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4PPLICATI� FOR CONSTRUC�N PERMIT <br /> CIN OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,Wp ggpp� .(qZ5)257-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBINfi p g�dN <br /> PROJECT ADDRESS:_�,�f�'�(E���c�y.��R <br /> ��A Mu�ypqE55 <br /> G Im M4[ <br /> �iY/ SFit/iz7' �/�'/S�/'CL� i�LQ� u�7/ ,J � <br /> I4fdH55 r� bn <br /> ��.5 �� — <br /> •NfHfrC�0l�ryfy'.r�l�� 4u1�M1u155 <br /> U�Y !m <br /> rv¢r,r ._. <br /> ci.�[n��rarm..no: wui�omEss - cm — <br /> I�f IrlMnf i1�lI1�C(NSI� <br /> MiCN1MlC�t f.f14111�f:IU11 � <br /> Vul�I%M�F55 <br /> H f�IV <br /> ��.�//lA��,ST.liyY2•T7�-'1�1_ L �6��tsy�srsl�� � r��m� s�����Kcw<t. <br /> ���, �,.. ��',�iLy--���Gssra�,a-� <br /> � �s —��„— -- <br /> r�r.r :�.nriKr�.tF. <br /> cwr .cmnrcr ur�� ______ —_— _--- <br /> � MEATING SVSTEM: :�'f.AS ❑fLECiRIC ❑ <br /> O/f5,/P�,p,flNypv NO SW�Pf�004L[MVGrv(O — <br /> �/'«�L?r�i G7/L rf/ . /r7j� ca.n.c��ansor.� __ <br /> ��t_. - .(�'-.c:t.'Z��'�._.�'S-�?/Jr/ <br /> G..s — <br /> � HEREOY CERiIFY 7NRT I NAy� NEAp ANp <br /> v�qsrous�ore� p,� APfIICQi �r�m'NED THIS <br /> ��/�/%'��� �RJyISIONS OF,DAWS AqD OROIA 1pC�C5 6C VERNING TON4 TYPE OF <br /> iccnncscnirnworr��ry�y„p.�.�erwwoa•n�o�iworcn�s� - W�RK Wi�� BE COMP�ILD WItH WnEMER SPECIFIED NE9EiN OF <br /> ��� NOT. TH[ GPAN7ING OF q PERMIT p0[S NOt PqEiVME TO GIVE <br /> ���� a AUTMORITV 70 VIOUTE OR CAY.CFL TME PROVISI N OF <br /> OTIIER STATE OR IOUI,�AW qEGULATIM: v � ANV <br /> -- PERFORMANCE OP CON57RVCTION TMAT�AM JTHORI[D BY THE <br /> OWNER OF T1115 PROPEFiv TO PERFOH6! THE WORk FOR WHICM <br /> APPLICATION IS MAOE RND � �pMP�Y WITH <br /> nccnu.iaMiuntn C09iqRGiO IAWIpp�qCWAND296t00NRC TME ST�TE <br /> CdISIMKiq,1101N1lNOFII..(Kn65 f[I(fYq4F.NyYRF11 ������// � <br /> Il [¢ ���� <br /> / U�11 <br /> Of�BWMSSIIC[HSf NO <br /> PLUMBING <br /> MECN�NICAL ---�� <br /> �• TYPE OF FIKTUqE OR ITEM FEE <br /> WATERClOSET�'OILET) N�� n��EW��T FEE <br /> BATNTUB �-NMN�LG UNIT$ <br /> IAVATORY(WASH B�SIN) FORCED AIR SVSTEMS <br /> SHOWER HE�T PUMP <br /> KITCHEN SINI(8 DISP UNIT HEAIERS — <br /> DISHW�SHER CLOTIIES DRYERS <br /> LMINDPY TRAV R/NGE M000 <br /> LLOTNES WASHER N'AtER HEATER <br /> / Y/OOD STOVE T— <br /> URIN4 META�FIREPL4CE pV00D BURNING� <br /> ORINRING FOUNTAIN FIREP�n.;,E INSEPT pVOOD BURNING� <br /> FLOOR pRAM — <br /> B�CNFLOW PREVENTEP$ �AS�CE <br /> GAS RAN�� --�— <br /> SINR�SERVICE-BAR,ETC� GA$PIPING �--- <br /> E%HqUSTFAN <br /> _'+'�_ <br /> SUB TOTA; y — <br /> SUB TOTAL { �`— <br /> PERAV7 S PERMIT T— <br /> iOTa�FEE { -' f <br /> FOR OFFICE USE ONLY: toia�vee f <br /> rnnurv,m�. nnnsnn,c. <br /> s�o[srin�c. ri�r.i���U�,���,r„ � ��r nrr�m�vo <br /> /� �/Yf <br /> v,[toar U' 4(/l. <br /> �oum� v.ar�snt FEES <br /> � ❑rr: pru _ V�lU11T10N — FEE <br /> ��f�ONIPV01�py MpbUWflliNG PWMN('. <br /> oans s¢ewe�or.v _. <br /> 1`ll)U�!4� � <br /> OClO11M1YY 4�n���.'nl] W'.f1iMN110111 l�SfV!\I - � . , <br /> VIIw�HIy � � � ��- <br /> I�N[SMIi!lnILNP[�]'p n��Vf� n\!i ❑47 _ _ _ ___ <br /> •oai�nv.i n.+nxc. <br /> riateuuwn�o�o ' �..�v -- onKn --_ _ --�.'_ <br /> [I�11 PII�IUMIi[i��1�11l:f � <br /> rvr�n�rovc� ri��s�rrno�rnnr ' --- <br /> CITVOFEVEHFTT runncwn�.c ��� -'- - - <br /> LOCALSALES <br /> -.__ ���t TA%CODE IS J105 TOiAL � � --�- --�� <br />