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APPLICATI� FOR CONSTRUC�N PERMITu��}�. <br /> CITY OF EVERETT•BUiLDING DIVISION V�� <br /> 3200 CEDAR STREE I'•EVERETT,WA 98201 •257-8810 ���_)—" <br /> f� DEMOLITION ❑ COMAINATION f: BUILDING ❑ MECHANICAL ❑ PLUMBING '- IGN <br /> PROJECT ADDRESS <br /> /// o�S �va...ec L✓A•� �ve.e4f- -- <br /> pwO�,cn n +�uuoor+ ss <br /> —� �;�ie �,� P,w�� <br /> O/,��' /ArfNcr $/..p. /SG ' /S�O �R N�E .t4e-//[✓vc. wA <br /> �fNANi MAIL D�nE55 CIiY ZI1' I'NONE <br /> IryA�}�'�G55 �rwLLtry ///o$ Fve/..cas.�- LAv�ve•�'�" <br /> INC.�IiCCiOPL[SM1it�Cll IAPIl.PU1:Pf. $ 1V �IIV FIIONL <br /> GCliCPPLGONLRALIO� M>ILP�DN[55 CIIY 21V N�f MIONC SiAI[IICCNS[• <br /> CSe�i�e Y /3 ✓ Ss 65 L� � 0 SBov[ l7E�HS'JS" �<.��y�✓Co 7�ch. <br /> NEb�PtnG C(`NIPRCiOR FUR��OR65 C�iY l�� PIIOIIC SiP1CLICLf6f• <br /> I'1111A0'.NGLONIF!_1C� t1PILnpJPE55 CIIV !I� CIIOIiG $iAI[LICLVSL• <br /> wr�rA>a��ce��onR HEATING SYSTEM: G GA£ f�ELECTRIC C <br /> , S�S <br /> oi <br /> CtSCPINE VIOFMfNC?]VAFi fOC�AC.E IfM1'OLlCO CONiPCi f'[115CNPIIJf'IbNL IIO <br /> /N$�4CC �3� Sn� o� TG�.G /�Cov l. _ <br /> ��ati aG,.,,,..c Cc! oz o r�r� Hss- ��6- &8ar _ <br /> ' 4EflEBV CElITIFV THAT I HAVE REAL AND E%AIdINED TNIS <br /> APPLICATION ANO NNOW THE SAME TO BE TRUE ANG CORRECT.ALL <br /> rno�o5co use or sw�ouia PROVISIONS OF LAWS AND ORDINANCES GOVERNING TI IIS TYPE OF <br /> WORK WILL BE COMPLIED N'ITN WMETHER SPECIFIE� HEREI� OR <br /> �[cn�oescmvuo!iavaoccra+is�owrvoflowonnruc��rv�amries NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ior o��K o� AUiHORITY TO VIOLATE OR CANCEL THE PROVISION OF aNV <br /> OTMER STATE OR LOCAL LAW FEGULATING CONSTFUCTION OR THE <br /> S C 5•I� Au+/ PERFORMANCE OF CONSTRUCTION.THAT I Ald AUTHORIZED BY THE <br /> OWNER OF TMIS PROPERTY TO PEAFORM THE WORK FOR WMICH <br /> APPLI�;ATION IS MADE AND I COMPLY WITH THE STATE <br /> r•aacci uK i o vuemcn GONTIIACTORS lA1'/18 27 RCW AN 96200 WAC. <br /> � - - �� G�� � <br /> caisuucnou�onr+�er�ora.•concss.rc�cvroncr+w�etn x �O L/�/ <br /> si ma m�e t <br /> OZ478� <br /> cin ouswcss ucense uo <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TIIRE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILETI NC—ti'HNDLG UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORV(WASH BASVl� HEAT PU1.1P <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISP CLOTHES ORVERS . <br /> DISHWASHER RANGEHOOD <br /> LAUNDRY TFAY WATEF HEATER <br /> CLOTHES WASHER Y:OOD STOVE <br /> URINAL METAL FIREPLACE(WOOD BURNI6G) <br /> DRINKING FOUNTAIN F�HEPLACE MSERT(WOOD�URNING� <br /> FLOOR ORAIN GAS FIREPLACE <br /> BACKFLOW PREVENTERS GAS RANGE <br /> SINK(SERVICE—DAR.ETQ) GAS PIPING <br /> EXHAUSTFAY <br /> SUBTOTAL S SUOTOTAL S <br /> PERtd1T 5 PERMIT 5 <br /> TOTALFEE S TOTALPEE 5 <br /> FOR OFFICE USE ONLY: <br /> �:�C�rS[rydCrc t[nn5claccx siJ[sEtBnCK vu r¢CRNWe9En �� rcF. �/ nECE��T� <br /> �;:�.,�I iprp�p ` ���[.�nsne FEES VAUTATION FEE <br /> bl mcs n r�o qmioux. 2 IZ <br /> �.F:.il� IFIIiPll011 � UIISFDWLLLII^ I SI$EOfOIaTI - <br /> YWM6i�q <br /> GCf.I1PTIJCV IAC�SI.4'S CCLU�}�11LO�f1 �ASEMENi 4EC11�NIC�I <br /> f.FGU� <br /> ' fIVES ❑NO ; <br /> FlFESPFi1�elERfl[OO �E�S011 �ODIIqN0.PUNCNECR <br /> OMER I <br /> fIPE�URGREOD ff1:^5(:t1 <br /> 510tlBWlOR1G5MCN � <br /> .rveovcons r�nns�o�eom CITYOFEVEFiETT vuoi�won+s � <br /> � LOCALSALES <br /> n+.E U O� 7AX CODE IS 3105 TO7AL <br />