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APPLICATI�1 FOR CONSTRUC�N PERMIT� <br /> CITY OF EVERETT•DUILDING DIVISION <br /> 3200 CEDAR STREET•EV�RETT,Wp 98201 •257-8810 <br /> ❑ DEMOUTION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL � PLUMBING ❑ SIGN <br /> PROJECT ADDRESS �1/d`� E V'L. C'L'e'(� �,�'�� <br /> OWNER MAII�DOPE55 AiT ZV PHONE <br /> , "` �,o G�'a°,�2� `�T. _� Na� '355- 9493 <br /> APCNIi[Ci0BDE5qNEP Ml.iI��WE55 ���Y 1� �� <br /> f.ENEF�LWNiRAC1Gf1 M�rt�WP[55 pTY Z�(' VNON[ SUIEpCENSE• <br /> MfCN�NICPLLONiRACiOA AI�IL���PL55 LRY $IP f'110NE $iAiCI�LF:lSF• <br /> GW4BiNGCONiFp�iON MPILAOORESS LIiV IIC 1`IIQ4E SLALEIICF.HSCi <br /> COf11PACIFR'4EOi WOi1R <br /> HEATING SYSTEM: ❑GAS 17 ELECTRIC ❑ <br /> �ESCP16E WORN ANO SOWPE POpiAGE INVIXVEO LOMUCT FEflSONlJi01'HONE NO <br /> � �� <br /> � ' C cm�' .��A l'�'v1� vl'� �\ v1 <br /> I HEREBY CERTIFV TMAT I HAVE READ AND EXAMINED TMIS <br /> � '�'� "��� � APPLICATION AND NNOW THE SAME TO BE TRUE AND CORqECL ALL <br /> vawosEo u5-or moixG PROVISION$OF LAWS AND OROINANCES GOVERNING THIS NPE OF <br /> WORK WILL BE COMPLIED WIiH WHETHER SPECIFIED MEREIN OR <br /> iecuoeue� io avaovEani owHo[iowo ecnrv+ocowes� NO7. THE GRPN7ING OF A PERMIT DOES NOT PRESUME 70 GNE <br /> �or e�acK o� AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR LOCNL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZEO BY THE <br /> OWNER OP THIS PROPERTV TO PERFOR•A THE WORK FOR WHICM <br /> APPLICATION IS MADE AND I COMPLV WITH TME STATE <br /> P�OCEIGM 10 NU40Efl CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> CONSiPUGiiCNtORIt[NOEP.IppPESS.iElEP110NENVNBEP x �—/�j Q/ <br /> 51GN1tpPE OAiE <br /> CIiY 0U5!NFSS IICCNSE NO <br /> PLUMBING MECNANICAL _ <br /> NO. TYPE OF FI%TURE OH ITEM FEE NO. TYPE OP EOUIPdENT FEE <br /> WATEP CLOSET(TOILET) A'C—NHNDLG UNITS <br /> 9ATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN� HEATPUMP <br /> SHOWER i UNITHEATERS <br /> KITCHEN SINK 8 DISP CLOTHES�RYEFS <br /> DISHWASHER RANGE HOOD <br /> LAUNCRYTRAY WATERMEATER <br /> CIOTMES\'JASHER WOOD STOVE <br /> URINAL METALFIREPLACE�WOOD BURNING� <br /> ORINKING FOUNTAIN FIflEPLACE INSERT�WOOD BURNING� <br /> PLOOR DRAIN �AS FIREPLACE <br /> BACKF�OW PREVENTERS GAS RANGE <br /> _ �— <br /> SINK(SERVIGE—BAR.ETC.) GAS PIPING <br /> EXHAUSTFAN <br /> Sl1BTOTAL 5 SUBTOTAL 'a <br /> PERMIT 5 PERMIT S <br /> TOTALFEE S TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> iPONi5E1pPLG P[�PSRPALC SIDESEIOACM FlM1CNECNNIIMBER iEE RECtIp}NO <br /> 0!n -Ob3 <br /> usezorm im<reF v�c�vrsi.s FEES VALUATION FEE <br /> nv¢s orvo emmie� <br /> encM*ur.nurq�� r�oocowcuivc s¢ro�ainc�i <br /> Wn15 PWAIBiNG <br /> CLCo4'1pLV NJUSifPiES CCCOPAMLO�� ��SEMLNT HECM�NiCAL <br /> OPOUP <br /> ❑YES ❑NO <br /> RRESo411NKLERR[0� REASON A001110NµpLWCNECN <br /> OiNEN <br /> GIOE�URMPWO R[RSON <br /> SL�IE BORDOiG SURCNMGE <br /> rraeovmrvsr rur�s�oanovmov CITYOFEVERETT rueiewoxns <br /> LOCALSALES - <br /> o+�E TAX CODE IS 3105 TOTAL <br />