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APPLICATIO�FOR CONSTRUCTI�1 PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> �200 CEDAR STREET•EVERETT,WA BB201•257-BB70 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDINU ❑ MECHANICAI ❑ PLUMBINO ❑ SION <br /> PROJECTADDRESS 6J19CADYROAD <br /> (M•NFq 41L�CM[$6 CII� 1F NIO�t <br /> tF1N�1i MY1��01�E66 CIIY tP ��� <br /> AIKniRCiONCf6O1RR Y/.I�OdR61 GlY I/ M�� <br /> 6fMFNLCN1N�LtON MMI�W�ES! Cltt If A10�1E ST�iEICFME• <br /> VEO��NiC0.Cp11PWip1 Wi1pCl1F54 Clb l/ RIp4 6i�lFlICENSE� <br /> G N . 293)0124TII AVIi N.Ii. ARI.INGTON 9R22J (360W0J•7462 RO-01•NR•]72C2 <br /> 1'lV4piMLON�RKIM WI�WRESf GIIY t0 R1p[ 61��FlCENSE� <br /> r��n.n onct a ww�+ HEATINO BYSTEM: ❑6A3 ❑ELECTRIC ❑ <br /> crscnmcvrt�uosw�n[roo�r.aerHavco cwuc�vEnso+uan�oM[w _" � <br /> � 60k1ll1d,IG2. <br /> INSiAI.L PIRf SPRINKLf'.R SYtiI'IiM IN Nf:W SPR __ <br /> t NEPEBv CERTIFY iHAT I NAVE READ AND E%�MMED nnS <br /> APPLIC�TION�ND NNOW 7HE SAME TO BE TRUE ANO CORRECT AlL <br /> rncmauo us[a emip�o PROVISIONS OF UWS AND OOOIN�NCES 40VEHNINO TNIS TYPE OF <br /> CINfI P PAMII. WORK WRl OE COMPUEO WI7H WHETHER SPECIFIED HERHN OP <br /> iEcµpEac�r�qxor onov[nrv�s�avme[ioww�*v.cMmowrtN � ppt. THE 6NMlTINO OF � PERMIT OOES NOT PRESUME TO Crv[ <br /> `a �� a _ ��IIIORITV TO VIOLATE OR CANCEL TNE PNOVISION OF ANY <br /> OTHER STATE OR LOC�L UW REQUUTINO CONSiRUCTION OR 7NE <br /> PERFORMANCE OF CONSTPVGTION.7NAT I�M�UTHORIIED BV TME <br /> OWNER OF TNIS PROPERTV TO PEPFORM TME 1VORN FOR WMICH <br /> RPPLIGATION IS MAOE �ND I COMPLY WITH THE STAIE <br /> CONTRACTORS UW IB 77 RCW AND 29fi P00 W�C. <br /> P�IK[ll�al�MJY!!R <br /> CONS1MICiqNlO�NLFMD[P.Md�LSli[l[M1M1EMI�M[R x �� �/" <br /> 6NY MF ���F <br /> CItYlIISMFSS lCFMSF N] <br /> PLUMBINO MFCNANIC�L <br /> N0. TYVE OF fl%TURE OR ITEM fEE NO. T1VE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) NC—AMNOlO UNITS � <br /> OATIITUD <br /> FORCED AIF SYSTEM9 � <br /> UV4TORY�WRSM B�SIN) NEAT WMP � <br /> SIIOWER i UNITNEATERS � <br /> NITCMEN SINN 8 DISP CLOTMES DRYERS <br /> DISIIWASHER RANGE HOOD <br /> LAUNORV TRAY WATER MEATER � <br /> CLOTHESWFSNER { WWDSTOVE � <br /> URINAL METRLFIREPLACE�WOODBURNINO) � <br /> DRINNINO FOUNTAIN FIPEPUCE INSERT(W000 BURNINO) � <br /> F100R�RAIN GAS FlREPUCE <br /> BACNPLOW PPEVENTERS QAS RANGE <br /> SINN�SEPViCE—U�R.ETC� ! 6AS PIPINO � <br /> E%HAUSTFAN � <br /> i <br /> i <br /> I til'NIYAI bN 111 APt <br /> SUBTOTAL S � SUBTOTAL S <br /> � PERMIi f PERMIT f <br /> - 10T�LFEE ! TOTALFEF f � <br /> fOR OFFICE USE ONIY: <br /> �f�ON!SIIP�CM R[�115E1l.�CR 6�OFN1pKlt R/�MCNfptNWlFA �EE AECEO'INJ <br /> us�irvu iorenu vecunsn[ FEEB V�LUAiION FEE <br /> nrEe ❑w eunor+o � <br /> �6p��lliuil�tp� MO,O�O'MtIXQ 6VFOfMWt� <br /> RVYBM <br /> V:CVG�M'.♦ MPEipI(5 p:CU1MNIlOI-0 115FY[Hl y[CII�KK <br /> f�lNlo <br /> [IYE6 O'b <br /> — IDpiqWIPUNPIFG�1 <br /> fi9F5>�iMtIEPPE00 �E�SI%N <br /> O�NFP <br /> f4i4MNRE0U BE�S(M1 <br /> S���F NM1 WIO IUA:NYIOE <br /> i.n w ca�sr �x•.s�rrn n CITY OF EVEAETT �r�"a <br /> i LOCIIL 6ALE3 <br /> n��E /�_/- �7 TR%CODE19J103 TOTAL <br /> f�-~ <br />