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APPLICATI�1 FOR CONSTRUC7'�N PERMIT� <br /> CITY OF EVERETT•BUILDINO DIVISION <br /> 3200 CEDAR STFEET•EVERETT,WA 98201 •257-BB10 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDINO ECHANICAL ❑ PLUMBINO ❑ SION <br /> PROJECTADDRE53 23/� C �/�/' Q/I� <br /> OWNF M\L�OOI1F55 UIY. t R101R <br /> �, S�� fi�f z3ll� ��t�✓/a.�/ cvP�P�} �1a/ y?j 2S'2 v Z D z <br /> .E,�, �,..�., �. .. .�. <br /> uCMfECtOnCf60NFR WL�Oq1FBB LiT lV R101E <br /> O[1EMLLp1iMLiOP Y�4�O01K61 GtY tO pYy1F BI�IEIKEMSF� <br /> �a•K�� �/�P���,a u141703s 5�/�n �• !� � e,0i9�eyr�d�p�ta <br /> � —�� 9�b� �'��9�Ns�12 <br /> Ru4e�MOccA�n�c�a� uYle0pR55 Ol� in vrq'F SL�Fl6EMSE. <br /> c��p���47Sf��n HEATIN63Y6TEM: I�iA3 OELECTNIC ❑ <br /> ascnmE r.aM u,o sauu�c roor�ac r�va�o co+*rcro l�fu�q of Lhr y 2s" �9 3�y2 <br /> � <br /> P ��" n�+� O <br /> I HEREBY CERTIFV TN�T I N�VE READ �ND E%�MINED iH15 <br /> R �PPLICATION�ND KNOW THE SMIE TO BE TRUE�ND CORRECT�lL <br /> nnroos[ovs[ar eotow PROVIS�ONS OF LAWS AND OflDIN�NCES(30VERNIN6 TMIS T/PE Of <br /> WORN WILL BE COMMIEU WITH WHEiHEF 6PECIFIED HEREIN OR <br /> i[naoexnn�qnarnmr[nrv�s�qwnenawrn�n¢Hrvqcp[q ppT TNE aRANTINO OF 11 PERMIT DOES NOT PRESVME TO OIVE <br /> �or RaR _d �UTNORIIY TO VIOI�TE OR CANCEL THE PROVISION OF �NY <br /> OTMER STATE OR LOC�L UW REODUTINO CONSTRUCTION OR TNE <br /> PENFORMANCE Of WNSTRUCTION.iM�i I AM�UTHOPIZED BY!NE <br /> OWNER OF TNIS PROPERTY TO PERFORM THE WORN FOR WMICH <br /> APPLIC�TION IS M�DE AND I COMPLY WITH TNE STATE <br /> p��Ei����o�Ep CONTBAC �R WIBY7RC �ND 98200WAC. <br /> LOM9IPUCIIONLWNLFMfP./.pp1f66.1E1[RIpEMMlEP x � �� �� � ^O� <br /> 6q1MN11F A]�� �� p11F <br /> �/ <br /> CIiYlWMf55l NSE10 <br /> PLUMBINO MECN�NICAL <br /> N0. TYPE OF FIxTURE Ofl ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> W�TER CLOSEi�TOREi) NC—bHNDLO UNIT5 <br /> B�THTUB fORGED�IR SYSTEMS � <br /> UVQORY(W�SN BASIM ! HEAT PUMP <br /> SMOWER UNIT NE�TERS <br /> NITCHEN SINK 8 DISP CIOTMES ORYERS <br /> DISMWASHER RANOE MOOD <br /> LAUNORV TRAV W�TER HEATER ! <br /> GLOTMES W�SNER WOOUSTOVE <br /> UHINAL METAL FIREPUCE(WOOD BURNINO) <br /> ORINKING FOUNT�IN � FIREPUCE INSEHT(WOOD BURNINO) <br /> FLOOR�R�IN dA5 FIREPUCE <br /> BACNF�OW PREVENTERS ! 4�5 R�NOE _ Y <br /> SINI((SERVICE—BAR,ETCJ OAS PIPINO I <br /> i E%HAUSiFAN <br /> i i <br /> i i <br /> SUBTOTAL f ! SUBlO1�L f <br /> — _ PEBMIT f PERMIT f � I <br /> TOTAL FEE S TOT�L FEE S i <br /> FOR OFFICE USE ONLV: 1 D I I" UI�l <br /> f11p�I5FlB�C�t REM15Ell1LIt 610E6FhAf.R RANCMELRMM[R f[[ �YCfV�Iq <br /> usctart iounr• v.cwtart FEEB VALUIITION FEE <br /> ❑ne o w eusora <br /> MFqNIlIM1i�lUN N(10lOW[LLNIO SIRLlMDY11 <br /> Urrvl' RWlNU <br /> OCCIA�K� MJQfIM4! OGCWNIIIOb lAYYfMI ��H��K <br /> 6f�QlG <br /> uru ❑ra <br /> fFlES��MKIERPEOU RE�SqI ����nµ��K <br /> OTIkR <br /> iPE�UPMPEOD RE�BCN � <br /> 6*�IF MAM9 NMLNMOE <br /> irveorcavsr riu1s�onanoer CITYOFEVEFETT �KwoaRs <br /> LOCIIL BALES � <br /> o•�E TA1(CODE 18]10S TOtAL <br />