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:� ; - <br /> APPLICA7'�N FOR CONSTRU(�ION PERMIT � <br /> CITY OF EVERETT•BUILDING DIVISION � � <br /> 3200 CEDAR STREET•EVERETT,WA 98201•257-8810 <br /> ❑ DEMOLITION ❑ COMBINATION L°IBUILDING O MECHANICAL CI PLUMBING ❑ SIGN <br /> PROJECiADDRESS ���,� ���Y RV�f, <br /> ��^'�D"L':.-i[.S f-!.�.�uuirra+css �j71'ZG,-/Gy cm zo rr�art <br /> 13�(�&RSeN�.�GG84, 7-�/� b/}k�2, 37/4 (.aGBf' /��E ���EIT��/� 'f�5'- zsi-/239 <br /> 1[HuII Mut�UME55 CrtY ZO NqNE <br /> MCNiRCiOnpF6G�2R uR4AUME86 qfY Zp �q� <br /> _[.tvD��G�vtia , -�rz� s,a^��9�� .ns �✓snrrr, w�. �szo� �u-uz-s376 <br /> GCNCPKCONiM/L/fTpq Y/.lMq1f56 GIY $p IYIq1F StAiEL10EN5E1 <br /> CIC��'Nl <br /> NCLIUNiGLCONtPACiOP YI1MpPES4 OfY IP HIq4 S1�fEtICEHSE• <br /> VlI1M8�Lq1iHIiL}p1 1WlApplEbS CrtY Z�P P�qxE 6i�iELiCENSE� <br /> cw+rwcr mcc a wrnrc <br /> HEATING SYSTEM: �GAS ❑ELECTRIC ❑ <br /> o�scnieEwaw��wosau+e�aorr.rfmvavEo wrrt.cir7 nrm �r . <br /> �/ c U ' �D L• f�d ,G - GNO . '1�� 25Z'8� 7G <br /> 5i�6� /� i INCE <br /> I HEREBV CERTIFY TNAT 1 HAVE REhD AND EXAMINED TI/IS <br /> APPLICATION ANO KNOW TNE SAME TO BE TRUE AND CORRECT ALL <br /> moraseouse or eu`nrca ppOVlsi�NS OF LAN'S AND ORDINANCES GOVERNINa THIS TVPE OF <br /> WORK WILI BE COIdPLIED WITH WNETHER SPEGFILO HEREIN OR <br /> acu.oescnvtqr�awartnn�txowneriowonertua�moeov¢si NOT THE G9ANTING OF A PERMIT DOES NOT PRESIIME ID GIVE <br /> iOr u' �'7 e�ou��_a " AUTHORIiY S'1 VIOLATE Oq CANCEL TME PROVISIUN OF ANV <br /> OTNER S1ATF�i��OCAL LAW qEGULATING WNSTFUCTION OR TNE <br /> PERFOP��ANCE Of CONSTRUCTION.TNAT I AM AUTHOPRED BV TME <br /> OWM�q OF h11S PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITM TME STATE <br /> pu�i7�ip.�ygEp CANTRACTDqS LAW 7827 RCW AND 296 200 WAC. <br /> / ,�/ <br /> -G _D1 �� � �U 1(�j'�� <br /> �,s.�r��.���.��B.,F.��� x LallC G,e • <br /> saneru � o�.E <br /> CItY BUSIxF5511[FNS[11�. <br /> PLOMBING MECHANICAL <br /> NO. TYPE OF FIXTUfiE ON ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATEP CLOSET(TOILET) A'C--A'HNDLG UNITS <br /> BATHTUB FORGED AIR SYSTEMS � <br /> LAVATORY�WASH OASIN) HLAT PU1dP <br /> 5:10WER UNIT HEATERS i <br /> —� NITCMEIJ SINK 8 DISP � CLO7MES DRVERS <br /> DISHWA;MER qpNGE HO00 � <br /> LAl1NORYTRAV WATEF MEATEF i <br /> CLOTHES WASHER WOO�STOVE <br /> L'RINAL METAL FIRBPLACE(WOOD OURNING) i <br /> DFINNING FOUNiAM FlRGPIAGE MSEflT(WOO�DURNING� <br /> FLOOR DRAIN GAS FIPEPLAGE � <br /> BACKFLOW PHEVENTERS GAS FAHGE i <br /> SINK�SERVICE—OAR,ETC.) GAS PIPING <br /> � EXHAUSTFAN <br /> i <br /> i � <br /> i <br /> SUBTOTAL E � SUBTOTAL f I <br /> PERt.•dT E I PEPMIT f j <br /> TOTALFiE S TOTALFEE E <br /> FOR OFFICE USE ONLY: I �R7 y-(y <br /> fRDNTSETBerg FEARSfIBeCe Si0E6Et0/{N PIANGII[CtMMOtN iEE 11[LEITNO <br /> usEloue � mieuEA V.¢wt6itc FEES VALURTION FEE <br /> ❑vE8 01q BuaDiM <br /> NEIOIIiLINR�iR'�,V IqOipNEWMI SIIEOf&f16T1. <br /> UMtS � <br /> RUMBING <br /> OLC1Mu1CY INR610NE5 OCCWNRIOM 9,�5[N[Yf <br /> G OVP � NECMAML/�L <br /> ��, > y �, o� <br /> iWESPRMI:IEflflEO➢ REA6p11 MJrtpNILl�IItICNEtI( <br /> ��/0 <br /> OMCH <br /> iFEuwnunEO➢ nGSqN <br /> /yJ sr.rc euwap surcrw�ae <br /> *rr¢o�cons*. a.wa er CINOFEVERETT weiewonKs <br /> �% i, � �� LOCAL SALES — <br /> p�re -j _r � TA%CODE IS 3105 TOTAL <br />