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APPLICATI� FOR CONSTRUC�ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 88201 •259-BB70 <br /> �.DEMOLITION ❑ COM9INATION ❑ BUILDING O MECHANICAL ❑ PLUMBING O SIGN <br /> PROJECT ADDRESS: ��6�L �j�W(� <br /> �ve�7z�T �t��zo�s�yis�w-r tJaz �4zzco <br /> ��.U'�\��/ � �� nrv br n�w[ <br /> iI/F nl.f.��/1L <br /> IEN�vf� 4,eppf�f55 — <br /> O�Y li> P�qNF <br /> �xAnt[CiOnIX9GMP ��fpnE55 pM1 )�p �H� <br /> C tJ„ F�1ZC.ia l_1F�'TS ZSiI^ IS�p <br /> OFN�Cp�IC�O�YiP1Gip1 VuII.W�f55 G�Y !rv piryy[ SGfElKINSF� <br /> �C��a� CGnIS7t7�c�� 334-'70 44- +�ea,�Tc.l a9�� <br /> f L lL 1 Ciql l OOnE55 OiY bP R�ONF S1e�FliC..iE• <br /> MUMBMGLpliFlClpR YqIAIXM�(5$ tlh )Ip plqvE $i�fEUCENSE• <br /> COrvfN�CT VMCE W Yq11N — <br /> f1EATING SYSTEM: ❑GAS O ELECiR�C ❑ <br /> OE54AIBf Wp1N�ND SOUME I'pOI.V'iE MVIXVEO LON!/.C�I'[�SONI.NOMOMF Iq <br /> v �.e �c -- <br /> I H[RE�Y CERTIFV THAT I NAVE RERO pND E%AMINEO TMIS <br /> �'iqrosEousE a ein�uea APPLICATION AND KNOW THE SAME TO BE TRUE AN�WFRECT ALL <br /> PROVISIONS OF LAWS ANO ORDINANCES GOVERNING TNIS TYPE OF <br /> L[c�LaeScqmr�worrnpinir�5rqvmeElowon�n�cninoCmE51 WORN WIIL �E COMPLIEO WITH WNETHER SPECIflED HEFEIN ON <br /> NOi TNE GRAMING OF q PEPMIT DOES NOT P�iESUME TO GIVE <br /> im ei«K p AUiHOPITY TO VIOIATE 01i CANCEL THE PROVISION OF �NV <br /> OTHER STATE OR IOCAL LAW REGULATING CONSTFUCTION OR THE <br /> PERFOFMANCE OFCONSTRVCTION.THATIAMAUTNORRED BYTHE <br /> OWNER OF TMIS PROPEqTY TO PERFORM THE WORK FOfl WNICH <br /> APPIICATION IS MADE AND I COMP�Y WITH THE ST�TE <br /> P,v�ceiin.viD.Mn.�e[n CONTRA TORSLAWiB27RCWAN0296.200W�C. <br /> �/� <br /> cws*nuc'puio��iu�cen.�ooncss.tci�nqrrtrnn.n[n x y(! ((.�,�� 1Z y� <br /> Smvemnt oe�E <br /> cnr nus�rrtss irc:nis�r�o <br /> PLUYlMO MECMqNICAL <br /> NO. TVPE OF Fl%TURE OR ITEM FEE NO. iYPE pF EWlPMplT FEE <br /> WATER ClOSET(701LET) NC—M1NOl0 UNRS <br /> BATHTUB FOPCEO Aii,Sv5TEM5 <br /> LAVATORV(WASH OASIN) HEl1T PU'1V <br /> SNOWEfl UNIT HEATE(15 <br /> KITCH[N SINN 8 DISP CLOTNES OMERS <br /> DISH WASHER RANGE HOOD <br /> UUNORY TPAY WATER HEATFR — <br /> CLOTHFS W�SHER WOODSTOVE '—'—� <br /> URINRL MEfAL PIREPLACE�WOOD DURNING) <br /> �FINKING FOUNTAM FIREPIAC[INSERT h40DD BURNING) <br /> FLOOR DRAIN G�5 FIREPV.CG <br /> BACI(FLOWPREVENTERS � GASRANGE <br /> SINK(SERVICE—BAR.ETC.) C+AS PIPING ' <br /> U(I IAU;ii PAfJ <br /> SUO TOTAL f SUB TOT�L f <br /> _ PERMIT S PERMIT f <br /> TOTALFEE f TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> (IIOIIIfiCiR�CR NE�RSFIBA[N bCESFiB�CN PUNCIRCKNUM11f0 fFF P(f.Ell'iM0 <br /> USEzor,t lotenu veCer�tstF FEES VRWATION FEE <br /> ❑vE5 ❑MO BtFt�mO <br /> NEMNI4Wi�lIOM IqOipN[LU1q S�IEOfBIOC✓fl <br /> OMIS <br /> 1'lIlAl�hq <br /> �11^'1Np rqqSiryb(S O:CW�NILO�O BLSEVlNI uFCllenif.4 i <br /> or[s ❑rq <br /> Fl11ESVWM4£FqCO'0 BEe50Y �UUbOM4.R�NCnf�tl ' <br /> Otp[� <br /> lRIENMMqEO"0 BFe50N <br /> SIAIE 811110MIC SII(iCll�ll(f <br /> rm¢orr,oNs nuvs�rrmwener CITVOFEVERETT runucwcmns <br /> LOLALSAL[5 ------ _ _ <br /> �„ � s conr�c s+as --vi <br />