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APPLICATIO� FOR CONSTRUCT�N PERMIT <br /> CIN OF EVERETT•BUILDINC�DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98207 •(62�257-8810 ���� <br /> ❑ DEMOlIT10N ❑ COMBINATION O BUILDING �MECHIINICAL ❑ PLUMBRW ❑ SN1N <br /> PROJECT ADDRESS: <br /> pw.Fn u�M1�olnrss arv r� vwwt <br /> �:{ ���o�.ov ;Z1b� C..IS., t�i.vN �d2c1 .1S� �S�N) <br /> 1(NI.NI VM�fIpM55 GfY 71V M1qll[ <br /> •�ifHRlf.fO11f1Eyi1KR 4M/iM14[55 C��� )If 1�rpr�� <br /> G4fMlf.ONlMCIpN 4�II�OfMES$ CIIY Jif I��tlYtt [I�il1�CENN• <br /> MFCH�MC4f,WT�f,iOn 4�RI.OIY�F$$ C1M1 IT wpR [i��lL�CFNi[� <br /> Evvn�+�. Sl.a. =6n4 /Y�e�.l �ZSP„< �f.Y Lr �1Fzc6 Ria�Y��� rVt�tC•s- s�2�Al <br /> niiue�cwia..non uui�oonEs� c�*r r�v nHaa s���r�<Euu. <br /> cwm.c�rra�a ww. <br /> �w y�,p MEATINGSYSTEM: C�GAS ❑ELECTFiIC ❑ <br /> Uf SCwBF WJMt�,II�SOU�n[rOOr�Gf wvaKo cfnt�tr W nSpl�M1 rrqrrt rq <br /> �'� 1 C.��tr5.a, !�� nIr �U o• r4�fl�ra T.. 7f> -711y <br /> � <br /> ��,n:.�— <br /> i <br /> 1 HEREBv CERTIFv TN�T 1 MAVF AE�O AND E%�MINED TNIS <br /> APPLICAT:ON AN�ItNOW THE SAME TO BE TRUE�NO CORREGT 11LL <br /> rnorosro ost crc nuapw PROVISIONS OF LAWS AND OROIHRNGES GOVERNING TNIS n'PE OF <br /> �"b����'�« WOR1(WILI 8E COMPlIEO WIiH WHETHER SPEGFlED NEREIN OR <br /> iFcuo[Srmm��p�rqrEpn�Srqrmetipwpnenqmxpcowt5� NpT. 7HL GRANiING OF A f'ERMIT pOES NOT PRESUME TO 6NE <br /> �0� etoc. or AUTHORITY TO ViOLATE OR C�NCEL THE PROVISION OF �NV I <br /> UTNER SUTE OP LOCnI UW HEGUUTING CONSiRUCTION OR THE <br /> PEriFORMANCB OP CONSiRUGTION THAT 1�M�UTHOR2E0 BY THE <br /> OWNEF OF TNIS PRO�ERTY TO PERFORM TME WORK FOR WHILN <br /> APPLIC<TIO�! IS MRpE ANO 1 GOMPLV WITH TNE S7�TE <br /> rr++cn i+e i o wuw n CONTFnCTORS lAW 1 B 2]RG W AN�Y96I00 W RG. <br /> CfY1510lILIpH10�NIfNf�F11 WIM[65.T[lfA1PIEMI4PlP k_I �?� ((t - / � 1- �l -I � I <br /> SqMq , � ��l( <br /> Ci1Yp�FNL55lCF1/5[NU <br /> PLUMBING MECN►NIC�I <br /> NO. TYPE OF FIIRUNE OR ITEM FEE N0. TTE OF EOUIPMENT FEE <br /> WATEH CLOSEi(TDILEn WC—AMNDLG UNITS <br /> NATHTUA lOACE�AIR SYST[MS <br /> LAVpTORV(WASH BASIN) HF.AT PUMP <br /> SHOWEA UNIT HERi[RS <br /> kITGMEN SINK 8 DISP CLOTNES ORYLRS <br /> DISNWASNER RANG[MOOD <br /> L/VN�PY TFRV WAiER HEATER <br /> GLOTMEv Wn5HE11 WOOD STOVE � <br /> UNINRL METAL FlRCPIACE ryJ000 BURNING) <br /> DRINRING FOUNTAM FIREPIACE INSERT(WDOO BURNING) <br /> FLOOR UPAIN GAS FlREPLACE <br /> - OACKFIOW PPEVENTERS GASRPNGE ' <br /> SINK�SCFVICE—B�A,ETC.) GAS PIPING —�— I <br /> E%MALIST FAN <br /> � • 2vt�1r I <br /> I <br /> SUBTOTAL f SUBTOTAL S � <br /> PERIAIi 5 PERMIT S <br /> TOiALFEE S TOTALfEE f � � <br /> FOR OFfICE USE ONLY: <br /> II1nN1ViP.V:4 11{I�I$l1E�CY Sl�i(5(lP�C11 I�I�NC��i�YVVI�/� � fl( nfff1�140 I� <br /> 7 <br /> maroxp imurt� v�c�x�vrt FEES V�LUJITION FEE <br /> Or[5 ❑ru —�— <br /> PIM1IUrr�f. <br /> �l[If.1�11�411�IHW N�lU1W/flllriG S�IEOIBIOG�II � <br /> 114�1[ �IVPINO <br /> �� <br /> II��V4�:Y �rn[I:iu.�V []f(.111�11N11U�0 9�GFWM1 Mff'N�Mf4 <br /> �V[5 ❑M7 _ _ _ <br /> 1«�['.4M1�.�F1lf111L4f1 l�f�[MI I�I�mN�I�'I�YCIKCM <br /> Ouqq <br /> �im.4AUM1�[Ofl �If�Sly� — <br /> [��I[(IIIII�Vf S�IIICIUMIt . <br /> wrvrorovv r�nrc�rrnnvrnn+ Q7YOFEVERETT rnpncxnn.� <br /> LOCALS�LES -- — --- -�-- <br /> �,.,� TA%CODEISJIUS TOT�L <br /> �I <br />