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APPLICATI� FOR CON8TRUCT�N PERMIT� <br /> CITY OF EVERETT•BUILDINd DIVISION <br /> 3200 CEDAR STREET•EVER�TL WA BB201 •257-8810 <br /> ❑ DEMOLITION O COMBINATION ❑ BUILOINO ❑ MECMANICAL 6T"VLUMBINO ❑ SION <br /> PROJECT ADDRE89 �^S ., / <br /> p.� _r G'a5�n0 /�� <br /> owran wa�oon[s� v�r xr nqr4 <br /> TEN.Wt uK1WllE�t CItY Iv qy1( <br /> MCIMIECIOPCEEI6NER 44�OG�66 GI1 t! lIPE <br /> 0[NEMLGONIP1C�p1 44L�OdE{6 LIIY SP n�ox[ �r�rtuwat� <br /> 4ECN�MC4C011i1W:Ip,1�/ /41R^�W11Fl1 UtY Tr P1O�E ll�fEIICFMIF� <br /> AMrricnw. //c�.H.(a.o. /.Z.3/� 2�7G�.�� 5E �onra L/A9R�J.2 .2[7lnyf[t'!S/e7 <br /> viwenocanrwc�rn uu se urv to ' rrnt er��EiKEHaE. <br /> AncR� n�o�� r�N <br /> caMrwcr mct ar waw <br /> MEATINO 9Y9TEM: ❑0119 ❑ELECTRIC f] <br /> OElLPRE WOlbt MO BplU1E fCOI�Of MVClNO LOMfKI RRlpl Mq N1YE 1q <br /> I MEREBV CERTIfY TH�i I H�VE RE�D �ND EXAMINED THIS <br /> - MPLIC�TION AND NNOW THE 9AME TO BE TRUE M!D CORHECT�LL <br /> monouo ux ar euno.0 PROVI910N9 OF UWP AND ORDINANCES 40VERNINO TMIS T'PE OF <br /> W(1RN WILL BE COMPLIED WIiN WHETNEA BPECIFIED HEREIN OR <br /> uouuxn�rnriasvnavEnn��r�owr�ec�owm�n.cnnaxvrtq NpT TME URMITINU OF 11 PCRMIT DOE9 NOT PPESUME TO OIVE <br /> iv* aoce a �UTMORITY TO VIOUTE OR C�NCEL TNE PROVISION OF �NY <br /> OTMER STATE OR LOCAL UW REODUTINU CONSTRUCTION OR THE <br /> PERFORM�NCE OF CONSTRUCTION.TNAT I AM AUTIqR12ED BY THE <br /> OVMER OF THIS PNOPERiY TO tERFORM TNE WOR1c FOR MMICN <br /> AYftICATION IS M E �ND I COMPLV WITH i11E STATE <br /> nu¢[uenoMiuecn CONTR NS W �RCWAND7YB200W�C. <br /> cwermicrnriiwnit�un.�od4aanurrnKruus�n 9_S'O� <br /> ru�u.x wrt <br /> u.re�sw[eaiccraEro <br /> PLUMBINO MECNIINICAL <br /> NO. TVPE OF FI%TURE OP ITEM PEE NO. TYPE OF EOIIIPMENT FEE <br /> WATER CLOSET(TOILET� NC—M/ND�O UNITB <br /> BRTMTUP ' FORCEU�IR SYSiEMS <br /> UVATORY�WASM B�SIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> NITf,MEN SINK 6 OISP CLOTHES DRYERS <br /> DISNWASHER R�NOE HOOD <br /> UUNDRY TR�Y W�TER HE�TER <br /> CLOfHES W�SHER WOOD STOVE <br /> URINAL METAL FIREPUCE(WOOD BURNINO) <br /> DRINkINO FOUNTAIN FIPEPIACE INSlHT fh'�D BURNINO� <br /> FLOORDRAIN � QASFIREPLAf.E <br /> BACNFLOW PREVEkiERS OAS RAN4E <br /> 91NK�SERVICE—B�R.ETC.) i �ASPIPINO <br /> 5%HAUC.T FAN <br /> I <br /> SUBTOTAL f I SUBTOTAL f <br /> PERMIT S PERMIT { <br /> TOT�LFEE S ' TOTALFEE i � <br /> FOR OFFICE U9E ONLV: 'P Q <br /> i1qNt6Etl�C� RF�RIfI!/iCX 61piIEillq RMIp4CItMMER fE[ PELEPl1q <br /> uutart ioru�� vacwrc�rt FEEB V�IU�TION FEE <br /> ort� aw nnora <br /> nebvriu�rt•�ur� wr,rowcuro evcaxoaii — <br /> urxre rtuue.o <br /> �o�rcr rao s�ann occwwi iwo uuu[H� �cw�K <br /> orE� ono <br /> fqF80PiMLLfNpFOD PE�9p1 '���K�'w�� <br /> OMFP <br /> fNE�l�N411F0� f1F�60M <br /> 6fAlFlLI[YMt�I�ICM�MF <br /> �rs[p�corvsi n•xe�naov[oer CITYOFEVERETT �wcr�a«� <br /> LOCAl8ALE8 <br /> o,,�E TA%CODE1671U6 TOT�L <br />