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APPLICA7�N FOR CONSTRU�ION PERMIT� <br /> CITY OF EVERETT•BUILDINO DIVISICN <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257•8810 <br /> fl DEMOLITION ❑ COMBINIITION C3 BNWINU Cfi MECHANICAL PI PLUMBIN6 . SION <br /> PNOJECTAD�RESS • <br /> C�,4�y �a,.�� <br /> pMSP Y�4�WIF5! OiY Ii Fl�P4 <br /> l i�l �N-5�n�. Y ,�.�i�:3�� --«N�w 5� 9EaSa- sco)�Sa-/3�S <br /> 1f1NH� YI.R�Cd�:l� GTY !/ RIU[ <br /> �RCm1FCi0R[ESUMEP WS�Cd�f65 GTY tIP P141F <br /> OFKP4CONIMClO11 44lMCYSB CT' lO PIOL � ll�IflCEMf� <br /> S- "•�W 4n ���u�L 11 F��N.sC.I'4 S�/Cj <br /> 4[[N�MCMCpI1PAClOR YAl1pL'I1F99 CRY IV R�d4 S�1FL1CfMSF� <br /> VIWB�NOCpIl11h;TOR 4LL�Cdi[i4 Cliv tP F1]11L BII.IFI�CENSF� <br /> CONIPI�CiPPCE�iMdMa��� �, MEATIN6SYBTEM: [9?i11S ❑ELECTHIC ❑ <br /> CESLRip[MOP�Y0 6011Y1E�f�pF�VFO CMI11Ct GEPSOII NO MId4 NJ <br /> J.'.t.i o �..... _ <br /> ��, t : s > _ <br /> I HEREBY CEPTIFY THAT I HRVE READ AND E%AMINEO THIS <br /> �PPLICATION AND ICNOW THE SAME TO BE TRUE/�NO CORRECT.ALL <br /> rrprouo os[c'euloro ` `J PROVI910N5 OF UWS ANO ORDINANCES OOVERNINO TMiS TVPE OF <br /> 5.,. C�• � l� WORN WILL OE COMPLIED WITH WNETNEN 6PECIFIED HENEIN OR <br /> imuce�aP�FA�T�6rqWM![IQ nmap�iwocarrts� NOi THE 4R�NTINa OP �PERMIT DOES NOi PRESUME TO OIVE <br /> AUiHORITY TO VIOUTE OR CANCEL THE PROVISIOV OF ANV <br /> `o���M SP 49-a3y OTNER SiATE OR LOCAL UW PEODUTINO CANSTRUGTIJN OR THE <br /> PEPFORMANCE OF GONSTRUCTION.iM�T I AM�UTIqR12EU BY THE <br /> OWNER OF THIS FP.OPERTY TO PEPFORM TME WOPI(FOR WNICM <br /> APPLICATION IS M�OE AN� I COMPLY d1TM TME STATE <br /> rwcci r�.i o ruu�a n /J <br /> CONTRAGiORS LAW 1�27 PCW AND?BE2W WAC. <br /> CCNSIPVCIICNlO1NlFi[`���UMF58.1klfR�Y1FM➢MFR X G ' .l ' /tN/.± I�Va IL %_C'w <br /> 6qF�UI1E� ' Wlf <br /> cnreufxccaicrnxra <br /> PLUMBINO NECN�NIC�L <br /> NO. T/VE OF Fl%TURF OR ITEIA fEE NO. TVPE OP EOIIIPMENT FEE <br /> WATER ClOSET(TOILET� A/C—NHNDLO UNITS <br /> 1 BATHTUB I � iORCEO�IR SYSTEMS <br /> 3 LAVATORY�WASH B�SIN� HEAT PUMP i <br /> SHOWER UNIT ME�TERS <br /> NIICHEN SINK 6 DISP I CLOiNES DRYECS <br /> ( OISHWASIIER 1 R�NGE HUOD <br /> LAUN�RYTRAV I WATERHEATER <br /> � CLOTHESW�SNER � WOODS�OVE <br /> UPINAL MET�L FIREPUCE(WOOD BURNIN6� <br /> DRINItINO FOUNiFIN ! FIREPUCE INSERT�WOOO BURNINO) <br /> FLOOR DR�IN O�S FIREPUCE <br /> B�CKFI.OWPREVENTERS ! OASR�NGE <br /> SRlkISERwCE—B�R.ETCJ ! .) O�SPIPM� <br /> — i E%M�USTF�N � <br /> i � <br /> i <br /> SUOTOTAL f I SUBTOTq. f <br /> PERMIT f PERMIT f <br /> TOT�L FEE f T�TAL FEE S <br /> FOR OFFICE USE ONLY: i' � � � - �� � <br /> fPCNiSFtl�C� PF�PSf�l�LR lCFIEI�.�LF R�VICNFCMMM/lffl !EE M£CEVIIq <br /> ZU / � / S / � 1,� ��� V�� J� <br /> us[ta�E^ � �orN���� r�uxtnrtc FEES VALU�TION FEE <br /> � ua�4 ❑ru anuwa <br /> NFq�IfL�Mi1��UM 1Mi16UYfLLW eveaa 3B7 .S - <br /> Z% P1U11lMq <br /> pLCW�NCv MUSRp[f OCCW�N�lO�D !� u[x� / MECNI.MC4 <br /> �� V OYF6 MN �y.� <br /> iRF pAM4EPPE0O RE�'pl �WDR'qNLPIANCNECII J7 <br /> OMFP <br /> fPf4A1WPf00 M�60N <br /> lT1�ElURLM10 BIKw•lqE <br /> rrv[orcoxn nun�rnnrntoer CITYOFEVERETT �s�� <br /> LOGALBALES <br /> �� p�� tAII CODE IS J105 70T�1 <br />