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' APPLICATI� FOR CONSTRUC'I�N PERMIT� <br /> CITY OF EVERETT•BUILDING OIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257•B8f0 <br /> I� OEMOLITION I-I COMBIN�TION I I BUILDIN6 �MECMANICAL fl PLUMlINO ❑ BION <br /> PROJECT ADDRESS • � <br /> ' L � <br /> ownx u�n�ooniss or. xw vr�a� � zr-4i3•c,3tio <br /> C1v vut C I�ne�s-k�s�� 4�i24 cv.��De �vefc.d' �81.ob 1 <br /> ifN�Nl 4uikM[SS Cilv !P A�< <br /> �pCMIICCfp1Mf]�P YI.K��G�[�� C�l� lY' ��� <br /> OEHaµCCM1MC�OP wa�DM[59 (:��v IY hNY4 {��RIRNSF� <br /> YLCN�N+:IiCOH�RY:IOR 41i1�W��fiS CiiV !P >��G[ SI�RICtML� <br /> t�cTi ��1�, I�rK,�sc��ln„ 12lcur�f Izti"°�,�y31<�.K �iND'yy 4y��b�cri�F /�cr�uw�l��+"�JP <br /> VIU4RiH4CLMIP.�CICN YN�[KPES O�� I�' R�G1L 91�Ifl6EM[� <br /> cornn.n once or won. MEATIN6 SYSTEM: y"�i OAS ❑ELECTRIC fl <br /> IXSCMbFWCMR�NOSW�AEfWIWEMVIXv[� � �P�� �M � C,J� -�� ,�'�J� <br /> � � � � <br /> 1, p_ , 1 HEREBY GEHTIFY THAT I M�VE READ AND E%�MINED TNIS <br /> NiL1 qPPIIC�TION�N�NNOW THE S�ME TO BE TRUE AND CAFNEQ.�LL <br /> mavoscouu or sinara PROVISIONS OF UWS AND ONDINANCES 40VERNINO THIS TYPE OF <br /> WpRlt WILL OE COMPLIE�WIiH WHETNER SPECIFIED HEREIN OR <br /> ifouoeccncno.1a�Pm�^�^��is�onwsuawouuucnrmocurnn NOi TME OR�NTINO OF A PERMIT OOES NOT PRESUME TO OIVE <br /> `ar a�K a �UTHORITY TO VIOIATE OR C�NCEI THE PROVISION OF �NY <br /> OTHER SUTE OR LOGAL UW REOUTATINO CONSTRUCTION OR TME <br /> PERFOPMANCE OF CONSTRUCiION.TMAT I�M�UTIIONIZED BV TNE <br /> OWNER OF TMIS PROVERTV TO PENFORM TME WORN FOR WHICN <br /> APPLICATION IS M�DE �ND � COMPLY WITH THE STATE <br /> CONTRACTORS LAW IP Y7 PLW AND P98 200 WAC <br /> v�x[�w io nuww I�� � 1 <br /> CCNSINVCICNLO�NLfNOfP/.MAK59R�EPIIp[MiNO[P X�� ry [1` l�� "�' '�� � I� �/ <br /> t��.,�„� ���,YrS a�F � <br /> rn.eusnass u:'�esr xo '. <br /> PLUMBINO __ MELHANIC�L _ _ <br /> NO. TYPE OF FI%iUNE OR IiEM FEE N0. TYPE OF EOUIPMENT FE[ <br /> WATEFCLOSET�101LET� � AC—A'MNDlOUNITS <br /> B�THTUB � FOPCED�IP SVSTEMS <br /> LAVATORY IWASM B�SINI MEAT PUTAP <br /> SNOWEP �' UNITNE�TERS ' <br /> NITCMEN SINN 6 DISP ClO7NES DRYERS � <br /> OISMW�SHER R�NGE MOOD � <br /> UUNDPYTRAV � WAIERNE�TER <br /> GtOTHES WASNER __ H'�D STOVE <br /> URINAI _ METAL FIREPUCE�WO00 BURNINO� <br /> DRINNINOFOUNT�M � FIREPUCEINSEFT�WOODBURNINO� <br /> _.-i-- <br /> FLOOR DR�IN WS FIREPUCE <br /> O�CNfLOW PREVENTERS <br /> t3�5 P�NOE � <br /> SINK�SEPVICE—BAR.EiC� GAS PIPINO <br /> � EMNAUSTFAN <br /> — i <br /> i <br /> SUB TOTAI S SUB TOt�L f <br /> PERh11T f PERMiT = <br /> To7�LFEE f TOT�LFEE S � <br /> FOR OFFICE USE ONLV: <br /> fPOH15F�lnf�. PInPSf�onC� 6O[S[�l�L� RWCMCeNNMfM �Ff P[C[VINO <br /> usen,rx io�ua• r.cwt5n[ FEE6 V11LU�TION FEE <br /> �.�IS IINcI �4wp <br /> I�IM'��IIlM�111✓JN N'S�UWEIIiMI SiLk W O1061i <br /> %lNlW[I <br /> (%:IVY�IX.� Nlf/SIJR�S OLCVV�N1104� B�SIMINI y(CM�HIC1l <br /> ��nV� <br /> �IS IM <br /> �fpI11pN4 PlW[rvfC� <br /> 1/1�SVNiW1(PPEOO Af�SLW <br /> OLM1R _ _ <br /> n�....��n.on •� w.rteurtcwosucwnaE �._ _ <br /> nie�.coxsr n�Ms��AovEoe. CITY OF EVERETT ��K+�^�� <br /> LOCAL5ALE8 <br /> �.,,� TA%CODE IS J105 tOT�L _ <br />