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APPLICATI�1 FOR CONSTRUC7�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201•257-8810 <br /> / <br /> GLEMOLITION -� COMBINATION i I BUILDING ❑ MECMANICAL i i PLUMBING �- SIGN <br /> PHOJECTADURESS / <br /> Ir <br /> o�,�_ �a�°`l�= <�.. �,� ,.,a2 <br /> ���� T� <br /> ,�,�,,,, �.�,.��._ ��r, ,,. ,,,�„� <br /> .u.�.�n:.aicc<r.:.,xn uuuowcss nn :c n�ax'. <br /> �-��aa- �Z SA-��J� J <br /> r.i�.:q crnn� nan uuieo ss urv en rv n�*nrursr.i <br /> �'��,�,� �os�/ �s'�d,a�5�� y.�.' >>a--.z�� r-�-F�iar�i iv,�,�i <br /> �covt �non� � �n[�.s �-0l cnr ;�u n�art s�nu¢n;c. <br /> i�:�urr.,,eo�aFner�w un.unon[ss eur :m r�.aa Sui[�n.er�sr.. <br /> L�•I�i�h:�PPLE CX WJfB( <br /> HEATING SYSTEM: Cl GAS i�ELECTRIC i: <br /> oi�:-r.�.�.r�v�wr.u�oSouwE�oo*�ocnrvavEo ca+uc�nn%�wrorvavc � - <br /> `� ' '� <br /> I NEREUY CER7IFY THhT I HAVE READ AND E%AMWED THIS <br /> APPUCALION AND NNOW TI/E SAIdL TO�E TqUE AP:D WRREGT ALL <br /> cr.or�o:m use or eua��a ppOVISIONS OF LAWS AND OROINANCES GOVERNING TMIS TVPL OF <br /> WORK WILL pE GOIAPLIGD tYliH \NNETNEH SFECIFlED MCR[IY OR <br /> �cw�ctxnRfronaonor[nn�sr�mvnanowou�nqnrnpcOmE6l NOL THE GRANTING OF A PERMIT DOES NOT PRESUML TO GIVF <br /> ic� ROCe_ or AUi1/ORITV TO VIOLATE Oq CANCEL TNL PHOVISION OF ANY <br /> OTNER STATE OP LOCAL LAW qEGULFTING CONSTRUGTION OF THE <br /> PERFORMANCE OF COYSTRUCTION.THAT I A!d AUTHORR[D DV iNE <br /> OWNER OF THIS PROPERTV TO PERFORM TME WORN FOR WHICH <br /> APPLICAiION IS 1dA�E AND I COMPLY WITN TNE STATE <br /> �n��uiv.mr:,�s•nrn COI FCTORSL4W1B27R WAN�29fi200WAC. <br /> �C CdC <br /> o,r.c��/ �/rioin�ooacss.�atvr�ovEHuuocn - .- <br /> _/S-J_C1� (G¢:� �AE � � � �ic <br /> crrousmcssucwscr+o � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TUNE OR ITEA( FEE N0. TYPE OF EOUIPMENT FEE <br /> \NATEP ClOSET�tOILEi� A G—A IIN�LG UNITS <br /> �FTI/iU� PORLEO AIR$YSTEMS <br /> LAVAT01iV�WASN OASIN) HEAT PUIdP <br /> SMOLVER ( UIJITHEATERS i <br /> KITCHBJ SINK 8 DISP CIOTNES DPYERS i <br /> D1514NASHER i NFNGE NOOD <br /> LAUNDRY iRAV LYATEP 11@ATER � <br /> i <br /> CLOTNE514ASHER WOOD STOVE <br /> URINAL � METALFlREPLACE�IYOODBURNING� <br /> DRINNMG FOUNTAIN i FIREPLACE MSERT(YlOOD OORNING) . <br /> FLOOR DPAIY � GAS FlREPLACE � <br /> �ACKFIOW PREYENTENS � GAS RANGE � <br /> SIYN�SERVIGE—�AR.ETfJ I GASPIPING I <br /> E%MAUSTFAN <br /> � <br /> i <br /> i ' ' <br /> $UBTOTAL 5 ! SUBTOTAL 5 i <br /> PERMIT 5 i PERMIT 5 <br /> TOTALFEE S TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> fPOq�•:E��aCe PE.1NSEiBACx 50E6E1B6R �YANS��I�\ECxM1UrAC�� � I[L n[CF�iNJ <br /> vs'�:o�n �ot�nu veuxrsi*6 FEES�� VALUATION FEE <br /> ❑YES n� BURUI1Ml <br /> NLqX1lM11�lIQ1! fYJMC1'i(llly'1 $IIECiBLWII — <br /> Urv�tS ��B�� <br /> OROW,I6V 4pIX510Ph5 CKCtICui�lO�p pR[.[4U�! ��}N� <br /> IlYE9 ❑1q <br /> i111E5�R'N[LUtPi�]� RESJN ��ORqN4P�JHCNEIX <br /> OiMClV <br /> fIPE�URMNWO f1f�5O'1 <br /> SUiE BNlDWG51RCn�PGE <br /> 1YPEGL0�151 RANS/CI'RO\'COfiY <br /> dTVOFEVERETT riimr,wo���s . <br /> LOCALSALES -- i �- - <br /> �;:,�� TA%CODH IS J105 _ro�nL _ _ _ _ _� I <br />