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�-. -- <br /> APPLICATI�..� FOR CONSTRUC7 _JN PERMIT <br /> CITV OF EVERFTT• BUILDING DIVISION � <br /> 3200 CEDAR STREET • EVERETT, WA 98201 •259-0810 <br /> ! I OEMOLITION I I COMBINATI6N I i BUILDING ' I MECHANIC4L I I PLUMBINO I I SIGN <br /> PROJECT(�DD9ES•S) �1_/ <br /> I I 2 1 W �CiPI/r✓c'� ,F U . <br /> . ovMrn MMI M>Dnl'S� CIiY ]i�` PIIONF <br /> �i��� i l�i�i—�1!2 �- 9`�-' l. ,Q�e iv��z���,�.�a 9h'�z z �3y-vG�s' <br /> rr�+nut unn nnunrts atv riv rnoNF <br /> anc�n*ceronoesiar+en u�neunness cttv nr ' r�w�+F <br /> arr+FnnicoNrner.ton Mui.�nnncss cnv nr ruoNe sraeuc[Nsr� <br /> MFCN�NICQCONIO�CTOP MML�DDI1F55 GTV 7it� PIIONE SL�iFIIf,FNSF./ <br /> ✓Uac n�Prrla 9�G�l <br /> '�. 1'LUMBIN� QCONifl�l� '' MRI�Af1DRF55 /3 a n flfY � ��� � _��F ���/ ��i�F���� <br /> C� <br /> CONIR�Ci PRICE Of WOfiN <br /> HEATING SYSTEM: f I GAS f I ELECTRIC fl <br /> DFSCRI9E WORN ANO SOIIARE FOOT�OF INVOIVEO f.ONt�Cf P(PSON�ND PIIONF NO <br /> I HEREBV CER?IFV THAT I HAVE READ AND EXAMINED THIS <br /> - APPLICATION ANO KNOW THE SAME?O BE TRUE AND CORRECT.ALL <br /> rnoroseoose or nunoum PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> _ WORK WILL BE COMPLIED WITH WHETHER 5PECIFIED HEREIN OR <br /> iFc�i t�scnmrumorrnorennisMowriaeiowon�ruc�irwocories� NOT. iHE ORANTINO OF A PERMIT DOES NOT PRESUME TO OIVE <br /> ioi _e�ocrc or AUTHORITV TO VIOLATE OR CANCEL THE PROVISICN OF ANV <br /> 0TI1ER STATE OR LOCAL LAW RE6ULATINO CONSTRUCTION OF THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTI' TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MAD , AND I COMPLV WI1�H THE STl,fE <br /> P�fiCEIT�%ID NUMPER CONiRAC10R AW 1 RCW AND 296200 WAC. <br /> i <br /> CONSTRUCiION 10�N LFNOFR,�DUf1FS5.TEIEPNONE NUNPFR X ��/S��,S <br /> 510 IUIIE O�tE <br /> G1Y BUSWf 55 UCCNSF NO <br /> O PLUMBINO MECMANICAL <br /> � NO. TVPE OF FI%TURE OR ITEM FEE N0. TYPE OF FI%TURE OR ITEM FEE <br /> (I WATER CLOSET(TOILET) � A/C—ARi�1DLG UNI75—H.P <br /> � BATHTUB � FORCED AIR SVSTEMS—B.T.U. M E.A. � <br /> LAVATORV(WASH BASIN) i HEAT PUMP i <br /> SHOWFR ' UNITHEATERS—B.T.U. M _ ' i <br /> KITCHEN SINK 6 DISP i CLOTHES ORVERS i <br /> DISHWASHER T— VENTILATION F�N � <br /> LAUNDflV TRAV RANGE HOOD i <br /> CLOTHES WASHER WATER HEATER <br /> URINAL ' WOOD STOVE ' <br /> URINKING FOUNTAIN METAL F�REFLACE(WOOD BURNING) � <br /> FLOOR DRAIN � FINEPLACE INSERT(WOOD BURNIN(i) � <br /> BACKFLO�V PRE��ENTERS i GAS FIFEPLACE _ i <br /> SINK(SERVICE—BAR, ETC.) � GAS RANGE � <br /> ' 6AS PIPINQ ' <br /> i E7fHAUST FAN � <br /> i � <br /> � - i <br /> � � <br /> T <br /> SUB TOTAL S � SUB TOTAL S � <br /> PERMIT S ��J i PERMII 5 �— <br /> TOTALFEE E J TO?ALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> fpONTSFTP�CN RF.RRSFTP�CN 510[SF/B�CM PIRNpIfCNN11MfIFR fF[ PECEIPTNO <br /> L 7� '.J <br /> uceior+r iotene� wr,nr�tcitF FIiE8 VALUATION FEE <br /> 1 tVFS I t NO p11111P'dl <br /> �IfI01tllIMI1�tION NOOfOWF.ILIN(i SV[OflILIXi91 — � <br /> U1lIIS PIUMOMO <br /> OCCUPANGY M)OISInPi6 UGf.UP�NiLO�D PRSFMENf MFCN�NIC�L <br /> onour <br /> n ves n no � <br /> �ppIf10NAL PI.AN 1:11[CK <br /> Fl11E�L�IiMREOD RG�SON <br /> OTIIER <br /> GIHf SPNNMLFR RFOO RFPS(NI <br /> SUiE PUIIDIN�SURC1UMiE i <br /> �vreo�eor+st ri�Ns�rrnrnennv CITYOFEVERETT runur.won�s ' <br /> LOCALSALES � <br /> I �q�E TA% CODE IS 3105 TO�AL <br />