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APPLICATAN FOR CONSTRUG�ON PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET�EVERETT,WA 98201•257•8810 <br /> f i OEMOLITION ❑ COMBINATION O BUILDINO ❑ MECHANICAL ❑ PLUMBIN6 ❑ SION <br /> PROJECTADDRESS� ,� _� � S.� � ��� � <br /> OW�fR Y�1�D01K5! G�Y 1� n41F <br /> Jo�_n�r,� 1-( ` �'k�srr-..e �vuECF+y,2s+ ��wu�r- Q6�oi y25 �03 Di8'�' <br /> TFM�Nt M/JL�OL�1f66 GtY li IIIO,If <br /> •11CNiRLIOPCFlOMFP Y4l�pp1E5! LT' t! hlp4 <br /> UEMFPµf,ON1Pi1Ci0P YMAOdlF49 CRV 1! RIp1F 611RlILFM'.f� <br /> MECN�NIC4CCMWI�C1pR Y�RKMf55 UiY li RqqE 6i1iElKEME� <br /> Plvl111iN3CON1PKfOR YYI�WIIFlS Cii� IP hlp1E ll11FlKFNSF� <br /> Cp1iP�tl%IC!d V�MII <br /> HEATINO SVSTEM: ❑QAS ❑ELECTpIC f7 <br /> SCPipFW(N��/�MD6d1�RffOp1�6[ Vf� Cd1i�CiPEP5d1INp%IpL1q <br /> P uJl�/E L� r <br /> , � e <br /> I MEREBY CERTIFY TM�T I HAVE READ AND E%�MINED THIS <br /> APPLICATION AND NNOW THE S�ME TO BE TRUE�ND GORRECT�LL <br /> v�anasm uu a eo.ow PROVISIONS OF UWS AND ORDINANCES OOVERNINO TMIS TYPE OF <br /> WORK WILL BE LOMPLIED WITH WHETHEH SPECIFIfiO 11EHEIN OR <br /> i[ouo[scnrrror�nroaor[nrv�sNovmeEiavon�n¢etwocarcel �p7 THE OP�NTINO OF A PERMIT DOES NOi PRESUME TO OIVE <br /> mr xoce or AUTHORITY TO VIOLA7E ON C�NCEL TIIE PROVISION Of ANV <br /> OTHER STATE OR IOCAL LAW REGUU71N4 CONSTRUCTION OR THE <br /> PERFORMRNCE OF GONSTPUCTION.TH�T 1�M�UTNORI2ED BY THE <br /> OWNER OF THIS PPOPERTY TO PERFORM THE WOAI(FOR WHICM <br /> APPIIC�TION IS MADE AND I COMPLY WITN illE Si�TE <br /> n.m[uuior�n CONTRACTORSU�W/IB?�RCW D298 W�C <br /> CONSIMIClI(MIIOW IfMEN 4%M1F6$iFl[M1UNF MNlFP /�w/��J,� ��/y��"J �y�� 4'/��' <br /> / T V���S���� �/.��r�///_�%l��L�- <br /> ei*.eusertss iceHSE Ho <br /> PLUMBIN4 MECH�NIC�L <br /> NO, iYPE OF FI[TIIRE OR ITEM FEE N0. TVPE OF EOUIPMENT FEE <br /> W�TER CLOSET(TOILET) NC—AMNDLG UNITS <br /> ORTNTUB ! FORCED�IRSYSlEMS ! <br /> LAVFTORY�WASN BAS�N) HE�T PUMP ! <br /> SHOWER I UNITHE�TERS � <br /> KITCHEN SINN 8 DISP CLOTHES DRYERS <br /> OISHWASHER R�N4E HOOD <br /> LAUNDNY TRAY '�'�TER HEATER <br /> CLOTMESWRSNEP I WOODSTOVE ! <br /> URINAL i METAL FIREPUCE�WOOD BURNINO) <br /> ORINNINO FOUNTAIN ! FIREPUCE INSERT�WOOD BURNINO) <br /> fLOOR URAIN OAS FIREPL�CE <br /> BACNFLOW PREVF.NTERS 0�5 R�NGE <br /> SINN�SEFVICE--BFR.ETC� ! Q�5 PIPINO � <br /> E%N�USTFAN <br /> i <br /> i <br /> i i <br /> SUB TOT�L f SUB TOT�L S <br /> PERMIT f PERAl1T 3 �_ <br /> TOTALFEE S TOT�LFEE f <br /> FOR OFFICE USE ONLY: (�b06 -G2 4 <br /> f�O111K1li1C• M�P6E�p�C BbElFIl�LM RN,CMCMNIYlFN ifF PFCfIViNp <br /> uuxo.K wr�au v¢w�trte FEEB V�LUATION FEE <br /> or[e n W �� <br /> MFIOMILMIf111(M1 11�5 OWEllMO 61lfCiMN'�I <br /> Auus�rq <br /> O�p4CY 1qp51CaE5 CC[UP�MIIOI.D l�SEYfN� 4[CN�MC4 <br /> nne ❑ra <br /> rnesmuMi[na�oo W[�san ���rrwiu�tcx <br /> i OMFN <br />. FpE�4RMPE00 PE�SOM <br /> 61/.lE GIMOMlW[MNOF <br /> �vrEarco�e� nuie..vnovaoer C�TYOFEVEREi'f MulICMYw9 <br /> LOCAL6ALE8 <br /> o.h TA%CODE IS 7106 TOTAL <br />