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APPLICATIvN FOR CONSTRUC'� rON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION �C���� <br /> 3200 CEDAR STREET• EVERETT,WA 98201 •259•BB10 <br /> ❑ DEMOLITION ❑ COM8INATION �BUILOING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS:__2� I�_ (,�'(-�T��'=���VE'Y�',Jl� <br /> T <br /> OMIIIER M�il�Dpllf55 CItY �m �p�( � �� ���� <br /> H1U. 5T. I NVB'fY►tC-NT P•o $o�X'AS�i C�JEn.�T q� <br /> �EMe / uen�nonrss r,nr 7�r r�Htwr <br /> C �' Ri11.lOP�1J�1 s�,p/IQ�1� <br /> •RLMTCGTOfIDES�GNfO M�II�f1011E55 I.IfV !iP PIqN{ <br /> OW�1 E Glt�wt Pwl a+.1 I I bb I ,E• I'r s�+,�_�u.0 q600 ' zoc� 4 4ri <br /> aENE cONinecipq u• dNiEss /J (Itr / rrHNff Gl�rr11 rNSE <br /> �C.�Q. � n� � �7 � � ��7hA-PO.twot�./�— �i-P `J� .�PGt._ �%O� <br /> MECH�MLQ CdlTR�CT011 M�II�D�PES$ f.ITY AI` PIIONE SGtF IICFNSE� <br /> C'( '�'.J �'/'f3c�C� Dt /9 / D�- <br /> PIUMBMCCONfR1f.�OR M�II�ppHE55 CIIY 71P PIqNF 9AIEIKFNSE� <br /> q-a� -s� . <br /> corirw�crrmceorwonK �( I�� �� HEATINGSYSTEM:��AS ❑EIECTRIC ❑ <br /> OE BE MNRN ANO SdURE fOOTME MVOlVEO � c�n�uc�rrnsor1�Ho r�No <br /> S <br /> �EP �l - 3 �> <br /> I HEHEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND NNOW THE SAME TO BE TRUE AND CORRECT ALL � <br /> vNorosFo use a eu�arxi PROVISIONS OF LAWS AND OHDiNANCES GOVERNING THIS TVPE OF <br /> _ WORN WILI BE COMPLIED WITH WHETHEH SPECIFIED HEREIN OR � <br /> ieauo¢scmvrroNovrnorenrv�s�avmeeiowon�n�cHrwocovic5� NOT. THE ORANTINO OF A PERMIT DOES NOT PRESUME TO OIVE �� <br /> �ot 1L- !�—eiocK�a 5 AUTHORITV TC VIOIATE OR CANCEI THE PROVISION OF ANV <br /> �_�'TLD I rI O PERFORMANCE OF CON TRUCT ON.`TNA T AM AUTHO I ED BV THE <br /> OWNER OF TNIS PROPERTV i0 PERFOHM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND 1 COMPLV WITH THE STATE <br /> VI1RLElTWl10.MIMBER — CONT�TORS LA 1827 RCW D 296.200 WAC. <br /> � � � <br /> ���✓. . / <br /> CONS IOIW ENDER.�UDilE55.IELEP1qNEN1M0ER %�� ������/ <br /> S10/yyy¢����7�,fq7E �E <br /> �9��- . <br /> GITY BUSINESS IICENSC NO <br /> PWMSINO MECHANICAL <br /> NO. TYPE OF fll(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILEn � A/C—AhINDLO UNfT3 ! <br /> BATHTUB ' FORCED AIR SYSTEMS ' <br />' UVATORY(WASH BASIN) � HEAT PUMP � <br /> SHOWER ' UNITHEATERS ' <br /> KITCHEN SINK 8 DISP i CLOTHES DRVERS i <br /> DISHWASHER � RANGE HOOD � <br /> LAUNDRY TRI1Y ; WATEH HEATER ; <br /> CLOTHES WASHER i WOOD STOVE � <br /> URINAL � MEfAL FIREPIACE(WOOD BURNING) ' <br /> DRINKINO FOUNTAIN i FIREPLACE INSEflT(VVOOD BURNING) � <br /> FLOOR DRAIN � GAS FIR[PLACE � <br /> BACKFLOW PREVENTERS ; GASRANGE i <br /> SINN(SERVICE—BAR,ETC.) GAS PIPINO � <br /> � E%HAUST FAN ' <br /> � <br /> � � <br /> SUB TOTAL S SUB TOTAL f �_ <br /> PERMIT S � PERMIT f � <br /> TOTAIFEE S � 1nTAlFEE f <br /> FOR OFFICE USE ONLY: �o',•^-� � <br /> i110NTRETRALtl REMSFTR�f.lt 9UESFTB�C1t O�ANGI1CCItNII T �fF necrmTHo <br /> � <br /> 0 0 0 '-7 S J 3< � <br /> use ia+ �ot snee v�eeN�srtr FEES VALVATION FEE <br /> �7 {/' T/ <br /> � L .ti / Q'� I- ,BYE$ ❑ Iq MnIMNf / �Jl�Ely,. ��y7n i�C7 <br /> NEI011T UMIT�TION Iq Or pWEI'l1lfq SITE Of BIMiR I ------" --"� -- � <br /> G / U4iig �JT ��L�/_ — PIU�NIM6 —"_-_"_—_ ____ ___"_' -____--_'{__ <br /> pC"CaU��KK;r rU Ix SirmtS Of:CUP�Ni IO�U — B�SFMENI� � —.-- '_" "`—_— _---_— � <br /> / MFf b�NIC�I <br /> 3O ,7tER NO ~ <br /> � --�--- �f11N111Nq PII�HUIfCe <br /> Fl ESPPINI(1E�11E0'U N��S(Y _ _ _____ _ _ _._'�� �C_/' <br /> /��C� —' ______ ' <br /> OI1�fP <br /> i1RE iNREO'� RRs(k! ----.----� -- ---"_—' — _____" i <br /> �r� � Cr,�; � ;,c ,�,r.! ,2f s,�,ra�mo��,�is���x,��n>i -----� -i: .., <br /> rrr¢or r.onsr ri nHs�vr i n er � <br /> 7 C1TV OF EYERETT runnr wnn.s — �- --•—'-- - <br /> �, / ���L f�OCAL511LES --- ----- - ------ t--- <br /> l/.". ,v ����E _�_� " ti i"_ TAK CODf I i 3105 TOTAL----—I ---- n ' --�c k-- <br />�� ' � <br />