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APPLICATI� FOR CONSTiiUC7�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERE7T,WA 98201 •(425)257-8810 �A✓�/� <br /> �/ <br /> ❑ DEMUL1710N ❑ COMaBINATION � BUILDING ❑ M/E�CHANICA ❑ PLUMBIN Q S16N <br /> OJECT ADD SS: U S rn� G \ L'!�C/r� ,� Sfl%�C �t� <br /> j' ��( � S � jL- <br /> 2- 1 <br /> •oon s nrv rrwN[ .� <br /> � y P r ,� <br /> ��1C�uV Y41 E55 Gg bn PwOM <br /> �M(° ��/A/�7D1'. <br /> •nou c� sian[n m �onurs� nrv rv� ' r� — <br /> c���4!U�1�11'1111t':.c�l[��--�d�lQllldl ,� .�'���Y � 9 � <br /> F �l oH�M pi uutMUn[Ss � y psF• <br /> MFGiuN¢4COu1n�Clpn 1/u�efAnE55 (Iry Ii� wi0�f S��qpCENSE• <br /> PIIIRIIi�iGC0111R�f,1M M�iIAD[MIE55 LIIY $IP pNO.F 5��1lIKChSf• <br /> covm.c�rmcE o��wnna — <br /> S HEA7ING SYSTEM: �GAS ❑ELECTRIC ❑ <br /> o�c�5c.y n��movroa u.osnu�nr�ootr, cwWiv[D r 1 C pr1rnciJ'nsow w ua MG��33$-oq'�� <br /> �r ��. �'-,. 7 _I_ <br /> ��C��',' �,1;,�� I HEREBY CEHTIFV THnT I HAVE REAO AN� EXAMINED THIS <br /> yulY--t[L�a APPLICRTION AND KNOW THE SAME TO BE TRUE AND COPRECT ALL <br /> 1 POsf v[L nl'nilrtoiNfl PROVISIONS OF LAWS AND ORUINANCES GOVERNING THIS TYPE OF <br /> WJRK WII L BE COMPLIED WITH WM[THEP SPELIPIED HEREM OR <br /> tcc�in[5 �mllp�O�P�O�E�rvISqWNfl[lOwd�e�l�[uiw0[OAC51 NOT. THE GRANTING OF A PERMIT DOES NO? PHESUME TO GIVE <br /> �m ei n �Q ry AUTHOHITY TO VIOUTE OR CANCEL THE PROVISiON OF ANV <br /> fYX ///�S AI/�� � OiHER STATE OR IOCAL LAW REGOUTING CONSTRUCTION Ofi THE <br /> �� � (%�� / PERFORMANCL OF CONSTRUCTION.TMAT I AM AUTHORIZEO BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORIt FOR WHICM <br /> APPLICATIO IS MADE A I COMPLY WITH THE STATE <br /> nencti uv i o rniuocn CONTRAC 5 LA IB. AND 296200 WAC. <br /> �162 �/7 Cl2� � <br /> cONStm�C��t»�lo�v�ru�Fn.uM���[s5.lcl[I'HONE Mu/eF�� <br /> E'3N� U9[ <br /> G'Y0U .SIKF SCMO <br /> PLUMBINC MECHANICAL <br /> NO. TYPEOFFII(TUREORITEM FEE N0. 7WEOFEWIPMENT FEE <br /> WATER CLOSET�TOILET) A/C—NHNDLO UNRS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> NITCHEN SINK 8 DISP CLOTNES URYERS <br /> DISHWASNER RANGE HOOD <br /> LAUNORY TRAV WATER HEATER <br /> CLOTMES WASHER WOOD STOVE <br /> UHINAL METAL FIREPLACE(W000 BURNING) <br /> ORINKING FOUNTAIN FIREP V�CE INSEFT(WOOD BLIRNINfi) <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACNFLOW PREVENTERS GASRANGE <br /> SINK(SERVICE—BAR.ETC.) GA$PIPINCa <br /> E%HAUSTFAN <br /> _� <br /> SUB TOTAI S SUB TOTAL f <br /> PERMIT S PEHMIT S <br /> TOTALFEE 5 Tp1qLFEE S� <br /> FOR OFFIC[ USE ONLY: <br /> IfInN�Sf1111f.R �If/.IISfIP�L✓. SI�ESFIB�CM 1N IIL:\NV4PfR f[i 11FCFI1'IMO <br /> nsiro�r �au�r� vicev�s�rt �_�� V�U�7oN FEE <br /> ❑vE5 ❑W flm��wL — ��yI ti� <br /> I�CIfI111�V11�1104 NpO�pW[ILING S11FOf�lDG�I1 '�T�� <br /> Il4ill � <br /> SurTc � �IIIVpiNfr i <br /> pcoma.:. a �.u�.is w'.cuw�.�io.n R+sFu[s� —_'"___ '_" '-'_"'__ __'_ <br /> �OU' ,-f J �� Mf1.N�M1'1� .. .. <br /> � ❑Yf5 N�I <br /> fiN tin 'IYl[IIFCO� I1{�4fN �DlNli(Ir��l�'I�NI��fCw <br /> 7� /�� l)�1�[11 <br /> rir.[n�.�n•u�uo nv�snv —"" — <br /> 7� �rr,�- <�.�,A�,��,��,��,��,,.�:� -- -- � -- <br /> •.. <br /> �mrnr::ovai r�nvs�rrn;rv�nm GTYOFEVERETT rnniicw�nnc <br /> � N �� �7 LOCALSALES — — -- -- — <br /> __ u.n E (J�' � TAX CODE IS]105 TOT�I <br />