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APPLICATI�I FOR CONSTRUC7�N PERMIT�� <br /> CITY OF EVERETT•BUILDING CIVISION <br /> 320U C:EDA�1.iTREET•EVERETT,WA 98201 •257-8810 <br /> I', DEMOLITION I7 COMBINATIOIJ ❑ BUILQING ❑ MECHANICAL PLUMBING ❑ SIGN <br /> PROJECT ADDRESS 2 3 �S '�' W M��lJ <br /> J <br /> ONfILfl YNL�DORL$'v CItY 21P • PI�ONC <br /> C�rvIPAS� I—�rA�T�-k <br /> iE1lAlli NIILApONC55 CItY ZIP VIb11E <br /> ♦PCIII1ECtOPDf51GtlLP MI.II��OR[55 CIIY 2W GNOIIE <br /> �'G'E�^1IE�R��LC01�11P��C�IOf1/"� M� �OOP[55 GtY ZIV PIq11E $LAIELi'CHSC• <br /> 1 [-\LLu�-�J�G.+�d—��w�1 <br /> MLC�UNiGLCONIRICLUN MVLI.pDfl65 CRY ZIP PN011E SiI.1ElICEIISE• <br /> VWMBiNLCO�I1RACi F�R�DDR[55 CIiY 2IP IM IiE SUfflCL115! <br /> c �- — <br /> corv.nncr rnKc or worrx <br /> HEATING SYSTEM: f-1 GAS ❑ELECTRIC ❑ <br /> ��m�wonK yo souen[voor.�or+vavc� mrrtaa nvnson uio n�w�+e rro <br /> k.l 2 C. <br /> go112 - 00 2 l�rtVS <br /> � �� S I HEREOY CERTIFY TMAT I HP.VE flEAO AND E%AMINED THIS <br /> APPLICATION AND NNOV!THE SAME TO BE TriUE AND CORRECT.ALL <br /> rr�o�os[o u,¢or emioinc PROVISIONS OF LAWS AND ORDINANCES GOVERNING TMIS NPE OP <br /> WOPK WILL �E COIdPLIED YVITN WMETMEfl SPECIFIED HEREIN OR <br /> «ceiacscewnouocvHocee*r�v�owno[�owonuucurv+ocovies� NOi THE GFANTING OF A PERMIT OOES NOT PRESU�dE TO GIVE <br /> ior otocK or AUTHORITY TO VIOLATE Ofl CANCEL THE PROVISION OF ANY <br /> OTMER STATE Ofl LOCAL LAW REGULATING CONSTPUCTION OR iHE <br /> . PEPFORh1ANCE OP CONSTRUCTION.THAT I Ahl AUTHORIZED�Y THE <br /> OWNER OF THIS PROPERTV TO PERFORh1 THE VJJRK FOR WMICH <br /> APPLICATIO IS Id E AND I G0IAPLY WITH TME STATE <br /> renceuex io nuuneN CO TO LAW 1 . ]RCW AND 29E200 WAC. <br /> cor�srr+ucno���oeruumea.woness.teicwaxsxuuasN x ��`�/ UZ <br /> sawruac oare <br /> LIIY�VSINES$LICCNSL Iq <br /> PLIIMBING MECHANICAL <br /> NO. TYPE OF FI%TUFiE Ofl I7EM FEE NO. TYPE OF EOUIPMENT FEE <br /> VlATER CLOSET(TJILET) A'C—A'HNDLG UNITS <br /> OATMTU6 FOflCED AIR SYSTEMS <br /> LAVATORY(WASM BASIN) HEAT PU1dP <br /> SHObVER UNIT HEATERS <br /> KITCMEN SINK L DISP LLOTMES DFYERS <br /> DISMWASHER RANfE MOOD <br /> LAVN�4iY TRAY WATER MGAiE{i <br /> CLOTIIES WASMER WOOD 5T0\f <br /> URINAL METAL FIPEPLACE�WOOD BURNING� <br /> ORWNINGFOUNTAIN i FIREPIACEINSER7�K'COD�URNING) <br /> FLOOR DRAIN G�.S FIREPLAGE <br /> OACKFLOW PREVENTERS GAS RANGE <br /> SINK�SERVICE—G.4R,E7C.) GAS PIPING <br /> E%1{pUST FAN <br /> i <br /> SU�TOTAL S SUBTOTAL S <br /> PERMIT b PERh11T $ <br /> TOTAIFEE 5 TOTA�FEE S <br /> FOR OFFICE USE ONLY: <br /> Fnor�.scio.cK nc+nscio.cK smcsc*a�cx ruHc�� r�a�uocn rcc ncccwrrq <br /> .��/_ I <br /> / <br /> ��st_rou[ iol�ncn ancu+isis ` fEE4 �ALUATION FEE <br /> nres nrio nvnonr. <br /> �.,.arc uunerrou ru or owuina s¢c o�u�wri <br /> ur�ns rmumw <br /> ���u¢v rroasicnts aeururtio�o u�s[��eHr uE<�amuy <br /> u.�s ❑rw <br /> � ,.� ,��i�iHxicnnroo n[�w�� +oortia..u.ruxc��cc+ � <br /> OIMIfl � <br /> . ,...�I�PMNEOO 11GSON I <br /> Si�iE&0.�ING SUPLYW1uE <br /> :i�COFCONSi PUNSAPOpOVEOBY CITYOFEVERETT NPII\1tMn: � <br /> LOCALSALES i <br /> �„ri TA%CODE IS�105 To7AL <br />