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APPLICATI� FOR CONSTRUCI�N PERMIT <br /> CITV OF EVEREtt•BUILDINO DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 90201•257-BB10 <br /> ❑ DEMOLITION � COMBINATION ❑ BUILOIN6 ❑ MECHANICAL f 7 PLUMBINO f i 610N <br /> PROJECT ADDRESS <br /> Ga/�/ C'i�. �e� <br /> OMIfR 4�µ (55 C11Y !V Pqllf. <br /> PDlt I—'i��—T�JT s. !v (� �voy �Tff t.��� wti- vZ vrar <br /> 1[N41� r Wil�Op1E55 C�fv !V hCNF — <br /> �NLMitfCldiCfS4HP 4�R�LqR65 CII� IP ppNf <br /> (i(MI�4COMtRK�CP WrtLOC11[65 pf� !o RiCIf 6tlqlCENSf� <br /> I�R E��e,.�,�,�..� !b Lb,r 7ra�,r G,c.rlf �J�! � 9.r�r Ol+c'Fv1�'vw.t� <br /> 4[[IU11iC4fp11P�Clql 4�R�llp1[55 lil♦ !Y pql( S��IflrlN[F• <br /> RU4BXUCONfR1LtOP 4�Il�pOR[55 Cllv jX� M1�Ik SI�I[ICIH)F• <br /> CCNIPKf PpCE Of NqYI <br /> HEATINO SYSTEM: � OAS ❑ELECTRIC ': <br /> IXSCnip[MMMAMEOUMEIW��OEM'QHD CONiv.��vM'/.M)M NO <br /> ��� <br /> r' ✓z �r _ <br /> ���� 2 3 I HEREBY CERTIFY THAT I NAVE RE�D �ND E%AMINEO THIS <br /> APPLICATION ANp NNOW TNE SnME TO BE TRl1E AND CORRECT.�LL <br /> �����°�f�-� PROVISIONSOFL�NSANDORDINNICES(iOVERNINGTNISTYFEOf <br /> l�nNC Fz...:I �C! WORN WILL OE GOMRIED WITH YMETNER SPECIFlED HENEIN ]R <br /> �rou nviaM rrorcnt isrnwnetBwen.rr.cervqcartei NOT TNE GRANiINb Of A PERMIT OOES NOT PRESUME TO CNE <br /> im�anc. a AUTMOPITV TO VIOUTE OR CANCEL 7HE PROVISION OF �Nv <br /> S� ��_�? OTHER ST�TE OR 10CAL UW REOULATINQ CONSTRUCTION OR THE <br /> PERFORM�NGE OF CUNSTRUCTION !N�T 1�M�UTHOR12E�BY iHE <br /> OWNEN OF TNIS PROPERTY 10 PERFOHM TME WORN FOR WMICH <br /> APPLICATION IS M�DE �ND I COMPLY WI711 TH6 Si�TE <br /> ruro[i uu ruu tn C A�TO LAW 7 RCW�ND 79G 200 WAC <br /> ��,44.�/�no��n� EA . � �'.�..,1 �//o� <br /> HO�, a.�h g snr� unE - p.��7 <br /> CI��WSMLSSI[FNS[Ml <br /> PLIIMBINO MECN�NICIIL <br /> NO. TYPE OF FIITURE OR ITEM FEE NO. TYPE OF EOUIPMENi FEE <br /> W�TEP GLOSET�TOILET� NC—AHNDLO UNRS <br /> � BATMTUO FORGED AIR SYSTEMS <br /> UV�TORY IWASM B�SIN� HERT PUMP <br /> SNOWER j UNITHEATERS <br /> NITGHEN$INN 8 DISP / CLOTNES ONYERS <br /> DISNV,�SRER / PANCEHOOD <br /> UUNOPYTRAY T W�TER HE�IEH <br /> / CLOiNES WRSHER WOOD STOVE <br /> URINAL MET�L FIREPUCF�WOOD BURNINO� <br /> DRINeIN(i FOUNT�M FIREPL�CE INSERT�WOOD BURNINO� <br /> FLOOR DPAIN OAS FIREPL�GE � <br /> B�CNFLOWPl1EVENTERS / G�SRIINGE <br /> SIN1c�SERVICE—B�R.ETC� QAS PIPINO <br /> f.kM�UST F�N <br /> _ SUDTOT�L f SlIBTOTAL S <br /> PERMiT f PEPMIT f i <br /> TOTALFEE f TOTALfEE f <br /> FOR OFFICE USE ONLY: � '' <br /> I�U^115EIR4x / n[�n5l1P1�n 9�RYt!/t� MCaMXMFP 1[!/ .��� PECfMiNJ <br /> LV N/I U%L T <br /> usu�w[ io�/m�tI.� wc.erJsi[ FEEB V�LU�TION FEE <br /> R� `�y �� Tf[ f NO 11U�pM) <br /> J <br /> IMN'i1111IYi1.fUN� M11VqY[lllNl S�ICC�1110.111 <br /> VN I$ �1�� <br /> 8o s s . <br /> c�:i„K.M.r wras�w�s or.cw.M.iow eu�wr�� �cry.�k <br /> J .� rr[s �V.� <br /> rn snr���n��nn po nf�50N /�O��UM�iR�HCMFcx /O <br /> [11M(P <br /> fY��111nM1�1U1) llf�%W <br /> S I�IF 1110.1MM0 61111CMY�OF <br /> i.rEn�:�w.� R.r�s•�vw.'ner CItVOFEVERETT wn�c+q�we <br /> LOCAI SI1LE8 � <br /> _�-_�__ _ nn�����_ TA%CODE180105 To711L <br />