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APPLICAT�N FOR CONSTRUC�ON PERMIT ������y <br /> CITY OF EVERFTT•gUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 902D7•257-BB70 <br /> ❑ DEMOLITION ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS <br /> c{ 3�T{ � t�- - 3so� C���SY ����E <br /> o^M^ u�aww[ss � in <br /> MA N p�{ <br /> �cTo F_1cHt` PG do � �13� SG�LS <br /> i[H�M u�0.�D�n[SS x q3o _uwc,T�N �A ��z2j �3(oG <br /> �— ' wrorc.� <br /> eRCNrtLCIOqOCS��.;NEfl uu�A E55 <br /> p N <br /> lE1JtJ ��ll�.� .O. �G1C �OIID �a�� � GSl7 �G� 35'Z -q�S3 <br /> G[ aKtdliMCipq,1 u�µnppq65 d1Y :p <br /> _ �[1G(�/� Ry�) �a M�al[ 6i�iElICENSE� <br /> llc �x �30 �YLa�o- ,ToN oz�3 <br /> C4COMFLCT(M NeM1I.ppI1E55 ��ry Ip q,� <br /> SiAiE lC[ME• <br /> PLIIMOIYGfpNiP.lLip1 MMIAp�pE55 GiY Ip ��� <br /> Sf4E lpCNSE� <br /> rrtn�er er+c�w wonK <br /> �'7U p0� HEATING SYSTEM: ❑GAS ❑E RIC ❑ <br /> ocunrec wonn.Ho sauane rom�ce urvarm ew��ci rrnsox u.v r��aff rw. <br /> � AN �VN (ZCVff4N(r.v.T � <br /> . 1 NEREOY CERTIFV THAT I HAVE READ AND E%AAri1NED TI/IS <br /> nnc..�osm vs¢o�eohprm APPLICFTION AND KNOW THE SRME TO OE iRUE AND CORR�Ci.ALL <br /> � PROVISIONS OP LA1VS qN�ORDINANLES GOVERNING THIS TYPE OF <br /> �Ec4pE5cqipipNovoeorFntYi6How�eELavon�iTadnWp�pnKs� WORN WILL OE CO/dl`LIEO WITN WMETHER SPEqFIED HEIlE1N OR <br /> NOT THE GRANtING OF A PLFMIT DOES NOT PPESOM[ TO GNE <br /> ��� ���K a AUTHORITY TP VIOLATF pq CANCEI THE PAOVISION QF AkV <br /> OTNER STATE U i LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANLE OF CONSTRUCTION.THqT I PM AUTHOPIZED BV TNE <br /> 'I ON'NER OF THIS PROPEHTV 70 PERFORM TNE 1YORK FOR WIiICH <br /> �IZ��T Yi- qo(o - Gl� APPUCATIDN IS lAADE AND I COMPLV WITM THE $TATE <br /> r� c�ue iu rvuMo[u CONTgp(' pq5 LAW t8.27�;91,AryD 296200 K'AC. `G CU <br /> uasmucrwxio�r�icrmEn..mncss.racr«ahruuern I f1�� �1� I I I <br /> z \\)�L <br /> sa ru e o�r� <br /> cm ausr1css uc[Hsc ra <br /> PLUMBING NECHANICAL <br /> N0. TYPE OF FlXTUPE OP ITEM FEE NO. iVPE OF EOUIPMENT <br /> WATER CLOSET RaILET) FEE <br /> � NC—AMNDLGU�ITS <br /> _ BATHTUB ! FOPCEO AIR SVSTEMS � <br /> LAVATORY(WASH BASIN) � <br /> I lIEAT PUMP <br /> SHOIYEfi I lIN1T NEATERS � <br /> KITCHLN SINK 8 OISP I CLOTHES DRVERS <br /> DISNN'4SHER RANGE Ii00D <br /> LAUNORYTPAV � WATERH[ATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL � IAETAlF17f:PLALE(WOODBUPNING) � <br /> DRINKING FOUNTAIN I FIREPLACE INS[IiT YlOOD BIIRNING I <br /> FLOOR DRAIN � � � <br /> � GAa FIREPLRCE � <br /> 6ACNFLOW PREVENTERS � GAS RANGE —!— <br /> SINK(SERVICfl—�AP,ETC.) GAS PIPING ' � <br /> I <br /> I E%HAUSTFAN <br /> I <br /> i <br /> i <br /> SU�TOTAL $ j SUOTOiAL $ <br /> PERMIT 5 � PERMIT 5 <br /> TOTALFEE S TOTALFEE S <br /> FOR OFFICE USE ONLY: 6 .��� — <br /> IAOMLEiBeLC pEAPSFTB�LM SNE6EiB.�C6 � =Npu9ln� FEE /j��7 p(CEO'LNU <br /> u5[Z@:f LOLAf1U VAL.Wi611F FEES VALIIATION — <br /> ores ❑rro FEE <br /> «uc�rt uvir�rnn Bukomw <br /> r.�oaowcuma sizcaeiavri. LVc) <br /> °"�'s 5 o i <br /> FtUMBl1q <br /> GCCI1p.WCY NJ $I'Jp[5 Q[CIMANllO p/�y�1[�{ <br /> 4 f I.'. 4ELINMCK <br /> 8 o.�s d� <br /> f 5l�R/�y✓,lfqRLO➢ PE�SON IDDIipNKP1INCNECK <br />� ��[� � i.��i <br /> F�1E�U/r�4qEOp �EAHy� Oi11ER � <br /> vr V n' St�l[BUrt�iN�SURCNMGE <br /> tYPEOiIX`N 1. vLVu �I�pPOVEDBY <br /> diY OF EVEHEI'f weic Nvos <br /> �i,�- � ���� , !l� LOCALSALES <br /> o�ie •Oc TAX CODE IS 3105 TOTAL <br />