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APPLICATI� FOR CONSTRUC7�N PERMIT� <br /> CITY OF EVERETT•BUIIDING DIVISION <br /> 3200 CEDAR STFEET•EVEREST,WA 98201•257-BB10 <br /> i i DEMOUTION ❑ COMBIN�TION ❑ BUILDING ❑ MECMANIC�L '� PLVMBING " SIGN <br /> PROJECTADDRESS <br /> Z L/� �E � ,"� e <br /> ow.,�« u.2,00��ss ���.c'E.(.�f'rC"q'pfor `"n.` <br /> �'_l[�i�a.��r .Q. L.!''t'.v P.,Psok/d9,�,A�s�s.fi�.�_ �/-+�2�)—LS9- �f/� <br /> IlN�M 4�4EW11E55 LI.Y DP <br /> �PLnRIC�IX+GCSqMP L1y�ppiL55 LRV 20 PM'J�IE .. <br /> ,*- !ti� (�'�OA/ $/�iVl� <br /> GF�1INGtNMTRH�(� M�K�IX1�F:5 C�l� Zi VM}1[ 6i�lE1SE,6E• <br /> MI.�N�IIiCNCCfPICiqi VIII��WE$$ CIiY IV R1Gf[ 61�ifLILCNuF• <br /> RUl10�p<fNiMCtOP WR�DOIESS L�1Y Tc Mql[ uil.lELFLNSEr <br /> CMItPKt fMK.[!N W�Wt <br /> HEATING SYSTEM: f 7 GAS f'ELECTRIC t'� <br /> CA fl^EW(AW��1N /J1ClOCi�('JMyQKO CJHiI.G11'EUS>��IIDN�pry[rp <br /> ���._'000 s f <br /> i M[RE�Y CEPTIFV THAT I HAVE P[AD �ND EkA1.1MED iM1S <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND GORREGT AI.L <br /> raw�ose.o usc a xmi onw PqOYi$IONS OF LAWS AND OROIHANCES GOVERNIN3 TMIS TVPE OF <br /> WORK WILL BL COMPLIED WITH WHETNER SPEGIFlED HEFEIN Oq <br /> �ccuoc5camrroxn vnorinrv6w�nrefluwai�n¢Hrnvconrcsi NOT. TNE GRANTMG OF A P�qMIT DOES NOT PRESUME TO GIVE <br /> �or ZL. Z7 eioce a�a or d [ ' AUTNORITY TO VIOLATE OR CFNLEL iHE PFOVISIpN Of qNV <br /> OTMER SiATE OR LOCAL LAW REGULATING CONSTRULTION OP THE <br /> PERfORfAANCE OF CDNSTRUCTION.THAT I RM AUTHORIZEO BV THE <br /> OWNER OF TMIS PROPERTV TO P[fiFORM TNE Y+OBK FOR NRIIG4 <br /> APPLICATION IS MA�E AND I COMPLY WITN TME STAiE <br /> `n•ncr�ru�o mme[n CONTRACTORS�AW 1B Y7 RLW AND 296 200 WAC. <br /> T <br /> LpI51�liCii �p�NIEN'.hR�Inf55iCLIMqN[MINBER y(� ��3—Q/ <br /> � G 'rH��unt <br /> o•rt <br /> / <br /> crtv eucmess u'a,c w <br /> PLUMB�NG MECN�NICAL <br /> NO. TYPE OF FIXTURE OP ITEM FEE N0. TYPE OF EOVIPMENT FEE <br /> WAl[R GLOSET(TOILET� AC—ANNDLG UNIiS <br /> BATHTU� ! FORGEDAIPSVSTEMS <br /> � LAVFTORV(WASHBASM) ! MEATPUMP <br /> SHOW[R i VNRHEATERS <br /> KITCH[N SINK M1 DISP i CLOTHGS pRVERi <br /> OISNWASNEP i RANG[MO00 <br /> LAUNORYTFAV � WATER NG/1ER <br /> CL01HE5 WPSHER WOO�STOVE <br /> URINAL ! MEIAIfIP[PLACE�WOODBURNING� <br /> ORRJKING FOUNTAM FIREPLAGE INSERT�WOOD BURNItJG� <br /> fLOOR DRAIN GAS FIP[PLAGE <br />� BACKfLOW PREVENTER9 ! GAS RANGE <br /> SINN ISERVIGE—BAR.ETC.� i GAS PIPING <br /> E%HPUSTFAN <br /> i <br /> SUDTOiAL S SUOTOTAL S <br /> PERMIT S PERMIT S <br /> TOTALFEE N TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> f1q4i$ElN�Cx F[APSCI9R�� �'pESEtBKR I'UNCM[CKMIlIBCP !EE AEC(FINp <br /> usczart �ounE• wc+n�srt� FEES VRLWITION FEE <br /> �vEs "Ho eunnnm <br /> �[aNiuurtnrqH xownwtu.r, caEaeuc�� <br /> UMi15 M�ei� <br /> PJCU��NLY NJIXS�CAFS CCCIIP�NIl0�0 B�5lNtNi MEU411p�L <br /> 6RWP <br /> -res r,rro <br /> �RIE6PRIMLLE11PEpD REASON WDIilON4P1ANC11ECY. <br /> _ OTIrtP I <br /> iIPE�4MYI�EG� 1R�5011 � <br /> 51�1F BVkOiM SV11G�I�RGC I <br /> rmcprconn runs��nwcner L�TVOFEVERETT nun�ewwws � <br /> LOCALSALES <br /> ��.,� T11X CODE IS 3105 TOTAL <br />