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APPLICAT�N FOR CONSTRU�ON PERMIT <br /> CIN OF EVEHETT•BUILDING OIVISION �, �� � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257-BB10 '�I7� I ��r� <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDIN6 ❑ MECHANICAL ❑ PLUMBINO ❑ SION <br /> PROJECT ADDRESS � <br /> ov.rrtn uu��oDuess cOr is n�OBE <br /> �,,�_,�,,�� .r,�v�snn��c.��c. �99ao N� 99 �E LhFk�,,h�r►uf 9� <br /> 1CNN�i 4u:/.W11E55 OiY SP RKKf <br /> MCI�ItECiMCE$GNEP Y�IL�OONES$ CI}Y IP %ICNE <br /> _r'�,.�,�A� Bs���vc� ��� Ye"''a��,J Mu,rrc�o � �a�s- <br /> G[NER.LLGp�1R�CLOR u�M1�WnE55 Gtt IF PMprt S��IEIICENSEi <br /> ���/�7��/ <br /> MC[�14nCMCO4iR�CiCP Y�l�OLNE55 CIIY lip RICNE S��IEUCEN54• <br /> PlUY0ilA:tqIlPtCiOP Y�R/DWE55 CIIY IP RqNE SL1ElCENSE� <br /> C ACI FP Of NOBR <br /> �� �� NEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ I <br /> OFSLPiBGW �nnOSW�ME1Wl�GE1M'OlVEO COMAC10fP5CNANDIMOHCNp <br /> ,�gA�c f/,QEdI�+m ;S NALL �.2t'—SO/—�/I <br /> Ja aA�.s' .�.eE Nul /.�i� S'Js--so�- Soo <br /> � .� �M��` I MEREBY CERTIFY THFT I HAVE READ PND EXAMINED THIS <br /> APPLICATION AND NNOW TME SAME TO BE TRUE AND CORRECL ALL <br /> imoro5mus�a emiw�xi PROVISIONS OF lAWS AND OROINANCES GOVERNING THIS T'PE OF <br /> M WORK WILL DE COAIPLIED WITM WHETNEN SPECIFIED MEREIN OR <br /> �Ee.�[sc��rou�vn0✓[nrv 5�omie[iowonert�cnrnncomEA NOT. THE GRANTING OF P PERMIT DOES NOT PRESUME TO GIVE <br /> io� � 1— e�oc.�a AUTHORIfY TO VIOLATE OR CANCEL THE PflOVI510N OF 1NV <br /> OTMER STATE OR LOCAL LAW REGULATING CONSTPUCTION OR THE <br /> ��9 ���L� PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNEfl OF THIS PROPERTY TO PERFORM TME WORK FOR WHICH <br /> APPLICATION IS MNDE A I COMPLY WITH THE STATE <br /> renc[ * t m r�ar.oin CONTRFCT RS�CAW 1 27 ND 296200 WAC. <br /> - -O - 02a . <br /> cai.,muc�ro�i�o�r�iu�o[p,won[ss.iu[m�w�[xur.recn x �O��C� <br /> sGx +*E ' <br /> C�rv BULN65IX[NS[NO <br /> PLUMBING MECMANIC�L <br /> NO. TYPE OF FI%iURE OP ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> 1YATER GLOSET�TOILET) NC—PMNDLG UNITS <br /> OATHTII� FORCED AIR SYSTEAIS <br /> _ '� IpVATOfiY�WA5M0A51N) i NEATPUMP <br /> SHOLYEF � UNITHEATEHS <br /> HITCM[N SINK 6 DISP i CLOTHES DRYERS <br /> OISHWASHER RANGE HOOD <br /> L.1lINORV iRAY WATER HEATER <br /> CLOTMES WASHER WO00 STOVE <br /> URINAL ! METAL FIREPLACE(WOOD DURNING) <br /> ORINNING FOUNTAIN FIREPLACE INSERT�WOOD OURNING) <br /> FLOOR�RAIN GRS FIREPLAGE <br /> OACKFLOW PRE1'ENTERS GNS RANGE <br /> SINK�SERVICE—�AR.ETCJ ! GASPIPING <br /> E%HAUSTFAN <br /> SUOTOTAL S SU�TOTAL 5 <br /> PER67IT S P[RMIT S <br /> TOTALFEE S TOTP�FEE 5 <br /> FOR OFFICE USE ONLY: <br /> rnomscm.cK PE�PSE10�[F siocseio�cK rowa¢�Huuocn rtc nc<urr�a <br /> ��cc—w� <br /> usezox¢ ior�nu v¢+Htsrtc FEES VALU1710N FEE <br /> .�rts ❑uo emmiw <br /> ��cic��ruuiunon �aocc.v;wrn: s.corazoc�i <br /> UY�15 ��A P�U4BWG <br /> ll <br /> MCU^AIILY NO tl SI,Li(5 CCCL'CAN�10�D OI.Y4CN1 YCL�UNiCI.L <br /> CROu <br /> /I . � �L'�.. QYES ❑NO <br /> P�kSGPiN4CNllFap NE�SON ���b�P����F�K <br /> � C OMEP <br /> 1 N1E�U11M PE00 IIUSON <br /> 1/C si��E eWIDiNG suncruncE <br /> mmrorwr�si rwrs�pr vroer CITYOFEVEHETT woieww+Ks <br /> I ,- � , � LOCALSALES <br /> o•�E � 1'( . TA%CODEISJ105 TOi�I <br />