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APPL.ICATI�1 FOR CONSTR�IC�ON PERMIT� <br /> CIN OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257•8810 <br /> ❑ DEMOLITION ❑ COMBINATION �L BUILDING � MECHANICAL i`PLUMBING ❑ SIGN <br /> PROJECT ADDRESS n - / �2t� <br /> '�i I', — St LZZ1:'.�! �IE?i�'Tt' <br /> owe�cn wnnooncss cm zn n�orve <br /> i_cc Sr�E✓Es lO�, E{ne6,A2e (A.1Ez�v 987���4;s S�3 P,OIs} <br /> iENI.Ni YNI�WRE55 CILY Ii %qNE <br /> '�i�/�e��l�.�rrt�.�vnzs-357-v� �vF� w 77cK <br /> e cenm oaocscr�en � noness em zn n�wrt <br /> �u ,4JA �ws� �a,esrrya�Q(jAG� " �(A.�E�vo�1e ZlX65d d63Z <br /> G[N[RLLCONiP4I0N N4LAOd1E55 CIIY IP % N[ 51RElICCNSE� <br /> �y 47SQRC 5149 <br /> 1A(GN1NiGL O1N�P�GiOF HAiIMONE55 dlY ZiV M10N[ S�AiElCP4E• <br /> ��n t�.er�5r�j �1��-17n� <br /> PWMOIN CON1flALIDIi M.IRAOCPE55 tliY ZW A10NE S1AtElIL[NSE� <br /> coNrn�cr aceorwonK �_ �� HEATINGSYSTEM: •GAS ❑ELECTRIC ❑ <br /> DESCRIBEWORN�ND A E[OOiAGE RKO CONi�Lff[115pNI.NOPIKKlENO <br /> � = Q <br /> m •,,, <br /> �.uo��— ') � I HEREOV CERTIFY �HAT � HAVE READ AND E%AIAINED THIS <br /> L APPLICATION AND KNOW TME SAME TO OE TRUE AND CORRECL ALL <br /> rnovoseo use ovam�ona 'L ,��p PROVISIONS OF LAWS AND OqDINANCES GOVERNING TIIIS TYPE OF <br /> VYORH WILL�E COMPLIED WITH WMETHER SPECIFIED MEREIN OR <br /> IEGiLOE$CRiPIqNOL�iIOPERlY15NOWNBELOWqiARACNTWCOPIES) NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GR�E <br /> ior�BtOCN a_ AU7HORITY TO VIOLAtE OR CANCEL THE PROVISION OF ANY <br /> � OTH�R STATE OR LOCAL LAW R[GULATING CONSTRUCTION OR THE <br /> PERFOPh1ANCE OP CONSTRUCTION.THAT I AM AUTHOPREO DY THE <br /> .� OWNER OF THIS PPOPERTY TO ERFORM THE WORK FOR NMICH <br /> APP�ICATION IS MADE � I COMPLV WITM THE STATE <br /> VAPLELT�x10M1uBEN CONTRACTORSLAWtef R ND296200WAC. <br /> cx�oo zao zoo , <br /> COuSiRUC90Nt0ENLENOCP.ApD11E55.1ElEMOxEHJUyBEN x <br /> /� $ � E OAIC <br /> � CITTDULNESSI�CEN561q <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUilE Oq ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILEn �r I 0.'C—AMNDLG UNITS <br /> � BATH7UB i fORCEDAIR5V5TEMS <br /> Z LAVATORY�WASHBASIN) i MEATPUMP <br /> Z SHOWER I i UNITHEATERS <br /> KITCMEN SINK d�ISP i � CIOTMES ORVERS <br /> DISHWASHER RANGE NOO� <br /> � LAUNDRYTRAY ! 1 WATERMEATER <br /> CLOTHES WASHER 1YOOD STOVE <br /> URINAL � METAL FIREPLACE�VOOD BURNING) <br /> DRINKING FOUNTAW j FIREPLACE INSERT(WOOD BURNING) <br /> �— FLOOR DRAIN GAS FIREPLACE <br /> � OACKFLOW PREVENTERS ! GAS RANGE <br /> SINK(SERVILE—BAR.ETC.) i GAS PIPING <br /> � E%HAUSTFAN //!/ i <br /> i i <br /> i i <br /> i <br /> SUDTOTAL S SUDTOTAL 5 : <br /> PER1.71T S i PEPMIT 5 i <br /> TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: �/l'I ��J <br /> iPONT_`E1JY�CN / PEe115Gi0�C% Si0E5Ei8ALN ' PlANC11ELNINUBFP- �`1 fEE �y,�� PECEiPINO <br /> /J / /� rM LYS�I <br /> L L V(AJ3 � <br /> usEZone toTy9ee v SrtE FEES VAWATION FEE <br /> � C� (�i( �i S res o ea eu0.owo � �- . C11. �t 1 <br /> '��._� � <br /> I�EiGNT iuiJ�TqN IqOf NELLI SiZE�f pGTi <br /> �y�� ( UMIS f � 5 RVu0W6 <br /> C. <br /> OLCu�u1CY MOi5tpY5 OCCUPANiLOM M MENi YECIUNiC�IL <br /> CR2OU <br /> �/ �'I Z OYES NO <br /> f111E PNNMtEPRE09 NEASQN AWIiqN4Pl/ACIIECM <br /> OiHEF <br /> iIPE�IARMRE00 PEASON <br /> 5*�iE BUlOWO SURCwnLE <br /> TYPLOFCIX:51. R/JIS�FP110VCOBY CITVOFEVEHETT PoBLCWIXVNi <br /> � �� �/IJ UU LOCAL SALES <br /> ��re TA%C9DE IS 7105 70TA1 <br />