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APPLICATIO� FOR CONSTRUCT�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVEREIT,WA 98207 •(425)257-8810 <br /> ❑ DEMOLITION O COMBINATION ❑ BUILDING � MECHANICAI ❑ PLUAABINfi � S16N <br /> �JECT DRES . 'J � <br /> , , 5��. AJ <br /> p MYl�3 li PMON <br /> � � <br /> ILN1H1 4M $$ /y G�Y lIV V�9MF <br /> �11fR51GNER ��YAII OAESS��rA� �O � CIt� • • • • <br /> •"`"• � �/� 9'Sb70'� Lb�r�t�I/'/7�3 <br /> y cRm ,�eU� c�. urr <br /> t. �+[n�i „�nec�rn uutwrn[ss cm !m r�xn[ 5ur[ucrhu <br /> �M a� .��N I C�nN�. - <br /> uecruw¢ucovtn.aon ui�oouess arv br r�w�+r A nce Se <br /> �C �� <br /> P11148MGCOMIP�f,IM .�4��1��E55 CIiY $IP P11p1E 54IFIICFMSF� <br /> 71 <br /> cw+mncrvmce or wvn+ HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> DiSCWBFY✓JRM�M�SW�Af�COIIGENWIVED Cd111.CIKPSp1�Nf�M�OMEMO <br /> I HEREBY LERTIFY THAT I HnVE READ AND E%AMINED THIS <br /> pPPIICATION ANO NNOW TME SPME TO BE TRUE ANO LORRECT�LL <br /> rrqirosFDuse ov auupu�: pROV1510N5 OF LAWS AND OROINANCES GOVERNING THIS TVPE OF <br /> � WORN WRL BE COMPLIED WIiH WMETHEH SPECIFIEO MEREIN OR <br /> ife��nescninuwp'rrro�[urvisrnh++eciowouen¢Hiwocones� qpL 7HE aRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> io� aixR a AUTNORITY TO VIOLA'E OR CANCEL THE PROVISiON OF ANV <br /> OTHER STATE OR LOCAI LAW REGUUTING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.TMAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PR PERTY TO PERFO ��fHE WORK FOR WNICH <br /> APPLICATIUN I - PLY WITH THE STATE <br /> CO RRCTOR N Y Y00 WAC. <br /> reaccu� � miu n� _ ^ O — ' <br /> CONSIRlK.110N1O�N1[NOFN.6IXKESS,IElE1'NOMENUMNfII X <br /> o+rt <br /> cnreu9r255lccxs[no <br /> PLUMBING MECH�NIC�L <br /> NO. TVPE OF Fl%TURE OR REM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER ClOSET�TOILET) MC—NMNDLG UNRS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORV(WpSH BASIN) HEAT PUMP <br /> SMOWER UNIT HEATERS <br /> NITCHEN SINR 6 DISP CLOTHES URYERS <br /> DISHWASHER FiANGE HOOD <br /> LAl1NDRY TfiAY WATEfl HEATER <br /> CLOTIIES W�SHEH WOOD STOVE <br /> URINAL ME7AL FIREPL�CE�WOOD BURNING) <br /> ORINKING FOUNTPIN FIREPLACE INSEF{T h^/000 BURNING� <br /> fLOOR DHAIN GAS FIREPLACE <br /> BACRFLOW PREVENTERS GAS RANGE <br /> SINK(SERVICE—BAR.ETQI GAS PIPING <br /> E%HAUSTFAN <br /> SUB TOTAL S SUB TOTPL f � <br /> PERMIT S PERMIT f <br /> — TOTALFEE S 707ALFEE f ' <br /> FOR OFFICE USE ONLY: <br /> inneisrrn•cx nr�nsrte+a bOCSE1B4a n�Horzc+uuyryrn ref �fcvimvo <br /> 6EE5 VAIUATION FEE <br /> usE ro4( lol�nFn veUNl sll[ __ --�� <br /> OvES O MO qU1Muf: <br /> IIEIL�III�41�A110Y NOIO�OWElLI1Fi SIIFO(BICG�II <br /> MII4B.Nf ____ <br /> OC11114\CY MDP�SIM.lf IX:CVIPNIIU�O B�SFV[NI VfUUNK.�I _ <br /> raiour . --- <br /> o��s o�.o <br /> � �Dq110Ne1 M�NC��ttt _ <br /> i111C S�fil!i1.lFP PL�]'0 IIiI�ti(1N — <br /> ou�cn <br /> IlfilpUN'APfO'0 AF��O� <br /> Sv.�[P�mU�NR SilnC�uOfi[ _ <br /> nviorco���� rv.r�s�rraovroor CITYOFEVENEIT rnnur.wonas _ <br /> LOCALS�LES — <br /> o��E TAX CODE IS�105 Toi�l <br />