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APPLICATIOAFOR CONSTRUCTI�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257-8910 <br /> � DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL O PLUqIBING ❑ S�GN <br /> PROJECTAODRESS .�.�� /1����rw 1r EUCriG/ �,�r,�, <br /> /J <br /> (M'nC M�4bVR55 O�Y <br /> �' .�ii 3330 /j'I� n,,, .�/�...?�Ga.,.98�0/ �Y.tJ�_rT.t9.s/33 - <br /> �Ewrrt �g u�tnwi�ss 7 cirv iv n <br /> /�y4. <br /> IJ1[N��EClO110E51GNCR � MIL�ODf1F65 LIIY jp � ryp�[ <br /> N�• <br /> GtNEH4LPIfR/{iOF 4�L�UUiE68 C11Y IV R1}1[ 61/.ICIICCNSC� OeO Qz` <br /> C'.�,� .��e...T.4. pr• a.x l,z99 E,�.,.,7'W! 99�ec�y�t.r).?a8�u'7 �o�aJ_ <br /> MCLN�NCyCON�N�CIpP M�RI.Op1F5b CffY ?P I�Iq1[ 6111ELr[NS[� <br /> � <br /> 1'LWBMOCON1R6LiM MµEpU255 Llrv Ip AN]12 SGIELKFNSE <br /> GfMIR�CtMCEOi WPxI <br /> HEATING SYSTEM: O GAS ❑ELECtRIC ❑ <br /> M unieE ww�n ru'o boww[vaor�aF wvuV[o coxrict Rnsa1 ua nqxE w <br /> �.SR M U <br /> I HEREBV CEFTIFV TNAT I NAVE READ AND L%4MII�ED THIS <br /> APPLICATION ANO NNOW THE SAME TO�E TRUE hN0 CORREGT.ALL <br /> �o9Eo u6E as eu�D� PROVISIONS OF LAWS AND Of101NANCES GOV[{iNING T1115 TVP[OP <br /> WORK WILL BE COMPIIED WITN WM[711ER ;PFGFlCO IIER[IN Ofi <br /> 1EG40E8CROlqNQi01�,HNtY�S�qMNlEIOMOPI.ItI4NiYpWVIEG� NOT. iHE GRANTINQ OF A PEfiMIT DO[5 NOT PRLSUME TO CWF <br /> �a� µp�K pr. AUTHOAITY TO VIOLATE OF GANCR THE PROVISION OF ANY <br /> OTHER SiATE Ofl LOCAL LAW fiEGUTATING COIJSTRUCTION Ot1 THL <br /> PEfiFO(IMANGC OF LONSTRUCTION.TNAT 1 AM AUTIIORIZED�Y TIIE <br /> OWNER O 5 PROPLP7Y TO PEAFOPM TIIE WOAK fOF WIIICH <br /> � APPLICATON�IS MAOE AND I CDMPLY WITH THE STA1E <br /> n��[i �xiorwMe¢n GONTRACJR LAW1B.27liCWAN�284300WAC. <br /> Lrn6D1UC1qN IO�N LENO[R.�Op1�68.�ELERq141MIB[�1 � <br /> x <br /> 6�ON/.N11E o.ie <br /> biY BU 5 LICPSf�q <br /> PLUMBING MECNA IC�L <br /> NO. TYPE OF fIXTUPE OR ITEM FEE NO. IYPE OF EOUIIRAENT FEE <br /> WAT[R CLOSEi(TOIIET) AIC—NNI�OLO UNITS <br /> BATHTUB ! FORCEDAIRSYSTEMS <br /> LAVATORY(WASH BRSIN� � HEAT PUMP <br /> SNOWER � VNIT HEATERS � <br /> KITCHEN SINK A OISP � f.L0TNE5 ORYEAS i <br /> DISIIWASMER •i qqNGE NOOD <br /> LAUIJDRV T RnY WATEq lIEATER � <br /> GLOTH[S WASHER j WOOO SiOVE � <br /> URINAL i MElA1.fIREPLl�CE�WOODBUflNING) <br /> DRINNIIJGfOUN1AIN i �IREPLACEINSERT(WOODBURNING) <br /> FLOOR ORAR! GAS FlRE('LAGE <br /> BACNfLOW PREVENTERS � GASRANGE �� <br /> SII�K�SERVIfE—BAR,ETC.) � GAS PIPINO j <br /> i E%HAUST FFN <br /> I i <br />, � <br /> SUBTOTAL f SUBTOTAL E <br /> PERMIT S PERMIT E i <br /> TOTALFEE f TOTALFEE E <br /> FOR OFFICE USE ONIY: <br /> rrwrrtscie�a nE•asc+e.cK SOEute�cK ruxe«ecMwuecn r[E nEc[mruo <br /> usctare iore�rt� V4Cµf6OE FEES VAWATION FEE <br /> nrcs oru �� <br />��Eq��ilnui:�iqn �N1ppN4LLltq SIZEIXBIDG/il <br /> �N�:9 I�IUMBIyp <br /> O pUP���v �bRSlpleFS Q'FIN�NtLOM B.15kNEN} M[LM� <br /> MC�I <br /> ❑Y[5 ❑1q <br /> fNESrnmklLP11W0 nE�SJx I�O��1qN4R�NCMECM <br /> OIIIEII <br /> InE�W1u160D nE�5p1 <br /> SielE PULLOMO SU1p�MGE <br /> rrr[arcor,si. wws.nonov[oer qTYOFEVEHETT NML4WpM! <br /> LOCALSAlES <br /> �;.�r iAX CODE IS J105 TOTAL <br />