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APPLICATI� FOR CONSTRUC�N PERMIT <br /> CITY OF EVEREI7•BUILDING DIVISION � <br /> • 3200 CEDAR STREET•[VERER,WA 98201 •(425)257-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING � SI6N <br /> PROJECTADDRESS: S/O ' l 1e.eJ <br /> pWNf11 Vul�IX1NE55 p1Y I11' ���ONE <br /> ,SA/�!F _ <br /> 1CN1N1 YYI�IID41C55 GIIY !IV VIIpIF <br /> R.�a�•p-aE�tF„ i�v�v ,FLy r5 FVFaca1 .y�aos Yas-siN- Qs�c/ _ <br /> nne�mmranotsicncn u�n�onnEss enr nr rrror�e <br /> clrvcnµco�nnec�ql uull.non[55 C�tr Iir ri�pvc <qq1�CfM5F� <br /> e�w;�lals.'��a�dLIYI„L, Po 6p�rB/ou <nce� 9�.T�9 JGo.vsz-Go�o PA� JAo�a81 <br /> uec�uruu coNm.cro� �uuieow�ess nrv nr vna.r su�Fuceuse. <br /> PIIIYBTIGW111P�f.fOP N�itAp011E55 p1Y ]R Mlp�f 9�1(IICFNSE• <br /> ca+m�ctamc[ar <br /> 0 HEATING SYSTEM: O GAS ❑EIECTRIC ❑ <br /> DESCPIBFKVPNAMO:AU�PE W��G[MVOIKO CONOCt1'fOS�M/.MOPI . .NO I <br /> � n f � �� <br /> s,�� o.� R t'.���.�A 3�a- </93- G6�� <br /> I HEPcBY CERTIFY THAT I HFVE REA� AND EXAMINED THIS <br /> APPLICATION AND NNOW TME SAME TO BE TRUE AND CORRECT ALL <br /> rvprosf o usc ov nmmn+n PROVISIONS OF LAWS AN�ORDINANCE$GOVERNING iH15 TVPE OP <br /> � WpVK WILL BE COMPLIED WITH WMETHER SPECIFIED HEREIN OR <br /> .oesrninnpw�rnovennlsrrowr�eciowonen.cnrxocon[si NOi, THE GRANTIN6 OF q PERMIT OOES NOT PflESUME TO GIVE <br /> im oiacn or AU7HOf71TY 70 VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR LOCAL LAW RECULATING CONSTRUCT�ON OR THE <br /> PERFORMANCE OF CONSTRUCTION.TNAT I AM RUTNORIZE�BY THE <br /> OWNER OF TNIS PROPERTY TO PERFOPM 7HE WORK FOR WHICH <br /> APPLICATION IS MAOE AND t COMPLY WITH TME STATE <br /> CONTRACTORS lAW 1B 27 RCW AND 29b.20U WAC, <br /> r�ncn i�.+i o rluuo[n � <br /> 3i�5 ois oo � a <br /> CONSi1111LIIp110IN1(NIIFII..�pI1f1[55.1[ICAIONE NU4PE11 5'y'� �!�// �,V.J �'[//�O/ <br /> CIIY BIISMSS I�LfNSC NO <br /> PLUMBING MECHANICRL <br /> NO. TYPE OF Fl%TURE OP ITEM FEE NO. iYVE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—NHNPLG UNITS <br /> 6ATHTUB FORCED AIR SVSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> HITCHEN SINK 8 OISP CLOTHES ORVERS <br /> DISHWASHER RANGE HOOD <br /> LAUN�RY TRAV WATEP HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> Uf11NAL METAL FIREPLACE nVOOD BURNINW <br /> DRINNING FOl1NTAIN FIREPLACE INSEFiT(W 000 BURNING) <br /> FLOOR�RAIN GAS FIREPLACE <br /> DACNFLOW PREVENTERS GASPANCE <br /> ( SINK(SERVICE—ORR.ETC.) GASPIPING <br /> � E%HAUSTFAN <br /> SUBTOTAL E SUOTOTAL E <br /> PERMIi S PERMIT 3 <br /> TOTALFEE S TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> rnnH�um�cx nr�nsFrn�cK S�DCSF�B�[R rur�u¢c+nuunrn rr�� nFtr��rr:o <br /> Nn �� ,� S�1L2�9 - <br /> us�to•ir ioun[n wc�N�s��e FEES V�IU�TION FEE �_ <br /> '� flrEs t�� qulpMf. <br /> I�CI(i11�I�MJ�1�1104 1NO�OfOWEIUNG SI2EWBlOWfI i <br /> (/ KaFuNL N� wuunwn ___�— <br /> ` 1'14LY N�(��5��q(5 (%:C11M.NI{O�D DASFM[NI VEC11�N1[�I <br /> \ .J� <br /> ❑Yf5 O M�l <br /> fIP[51`flll:klCl�llEO) �FASCM �DD�11(INy1Y�NC11l.LM — --_ <br /> O�uFfl <br /> IIPCIAAFMPCOD �F�F9� <br /> Cl�lf R11ilU�:li51111C1411fC <br /> �mrorco�+<r ntn�.s• �qvrnor CRYOFEVEHE7'T ninur.xronxs ___ <br /> �V LOCAL SALES <br /> u.�E , yL�� TAX COUE IS 3105 70TAL � _ <br /> ______ <br />