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APPLICATI� FOR CONSTRUC7�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98207 •257-8810 <br /> P'�flEMOUTION - COMBINATION f-1 BUILAING C� MECHANICAL O PLUMBING �- SIGH <br /> PROJECTADDRESS <br /> ON+6=_ Mul E C�iv Si MOAF <br /> TC��� <br /> o � i�siii s9�,�/ iV� �'a28 <br /> u+cw c�on sarnr, w.rt�wm�s cirv z"-'m—�rAyrt. <br /> _ / <br /> GCNC lN iCN M��tnppR55 C�tY ZP RTS 6i1i[IILCNSC• <br /> '�� 9,hri 53�-�1i°( C'.�tIFFF,1['T /O�K3 <br /> 4CLnaN64 �G W2�CpiE pT� � Sp PM�'�NE 511tELFENSC• <br /> ryLiJBMOLP�IR�.'.IOR W4�0.'MQ55 L1tY 2V PM]1E 6L�lELKtiHSE� <br /> CONt""01P"1GEOi�` HEATINGSYSTEM: ❑GAS ❑ELECTRIC r <br /> DESCRiM WpM W SOUMEiWiKiE MVQKD COMK.i�fnSa��M� <br /> �^r�f <br /> I MER[�Y CEHiIFY THAT I MAVE READ AND E%AIAINED THIS <br /> APPUCATION PND NNOW THE SAME TO BE TPUE AND CARRECT ALL <br /> n+'mosFL osE a�W�ww PROVISIONS OF lAW 5 NND OPDINANCES GOVEFNING THIS TVPE OF <br /> WpRK WILL�E GOMPLIEU WITN VJHETNER SP[QFlED HEPEIN OR <br /> �[cucescnvraxa�MrorcnrvisruwHeua.'o"�^'�c"^wcw�s NOT THE GRAN7ING OF A FERMIT DOES NOT PPESUME TO GIVE <br /> `or �� a AUTHORITY TO VIOLATE OF GANCEL TME 7ROVISION OF ANV <br /> OTNEP STATE OR LOCnL LAW REGULATING GONSTRUCTIDN OR TNE <br /> PERFORMANGE OF CONSTAUCiION.THAT I AIA AUTHOFlIZEO BY TME <br /> OWNER OF 1H15 PPOPERTY TO PERFORM TME WORN FOR WMICH <br /> APPLICRTION IS MR�E AND I COMPLY WITM THE STATE <br /> v�nCc�m i o ma�B[n CO TRACTORS UW 1 B � W AND 2 fi.700 WAC. <br /> LC�M5i1111L1YJM LOW L[�IDLN.�001�ESS.iFIfPM.XE M.1IABEN r '✓" <br /> �J � :�G NUfK l �lE <br /> v BIlSi14551 CE115F tq <br /> PLUMBINd MECM�NIC�L <br /> NO. TYPE Of FI%iUNE OP IiEM FEE N0. TYPE OF EOUIVMENT FEE <br /> WATER CLOSET(TOII[T� NC—0.71NDLG UNITS <br /> DATNTU� FORL[D AIP SVSTEMS <br /> LAVATORY(1VASH BASIN) HEAT PUMP <br /> SHOWER i UNITHEATERS <br /> NITCHEN SINN 6�ISP GLOTNES DRVFRS � <br /> --� L�ISMISASMEP RANGLIIOOD <br /> _� LAVNDFYTPAY � WATERHEATER <br /> CtOTME0WA5HLR { WOODSTOVE <br /> URINAL MET�LFlREPIACE(WOOD�URNII�Ca) i <br /> ORINKINGFOUNTAIN ! FIREPLAGEMSERT�WOODOUfiNING) <br /> FLOOR DRAIN GAS FlREPLACE <br /> BACKFLOW PREVENTERS ! GAS RANGE � <br /> SINNISERVICE -BAR.ETC) ! GASPIPING <br /> -- E%MAUSTFAN <br /> — i <br /> —_ � <br /> _ i <br /> SUB TO1AL S SUB TOTAL S � <br /> PERMIT 5 � PERIAIi S <br /> TJTFLFEE 5 ' TOTAIFEE 5 <br /> FOR OFPICE USE ONLY: <br /> fPOVi2ElpKh PU�S[TBGLM 6�OE5EtB�CF fMCM/qH�JM�BfP �f[ PCCtiiTNO <br /> V I� <br /> �y.;,,,� io��pu v�unt5n[ FEES VALIIQION FEE <br /> ;'.r[s nem eumr1n <br /> Ne�.-.���i�+a��ron �raow[unu svcae�wi� <br /> nu��era <br /> �caro��. roasraaes occu���.rio+o e+scucr+r u[cn+H�cu <br /> GUWv <br /> nres n uo � <br /> rmcsvnnix�cnrrcao �c.soH �oortawaawrw[cR <br /> oTMCR <br /> r�acr.u���.a�oo �soH <br /> stetE Nnmuc 6uupunaE <br /> rrocwcrn�s+ n�ns�oima.Foe� qTYOFEVEPETT rueicMwas I <br /> LOLALSALES <br /> �.,,,� TA%CODE153105 TOTAL <br />