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APPLICATI� FOR CONSTRUC7�N PERMIT� <br /> CITV OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201•259-8810 <br /> rl DEMOLITION .Cl COMBWATION fl BUILDINO I� MECHANICAL fl pLUMSiNO fl SION <br /> PRQJE�ADDRESB�� • 3 ' 7 Lf/ <br /> Lo q*� �t; <br /> E� � �K .v}�X �,,. � � f�d�ozo3� .�xxs-y�xs <br /> I[� NT <br /> %�es.7w i.✓�r /9isl//�a�r 5!_�rJir�e)`0`p 9�ad.3� y�t% dS3�s".�Y <br /> �c* �ocs�rn u�qaoa�ess cnv •m rr�onF <br /> /1�JML�/1S Ou�r.P <br /> cr�cnuca.�n�c�rn uwi�ppMss cnr nn nror� su:[iKc�. <br /> ✓ ..i <br /> 4FCII�MC4(DNiP�Clp1 �IyMMESS fJrv tiP OIqME SI�tEUCEMSF� <br /> � <br /> �'t114BwGCOX1Pu;�pq V4l�ppnE55 Cln' rP ClqxE 6i�IElICFNSE� <br /> LON�MCiFPICEOFWd�I <br /> �d�97D NEATINfi SYSTEM: � OAS �I ELECTRIC f t <br /> �x�„�s��F00Tbf ,�o r� �.K�n��.��� <br /> o�5d,� <br /> 1 HEREBY CERTIFY TMAT I H�VE RE�D /�ND E%AMINED THIS <br /> rnaros¢o use o�nu�dr10 APPLICA7qN AND NNOW THE S�ME 70 BE TRUE IWD CORRECT ALL <br /> PROVISIONS OF UVYS AND ORDINANCES GOVERNINO THIS TYPE OF <br /> WORK WILL BE COMPLIEO WITH HMETHER SPECIFIED HEREIN Oq <br /> ic�.uoEscmmqr�a vror[nnls�awh'ciuw � htwo 1 NOT. THE ORANTINQ OF A PERMIT DOES NOT PRESUME TO dIVE <br /> iur__uoac W� � �UTHORITV TO VIOIATE OR CANCEL THE PROVISION OF ANY <br /> / OTMER STATE OR LOCAL UW REOULATINO CONSTRUCTION OR iHE <br /> S� PERFORMANCE OF CONSTRUCT70N.TMAT I MI AUTlpqQED BY 7HE <br /> — ONTlER OF THIS PflOPERTY TO PERFORM TIE WORK FOR WHICH <br /> APPIIC�TION IS MADE AND 1 COMPIY MATH TME ST�TE <br /> ranc[i i�.v i o mraecn RS UW 1B 27 FCW AND 29l.tW WAC <br /> -- " i��y���7 <br /> mHstminron�aw�[ n,u<w[s5.t[i[naxEMiuecn % <br /> _ IRE �tr MIE <br /> C/ <br /> M151MESSlICF 1q <br /> PLUM&NO MECNMIIC�� <br /> NO. TYVE OF FlIRURE Op ITEM FEE NO. 7YPE OF[qNpMLM FEE <br /> WATER CLOSET(TOILEi) A/C—AMNO�O 1M113—H.P. <br /> BATHTUB F�RCEDAIRSYSTEMS—B.T.U. M E.A. <br /> LAVATOqY(N/ASH BASIN) HEAT Pl1MP <br /> SHOWER UNITHEATERS—B.T.U. M <br /> KITCHEN SINK 8 DISP CLOTHES DRYERS <br /> DISHWASHER VEMILATION FAN <br /> LAVNDRYTR�Y RANGEHO00 <br /> CLOTHES WASMEP WpTER HE�I ER �- <br /> UPINAL WOOD STOVE <br /> �RINKING FOUNTAIN METAL FlREPLFCE(WCO�BUNNIN(3� <br /> FLOOR DRAIN FIPEPUCE INS[RT(WOOD BURNINO� <br /> BACKFLOW PqEVENTERS GASFIREPLACE <br /> SINK(SERVICF—BAR,ETC.) G�S R WGE <br /> I G�S PIPINO <br /> EXHAUST FAN <br /> �— <br /> SUB TOTAL S SUB�OTAI S <br /> PERMIT S PERMIT f <br /> TOTALFEE S TOTALFEE S <br /> FOH OFFICE USE ONLY: <br /> rnoHrum�rK nr�nxrrn+c� Si1X5FlP�fx n�an�cr.Kr.�wrn rrr 3 rrccsmrra <br /> 2o zc� s'�Zo' 7/ L � i5 / <br /> usrtoer imuiu J vec�ruvv FEES VNLV�TION FEE <br /> �� / _ .S73S �� �r: �.,�, <br /> �,.,�: �oy,ys -9�:.� <br /> Illlli11111NII�110N � NOPUWIIIING $II[O(&UVII � <br /> INIfG -1 ( �111411M�1 -"]� ��f <br /> l I�I !� 'r� � _<-�+�V <br /> OCNP�M:Y 1q^�S��NIS OCCVIMNI 10�L B�5 4EM1 <br /> �'if�-� 2 �� 4«��.�� __ ��OioD <br /> ��.Ez <br /> nnE�lnnwnr.on nr�sav �twnrcwun�Nartr.a ___ ;� <br /> onrtn <br /> nnru,mr«�rnnron nre<� <br /> [lAIC P1111 fH11(1 tll(A;IIAM:G I['� <br /> I\ff IN I:M1\I A.Wf M:IVIVlI111Y . �•.. .. • , <br /> CI7YOFEVERETT i+nn.:x.xi�•: �S�jJD <br /> LOC4L SALES ---- ---------- .—' <br /> _�� — ��•�!lfL'I�Z raxcoce isaios Torn� - _ _ _. _--- _ _ __ //r�:3..il0� <br /> \ <br />