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, � o � � �:: ;; uL' <br /> APPLICATIO�OR CONSTRUC'f PERMIT` <br /> CITY OF EVERETT•BUILDING DIVISION � t� `n' � I�9S � <br /> 3200 CEDAR STREET•EVEREIT,WA 98201 •(425)257-8810 <br /> CITY OF FVFqE��T�r- �� � <br /> ❑ UEMOLITION ❑ COMBINATION ❑ BUILDWG ❑ MECHANF�KY`"""e'�p::pLUM91NG I N <br /> PROJECTADDRESS: �JSOS EV[-��t�6-7�J W�• <br /> _�LFi�/ Nu,�o� s�K� '� 444 -�44� <br /> OwNFn ^� r yuL�oOnF55 C�n I�r neOX[ <br /> �/_lL <br /> lEN^/.H/�///� uq��ppP(55 CI�Y )�V PIrONE <br /> / `/ /„ <br /> �rr.�o�ncs�orn ui�n ��esc ai. - 'J� nr rwcwr T�AEPD�'3 <br /> .ncu <br /> Ttl�E f�-/L"�u ,o. /�x 2i�1'�isl �c�1�E V✓� 9 F114A 2?3i • I12Z i i ag <br /> erMleI�u/c�o�nnnnon uu��oonpss �nv nr rnove SI�IEIiC[NSf� <br /> MF.C11A/ry['L(GN1u�Ci0� 411(f00af$$ Gtt IIP �IIONE [1Aif UCEH$E� <br /> �/� <br /> I`III BI'1GC011/1�P1f1�11 4�I�AC�flf$$ LIIY j10 VNONF $iAI[UCEN$E• <br /> ���V✓_ .... ___ . .. . . . ____... .. . ..—._. . .._. . ._ _. <br /> i.oiu(.ci nun a�bnnu " <br /> . HEATING SVSTEM: O GAS ❑ELECTRIC ❑ <br /> oE�orvmnAvn• u�nc� .Ewwiv[o co�ucrvcnsoN�r�orHo.+r.+o <br /> I a'��£ �� F C7�/ <br /> S_LC'7 <br /> ra./J s �� I HEREBY CEHTIFV THAT I MAVE READ AND EXAMINEO THIS <br /> ���'� APPLICATION AND NNOW TME SAME TO BE TRUE AN�CORRECT ALl� <br /> rnorosfo use ov emin�r,o pqOVISIONS OF LAWS AND ORDINANCES GOVERNING TMIS TYPE OF <br /> WORK WILL BE COMPIIED WITH WHETHER SPECIFIED HEREIN OR <br /> i[e�io[scmm�rn�or'nnorenrvis�qwuaum.vpunecrnwocones NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> io� oiocK or AUTHOPITY TC VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTNER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PEHFORMANCE OF LONSTRULTION.THAT I AM AUTHOPIZEO BV TNE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPIICAT�IS MADE AND 1 COMPLV WITIi TME STATE <br /> nencu ue i o uu4ocn COYTf CT 5 LAW IB37 RCW AND 296.200 WAC. Q <br /> ';.�v..�-`_ /J,-�� /i/J� DD C/.� � ./� •�LJ <br /> caamucnoHiom�crmEn.eno�essiutrHaacrmuotn �/ <br /> s:cne un[ �ar wrz <br /> n uus ssi_ . ��n <br /> PLUMBINC MECM�NICAI <br /> NO. TYPEOFFIXTUREORITEM FEE N0, 7YFEOFEOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—NMNOLG UNITS <br /> BATHTUB FORCED AIR SYSTEIAS <br /> LAVATORV(WASH�ASIN) HEAT PUMP <br /> SNOWER __�_ UNITHEATERS __ _ <br /> NITCMEN SINK S DISP CIOTIlES Ul1vFR5 <br /> DISHW�SHER RANGE H000 <br /> IAUNORY TRAV WATER HEATER <br /> CLOIHES WASHER WOODSTOVE <br /> URINAL METAL FIPEPLACE(WOOD BURNING� <br /> DRINKING FOUNTAIN FIREPLACE INSERT(WOOD BURNING) <br /> FLOOR DfiAIN GAS FIREPLACE <br /> DACNFLOW PREVENTERS GASRANGE <br /> SINK(SERVICG—BAq,ETG) GAS PIPING <br /> EXHAUSTFAN <br /> _____.._ ...._._.._ _ <br /> _ i_ —_ <br /> —� <br /> SUO TOTAL 5 SUO TOTPL S <br /> PERMIT S PERMIT S <br /> TOTAL FEE S TOTAL FEE 5 <br /> FOR OFFICE USE ONLY: ��Q�J 7 <br /> �nowi«rn�c� � nnnsrm.c. s�o[se�a.a rur�a�ec�r.�n�� rcf vr.rmrHo <br /> � Nrt p r � <br /> vse+ouv ...� i�n[� ��C�v�S�rt � _ FEES VAIUATION � FE_�_/t <br /> �" L- y Gy � ❑res pMV n��ioiur. /`�-- ..)`�SU <br /> ��e�a��nu�+.nov vo a uwu�nm s��e or a�oeni — <br /> ZSinns �.r riuonivr. __'— '_'_' ' ____ '_ <br /> occim+er.v rnrvy�nm. wcareu�m•u o+svue�+� ufr.�mmu� <br /> c��ou� <br /> ❑�ES ❑N� <br /> ���F_:'ll'��I�l[Il PCOII 11l�G(YI A0�I11(INN 1Y W CI�fCY <br /> /Jy� ����. ♦ <br /> O���E� � <br /> �r.[ninmrnmn -- nfnsnv G —.-- �— ��7 <br /> .,.,,�„�,,,�,:��,,.��„��:� �. sn <br /> �.—n rn r:nvc�--'J Fvnvenr���± CITY OP EVERETT rn�v�r.wnnac "__. _' "'`_" <br /> � � � LOCAL SALES <br /> i,.�t D ,� � TAX COOE IS 7105 ToiaL � <br /> __--___' —_'— _—_" /JJ� <br />