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APPLIQ-TION FOR CONSTi�U�TI( 1 PE�RM17� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3260 CEDAR STREET•EVERETT,WA 98201•257-8810 <br /> ❑ DEMOLRION d COMBNJATION ❑ BUILDING ❑ MECHANICAL O PLUMBPI6 U 41GN <br /> PROJECTADDRESS ��� -� ����5 V� <br /> OW�4P WA.NOPF98 Clrv ZM P�pNE � <br /> Se� �neriesc `I1'oA ISS`Y�.w. C�ivv�.�o `/E�3� �`lZJ�-''�5-14[B <br /> lEwf�T uMIL011E69 Grv 2P WqA4 <br /> MILINF�:Tq10f91111EN WR�001EA9 CIfV IW q�p( <br /> o�ruicana�cmn wx�oor�sv cm zw ?�f-i9l8 sr���r.�hes� <br /> .�F.FF e,�nee� '1?3oA isS".}T,Sw. Lvan,w�o 9�3� CYzc �'I � �r�Ec*�cwN <br /> YFC�VtlKKCON�RICTOP MNl/.WNE98 ptt IV P11011E 6'1TFLCEWE� <br /> RUYBYIGCCNfMGIOP MI�i�00NES5 CIiY ZW %p1Y STI.iEl1LEN5E� <br /> LIX(f11KT MC:CF Wq1R � <br /> HEATINp SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> OESLNIlEwWutuDEOUMEFOOTMiEWv0.vED� COxf TVER6ON�wDG W. <br /> rw�c .rA„E w � a� �.r � „zw �`y��nca. �`125 501- S�a.�-� <br /> Fa+�.�v W �w - y'i asnri.rab,, tf s<�,z� <br /> U+'C 4 �Re+ T F� S�-� I HEflEBV CERTIFY THAT I MqVE �REFD AND EXAMINW THIS <br />�i �o������ MPLICATKKJ�NO KNOW THE SMAE TO BE TRUE AND CARRECT.ALL <br /> �.�E PiiOVISIONS OF LAWS AND OROINANCES GOVEflNING THIS TYPE OF <br /> WORK WkL BE COMPLIED WITH WMETHER SPECIFIED HEREIN Ofl <br /> �aucescnw*rouorrnarEnn'Isawxe¢�a+on�m�cn s� Np7,7ryE GFirWTINO OP p VERMIT DOES NOT.PRESUME TO GIVE <br /> �o* e�acv or��( AUTHORITY TO VIOLATE OR CFNCEL THE PqOVISION OF RNY <br /> n,�•d �o� OTHEH STATE OR LOCAL lAW REOUTATINO CONSTRUCTION OR THE <br /> .n0� �l� PERFORMANCE OF CONSTflUCTION.TXAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFOqM TME WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> aucei��.v i o.x�ween CONTRACTOR W 18.3]RCW pN0 286200 WAC. <br /> S�(SO -ozz-oas-000t /�� <br /> CON6T'fl/ULfIONlOANtFMDFRM011E55.lElE%qNENU16Efl . /� )/� <br /> 1-A 9 WTE <br /> LT'BUSIxEASIILENSE NJ. <br /> PLUNBING MECXANICAL — <br /> NG. TYPE OF FI%TUFlE Ofl ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET�TOILEn A/C—AMINDLG UNITS <br /> BATHTUB W RCED AIR SYSTEMS <br /> LAVATOflV�WASH BASIN) HEAT W�N <br /> SHOWEfl UNIT HEATERS ' <br /> i <br /> KITCHEN SINK 8 DISP CLOTHES ORYERS <br /> DISHWASHER RANGE NOOD <br /> IAUNDRV TRFY WATER HEATEH <br /> CLOTHES WASHER WOOD STOVE t <br /> URINAL ! METAL FIRE%ACE(WOOD BURNINO) <br /> ORINNIN6 FOUNTAIN FIREPLACE INSERT(WOOD BURNING) <br /> FLOOR DRAIN GA$FIREPLACE <br /> BACKROW PREVENTERS GAS MN6E � <br /> SINK�SERVICE—BAR,ETC.) GPS PIPINO i <br /> EXHAOSTFAN � <br /> v v � <br /> - ; <br /> _ _-;_ <br /> � ; <br /> . -sue roi�u z �- � sue roru. s <br /> PERMIT f � PERMR�. . j --�- ' --- <br /> �i- <br /> TOU6.FEE S TOTA fEE { � <br /> FOR OFFICE USE nNLV: A <br /> i1pNlSEtB�CN r qFApSEil�CX SIOESEIBQ(�" / OVH NMMMEP fE � qQ�ifp. <br /> � J � /�'O/� �� �l <br /> �se wru�c� v�c.wrsrte . FEES V�LU�TpN pEE <br /> - S5 DO e,Es�o w ,u,o.,o r7 7 <br /> nE�cnriwn..wr+ r+oawvewra euEaxoani. <br /> / uriirs �� rt�� <br /> �ccupucv wason[s accwwrt�o.o e.s[�rtwr � �k <br /> -� Z orex _ .-.� <br /> fRESPPIN(tERi�tl� XEM1SQN — M�111�NK%NIdEC1I <br /> OMEP <br /> fB1E�lµMPEbO �X' <br /> SUTE py.qXp$NiCNNipE <br /> T+e�ara+is? wwsnnrqveom CAYOFEYEPETT wacwv,wn <br /> �� / LOCALSALES <br /> _ �� unh O*��%CODE IS 9105 7oiAL <br />