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APPLICATI� FOR CONSTRUCT�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERE7T,WA 98201 •(425)257-8810 ���� " <br /> ❑ DEMOUTION ❑ COMBINATION ❑ BUILDING _Ip—MECHANICAL ❑ PLUMBING O SIQN <br /> PR01ECT DDR SS: ��'�'3S 2✓q/ceH WA../__ V/L <br /> P�, �A�,�'� -� , <br /> [p�u q— u�iL�pIX�F.55 nfY i�� rHOML ' <br /> .�+/�ka�2 CI! a�KFnrFzS <br /> ifHevt� uu�uronFss rJrv nv rrror.�. <br /> •M1CIMIILIO�f1FLGHCn 4111Mf1uF55 CIIY )m t�pN� <br /> lj(p�E,� Ca�n�nF2ci� 1�+Okuv��__ <br /> crHmucoNmer.�rn 4ui�oUnEeS cm nr rnpy� 51��LIiC(NSf� <br /> u61UUIGLf.041R�f,lU�1 4��1�qN1E55 C�rv )�P P�10.f ����FUCENSE• <br /> /1'I,� OLJ�'✓I/S Notn�wesi S]15 /4o�'/hivE IvLMvSvr�� Wll• 5Ba7/ 3w 6S3•/4�f AZ�.OLNi�o8y0y <br /> CIIIMpMf.CO111R�f,lIX� ���M1R%1�f55 btY� ll� PH91! SI�IFUCENSi• <br /> COHt14G1 P�ICC Ufµy,`nX <br /> NEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> �F�CPIPFMYJ11N1NUSOU���CiOO��GLMV01YE0 CON Lll'f1150NI.Nf1 �OYlNO <br /> -NAnI P� �G o�,rr� 3Go (�S3-/vcC— <br /> I HEREBY CERTIFY 7HAT I HAVE READ AND E%AMINE� TNIS <br /> pPPIICATION AND NNOW T/IE SAME TO BE TAUE RNO CORRECT ALL <br /> �-umoseoirsc or ennd�u. PROVISIONS OF LAWS AND ORDINANCES GOVERNING THiS TVPE OF <br /> WpRK WIIL BE COMPLIF.D WITH WHETHER nPit!FIED HEREIN OR <br /> teeuoescmmiworrnor[nrv�srarmeuowaunecnmvcoMcs� NOT. THE G�ANTING OF A PEflM1T OOE� NOT PPESUME TO GIVE <br /> im eioce or AUTNORITV TO VIOLATE OR CANCF: THE PPOV�S'ON OF ANY <br /> OTMER SiATE OR LOCAL LAW RECUT ATING CONSTRUCTIO V OR fHE <br /> PERFOqMANCE Of CONSTRUCTION THAT I AM AI/THOFRcD BY TME <br /> OWNER OF THIS PROPERTY TO PHFORM iHE WORK =0R WMICM <br /> 4�0��000�•Ol�] APPLILATION IS MADE AND I COMFLY WITH fHE STRTE <br /> reac[i uv i o m�unen CONTR CTORS LAW B 27 RGW PND 296100 WAC. <br /> Cd5iP1611[A110�NIfNfWP.MfN1E55.IC1f1'NOYENINPEII z <br /> ur oa[ <br /> GiYBU4N6516[NSf.HO <br /> PLUMBING MELNANIC�L <br /> NO. TYPEOFFIXTUHEONI7EM FEE NO. NVEOFEOUIPMENT FEE <br /> WATER CLOSET(TOI�ET) A/C-NMNDIG UNITS <br /> BATHTUB FORCED AIR SYSTEM9 <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATEFS <br /> KITLHEN SINN 6 DISP CLOTHES DRYEAS <br /> DISHWASHEH RANGE HOOD <br /> LAUN�RY TRAY WATEA HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPL4CE('/OOD BURNINGI <br /> DiiINNING FOUNTAIN FIREPIAGE INSER!M��D BURNWG� <br /> FLOOR ORPIN .AS FIFEPLqCE <br /> BACNFLOIVPAEVENTERS GASRnNGE <br /> SINK(SERVICE-BAR.ETC.) GA$PIP:NG <br /> E%HAUSTFAN <br /> SUB TOTAL f SUB TOTAL S ' <br /> —r— <br /> PERMIT S PERMIT S <br /> TOTAIFEE S TOTA�FEE S <br /> FOR OFFICE USE ONLY: <br /> fnnNlsnMr[ nr�ns(tP�[Y S�oE5cIR4x r�I.�u`t+y�'xrN O�� �[t �Rrri����o <br /> ��(� <br /> uscmar �oiu�[� +•c����w[ FEES VI1lU�T1�N _FEE <br /> - r <br /> ❑rts ❑uo nwnnrc. '— <br /> ��EIf.�110Vi1Ni04 k00/IIW[111NG $IIfO�fllW91 — .. �I � <br /> 11HIIV <br /> �1�14N'�4f <br /> OCCUN:::r 15 q:fm.�1�110�U 0�[F4ft� yfllu•..c4 <br /> C.IIOVI` 4.�11 -.. . ....� . � <br /> O�[s ❑M� <br /> nn�.srnwxicunco�o �nc.xw .oanmuiri.v„�rc. _'-_. '. _"'-- -' <br /> nmm _ — _"' <br /> VIFCµANI•nlJO �� BHcpV ' � � <br /> [I/11 fluM1OiMt'.�In[un�pr <br /> nrcarro�i��— rinrsu�rnrnrnm CI7YOFEVERETT rr¢rwnu.� " ' --_._ .. .�,'�"- <br /> LOCALSALES —' — -- — -�-�- �"-- `--- <br /> ��.�i TA%CO�E157105 7o7�L _ �__ <br />