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APPLICATI� FOR CONSTRUC7�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257-0810 <br /> ",. DEMOLITION ❑ COMBINATION fl BUILDING ❑ MECHANICAI 17 PLUMBING i-i SIGN <br /> PROJECTADDRESS /J <br /> � a (� /,L1LlitliL e. <br /> oKr+rn � u+neooucs cnr zm r+ e <br /> S-P� «�c 9�ao=> as-3;�7 -7sS� <br /> *v�+�vr ueiuoon�ss n*v nn rrror¢ <br /> u:aa�m�ono�s�cnn uuuoonsss att zm �+�wrt <br /> f.lNfll CIX�1RACld1 WII�DDRE$$ UiY IIP IMOME SI��[IICEN$[• <br /> l�wn�t� <br /> Ml.cu+•:,c4lCaltN.Cton AI�iL�Oq1E55 citr Sin P�ro�t SrAi[1205[• <br /> LlVlJlIIIIuC01i1NACi011 M�IL��NC$$ CIIY 1W IYIONE S1�iClKl115f• <br /> �crur�.aPaccovwoaK HEATINGSYSTEM: flGAS fIELECTRIC ❑ � <br /> ocscmec nonK�rro sau�ac roor�et rtrvav[o ca+i�c�rrnsor�u.o rrwrrt ra <br /> /YIOGU�C.. <br /> I HERE�V CERTIFV THAT I MNVE READ AND E%AMINED THIS <br /> APPLICATION AND KNOW TME SAME TO�E TPUE AND CORRECT.ALL <br /> rnoros[o CusE o.ewmun pppVI510NS OP LAY1S AND ORDINANCEi GOVERNING THIS TVPE OF <br /> J�� YlORN Y�ILL�E COMPLIED WITH WHE7HER SPECIPIE� NEREIN OR <br /> tEc��oacnmibrva�vaoPCF�ris�owuouowon�rt¢eiwoto��es� NOT. THE GRANTING OF A PERIAIT DOES NOT PRESUhI[ TO GWE <br /> ior ��K � AUTHORITV TO VIOLATE OP CANCEI THE PROVISION OF ANY <br /> OiHER$TATE OR LOCAL LAW REGULAT�RG CO45TRUCTION OR THE <br /> PERFORM1tANCE OF CONSTRUCTION.iHAT 1 AM AUTHORIZED OY TNE <br /> OWNER OF THIS PROPERTV TO PERFORM THE VJORK FOR 1YHICH <br /> APPLICATION IS h1ADE AND I CCMPLY WITH THE STATE <br /> w,cu w i o nuue <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> Q�'�D O ' 000 <br /> CONSm IqnLOtNlEHO[R�DMESS.1FlENpNEMIAIB[N <br /> SIGNMUII[ ��lE <br /> CIiY�OSiN11551�CU1S[p0 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE Oq IiEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � WATERCLOSET�TOILET� A'C—AHN�LGUNITS <br /> � �ATYTUB FORCED AIF SYSTEMS <br /> � LAVATORY pYASN�ASIN) i NEAT PUhIP <br /> SHOWER � UNITMEATERS <br /> KITCMEN SINK d DISP � C�OTMES DFiYEPS <br /> DISML'lASNER FANGE Ii00� <br /> � LAUNDRYTRAY 1VATERHEATEH _ : <br /> _� ClO1HE5 WASMER 1Y00�STO\'E � <br /> URINAL IAETAL FlREPLACE�WOOD BURNING) <br /> DRINKING POl1NTA1N FIREPLACE INSERT(WOOD BUPNING) <br /> FLOOR DRAIN GAS FlREPLAGE <br /> BACNFLOW PFEVENTERS GAS RANGE <br /> SINK�SERVICE—�AP.ETL J GAS PIPING <br /> E%HAUSTFAN <br /> SUOTOTAL S SUBTOTAL 5 <br /> PERtdIT 5 PERMIT 5 <br /> TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: 3 -0�' <br /> iPORt5C10ACn PPq5Ct0�CR SIOESEIO�C[ PU LnCCxlrt�uBF11 _/ iCE RCCCiGiNO <br /> S �S .� ��Tl�. <br /> u<E:onc^C ImME� � v�Cunsu[ FEES VALURTION FEE <br /> ��J -'�cs �o euaou�o •�G/z - <br /> ,�ua�u.��r an e�oaowau•�e s�¢eaoiu;r� <br /> '�, ��"s � 35 s,f norr, a�"a�"� I <br /> (uOVV�HCv MJ0�4G�i5 OCCVI4NRO�D 0�5[RUi�i MECIUNiCK � <br /> `k'�,3 � Kcs n�+o <br /> liPtSPurt�nLENPC00 AUSON AW�ilON0.PLNICNECX <br /> I <br /> OL�rtP j <br /> lIRLAUIIYPfOO PC��CN � <br /> Sle1[PUnD�NG SUNCNMGE <br /> nrtormrcsr ri�x5urnovn+ev CITYOFEVERETT roo�cncens <br /> �� LOCALSALES � <br /> i.�;�313�/OO TA%COOEIS3105 70TAL <br />