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APPLICATI� FOR CONSTRUC'I�N PERMIT� <br /> CITY OF EVERFTT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA98207 •257•8B70 <br /> ❑ DEMOLITION ❑ COASBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADORESS <br /> � �f o' <br /> owx¢n � iteooa¢ss cnr zw pncr+e <br /> 'Sl r'cn 6+1�+�r< 4Kh4� Fv.•va.ce�. tJAI/ �:�ur.t4- 9b?/l3 �/2S--2S-8-9/UO <br /> 1CN/.Ni UAiL��IXiG55 CITY ZIP PN011E <br /> 13r't+ h1n�.�rt '-Iv,ny. P�r�.��i., �.)�y._F_✓i�a{'�' 9b'Zo3 N2f•25'b- 9/Oo , <br /> �BCNn[crOnoesub[n uul��oness I / crtr zia rnor�E ' <br /> Caha.,/B�.,v�n A�(+vnkt. i 2oc� �)�s+4,k, ,9�� n sw:f.�07 S�at�f4 q�([Q�ZaG-27a_.4667 <br /> GCI:EML OIItM �011 M�ILAOOPE55 CIiY ZiV PIION[ SUIElKENSE• <br /> W��cnk r..�{. iw �z7 NTH .4.�. k, rcl»,nH,Cc g,5'v2o 4zt�774-yit� L�1LCvL�` 1941?� <br /> NELHANiL?LCONIPAC1pN M�IL>DDPE55 Llry ZIV %1IXlC SiAIELICLNSE• <br /> �:UMQINGCONI.l4Ci0P AINL�OJ(IC55 LIIY IIP p110NF $l1LElIC[115EI <br /> COf iqACi PPICL 0�K'ORK <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> oescnioe wonK u:o sou.nr.voo we unavco cor�r.c*vicesoiur�o ruorie rw <br /> � <br /> 2 4 c <br /> I HcFEDY CERTIFV THAT I HA�� REA� AND E%AMINED THIS <br /> APPLICATION ANO KNOW THE SAME TO BE TRUE AND COPRECT,A�� <br /> rnoaasto use or ow���rm PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> �,.' WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> ima�o�scninuor�wnnorentr�snowrvue:owor+nrrea�rvwcowesi NOL THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �C* 6lOCN or AUTHORITY TO VIOLATE OR CANCEL THE PPOVISIDN OF ANY <br /> OTHER STATE Ofl LOCAL LAW PEGULATING CONSTRUCTION OR THL <br /> PERFOHMANCE OF CONSTHUCTION.THAT I AM AUTHORIZE�BY THE <br /> — OWNER OF THIS PROPERiY TO PERFORM THE WORN FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH TME STATE <br /> r.ncc�rnM xwmce CONTflACTOP5LAW1B.27RCWAND29fi200Y�AC. <br /> 1 '�� <br /> CONSifIULiIONLO�qLE11�[R.AOOPLSS.TCL[P11011ENVMBER �. �/,�� �� 3�� <br /> SK IIIR[ pAiE <br /> LOYBUSIN[SStILENSEIq <br /> PLUMBING MECHANICAL <br /> NO. 7YPE OF FIXT,�RE pp ITEM FEE NO. TYPE OF EOUI�MENT fEE <br /> WATER CLOSEi(TOILET) PJC—NHNDLG UNITo { <br /> �ATHTUB EOPCED AIR SVSTE�AS <br /> IAVATOFY�WASH DASIN) HEAT PUMP ~— <br /> SHOWER � UIJITHEATERS <br /> KITCHEN SINK 8 DISP CLOTHES ORVERS <br /> DISH WASHER RANGE HOOD <br /> LAUNOF'/iRAY WATEP HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINFL METALFIREPLACE(WOOOBURNING) j <br /> DflINNING FOUNTAIN FIREPLACE INSERT(WOOD BURNING� <br /> FLOOR�RAIN GAS PIFEFLACE <br /> �ACNFLOW PREVENTERS GASRANGE <br /> SINK(SERVICE—BAR.ETC.) 6A5 PIPING <br /> E%HAUSTFAN <br /> SUDTOTAL S : SUBTOTAL 5 <br /> PERMIT 5 PEHtAIT 5 <br /> TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> IPINIiSEiUACK pUF5Ei90.CN SpL5EI0>CN f'LANCHECIUNAIpER iEE 11ECEiGTNO. <br /> us�zone mrnnea w..rrtsrte FEES VAUTATION FEE <br /> OYES ❑NO OURDwG I <br /> /� <br /> HBGIIIUAIIiAIpll NOOLU'NRIING SIZEOFIIPTT - <br /> ��n15 PWA�Bu�G <br /> CCCtIGMILVI400ei9P25 loccururtio�n BASE1ARii NECII�NIC�L — <br /> GPOUG <br /> � ❑YCS ❑NO <br /> f�RESPNNkICPREO�p PGSCII AOOIIIONqYIANCH[C8 <br /> OLN[q <br /> flfl[AU�i.IflEOD PEA50�1 <br /> Si�IE OUILI➢NG Sl1FC11�nGE <br /> nrecvcorvsr. runswPnavpoov CITYOFEVERETT 9uei�cwonns <br /> '111� Ioa LOCALSALES <br /> pq��• 7AX CODE IS 9105 7oTAL <br />