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APPLICATi� FOR CONSTRUC�ON PERMIT <br /> CIN OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STAEET•EVERET7,WA 98201 •(425)257-8870 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL PLUM[iING ❑ 610N <br /> �YROJEC7 AUDRESS: �/'6 Z% $-'C-c/l� �e• .y�Gl n <br /> C'� i✓c�i:, ,! � � ( 7�'20� <br /> � r �/�/�vi/nP' /053A/f f�Sr,_�._SPa 98/lS <br /> 4��1�Dp1E55 � /�J L > <br /> � �l. �.�cs�f.� � nn iir eraw[ :7L.S 2� O �l�� <br /> /<.�e. /t /J <br /> 1EN.�Y� YYI MO�KS$ f.11Y )IC F��ONF d <br /> �/(02�I £vri i«�. `t/�� �dtirjl• �/ yy Z�? <br /> •nc�nr1c�onr�ts�cntn uni.n�w�ss Cnr ��r r�w,r <br /> G�E�1.lCON� M41/�INIIILS$ CIIY /il' IMN)YE fl�IllICENSF• <br /> YFCIpNiC�lf.O4IMf,1pn N��t�fARE55 Ub }i� p�ti^,Hf [i��FUCENSF• <br /> I�III4B111GC0�11N�ftq1 y11�/ CItY jIV p11Q�1E <br /> SI.IIF11[FM1Sf• <br /> cornn.0 rmc[u•xon. <br /> -�� ����'^ 1.�� ,1l/0^ ��c n���.� �Sor.4.. HEATINGSYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> rsrn�nv w nx eno s wn���u�c x.vavco � / / coNr�cr rrnso�i um r�avr xo <br /> �a J�� N.��1 e n�eO.� T' d�P <br /> r����/ . <br /> �- I HEREBV CERTIFY THAT I HAVE READ AND E%AMINEO THIS <br /> �\ APPLI�Al1UN AND MNOW THE SRA1E TO BE THUE AND LililHhGT ALL <br /> C��ro�foistor � <br /> 5 PPOVISIONS OF�pyy5 AND OROINANCES GOVERNING THIS TVPE OF <br /> icc.�a=.scnu�up�wrnor[nn�sravmenoww.n.curxocoAcsi H'ORN WIIL BE COMPLIED WITH WHETMER SPEQFIED HEREIN OR <br /> NOT. THE GR�NTING OF q pEPM1T DOES NOT PRESUME TO GIVE <br /> 1O1 o�aK a Al1THORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTMEq STATE OR LOCAL LAW qEGUUTING CONSTRUCTION OR THE <br /> PERFOf1MANCE OF GONSTRUCTION THAT 1 AM AUTHORIZED BY TME <br /> OWNER OF TMIS PROPERTY TO PERFORM THE WOFK FOR WHICN <br /> APPLICATION IS MAOE RND I COMPLY W�TH TME STATE <br /> renr.n uem rniunrn GONTRACTOR ,�Wy �yd�296�200 WAC. <br /> .[� ' ' <br /> /O GI�J7 < <�E�M�� �. /?.'�7 <br /> covsrmkirtwio.v�rur�rn uxmcss.inn+wr�EuuunEn <br /> x MunL �� 09[ <br /> Cilr Bu9NE5f lr„�rySC x0 <br /> PLUMBINC <br /> MECH�NICAL <br /> NO. TYPEOFflXTUREOR1TElA FEE N0. 7YPEOFEOUIPMEMT FEE <br /> _ WATER CLOSET(TOILET) q/C-AMN�I.G UNITS <br /> BPTHTl1B FORCED AIR SYSTEMS <br /> LAVATORV(WASHPASIN) HEATPUMP ' <br /> SMOWER UNIT HEATERS <br /> RITLHEN SINK 8 OISP CLOTHES URVERS <br /> DISIIWqSHER RANG"c H00� � <br /> LAUNURY TRAY WATER HEATER <br /> CLOTHES WASHEP WCOOSTOVE <br /> URINAL METAL FIREVLACE(WOOD BURNING) <br /> ORINKING FOUNTA W FIREPLACE MSERT(WDpO BUPNING) <br /> PLOOR DRAM GAS FIqEPL,qCE <br /> OACKFI.OW PPEVENTERS GASRANGE <br /> __ SINK(SERVICE-BAR,ETCJ GAS PIPING <br /> — E%HAUSTFAN <br /> _ SUB TOTAI 5 SUB TOTAL f <br /> PERMIT S PERMIT S —T- <br /> TOTA�FEE S TOTALFEE f <br /> POR OFFICE USE ONIY: <br /> rnorviarm�rx nr�nsnp¢. s�o�sc�n�a ruxcinc.uu4arn r¢r nvcnrrrro <br /> useiovr io��uF• v�c•v�snE FEES V�LUIITION FEE <br /> ❑vE5 ❑nz1 - --�— <br /> II�X11N4f� <br /> I�EIC�1111M11�1104 M1OC(pWCl11NG SIIEIXBIa�I <br /> 114i1�. <br /> nwuniNr. <br /> anoiii��::r r r�.�r�is w:cun.xiia.n .'—"_— ' __'_'_ <br /> O�SF�.R�+t wicu�n�u� � <br /> ❑Y[5 ❑NO - . _ <br /> fIN[`i�I11NRlI11PC7'� Ilf�ti(kl �DP'IInN�II'1A1IC11fC4 <br /> _ ���� <br /> OII�[II <br /> !I(1[pL1NA111LU0 Rf��nV <br /> $1/11 flllppMf.filn[u�pG! <br /> IY1`1fY1:0�lGI I`InN[1n�npVFflpV '—" -- — <br /> CRY OF EVERETT ruxur.vmn.s <br /> LOCALSALES - . <br /> nnt TA%COUEISJ105 70TAL <br />