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. �. <br /> APPLICATIO*FOR CONSTRUCTAN PERMIT� <br /> CITY OF EVERETT•BUILDING OIVISION <br /> 3200 CEDAR STREET•[VERETT.WA 98207•257•BB70 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDIN6 ❑ MECH!.iIC�L ❑ PLUMBING SIGN <br />�� PROJECT ADDRESS 2� LdBY A�E <br /> an io RiO� <br /> u�nwwcss pp <br /> ��' 7A4t �lE 29/O�K,Q��r��'� � KIF 9C�Cn6^�16t �/t1=ZS2— ST� _ <br /> u�,n�oMcss �� �� <br /> ,����* ?�+6- �/�!7'/S 71' <br /> �aFitL L o A✓� � �3 <br /> �IKN:iECiOACE$�GI� M�K�D��C55 CIIY T'P ��E <br /> Ncm zn wwne rt�i[�uest. <br /> GCNER�LCONIPI.0 ON N�4AGn+�ES$ �S � � Y <br /> 7UdE.�A-^r ��3oG�/�[- F'!3 2o6•L23'//72 7�/BtAD7r ��45_ <br /> �'n, 1� pp� St E KE SF <br /> uELMANiC4COM 10a �^'���ESS <br /> � � �m 1 qpryE 6 1E uCE E <br /> RUMPi1qN 1P�i0A N/.L/J1CAE55 — <br /> I/� <br /> con+e�c*Paccawon+ f � MEATINGSYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> uscmecwoaK.rvasau.nc����E^r'avco �� 5� u^ <br /> ca��crocasa+u�o . ra <br /> Za b s--_'� �,� S N�. F7- 206-22 3�/(z s^.- <br /> I HEREBY LERTIfY THAT I NRVE REA� AND E%AMINED THIS <br /> NG P�T��r�' 's� N 9 �� �T pPP��CAT10N AND KNOW TME SAME TO BE TPUE AND CORREGi.hLL <br /> pa�o . ,.e�,io,� PROVISIONS OF LAWS AN�ORDINANCES GOVERNING THIS TYPE OF <br /> SGD mE D <br /> ��y� e5 WORK WILI DE COMPLIED WITH WMEIMEH SPECIFIED HEREIN O <br /> � ��" NOT.TME GtiANTINC OF A PERMIT DOES NOT PRESUME TO GIVE <br /> icc.�ttuawnon a raorearv is�wwr+eEiow on nn�cn rv+a asi[s� <br /> ��� p �}�/IEP AUTMORITY TO ViOLATE OR CANCEL THE PROVISION OF ANY <br /> �o*���•a�°GM—��—Q°� OTHER STATE OR LOCAL LAW REGUUTING CANSTRUCTION OR THE <br /> PERFORIMNCE OF CONSTPUCTION.THAT I AM AUTHORIZEO BV THE <br /> ppPLECATOION f SP MADE AND PERCOMPLYHEW�MRKTM R�TE <br /> ACTORS LAV!1827 RCYJ AND 298200 WAC. <br /> p�PCCLT��lO NIIMBER ♦ ./� /�/f <br /> CQ <br /> 9/-/S .7 9 �r � N .r.�, <br /> C(w5ta iOrv�U�NIENDER.WWESS.�E�EMWrvEMiNBCH 5�'r�i� ����� D�iE <br /> L�tt 6USiNE55lC[v5E Iq. <br /> PLUMBING MECNANICAI FEE <br /> ryp TYPE OF FIXiUNE OH ITEM _ FEE N0. TYPE OF EOUI%AEHT <br /> WATER CLOSET ITOILET� : NC—A'HNDL6 UNITS <br /> i FORCEDAIRSYSTEMS � <br /> BATHTUB _>— ; MEATPUMP � <br /> I �pyq7pqy�WASHBAaIN�-- i UNITHEATERS �' <br /> —+SMOWER � CLOTMESDRYERS � <br /> NIiCNEN SINK 8 DISP � <br /> — i RANGEHOOD <br /> D�SHVJASNER : <br /> WATER MEATER <br /> � �p� '-- WOOD570VE <br /> CIOTHES\YASHER i <br /> — � METALFIREPULE�WWDBURNING) <br /> URINAL FIREPUCEINSERT(WOO�BURNINO) � <br /> DRINKING FOUNTAIH GA$FIREPLACE ' <br /> FLOOR�RAIN � GRS RANGE � <br /> pAGNFLOW PREVENTERS GAS PIPING <br /> SINKISFRV!CE _ppF,ETCI • � <br /> — '— i EXHAWTFAN <br /> I <br /> i <br /> i <br /> SU�TOTAL S � <br /> SUDTOTAL 5 ! <br /> PERMIT 5 � PERMIT S <br /> TOTALfEE S ! TOTALFEE S <br /> FOR OFFICE USE ONLY: nccewrw <br /> �PON�SC1B�Cx aE�P5Ei9�Crt SiDFSEIBKR �'��KK ��� «E <br /> �s[:o+< <o*u+c� r�c+.ursrtc / <br /> 5 fEES �V11LUnT10N FEE <br /> ❑res p�r� euamr�c <br /> ��E�GMr�nn:uipN uoio�ow6lM6 SQEOfBlD6T vluuon.9 <br /> CLCYC�tCY WUS�W(S CLCIIVWiLOW PI.SLMCNL 4ECnU1CK <br /> GRWa ❑yE$ ❑NO <br /> �tqryµqANCMFt[ <br /> iIPESPFMnICAPEOO AEASON <br /> UfHER <br /> iME�UNM P[00 1�E�SON S}�t[&�AdNb SUAGMMO[ � <br /> irre a car�n n.n���Eo ev ��OG L SA ES� ���v,n.s <br /> o.re � <br /> TA%CODE IS 7103 TOT�L <br />