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APPLICATI� FOR CONSTRI�C�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEOAR STREET•EVEREl7,WA 90201 •(425)257-P810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL �7 PLUMBIN6 ❑ SION <br /> PROJECT ADORESS:��� �'�'��'��' ���� -- <br /> O'MYFf1 Vul�C0�f55 ❑II jil' MOM1[ � <br /> ��,o,.o c�i n ^-L��Nc S7i) ss=S�: s����s- ��s' 35�-�5�0 <br /> �tH�N* u.x•nwrzs un ric rnorf <br /> •rcHrrcra��s�cwcn uu�wrnrso un nr r.�mF — <br /> (i(M[11�1 COYIIII.C.IM 4�i1��lln[SS CII\ )if IVM)Yf [I�I(IICENS{� <br /> YfC11�NIC4LON1��f,�W YUI�fN)�ES$ CIM1 I�f' i'�bR( if�IfIKIX[C/ <br /> C/i�/rn- •rr+<T$/�'t7/�iET7>L /�'/C �J!',�l'F U/0.31��• ��'.7//�/ �L�7'l�J SC>.Z�G�T <br /> �IVMBMGCOM�P�f,lpi N�M1�f1U�E55 CIfY I�C �H04( Sl�tf14(654• <br /> ca+rn.c��w wrnK HEATING SYSTEM: �GAS ❑ELECTRIC ❑ <br /> /�, S�z�rf1 _ <br /> CFSCILBF V/JAK�YD SW�A[�OOtu'if NVpY[O [MI�Cf oI115G4�M)M1NWf MO^ ���y <br /> —4_'�1�.+ .�� / /G r�� .✓��� _ ���r� �.pl�/(:"/� <br /> �� ��� <br /> I NEREOY 15R1iFY 11/AT I MAVE AEAD AND E%AMINED iHIS <br /> APPUCRTION Ai IU NNOW THE SRME TO BE TRUE�NO CORRELT ALL <br /> i•udrosro vsc nr nund�: PROVISIONS OF,qW5 AND ORDINANCES GOVERNING TNIS TYPE OF <br /> �I��'�y'� � WORK W1�� �E COMPLIED WITH WHETHER SPECIFIED HEPEIN OR <br /> IEWl�E5CmP1i0qO�Pnd'FfRY15iGNN![lOwOu�tt�C��M000AE51 NOT. THE GC,�NTMG OF A PERMIi DOES NOT PRESUME TO GIVE <br /> �m Bioca W AUIHORITY TO VIOUTE OR CANCEL TME PROVISIpN OF ANY <br /> OTI/ER STATE OR IOCpL LAW REGULATING COH! lUCT10N OR TME <br /> PERFORMANCE OF CONSTPULTION TMRT I AM RUTHONIZED BY iHE <br /> OWNER OF TNIS PROPERTY TO PERFORM TNE WORK FOR WNICM <br /> APPLICATION IS MADE AND I COMPLY WITM THE SiATE <br /> r�uca w i o mivai n <br /> CONTRAC Sl 1B27RCWPNOI96200WAC <br /> CWS�PIILIitIN10�NIfNC4R./L(M�6511�[AWMEMIVPFf1 z <br /> ,.,:�,f� � y G ���� <br /> fY.NMUPC MII <br /> OIYP114MG51K'.lN4 M1O <br /> PLUMBING MECHIINIC�L <br /> NO. TYPEOFflKTUREORITEM fEE NO. TYPEOFEOUIPMENT FEE <br /> WATER LLOSET(TOILET) NC—NNNDLG UNRS <br /> BPiHTl1B FORCED AIR SYSTEMS <br /> UVPTORY(WASN DASIN) HEAT PUMP <br /> SNOWER U�.IT I/EATERS <br /> NIiCMEN SINK 8 JISP CI.OTMES ORVERS <br /> OISNWASNER RAtJO'_HOOD <br /> �AVNDRV TRAV IYATER HEATER <br /> LLOTHES WASHEP �YOOD STOVE <br /> UF�NAL METAL fIFEPtACE(WOOD BURNINGI <br /> DAMKING FOUN fAW FIREPLACE INSERT M1YOOD BURNING) <br /> FLOOR DRA�N GAS FI9EPLACE <br /> B�CNFLOW vREVENTERS GASRANGE <br /> $IYK�SER��CE—OARETC) / GASPIPING _ <br /> E%HAUSTFAN y <br /> SUB 10TAL S SUB TOTAL f <br /> PERMIT f PERMIT f I <br /> TOTALFEE S TOTRLFEE S <br /> FOq OFFICE USE ONLY: <br /> rnnwrv*n�re nnnsnn¢� s�ocsne�ca neuanc�1;Arn � r�� �rtnr�.�o <br /> dOdS <br /> uscrovr �m��u �•c.v��r[ _FEES VALU�TION FE� <br /> O�[5 ❑bU p��iMeo <br /> �[IG��II�V1111qY NOClI�W[ll1NG SIjEMHOG�I <br /> II411f %114R:Yf , <br /> ..__ __ ..____ _ _ _' �{� <br /> OClIT�4:� Y �V.i�VI] (Yf111'1NIIU�D B�if4IN1 4{I:N14if4 <br /> GIIW1' _ � -.• <br /> ❑�[5 ❑N� <br /> {iPf`�f'H:'��ILNN['JO I�i�Vry1 ICD��InN�Ih�MCIRCM _ <br /> (II�If1� <br /> fIPE�UP4P100 Af��f1V <br /> i1111 fl�1�lU�'��:S�IM1��11Ct <br /> �rrrni�a�a r�nvs��rapv�^'• CITYOFEVERETT mn:�cwnn.c -- "' _' <br /> LOCALSALES -� — ---'---- -- - <br /> u.�t TAECOOEI5J105 TOi�L__ _ <br />