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APPLICATI� FOR CONSTRUC�N PERMIT� <br /> CITY OF EVERE7T•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259-8810 <br /> ❑ DEMOLITION ■ CO/M�9INATION � BUILDNip ❑ MECHANICAL �'PLUMBMW ❑ SNiN <br /> PROJECT0.DDRESS: ��/��� �.C!{�q, t¢PiYI/�(�Ctf. � � q52-c�Spu - <br /> ��U—G.-.«,�aci�c ,��rl�G rj�l.usT IH�D- IIH�'-'a✓c Sc fXt�avve a�r� 9�a14 <br /> �Fw uwi�oonEu arc rm �� <br /> ECr_c-,rtiy- ;..'�r(5 <br /> tENM!!/� uM��01�E55 Glr t�v r�KWE "�� <br /> N <br /> ♦ALr�'RCTd10EW:MFR uu1MIX4'S5 un tir 1'�qME <br /> �,�1 ��o GviN aoN,� s7 sw L on,� wh 9Poj6 77Az,91 56��oso8�{gs <br /> 6FMFMlCOMrfutl uutMME55 c�lv /ir MqYF Sr�lEllC[NSF• <br /> YEMI�xfIiLONiRACiIX! NI�0.IpDPE55 GtY li� CiqN[ [���(��fEvSE• <br /> �_ ��%I��1Vr,!rtluiCi;C. G97 �:�o��ort�v c�2. �` 5 7��KC<,r�� WP �/�1G8 5�5�'h-z9 <br /> %NlKaCWIPFCfOP NYlA0GRE55 LIIY !IV ' P1pNE SiqEIbEH$E� <br /> - Oa e• <br /> cw�n.c:ma a wnK <br /> HEATING SYSTEAI: ❑GAS ❑ELECTRIC ❑_ <br /> acscaA�d"rn.v.:��qE roovc[wvav[a couuc�ttmwua vwuE w —' <br /> �.^� w �/L�C4/NIE rf'SAP10 4sz -95�0 <br /> _ %am cn��FRT 7'I Y,'719 I <br /> 1 HEREBY CERTIFY THAT 1 HAVE PEAD AND E%�MINEO THIS <br /> iworo5E0v.Eosnutpxo APPLICATION AND NNOW TNE SAME TO BE TRUE AND CORRECT ALL <br /> �lf�:. �i�� PROVISIONS OF LAWS M1D ORDINANCES GOVERNING TMIS T'PE OF <br /> WORK WILL BE CAMPLIED WITH WHETHER SPECIFIEO MEREIN JP <br /> icar.to[scaw�r.orpno[qrviyp�eEipiq��rt,�cnrv,ocovrts� NpT.THE �PANTIN6 OF A PERMIT DOES NOT PRESUME TO OIVE <br /> �or y� p AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR IOCAL LAW PEGULATINQ CONST�7UCTIpN OR TME <br /> PERFORMANCE OF CANSTRUCTION.TH�T I AM.\UTHOHIZED BY THE <br /> OWNER OF TNIS PROPERiV TO PERFORM THE WORN FOH WHICN <br /> �PPLICATION IS MRDE �ND I COMPLY WITN 7HE ST�TE <br /> R�RCE:nut I D.MiwEq CONTRACTORS LAW 1627 flCW AND P96200 WAC. <br /> CANSi1111CIpNlONlI[uOFP.MdIt55.lElF1Yq4E1,1AMfN z�!'P �L4� J �d�� I� <br /> SIOH�UI�( ! <br /> o�.E <br /> cn euvr<w iciHsc xo <br /> ���� MECHMlICAL <br /> NO. TYPE OF Fl%7URE Ofl RE4 FEE NO. T'PE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILEn �_������ <br /> &1TNTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> S��R UNIT HEA7ERS <br /> KITCHEN SINN d DISP �LOTHES DRYERS <br /> DISHWASHER RANGE HOpD <br /> LAUNDRY TP�Y WATER HEpTER <br /> CIOTHES WASMER WOOD STOVE �— <br /> �R�� MEfAL FIREPLACE p/JOOD BURNING) <br /> DFINNIN(i FOUMMN FIflEPLACE INSER��YpOD BURNING) <br /> FLOOR OR�IN GAS FIREPLACE <br /> EACI(FLOW PREVENTERS GAu RANGE <br /> SINK(SERVICE—BM,ETC.) GAS PIPW6 <br /> IXHl.UST FAN <br /> SUBTOTAL S SUBTOTAL f <br /> PEAMIT S PERMIT f <br /> TOTALFEE f TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> fPOAIYtP�-{[µ�iMCl{ 40ESFi8ALR AIHC14Cxt�y�IN[ fIF Mf.Flnllq <br /> �Z � <br /> �-J-]f <br /> ��+� �m��� v.�cwrs�c FE 5 VAIUaATON FEE <br /> Or[s ❑ra euior�c DOO I�l� <br /> K�fAIIlIM1Ai1011 Nppipy�(ltIHO $IIECipICCJfI <br /> UMI�$ � <br /> 5 2 a�„� / <br /> cn�aw•�cr xoas�mts occwu��io.n e.s[.En� uEc�u.cu <br /> G% y o.Fs � <br /> ilflEyPoNNI[1�pEOD �fA[M �DL���OY�IMANCN(CM � <br /> N� --T- <br /> oi�an <br /> nHENMMq[an uE�cpv � <br /> I�I �� /, SI��L011ilOmf.S11FCN��E ��'� <br /> nr[ar,p�s� rur�su� yvcoer CITYOFEVERE'TT nieir.v.onR� <br /> //� /�� ����� LOCALSALES <br /> V '" wrE 5 -�u_9� TA%CODE IS J105 TO7AL ;� <br />