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APPLICA7'�N FOR CONSTRU�ION PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201•257•8810 <br /> ❑ DEMOLITION ❑ COMBINATION Ijl BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADORESS I�32 C�\\ � ,E'�tLC1\ �•1�1 �S2U� <br /> b <br /> apwu[q uu.wpncss n�rvy.. /tzuw �E <br /> \�MS$ �wS F�e..l\h �`��12. �o��`� E C�l\\ �rlA "�ULU� ��2S2S��4r6� <br /> « u�.ow+ :s <br /> GLT 2 RqNE <br /> �PCNrtECiOqpE5G1Aq Wi�AppPE55 ��ry lp <br /> RIClIE <br /> �+h.cr <br /> �� � MM�ESB iY Z A�pN[ <br /> SlelE L¢CxSE i <br /> uCtn�NCKtqIiMLIOq NI6�OdIE55 C11Y ZP Aldrt <br /> 6fdi[lCENS[� <br /> 1`LUMOifMCONIP�LfOf1 Y4¢�ppP(55 ��n. Ip M� <br /> 54fELC[NSE� <br /> CONiR1Li RIiCE Oi WOflN I <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> OESCRIBEV.q�KµpSp��pE�00TILEINV0.VFp COHi 1PLp5pNNW1�pNE q. <br /> 0 <br /> ' n <br /> v <br /> . I NEREBV CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> rnorosco usc aeouonn APPLICATION AND NNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> /� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYpE OF <br /> imu Scqwr�arnorcnnisnowneuowoann.p�twoconcsl �'�'ORK WILL OE COMPLIED WITH WHETHER SPEpFIED MLB9N OR <br /> �,p� NOT THE GRANTM� OF A PERMIT OOES NOT PRESUME TO GIVE <br /> im �7 . IA eiocR_Li_a /�� � AUTNORITY TO VIOLATE OR CFNCEL TME PqOVIS10N OF ANY <br /> � y�. OT,HER STATE Oq LOCAL LAW BEGULATING C01lSTRUCTION OR THE <br /> � t�uM PEPFORMANCL OF CONSTRUCTION.TNAT I AM AUTHOPIZED OY TryE <br /> OWNER OF TNIS PROPEPTV TO PEPFO(iM THE WOqN FOR WMICN <br /> APPLICATION IS MADE AND I COMP�y W�7ry 7HE STATE <br /> ventu t �m miuB[n CONTRACTORS Y 18.27 RCW AND 29fl200 WAC. <br /> � 5 o�ln3 O/� OD <br /> CONSiNUCI1pV LWN IENpE0.AMIIESS IElER1pNE NUM9EP � <br /> 6MN� [ /�/�1Jt1 <br /> U�iE <br /> CIiY 9UW165lCCN5G 1q. <br /> PLUMBING MECNANICAL <br /> NO. TYPE OF FI%TURE Ofl ITEM FEE NO. TYPE OF EOIIIPMENT FEE <br /> WATER CLOSET(TOILEn IJC—NHNDLG UNITS <br /> OATHTUO FORCED AIR SYSTfMS . <br /> LAVATORV(lNASH MSIN� � <br /> HEAT PUMP <br /> SMOWER j UNITNEATERS � <br /> KITCHEN SINK 8 OISP � <br /> � CLOTNES DRYERS <br /> OISNIYASNEF i RANGEHOOD � <br /> IAUNDRVTRAY I WATEP HEATER <br /> C!OiHES WASHER WO00 STOVE <br /> URINAL � <br /> I METALFIREPLACE�WOODDURNING) <br /> DRINKING FOUNTAIN FlREPLACE INSERT(WOOD BURNING� <br /> FLOOP ORAIN I GAS FIPEPLACE <br /> BACKFLOW PRF.VENTERS GAS HRNGE <br /> SINN(SERVICE—Or1R,ETC.) i GASPIPING <br /> — I G%h1AU5TFAN � <br /> i � <br /> i <br /> i <br /> SUBTOTAL S � SUDTOTAL S <br /> PEflM1T E PERMIT g <br /> TOTALFEE S � TOTALFEE 5 <br /> FOR OPFICE USE ONLY: <br /> 1'nONi5E10�CKO � PGPSELOBACN SIDESEtB�CN�1`./ [[pr4+ p,V,ryry�GtM1uB//_�// �/��I / nEC[wihU <br /> Z � �' <br /> �� <br /> usezone o LUiAPE� v4urtsite FEES VALl1ATtON FEE <br /> i`�— ❑vE5 9'�ip p <br /> IIEbNiU41lAilON IqOipry[LLPq SilE0fBL06'!1. �M1O� OC�� <br /> � ��s 6Q'� <br /> RUuOeq <br /> CLLIIP�NCY 1q{YSiqi(S OCCUIHMTl0.�0 g�$[NCN! <br /> G P / RIECIWICAL <br /> � IJVFS y� <br /> FIaFSP�:f�µCqpEU1l PEESON ADplipNyPlµ[p[�It <br /> RPE0.MMPE0D pEASpN ObIFN <br /> SiAf[BUilMlp SUIKIUqf.E <br /> mreorcoHsr riuis�vrrwvEoer • CITYOFEVERETT vueic�wnrts <br /> LOCALSAlES <br /> — o.*s TAX COOE IS 3105 TOTAI <br /> 1 — �_ <br />