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APPLICATI� FOR CONSTRUC7�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> � 3200 CEDAR STREET•EVERETT,WA 98201•257•8810 <br /> U DE6tO1.ITION ❑ COMBINATION � BUILDINO ❑ MECMANICAL ❑ PLUMBINO ❑ SNiN <br /> PROJECTADDRESS 1 "aO V � <br /> C 5��1�� <br /> wmEA wx�oo�ss crtr zv narrt <br /> CSMb �LL 15[..� IMo�-Na 6..��•a� L.I� 94o�S `aS' '�4� l'h�(, <br /> TENNlt MA6/�OOfiE55 GIY ZV PIIONE <br /> You n,b Q�ka1 ���a o £u� �-�.. Ebw g,..la c S 'F� H 4�,.,,�F�—„^ <br /> uswrcc:oncesanta wa�,�wnc�s uTM zv vHora <br /> GENERALCCNf1iAG1pR M�RApOPE55 ��TY �� �� ST������ <br /> n�,,.���� �.. c rsc� iuo � n� ru.� 9aooc ��as ur� ��aC AM�tt'N!(Z11�DV <br /> YEW�NIGLfANLPACiOH NAII�CWiE55 LItY ZIP NbMF. SRfELqEHSE� <br /> �, qyrtt, K...,� W� <br /> PLCMBiNGCOMp CiOR MML RESS /��CIiY 26 FMME SiAiELICFNSE• <br /> V � ULY'N��ICY� <br /> coHm.crvaKe K HEATINGSYSTEM: j$GAS ❑ELECTRIC ❑ <br /> S5 -tio oov � � <br /> DESCRiBE WOPItAND SOW AE iOCT�GE iM'0.VE0 LIXITACT PERSp1NO PMq�E ND. <br /> �� F k._ � �'�ti r��,� �uc �+I�t i�ray <br /> —�— F�„< <us �y� aIs-F <br /> I HEREBY CERTIFV THAT I HAVE RtAD AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> vn000s[o use or eu2oir+c ppOVISIONS OF IAWS AND ORDINMlCES GOVERNINQ THIS 7YPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> �(piypES�qNTqNpF p �51qWN0[LOWOPALTACNIWJCOPIES) NOL TXE GRrWTING OF A PERMR DOES NOT PRESUME TO GIVE <br /> ior ��K � AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL UW REGUUTIN6 LONSTfiUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTNONIZED BY 7HE <br /> OWNER OF TMIS PROPER?V TO PERFORM TME WORK FOR WXICH <br /> APPLICATION IS MADE ANO I COMPLY WITH TME STATE <br /> PMCEliNl10.N�MBER C�NTRAC70R5 LAW 1827 RCW pND 296.200 WAC. <br /> CONSiRVLiqNW�NWNDEF.�CMESS.iELEG,qNENUMOEP x '- _ L��o <br /> SIGNAtUPE OAtE <br /> GIIY BUSNESS I�LENSE N0. <br /> VLUMBINO MECMMIICAL <br /> NO. TYPE OF Fl%TUPE OR ITEM FEE NO. TYPE OF EOUIPIIENT FEE <br /> � WATERCLOSET(TOiLET) NC—NHND�GUNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) MEAT VUMP <br /> SHOWER UNIT NEATERS <br /> NITCHEN SINK 6 OISP CLOTHES DRVERS j <br /> DISHWASHER GE HOOD <br /> LAUNDRYTRAY WA HEATER <br /> CLOTHES WASHER WOOD VE � <br /> URINAL \ METALFIR CE�WOOOBURNING) <br /> DRINKING FOUNTMN ��'� FIREPLACE INS pNOOD BURNIN�) <br /> FLOOR ORAIN \ �AS FIREPLACE <br /> BALNFLOW PREVENTERS GAS MNGE <br /> SINK(SERVICE—BAR.ETG) � GAS PIPING <br /> EXMAUSTFAN <br /> i <br /> —�-- <br /> SUBTOTAL f SUBTOTAL 5 <br /> PERMIT S PERMIT E <br /> TOTALFEE S TOTALFEE S <br /> FOR OFPICE USE ONLY: <br /> FRONiSEIB�:K �E�RSEt9�CN SiDESEtBeLN PUNL��� 0EP � GEE �� PECEIPiNO <br /> .1 �-� <br /> V\/ rT <br /> usezoHe ior�a[r. v�cui*5rt[ FEES VAL A710N FEE <br /> ❑r¢s o w ew�oun <br /> MEic�n�art�riorv raiscmvnurvc s¢co�e�ocli <br /> �Ood rwunua <br /> OLLIIFANLV MC151d145 OLLUPANiIO�D BAAMEM ��H�H�y <br /> GNO 1 � ❑YES NO <br /> FINE PPIN6LEflREO➢ PEASpN IDDRIGNLVVJICMEC6 <br /> f5 E�S��" omen <br /> FIPEALARMPEOO AEASON <br /> Y£! ��S CL. SiAiE BIIILDWG SUi1CNMGE <br /> l <br /> TYFEOFCONSi� PLMISAFPPO c�r CIriOFEVENETT ����KS <br /> �� LOCIILSALES � <br /> v� o+rE - (� TAX CODE IS 3105 70T�� <br />