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APPLICATI� FOR CONSTRUCT�ON PERMIT <br /> CITY OF EVERETT•BUIWING DIVISION � <br /> 3200 CEDAR STAEET•EVEREIT,WA 98207 •(425)257-8810 �M��� <br /> �/ �/ <br /> ❑ DEMOLRION ❑ COM8INATION 1�BUILDINfi ❑ MECHANICAL ❑ PLUMBINfi ❑ 816N <br /> VROJECT ADDRESS: �IOr'i G^JFQlaQ�IJ U.)A�( G�Vw161T� l�'Y� <br /> owrcn wuuoouEss an r�� oro.r <br /> .�lw �[�C7�1h�S Gi9o5 G,V'� �Jq2eiT tiaz51 �Fi3-3�i�,"3 <br /> IEN�N� 4N�I1011f55 U�� li✓ hp�F <br /> ('..a-�rt.�2Y 21 iJirti 6���a fa1��T �yS� 9R�o3 C4-2,91 3`�3-3333 <br /> •nC�xr ronflE5�W5� ��.`�oM+f55 ci�v )ir r.Kv�t <br /> J IN -C��3 �i.aa�a» �.���r �A�s1 7s3�• 8v�'3 <br /> OENf�'OI,ICyO--r+���K.l[Y1 4�MMIID[55 Ot♦ !iP �'�Y)4[ 51�1!!�ClMSF� <br /> ��M2.1C0'�I��L1UP vuL�fqni55 LRr tm W�p.f SinFlRENSE• <br /> ��� <br /> MV48�.GC0�11N�f,��(1 Y�M1�UlFE55 CIfV IIV MP�E Sf��F110EN5f• <br /> F <br /> caan,cr m¢�«wo�e <br /> HEATING SYSTEM: ❑GRS ❑ELECTRIC ❑ <br /> orscn�or n�nv�vo sw�a��oor.pc r�vavco ca�ucr v�usa.um rr�wr uo <br /> RBMQ16 O.ou--v�i �Jtnl <br /> �' � `_�� �� EREBY LERTIFY THAT I HAVE AE�O �NO E%AMINED THIS <br /> S LICATION,WD KNOVi TME SAME TO BE TRUE AND CORRECT ALL <br /> ru�mosFo�a or emman PROVISIWJS OF uW5 ANO ORDINANGES GOVEFNING THIS TVPE OF <br /> WORN WIIL BE COMPlIEO WITM WMETHER SPECIFIEU MEHEIN OP <br /> IFceL�EScmm�pup mqrEnn�SrKY�mNuowaueneo�mo[ORESI NOT. THE GRANTING OF A PERMIT UOES NOT Pq�SUME i0 GIVE <br /> io� moca__or �UTHORITV TO VIOLATE OR CANCEL THE PNOVIS�ON OF ANY <br /> OTHER STATE OR LOCA.LAW FEGULATINO CONSTRUGTION OR THE <br /> PERFORMANCE OF CONSTRUGTION.TMI1T I AM AUTHORIZED BY THE <br /> OWNER OF TNIS PROPEHTY TO PERFORM TME WORK FOR WHICM <br /> APPUCATION IS MADE �NU I COMPLY WITM iME S7ATE <br /> reucc�unoMiu WNTR�CTORSLAW1B27 Y1.ANUI96200WRC. <br /> Z -OOZ-G!/� � <br /> COVG�nUCIbN IO�H i fu1XN./.pIx�E55.Iflf�p�E Ml4PFn <br /> ou A :�.,,�,� o,�� <br /> GIYBV9NCSSIK[H, <br /> PLUMBING MECN�NIC�L <br /> NO. TYPE OF FlIIiURE OP iTEM FEE NO. TYPE OFEOUIPMFNf FEE <br /> WATER CLOSET(TOIIET) NC-NHNDLG Ud05 <br /> B�THTUB FORCED AIR SYStEMS <br /> LAVATORY(WASH B�SIN) HEAT PUMP --� <br /> SMOWER UNIT ME�TERS <br /> KITCMEN SINN 6 OISP CLOTNES ORYEHS <br /> DISHW�SMER RANGE HOOD _ <br /> �AUNORY TRAY WA1EP I �"eR <br /> CIOTHE5W�5HER I �'����� ��� <br /> URIN�L METAL FIREFLACE�VOOJ BURN.NGI <br /> DiiINNING�OUNT�M FIRf.�PLACE INSEPT�YJ'�I7 BURNING) <br /> FLOOR�RFIN G0.:FIREPLACE <br /> B/CNFLOW PREVENTERS GASRSNGE <br /> SINK iSERVICE-BAH.ETC.) GAS PIPING <br /> E%HAUSTFAN <br /> _�_�. —T- <br /> SUBTOTAL f SUBTOT�L S <br /> PERMIT S PERMIT f <br /> tOiALFEE f TOTALFEE f <br /> FOR'JFFICE USE ONLY: <br /> 1110NLViP�f.K Of�N5�1P4N SIpESFIBKa M�x{;n�CaN114Rf11 Rf �FfFl1'!1q <br /> � - D _ <br /> useram �oi�n�e v�Gv�:+�F FEES VALU�TION FEE <br /> — - —�- <br /> Ovf ❑r.v> Pu�lhw: <br /> 11IIGIIf11V11�110Y NOf�(pW(lliNG SII[dElU��I' <br /> Il4ili � � � M11411�Nn .. —i— <br /> pA104h<:r ¢�rv51nu.0 IX:f1�n�N�IO�D B�5(uENI y(pqyn'4 _— <br /> �O�� In /� <br /> �__ a/2 O.[5 �o <br /> naMmcr�n¢ne[ao nv.snv eoaima��n+wo�rex '--' ' _— �_ <br /> � ov�[n <br /> rwcr�.en��rta�� Inresrn — — — <br /> ��s v2p� i9 �� - PZ �,.,�w,�,��w<:s„�,,.��.� <br /> �mt icov�� rur¢��� vvnnv CRYOF�EVERETT ninin:.nwug <br /> �� ��� LOCAL SALES - —- —� — <br /> v- o��i �1 �'4 TAX CODE IS J105 TO7�L <br />