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APPLICATI� FOR VONSTRUCT+N PERI►.:IT;`�" <br /> CITY OF EVERETT•BUILDIN6 DIVISION <br /> 3200 CEDAR STflEET•EVERETT,WA A8201 •257-8810 - / � <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDINO ❑ MECHANICAL �UMBINa ❑ SI6N <br /> PROJECTADDRESS ���� ��//c `e �P/' '�d�� /OZD <br /> a <br /> �'�y� // uu��pp�(54 ��*; •v � <br /> �fl��n,�� Y/aNlMr.f �/ -�i'airfft7�.�t. 'f���.�.= G..�f YI��O/ <br /> r r <br /> �r�s ���i`�a��,� z�zs la/6� ,4a.e�;�,���/�. 9�'z�/ <br /> /J�C IECi �SiGtKq uuL/.WIVE55 CIfY jR qq� <br /> OEMMICOHiMCT(Iq M�L�ppf1E5S GRY 2V %qHE 6II.IEtILENSE� <br /> M[C��WiC�ICQYf11KTM M1qApp11E54 CI}Y IP q1.71E 61�iEUCFNSF� <br /> Pl Iy�C°f'iPACi Wll E56 pTY 2i q1pNE 6UtE{K{NSE• <br /> //�i/ni! e 'S /'tN'/� . n.Cfa»� c..�n- Cl./ �7 � <br /> cor1nuctrri arwunK <br /> NEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> OESLRRf xOPF.Wp 50WpE f00iME Mv0.VEU�N _ � I/ I CP S( �l�Gt�F�SOMAMO R <br /> _Tl! lo � 3/—�7�,�— <br /> �s" �zn� s �' nto m-ti' <br /> � ` ' . I NERE�V CERTIFY TNAT 1 MAVE PERD AND E%AMINED THIS <br /> use or emm APPIICATION ANO NNOW THE StiltE TO BE TFiUE AND LOFRECL ALL <br /> � � ��� PROVISIONS OF UWS AND ORDINANCES GOVERNING TMIS 1YPE OF <br /> WORK WILL BE COMPLIED W�TM WMETHER SPECIFIEO HEREIN OR <br /> le6el0[SCPv110M0iPIpVC�lrySMWNBELONOR�rtKMIWOWM[6� NOT. iHE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> �Or eioa�_po AUTHORITV TO VIOLATE Op CANCEL THE PROVISION OF ANY <br /> OTMER STATE OR LOCAL LAVJ REGUUTIN�CANSTRUCTION OR THE <br /> PERFOPMANCE OF CONSTRUCi1GN.THAT 1 AM AUTHOPIZED BY?HE <br /> OWNER OF TNIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MAUE AND I COMPLY WITH 7HE S7ATE <br /> cnnccit�.aio.ruuocn CANTRACTORSLAW CWAND2Bfi200WqC. <br /> CONSi�11C1qN1041LExDFP.�WHESATREPxdiEMlMBfB .•,` i� - I „ 9-/y-n� <br /> sax�tu - wre <br /> / <br /> uneusu<ss��axs[ra. �"�Zc-4. �� <br /> PLIlNBING MECN�NICAL <br /> NO. TYPE OF FI%TUHE Ofl ITEM FEE NO. TYpE OF EOUIPMENT FEE <br /> �VATERCIOSET(TORET) � NC—AMNDLOUNITS � � <br /> BATHNB ' 1 FORCEO�IR SYSTEMS i <br /> _ UVATORY(WASM&4SIN) HEAT PUMP � <br /> GHOWER i UNITHEATERS { <br /> KIiCHEN SINK 8 DISP CLOTHES OPYERS � <br /> i <br /> OISHIYASHER i RANGE HOOD <br /> LAUNDRYTRAY � WATEPHERTER j � <br /> CLOTHESWASHER WOODSTOVE � � <br /> URINRL ! METALFIREPUCE�WOODBUPNING) � � <br /> ORINKMGFOUNTAIN FIREFLACEINSEPT�WOppBURNING� I I, <br /> FLOOR DRAIN � QAS fIREPLACE � <br /> BACNFLOW PREVENTERS I GAS RANQE i <br /> _ SINK(SERVICE—OAR,ETC) OAS PIPINO � <br /> I ExHAUSTFAN � <br /> � � <br /> i i <br /> SUBTOTAL S � SUBTOTAL S i <br /> PERMIT E I pERM1T S � <br /> TOTALFEE S TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> lRONtSEIb�CM PEAI16EtB�LK SiD[SFip�CR PIANCHECRHJu�EN fEE IIECEIPtIq. <br /> paoc�q'C/� <br /> useza+e to�u+u VKNi}EIIE FEES VALUIITION FEE <br /> ❑rEs orro euaova <br /> nccntuun�rpr, xoacwcuwa sueae�nvri. <br /> umts <br /> nwewo <br /> OLCaV'pANCY M651p1(5 OLCUPINitO.N MSE4EM MEp4NCK <br /> ❑YES ONO <br /> fME51X1iMlEflREOD 11FASON ACOIf10NKPWIWECF <br /> o*Mcn <br /> FlRE�Uf1Mp[OD Hf�SW <br /> Si�i[BUMItp SUIILxMOE <br /> mmEovca+s�. vuns�vvrwv[oar CITYOFEVEflETT woiCwvmcs <br /> LOCALSALES �i <br /> wrc TA%CODE150105 TOTAL I <br />