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APFLICATI�N FOR CONSTRUC�ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERET7;WA 98201 •(425)257•8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILUING ❑ MECHANICAI H PLUMBING ❑ SIGN <br /> PROJECTADDRESS: �70_ I �✓� 21 LJ �, <br /> —�Cber W41Yer /�3r,� 3 . ., 'i.iE.S /�� �. �J'� i� r..,�C 4���� <br /> OVmEn 4u1�00�E55 C�M1 Iir vrqM[ <br /> R��, n j�Qes <br /> iCNAN� 4N1 MIME$$ CI�Y )IV FIqHF <br /> ♦fiCHli�LiOnUE$IWIE� Y111�D�PE55 CIIY lll` ('IqHf <br /> �Urv1i �iu'�r�a(S iHC �.;���__ <br /> G(N[f1µCON1111C1q1 N�iI�OI)�ESS Ci1V hf 14q4[ [�AI[LICCNSF• <br /> MFL111NiULCON�MLt011 �4LMNN1E55 fAtt F ]iP� P�1��if SIAfFUCEN$C• <br /> 5�/� /Gs� � <br /> FIUUBmGCONIR�C1Ci1 M�M1�UMF55 Lltt iIV VMO�If S1�IFIIC[NSF•�� � � <br /> � LLC - - �r�o��1� <br /> LONIf1�L11'111LE Oi W011t <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> Of SC149F YqRN IN�SOU�AC i00�AGE aVIXVED Lp1UC!VfPSOM�Ml l'PONF HO <br /> �,�1� �il.rppe'L—�i[Yl—PLP_�a��ln ��.1) lir_1ncA'"��$�3'�OV6�--=y�,1 <br /> I HEF[[7V CERTIFY THAT I HAVF. READ AND E%AMINED THIS <br /> wqr SFDase or ew�P APPUCATION AIlD NNOW THE SAME TO�E TRl1E AND CORRECT ALL <br /> PROVISIONS OF LAWS ANU OROINANCES GOVERNING iH15 TYPE OF <br /> WORK 1VII L BE COMPLIED WITN WMETHER SPECIFI[D HEREIN OR <br /> tece�oEscmrnonarrronenrv�vqwr�ee�rnvon�necMiwocorres� NOT. TNE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> im _eiace or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTNER STATE OR LOCAL LAW REGULATING CONSTRUCTION Ofi THE <br /> I Z ^OUL-635- PERFOR6IANCE OF CONSTRUCTI04.TMAT I AM AUTHOFIZED BY THE <br /> OWNER OF THIS PROPERTV TO PEPFORM THE WOFN FOR WHICH <br /> APPLICATION IS MAOE AND I COMPLY WITN TME STATE <br /> rencc�r�.v i o rvuuecn CONT1�RACTORS LAW 182�RCW AND 296200 WAC. <br /> Cp�5IR11Ct�IXrtOAN1[NOFf1.MME55iREfMONEMUMBFO x 111IQI�I1[� �-IZ�� <br /> =_:t,� o+rt <br /> OtrsusH[sStSExS[rq <br /> PLUMAING MECHRNICAL <br /> NO. TYPEOFFIXTUNEOPITEM FEE N0. IYPEOFEGUIPMENT FEE <br /> � WATEF CLOSET(TOILET) A/C—AMNOLG UNRS <br /> 6ATHTUB FOPCED AIF SVSTEMS <br /> LAVATORY(WASH BASIN� HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK d DISP CIOTHES ORYERS <br /> DISHWASHER RANGE HGpD <br /> UVN�RY TRAV WATER HGTER <br /> CLOTHES WASHER 1V00D STOVE <br /> URINAL METAL FIFEPLACE hY00D BURNING� <br /> ORINNING FOIINTAW FIREPLACE INSERT�YJOOD BURNIWG) <br /> PLOOR URAIN GAS FIFEPLACE <br /> OPCKFLOW PREVENTERS GASFANGE <br /> SINK(SERVICE—BPR.ETCJ GAS PIPING <br /> r <br /> EXHAUSTFAN <br /> $UBTOTA: S fJ SUBTOTAL 5 <br /> PERMIT 5 �D � PERMIT 5 <br /> IOTALFEE 5 � TOTALF[E 5 <br /> FOR OFFICE USE ONLY: <br /> fPONiFF1P6M PGPSFIO�LY SIOESEIBICtl PLWCIIECMNU4flf11 ffF PFff���NO <br /> ustmvr im�nre v�C��tvtt �E�� VALUATION FE� <br /> ❑YFS ❑�'�1 P'AtbINC <br /> �TiGN IN�IenOv NO Of UwEl11M0 54E 0�BlOG4� � <br /> I�NiI[ p�V4RMfr <br /> ____ —{— <br /> OCCIIMY..Y WJ�i�if0.lt IX:LIIMN1t0�D B�SGMCNI MiC.11�A�(�1 <br /> ra�ovo __ <br /> OrFs ❑�+o - -"-"--- <br /> nn[svnr:.icraco�o nF.sov �owuovu.n�en�rc+ _ <br /> au�cn <br /> (�.iLAUHMPLO�O Pf�[�V <br /> 51�1[BIIRU WG SUnC11U1Ch <br /> �mcnrr.o�is� rinN��rrnovronr CIiYOFEVERETT rrnucwon+s ' <br /> LOCAL SALES --- — --� �— <br /> �„�E TA%CODE157105 TOTnL � <br />