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� APPLICATI�N FOR CONST�iUC•ON PERMIT <br /> CITY OF EVEFIL-TT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98207 •(425)257-8810 <br /> ❑ DEMOLITION ❑ COM8INATION O BUILDING ❑ M�CHANICAL ❑ PLUMBING � SIGN <br /> PROJECT AODRESS: g6 3 D �U e�q rcev� 4�4 <br /> �^2rcEas�S� SamS 8G30 �tae�artcnlU . 8]UI <br /> ��+En Mu�i.fAnE55 �+ pn I �ir erqv[ � <br /> AMeN� 4Yl4WPF55 G1Y pp ppp� <br /> nOCmrtcronDELCNtn u�����pn�55 C�b /ir rrqrq '-' <br /> RMer7Cc,� A)enn�2=,.� Po 8eY 431 � qsvai 153-az�-7y4b Am£2:�ur��Da <br /> L(NL��ICONpI/.LIq1 NYI�IX111F55 C�IY pp 1'�q4( [4�ll�ClNS{• <br /> 4FCIIuuGlLON1MCfON IIAI��pqlf55 fJb Im n�lONf S��IfUClNSE• <br /> PIU4BINGCpNIRY;�q1 Nu�ACpnE55 C�IY (la PNOHF 51/.IFI�CfMSF• <br /> CONIP�LI OpICE Oi YARIt — <br /> �P�/SD HEATING SYSTEM: ❑GAS O ELECTRIC ❑ <br /> �FSCNOF N.y11V ANU iOU�PF�OOtA6E W VIXVED LW��LI VfP$ON�1411'l1ANf NO <br /> - n � 2a. . �n r � n� n� �l;s� �'�a�,� <br /> Fr� : �I rf� � ' �ia�i ? 3 31.62:,,;-_ �.53-417_'14Vb <br /> '�IIw�J (f(J � � f Sr �`�oU�' // D � NEREOY CERTIFY THnT I HAVE READ AND E%AMINED THIS <br /> ���orosf o vse ar ewmne; AF�LICATION AND KNOW TME SAME TO DE.:RUE AND CORREC�ALL <br /> PROVISIONS OF�qWS AND OR�INANCES GOVERNING TNIS TYPE OF <br /> �� ¢'K� r"� WORK WIIL �E COMPLIED WITH WNETFIER SPECIFIEO N@RE�N OR <br /> lEWL06GmP11pIWPlq1�[pfY1SqKHBCLOWpiRiK1�M9WRC51 NOT. THE GRANTRIG OF A PERMIT OOES NOT PqESUM[ TO GIVG <br /> �at eioca or AUTHORITY TO VIp�ATE OR CANCEL TME PROVISION OF ANv <br /> OTHER STATE OR LpCAL LAW REGULATING CCNSTRl1CTION OR THE <br /> PEflFORMANCE OF CONSTRULTNN.'HAT i AM AUTMORI2ED AY iME <br /> OWNER OF TNIS PROPERTY TO PERFORM TME WORN FOR WHICN <br /> APPLICATION IS MADE ANO I COMPLV WITN TNE STATE <br /> nencnruriorvuuo[n CONTRACTO/q�/'��A 1827PLWANOP76200WFC. <br /> cor�stmic�iwiwxtt�n,�oo.�css.in[rHOHEHuwtn X C�, -(�Jj. ./(:/(:� ��(/ [�,, <br /> s:�.��� g OI o.�� <br /> c��reusrrts iu:inscrvo <br /> PLUMBING MECHAN�CAL <br /> NO. TYPE OF FIXTURE Ofl ITEM FEE NO. iYPE OF EOUIPMENT rEE <br /> WATER CLOSET�TOILET) A/C—NVINDLG UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORV�WASN�A61N) HEAT PUMP <br /> _ SHOWER UNITNEATERS <br /> NITCNEN SINN 8 OISP CLOTi!ES DRYEHS �-- <br /> DISH WASHER RANGE HOOD <br /> LAUNORY TRAY WATER HE.iTER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIFEPLALE(W00�BURNING� <br /> DRINNING FOUNTAIN FIRGPLACE INSERT hNOOD BURNING)�� � <br /> FLOOfi DRAItJ GAS FIFEPLACE - <br /> �ACNFLOW PREVENTEHS GASRANGE <br /> SINK�SCRVICE—OAR.ETC.) GAS PIPING <br /> El(HAUST FAN <br /> J_ <br /> / <br /> � <br /> / <br /> SUB TOTAL S SUB TOTAL S <br /> PERMIT 5 � PENMIT 5 <br /> TOTA�FEE S TOTALFEE S <br /> FOR OFFICE USE ONLY: S <br /> t�l(1Ni4t0�C�tI PfM$�106N S�pE'vEfBACX Pt�NCIICpNUWlP f[f �Z� PFLFI�fNO <br /> N� �V �� <br /> us[/�a-vv �oi�are v�unsn6 FEES VpLUATION FEE <br /> ts' ❑rE5 ru nin�nirv�: 7 .�J <br /> ��ci�i���L,A� uooro�iAwc s�ttoraiow� --" -- __ <br /> / L. <br /> LI MUMRINO <br /> occvr�ac. norneirn�,is a:cuoer�imm ees¢uer:� __ __ _"'____ '_ <br /> C•1�0(IV 4F1:111HIf:11 <br /> ❑Yf5 ❑N!1 -�- <br /> iI1�C5PNIN1(LFIIPCO'D 11f�SCH �Ld110N�1.1'I.WCIIfLR <br /> ��i-�� <br /> OI��F11 <br /> flf�E�UPMP(0'0 Nf�SOV <br /> SI�RBUnOwGSnnLu� GF — � �v <br /> �rcr�rr.o��sr rinN� ovEoar CITYOFEVERE7T runur.wouxc <br /> — I 7 LOCALSALES — — - � -- <br /> pait . .7� �> i A%CODE IS 3105 TOTaL <br />