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APPLICATI� FOR CONSTRUC'1�N PERMIT� <br /> CITV OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259-8810 <br /> ❑ DEMOLITON ❑ COMBINATION O BUILOIN(i E'IMECMANICAL ❑ PLUMBINO ❑ SIGN <br /> PROJECTA�DRESS:_ 3`�d2 ����1e.� �4Q �v�a�G� Wfd <br /> nA/lc�A �J�✓�S�E3�'I�z F.r.c'c. nrv :m E n�or�a <br /> �� . � �1.�e �•�-c �- wra 339-9zas <br /> rz��H� u.�nwmcss arc tip r�qr�E <br /> •ncMrccronocven[n uuieooncss an tm rrqxe <br /> G[NEIINCONtPeClOf1 4ulA0W�E55 CIIY IIP mpME 541E1ICM5F� <br /> 4EOf�MICAICPVfP�LiOP MAll�D011F55 ptt jIP FIqNF S1��ElILENSF� <br /> �!u;r%�L' <br /> PIUWNGCWiP1C10R N41A00�E55 �IfY IiP M�JNE 5111ElILENSf� <br /> canwc�rrdcc a�wonK ti <br /> = 3�OOCS✓ HEATING SYSTEM: GAS ❑F'.ECTRIC O <br /> SL�MlEMORIfIJ�'QSOU�REiOOibEW `�FO 1 _ Cd11�LirtH5p1AH01'I�p4tq <br /> �uu F J f.1�4 � �.i.c+�'c� <br /> w qs <br /> I IiEPEBY CERTIFV THAT I HAVE RERO AND E%AMINEO THIS <br /> rnaas[ousc�eUidw APPUCATION AND KNOW THE SAME TO BE TRUE�ND CORPECT�LL <br /> PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TVPE OF <br /> WORK WILL BE COMPLIED WITH WHETMER SPECIFIED HEREIN OR <br /> t[c•�ocscaanonarnor[nirlvawxxtavw�rtr.cHrvqconcsi Np7. 7HE GRANT7N0 OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ior eiati a' AUTHORITY TO VIOLATE OH CANCEL TME PROVIStON OF ANV <br /> OTHER STATE OH LOCM.L�W REGUUTINO CANSTPUCTION OR THE <br /> PERFORMANLE OF CANSTRUCTION.TMAT I AM�UTIIOR2ED Bv IHE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHILH <br /> APPIICATION IS MAUE �ND I COMPLV WITH TME STATE <br /> PMLELTNIO.MNBEN CONT CT S AW1827RCWAND296200WAC. <br /> fANSIiNGilp110/�IENCfP.Mp1E55.iE1ER10MEMNBEII �YY� J _�� - / / <br /> x�� <br /> s�vuuunc O��E <br /> Li�Y BULNESS lCENSE Iq <br /> PLUYBIN6 MECHIINICIIL <br /> NO. TVPE OF Fl1f7URE OR ITEM FEE NO. TYPEOF EQUIPMEIR FEE <br /> WATER CLOSET(TOILEn NC—MHNDLQ UNITS <br /> BATHTUB ; FORCEOAIRSYSTEMS <br /> UVATORY(WASH BASIN) HE�T PUMP <br /> SHOWER UNIT HE�TERS <br /> KITLHEN SINK 6 DISP CLOTMES ORYEHS <br /> DISHWASNER RANGE HOOD <br /> UUNDRY 7RAY WATER MEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL MEfAL FIREPUCE(WOOD BURNING) <br /> DRINKIN6 FOUNTAIN FIREPUCE INSERT�WOOD BUflNING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> B�CKROW PREVENTEHS GAS RANGE <br /> SINN(SERVICE—BAR.ETC.� GAS PIPING <br /> IXNAUST FAN <br /> SUBTOTAL S SUBlOTAL f <br /> PERMIT S PERMIT f <br /> TOTA�FEE S TOTALFEE f <br /> FOR OFF�CE USE ONLY: <br /> flqNiSEtqACX REMISEtB�LR SIpFSFIB4N MANCI�[[RNUYBCII/� fEF B(f.(IPflq <br /> -S .Y <br /> useior�E totenFe v�uxr9�E F ES V�LUIITION FEE <br /> ❑YFS ❑MO OII�IDmM1 <br /> ��E�Gr�luw���qH rqOrpwEI�NG S�IE016iDOrti <br /> UNIIC <br /> IY11411WIi <br /> T <br /> OCW�ANLY IpdS�MlS OLCWANiIO�D BASE4EN1 MfMunC�l <br /> G1qUV <br /> OrES O� <br /> n�saamncnncon nE��arv �oa�aM•in.�crtc. <br /> ou�[n <br /> MFN.NMqEOD RE�tq1 <br /> S�ME Bu¢pM.Suu[N�Mf <br /> tmea'r.ovsr ttnr�s�nmovtoer CRVOFEVEREI'f rusir.won.c <br /> LOCALSALES — <br /> o��E TAI(CODE IS 3105 7oil1L <br />