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� APPLICATI� FOR CONSTRUC�N PERMIT� <br /> CIN OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257-8810 <br /> DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECNANICAL ❑ VLUMBINO ❑ 816N <br /> PIROJECTADDRESS: lZ"L.O i�rzoAo„JA�(i rJEGzl_�T <br /> Vnc��rrtr�tiGk/anir- ��A �K�z f�.sa�a.{ C--_�cs,T ASzel <br /> OwrIFP 4u��ppnE55 ptt ju� vrOrt <br /> �-,�.�,.,+rccs DFA,.+�.�a <br /> +nu�* uu+orncss u.. r�o wa.rt <br /> �MCh*cCtOnOELGMn M�n��p�FsS t��� t�� nrqr�F <br /> GEHf'1MCW���C7p1 44l/SAnf55 [itY i�� �i✓JK ��11fElKFNY• <br /> �MC.'Yl�rl St'��N✓JC.0 1n <br /> �s,^, Z311 �• 3 !1✓r SE .Sr�+c+ o.t •�� 9H�N� C'l.zs�i3��vrs/s' �.^�F-RISCo87�G <br /> MECH�MCµCW1R1CiOu 4�n�pCafS$ Clry Im VIqN[ [l��FL�CFMSE• <br /> NU40MJCCNIR�f.tp1 M��lI.00F[55 CIiY }IC P�pNE 511fElILfNSE� <br /> CONIMCf Vlx�(pi Yq1�F <br /> y��z,Z ta:xJr HEATING SYSTEM: ❑GAS O ELECTRIC ❑ <br /> oEUNeE vqnw+r.n scv�nE soo�i.cE r.vavco co.n�c�rcnsw�ro rHo�rt xo <br /> - 1� I r N - <br /> "� 77l� SU, er"' ,J (1/L� Z� ' !e�/S <br /> -� 1 HEPEBY CERTIFY THAT 1 HAVE AEAD AND E%AMINEU THIS <br /> 7��g �UTiL I�AflS ApPLICRTION AND NNOW THE S�ME TO BE TRUE ANO CORRECT/�lL <br /> nnorosm us[or ew�p.p PROVISIONS OF�AWS AND ORDINANCE$GOVERNIN61HI5 TYPE OF <br /> rnnA Y/ORK WIIL DE COMPUED WITH WHETHER SPEGFIEU HENE�N OR <br /> lEc��aEumm�worrvpntnrvisrwrmBuoww�nKxixvtonc5l NOT. THE GRANTING OF A PERMIT pOES NOT PRESVME TO OIVf <br /> etoC+ or AUTHORITY TO VIOUTE OR CANCEL THE PROV190N OF ANY <br /> OTHER ST�TE OR LOC�L L�W RE(iVUTINO CONSTpVCT10N OR TNE <br /> PERFORMANLE OF CONSTPVLTION.TNAT I AM AUTMORIZEO BY TIIE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WONK FOR WMCM <br /> RPPLICATION t5 MAOE AND I COMPLY WITN TNE STATE <br /> tw¢[n�no.Mrve[n CONTRACTOIISLAWIB.Y7PCWA 496.200WRC. <br /> CONS�PULf10MlO�x1[MIEq,�pME55.i[IFNqMF�nMBFR x � IO^I�'�'ll'I <br /> SqM [ D�4 <br /> GfYBU4R551K[NS[NO <br /> PLUMBINC MECHIINICAL <br /> NO. TYPEOFFIIRUREOPITEM FEE NO. TYPEOFEGUIPMENT FEE <br /> WATEF CLOSET�TOILET) /JC—AMN�LG UNITS <br /> OATHTUB FORCED AIR SYSTEMS <br /> IAVATORY(WASN O�SIN) HEAT PUMP <br /> SNOWEP UNIT HEATERS <br /> KITCHEN SINK 8 OISP CLOTHES ORYERS <br /> DISNWASNEF RANGE HOOD <br /> LAVNDPY TRAV WATER HGTER <br /> CLOTMES WASHER WOOD$TOVE <br /> URIN4L METRI FIREPLACE pY00D BURNING� <br /> DRINRINGFCUNUIN FIREPIACEMSERTN���BURNING) \ <br /> fLOOR DRAIN GAS FIREPLACE <br /> ORCNFL0IY PREVENiERS GASPANGE <br /> SINK(SERVICE—OAR.ETC.) GAS PIPING <br /> EXHAUSTFAN <br /> SUOTOTAL S SUBTOTAI f <br /> 7ENAIIT S PERMIT f <br /> TOTAI FEE f iOTAI FEE f <br /> FOR OFFICE USE ONLY: . <br /> flbNiYIp4C BFNSE1044 S�DESFIBKx R�NCRC� � Cn fff 11FLFM'!Np <br /> �� <br /> us[:Ovf �m��[e v.Gutsn[ FEES VALWTION FEE <br /> ❑�[5 ONO BUIpN(: <br /> NEiGM�l�vileipr� uOO[Ow[l4M SqfOrllOWi <br /> IINI�i �111VpM0 <br /> • � <br /> '�NLY WMf'M�IS IX:[V4LH�10�0 BASFMENI yF�hµ��� <br /> i ,v <br /> Or[5 Ow0 <br /> fIRESVR�M4EXPFOD f�H$CN 1pp11pN4.ry14C��CCR <br /> �t�� <br /> Op411 <br /> i1PEAURMPfO� Pf��O`/ <br /> St�lf P�IIIUmG SVIICu�nf.E <br /> nvcnrr.ovn r�nvs�rrnwmor CITYOFEVERETT M���m.wonas <br /> " „ LOCALSALES - — — <br /> uac /l � � � TA%CODE:S J105 TOT�L <br /> �IOi�l <br />