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, `-' A�PLICATIO� ROR CONSTRUC'T�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•E.ERETT,WA 98201 •259•BB10 <br /> C7 DEMOLITION fl COMBINATION fl BUILDING MECNANICAL rl PLUMBING fl SION <br /> PROJ[CTADORESS f _�� ���_ � � <br /> f1W <br /> OWNEN WJI�WI�E54 qiY lw MqNE <br /> � � �� •-.�' `4�a.wc Q s� `Bw. �i`(o 'G.�rrr wa 4ezo� 3ss-d7''s <br /> IEWNI �MM1��OI�ESS Q1T IIP PIIONE � <br /> �!f ci- Set.O <br /> �rr.c�—rn� ���u cin rw i+�ox[ <br /> c[HErvacwtiuctan uu��on�ss an xm n�orE St�1El�CEME� <br /> M[pW�CKCONIR/.Llqi 4NLMOIIE55 GfY !W Rq,E SIAtEIKFNSE� <br /> �l,� � .n �eA �„_J P a� �cdz wcop,.u��k wa 9�o�z 4ss�su�aa4�WW,rsb <br /> RVulM.Lp11MCiq1 1WlMdIE55 Cltt IW 1'1qME 51�.EUCENSF� <br /> CON1MC1v�CO`�•` ae HEATINGSVSTEM: f.IGAS fIELECTRIC Il <br /> o¢scnec wwu�no sown[rooua[�vav[o ccwv�ci v[asoxun rwra no. <br /> '�.;e�� a \ZD `PlS�Ctru�. L' � 3 � <br /> m I S.` 5 - <br /> ' 1 HEREBY CEHTIFY THAT I HAVE READ AND EXMIINED TH�S <br /> APPLICATION AND NNOW THE SAME TO UE TRUE AND CORRECT.ALL <br /> ,varoscouse or wnuw pqpVI510NS OF UWS AND OPDINMICES GOVERNINO TMIS TYPE OF <br /> � WOFK WILL BE COMPLIEO N77H WHETHER SPECIFIED HEREIN OR <br /> itoµptsum pxorn�op[pn�s�qrmeaor on�n�cxtwomr¢51 NOT.THE GHANTIN(i OF A PEHAIIT DOES NOT PRESUME TO 61VE <br /> iat. eL� � AUTHORI7Y 70 VIOLATE OR CANCEL THE PROVISION OF ANY <br /> O7HER STATE OR LOCAL UW REGULATINO CONSTRUCTION OR 7HE <br /> � PEflFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERiY TO PERFORM 7HE WORK FOR NTiICH <br /> D� � � ��p� APPLIC�TION IS ADE AtJD I COMPLY WITH THE STATE <br /> PNKFLI,V i.D.M1WEP CONTiUCTORS 1 W 96.200 WAC. <br /> � <br /> COHS1M1Ctqxl0.WlEM0ER�00RE8AlElE1�WMEMwEH x� ���'�� <br /> �"��` �41�3 �.,E <br /> pfYBJLM55lCEM5EMD. <br /> PLUMBING MECMIINICAL <br /> NO. TYPE OF FlXTUNE Ofl REM FEE NO. T'PE OF EOUIPMENT FEE <br /> WATER GLOSET(TOILET) P/C—MiNDLG UNRS—H.P. <br /> BATNTUB FORCEDAIRSYSTEMS—B.T.U. M E.A. <br /> LAVATORY(WASH B�SIN) HEAT PUMP <br /> SHOWER UNITHEATERS—B.T.U. M <br /> KITCHEN SINK 8 DISP CLOTHES ORYERS <br /> DISHWASMC-R VENTILATION FAN <br /> LAUN9RY TRqV MNGE HOOD <br /> CLOTHES WASHER WATER HEATER <br /> Ufi1NAL WOOD STOVE <br /> ORINKING FOUNTAIN METALFIREPLACE(W000 BURNIAG) i <br /> FLOOR DFAiN FIREPUCE INSERT(W WD BURNING) <br /> �ACKFLOW PREVENTERS GRS FIREPLACE <br /> SINK(SERVICE—BM,ETC.) GAS RANGE <br /> — GAS PIPING <br /> E%HAUSTfAN <br /> SU�TOTAL S SUD TOTAL S <br /> PERMIT 5 PERMIT f <br /> 70TAL FEE S TOTAL FEE f <br /> FOR OFFICE USE ONLY: <br /> rrrorvtuio�cx �CMSEIMCK vocscrv.cK nu+aKca«�ocn��/ rc[� ri[c[mtrw. <br /> �lr�r7 <br /> usEionc toruiEe W.CNIt91F FEES VALUpTION FEE <br /> r�res ��,a nwwro � <br /> uEiciRUwteti0n x00/�vICLLIN6 SREOioiOVfl <br /> Wi��S MUYYiNO <br /> G110uP�Y NOIXSIOntS IXCUYu1flOM BKEUENt YEG1u�CAl <br /> i <br /> flr[5 f11q <br /> RIIEAW�MIIWD 11EASON �CqflplAlRW1C��ECN i <br /> � <br /> onrtn Q ;OJ <br /> r�nCNmualNnEoo nP50q <br /> SIAIE BUROW6 51111G�.�1�GF <br /> �rrca'<a+sr rw+s�rrnov¢oar CITYOFEVEREIT rux�cwom�s <br /> �L LOCAL SALES <br /> o��E (; �� TAX CODE IS 8105 TOTAL <br />