETC.� � GAS PIPING <br /> E%HAUST FAN � <br /> i <br /> _ SUB TOTAL S ! SUD TOTAL 5 <br /> PERMIT 5 i PERMIT S <br /> TOTALFEE 5 TOTALFEE S <br /> POR OFFICE USE ONLY: <br /> FPGNiSHOnCK nEAP5Ei9AC8 S��ESEiBALR VLeNCNECNNpuBER f[L pEC[IPTNO. <br /> u5e2or+c totenEe v�tu�rsi*E FEES VALUATION FEE <br /> ❑res n xo owmwc <br /> ��E�GBIl���1AiqN HpOCOW(LLnq SIlEOi9LOGT� <br /> UIIIiS <br /> vwuan�c <br /> OCCUVANCY Iqp�SfC"nE5 OCNPANiL0A0 pASEFIENI <br /> LROOP M[CIUNiC0. <br /> nres nrvo <br /> fin.E5PP�11ML[PPCOO p(ASON AODItIONALFUIIWECN <br /> OfNEP <br /> IIPE�URIAIIEOO PE�SON <br /> SieiE gURPNG SURCH�PGE <br /> iYPLOFCONSi PV.MSAVPqOYE�bY pTYOFEVERETT �UBIIClVOIIKS <br /> LOCALSALES <br /> oerc TA%CODE IS J705 TOtAL <br />