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APPLICATI�1 FOR CONSTRUC'�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257-8810 <br /> I�1 UEMOLITION fl COMBINATION ❑ BUILUINO MECHANICAL ❑ PLUMBINO ❑ S16N <br /> PAOJEQ�/AO��SS � C • G�u. 1d 2 <br /> �( G H/�/ ✓ <br /> Ow�In u�a�pon[ss Gtr Sr naxE <br /> ILN�AI WplpC.vf55 Ciiv lV RO[ <br /> �IKni1FCIpIRSiOMa 4ul�COPl55 [itv IA �rt <br /> f[It lCp1�P�Ct YML1[IpR[55 Cliv !IV 1( 6i11FLCEMSE� <br /> �tlitlLs��Alla�lu►��,flc.lbiD_Y „ �(.��91dx1�,''��1��,����� <br /> C_ l �C1lCpllf��(,Ipl 41M1�pLY1E55 <br /> �t �MM1Cpi�n�C1M Y�M1MI(YR55 � Cirv !N RKM[ 6LIIlCEME� <br /> � y�.vD <br /> ( «.,�A. �a w�. <br /> -- HEATINO SYSTEM: �OAB ❑ELECTRIC ❑ <br /> nscnmE .uo �troo��at�.navro . c�t.crr�nsaw�ronw�o <br /> (�n <br /> I HEREBY CEHTIFV TMAT I HAVE REA� �ND E%�MINED THIS <br /> FPPLICATION�ND NNOW THE SMIE TO BE TPUE AND fARRECT ALL <br /> rnmoseo uu or�vnmru PqOVI510NS OF LAWS AND OPUINANCES OOVERNING THIS 1YPE OF <br /> WONN WIIL BE COMPLIED WITN WNETHER SPECIFIEU NEREIN OR <br /> ¢onuscnvrra�arnov[nnis�o�we[�owon�n.c•mawnsi NOT iHE ORANTINa OF A PERMIT DOES NOT PRESUME TO 61VE <br /> �or xocw os AUTNORITV TO VIOL�TE OR CANCEI TME PROVISION OF ANY <br /> OTNER STATE OR LOC�L lAW NEODUTINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRULTION.THAT 1�M�UTHORIZED BY THE <br /> OWNER OF TMIS PROPERTV TO PERFORM THE WORN FOR YMICH <br /> �PPLICATION IS MRDE AN9 I COMPLY WITH THE STATE <br /> p.��i��.�o��q CONTRAC�.YI RGyI AND 2BE YOO W�C. <br /> ////���/yy/�jj��`� <br /> CUNS1PutlICNIO�NI[NCfP�MI(BEIEI[hq1(NU4![n ��/ /D/ <br /> o• <br /> ci�reusix�ssittr�s[r�o <br /> PLUMBINO MECN�NICAL <br /> NO. TYPE OF FIXTURE OR ITEM fEE NO. TYPE OF EOUIPMENT FEE <br /> WpTER CLOSET(TOILET) A'C—ANNDL�UNITS <br /> O�TNTUB FORCEO�IR SYSTEMS <br /> L�V�TONY�WASH BASIN� NEPT PUMP <br /> SNOWER UNIT NEATERS <br /> NITCNEN SINK 6 DISP i CLOTNES DRYERS <br /> DISMW45NER RANGE HO00 <br /> LAUNDRV iFAY Wr1TER MEATER <br /> GLOTMES WISHER WOOD STOVE <br /> URINAL MET�L FIREPUCE(WOOD BURNING� i <br /> ORINKItiO FOUNTAIN i FIREPIAGE INSERT pV�70D BURNINO) � <br /> ft00R�R�IN QAS FIREPUCE <br /> �ACKFLOWPPEVENTERS ! O�SR�NdE <br /> SINK�SERVICE—D�R.ETC� QAS PIPIN6 <br /> ExH�USTFAN <br /> I <br /> � <br /> SUBTOTAL S SUBTOTAL f I <br /> PENMIT f PERMIT f <br /> TOTALFEE S TOT�LFEE f <br /> FOR OFFICE USE ONLY: I <br /> ��qNt5F�9�CR PF�NSEIB�L� 50[H�l�L� R.WCNfCItM1YlLP f[f PECENlMI <br /> us�m�u imu�. v�cmisrt[ FEEB V�LU�TpN FEE I <br /> rins nw s�� I <br /> Mt+'�NII�MiI�iqN N1IXON[llM 6VICs�Ml1 I <br /> ��� I <br /> 6C11>�M:� VJUS�CnlS OCCIT�NfIO�U EI.YYfMI ��H��µ <br /> OMMN I <br /> f1rE5 fl HO <br /> Ip1.5VRiMLLERP[OD P[�SON �OMtYM4lhNICrvEC� I <br /> OINFN I <br /> 1nf�l�HMP10U M�SI:V I <br /> Sf�IElVLMq 61MCNUK{ <br /> �.r�orcm�er Ru.s�vrmrtoc. CITYOFEVERE�T �rwon+e , <br /> LOCALBALES � <br /> ���E � Tl1%CODE187105 TOT�I � <br /> Yi4 GI OL-o�� <br />