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APPLICATI�1 FOR CONSTRUC'�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201•257-R810 <br /> ❑ DEMOLITION ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING :� SIGN <br /> PR ECT ADDRESS ������p� ���� ��, 'B�OI <br /> OW11CP Y�0.�Dp1E55 OLY <br /> IRav�,OS+v6r �rr�'c.a��vn5�c �arr� �rsr <br /> iENWi M�It1CGlE55 <br /> CvfSG �iMs�u.�tirG ° 1�g���! ��)z49-zo/D <br /> .���.«������� �.�� �o��ss 6 9P �tVe s�-5� $s�'�'� ��S' 7� / <br /> r�wl�F d��,t�ti! ,5��ar6a�', hn�, 9drv � e- S� <br /> OCMPHCONiBKIM Mul��b�E55 C��Y � IW SilfElqCM1SE• <br /> /Mv�1rv rtiG. P.0• INx d5'c, /�1�Yfaru�l� ��d��'Fs -85�3 J� <br /> YCCn�NiCµCL iP�CiC�I \UR�0011055 CItY 9��y����w!}��1! pO <br /> •wrr.� [i v <br /> PLV�ABiNGCCNiN�L1011 M�M1ADinE55 CRY !iC � C <br /> C A P',}yp9� <br /> �f��.yv 4�f� HEATING SYSTEM: L GAS ❑ELECTRIC CI <br /> ocs4a�E �� ro�yyn� �c[ina;to/����� art.circasa�u+oroa�+�ra <br /> / �l�' � <br /> 2 G�/9/zA� Brti'l�.N�G9 --G g�0 <br /> I HEREOV CERTIFV THAT I HAVE READ AND E%AMINED TRIS <br /> n ro APPUCATION AND KNOW THE SAME TO 9E TRU[ANO CORRECT.ALL <br /> p.5tgi��.��Y�� �'��G'� PROVISIONS OF LAWS ANO OROINANCES GOVERNING TNIS TVPE OF <br /> 7))�� /TN�/ WOPK WILL 9E COMPLIEU WITH WHETHER SPECIFIED HEREIN OR <br /> iewio.scn�/rqnor�Neoiun� �s x ciowauruceiwa�rtorics NO NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> wrl7� :4� pi�./;., `�y� �,s��Gy.�% ?. AUTHOPITY TO VIOLATE OR CANCEL TNE PRJVISION OF ANV <br /> �j �JJ 2/ %V � r'�/� � PERFORMANCEOFOCONS RUCTION.LTH T�IAMAUTHO IZOEDBYTME <br /> '��.jl���i�iv/� �.r�� ��/Yvi�a�q PPL CATOIONMI SP h ADE AND 'ERCOMPLY EWITH KTI Ep STATE <br /> p���i���fON�^N CONiRACTORSLAW1827RC1VAND29fiI00WAC <br /> p L Pfr <br /> coNsmucironionnurocn.�ooncss.rncnrorhHuue�n X <br /> SUN�II OAIE <br /> CI1Y BUS�NE55 LCENSE 1q <br /> PLt1MBING MECHANICAL <br /> N0. iYPE OF FI%TUPE Ofl ITEM FEE NO. TVPE OF EGUIPMENT FEE <br /> WATERCLOSET�iOILEn i AC—AHNOLGUNITS <br /> �ATHTUO I FORCEDAIqSVSTEMS <br /> LAVATORY(WASH OASIN� NEAT PUA1P <br /> SMOR'ER j UNITI�EATERS <br /> NITCMEN SINN 6 OISP CLOTHES ORVERS <br /> DISMWASHER RANGE HOOL` <br /> —� <br /> LAVNDRYTRAY WATER HEFTER <br /> CLOTHES WASMER WOOD STOVE j <br /> URINAL � h1ETALFIFEPLqCE�W0.��BURNING� <br />� DRINKINGFOUNTPIN FIREPLACEINSERT�WOOU�URNINGI <br /> FI OOF ORAIN GAS FIqEPLALE <br /> OACKFLOW PREVENTER$ GA$RANGE <br /> SINK ISERViCE—GAR.ETC.1 GAS PIPING <br /> i EXHAUST FAN <br /> SUBTOTAL 5 SUDTOTAL 5 <br /> PERM1IIT 5 PEflh11T 5 <br /> TOTALFEE 5 TOTALFEE 5 <br /> FOR OFPICE USE ONLY: <br /> rroxrscre�cK nuascre�u sweu*e+cK ttu+c cc�rwuocn rcc a[ccmrw <br /> us[:oH � ioiu+[s veturtsirt FEES V�LUA710N FEE <br /> ❑res n ra eunmw L — <br /> OZ� <br /> r�[aMruurt/,1pN rqorow[wrq slcae�n:1� <br /> mws S Q ttuuBrta <br /> CLC�V�NCY IqClSM1.N[5 OC:V>u11104I B�SENL MCCNANILaL <br /> CPWV �� <br /> pYES NO <br /> [IPESYpI11Rl(RP[OD P[�SOM �/ IU�IINM4PLViCHECY. <br /> \/�� �.J�'� Ot1�EP <br /> iWEI.URuq[OD PE�SON <br /> � LyJ ���I�I� 51�1[BU4ClM�5VRCNARG[ • — <br />� trx coHsr runs�vraoycqor CINOFEVERETT i'ueicvmur,s <br /> V �" TL LOCALSALES - ' <br /> �_� o•+[ � O TAX COOE IS 0105 TOT�L � <br />