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AP�LICATIO� FOR CONSTRUCT�N PERM6T� I <br /> CITY OF EVERETT•BUILOING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 88201•259-8810 <br /> rl DEMOLITION fl COMBINATION fl lUILDINO ❑ MECHANICAI f� pLUMBIlW fl 6WN <br /> PRQJE'CT ADDRESS � 3 = 7/ GO <br /> La �_ S� � � <br /> p k .o�X �•, ly`� aa3 4�� .3�s-,�7a.s <br /> If , � �Y41b011Ep fJrv jry qq� <br /> 'iwar 9is'/ .ir sr. �"vene�'v` �ao.3 ��s asa ,as'-� <br /> C} OFSqMP 4Yl�pp1[55 �/!Y lin qp� <br /> GEMEMtCOHl11AClpl Y/Jl 53 Cliv ti1` %Ip1F Si�1ElICENSE� <br /> ✓ �� <br /> YFCNYKK�fCNiRI�Mq �1�D01E5S f.IM1 }iP ppN[ ST�tE LKENSE� <br /> ✓ <br /> Pl11MFGCONt1Uf,tOn 4MAOOPE55 PfY IiY P1qMF SIAIFI�CEMSE• <br /> Cd1iW t�PWCF p Y.V(1K <br /> q[ HEATING SYSTEM: OAS fl ELECTRIC I-I <br /> OESCME��%Yt1S�\ �OOibEM VED � LQRKIRRSCN�WOVNplE1q <br /> �D <br /> �s� ,�D 7$d,f�•f' <br /> I HEREBY CERTIFY THA1' I MAVE READ AND E%AMINED THIS <br /> riarosEo usE o�eunora AP�^LICATION M1D MNOW THE SMIE 70 BE 7RUE ANO COqRECT KL <br /> PPOVIr'.IONS OF UWS MtD ORDINAqCES GOVERNttIb TMS TVPE OF <br /> WOP![WILL BE COMPLIED WITH NMETHER SPEqFIED HEREIN QR <br /> IEWLCi5C1YPTqNpfApPFRlY13�qYR�GEIOWPi�i iwocwts� Np7.7HE OR�NiINO OF�PERMIT DOES NOT PHESUME TO OIVE <br /> ioi µpuc or � � AUTHORfTY TO VIOLATE OR C�NCEL TME PIpV1610N OF ANY <br /> OiHER STATc OR lOG1L UW REODUTIKK7 CON9TRUCTIpN pR THE <br /> 5� PERFOR/MNCE OF CONSTRUCTON.THAT I MI�UTHpRRED BY 1ME <br /> OYINER OF iHIS PqOPERTY TO PERFOIIM TIE N/ORK Fpq WHIGN <br /> �PPLIC�TION IS M�DE �NU I COMPLY WITH THE STATE <br /> Pw�cEl ira I D Mwn[q CbN RS UW 18 27 RCW D 288.200 WAC <br /> �ta�r� /z.s �/���p7 <br /> COx5111ULPON10w41E� n..mnEss.rEicn�oriMwaEn x <br /> `� MlE <br /> V <br /> NSNE59lCEN, xp <br /> PLU!ABING MECMIINIC6L <br /> NO. TYPE OF Fl%NNE OH ITEM FEE Np, TyKpj��q�/yp�� �E <br /> WATER CLOSET(TOILET� �_�p�g_Mp <br /> �ATHTUB FORCEDAIRSVSTEAIS—B.T.U. M E.A. <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNITMEATERS—B.T.U. M <br /> KITCHEN SINK 6 OISP ��OTHES ORYERS <br /> DISIIWASHER VEMIUTION FAN <br /> LAUNORV TRAY MN6E/IOOD <br /> CLOTHES WASHEH WATEP NEATER <br /> URINaL WGOD STOVE <br /> ORINKING FOUNTAIN MFTAL FIREPIACE(WOOD BURNING) <br /> FLOOR ORAIN FIREPLACE INSERT(WOOD PURNIN�� <br /> BACNFLOW PREVENTERS p�5 FIREPIACE <br /> SINN(SE7VICE—BAR,ETC.) (iAS RAN6E <br /> QAS PIPINd <br /> E%HAUSTFAN � <br /> SUBTOTAL f SUBTJTAI S <br /> PERMIT L PERMIT f <br /> TOTALFEE 5 TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> f1H1NlSF1114'✓. 11[�fltf.IP/.C✓. SIpCSFiJ.�('J, ry�NC11[f.MMIWl11 ((f 3 Mf.FIPINO <br /> � � �' s � aCL� /3i 79� <br /> u5rloue�., Ioi�aF67S7 v.ceHrvrt FEES V�LURTON FEE <br /> �� �I �5 i�ra� <br /> nunmm� 109.b57 /J� <br /> uncmuu�uuor� � rroauwrwra s�rfawcrni —% <br /> ��"��� rtuwu�o _ � <br /> Z 7� So7 S.F. � <br /> occwur.r�cr xonsvnis occur.r�iow e� ucHr ` wro�u«cu <br /> R•3 �— ��r[s ynw t7C� <br /> vmcu�nuncon nresm �IM��M�N�IAAYCqICM <br /> onrtn <br /> nnrsrnin�irnmon nc�sw <br /> ���rz nim mm suzrum[ ;� <br /> nrcorco�i.v-i r�n�vserrnwmor CITYOFEVERETT nmir.x[�nes <br /> `/ LOCALSALES vp ��J <br /> y�,— u��e I q 97 TAl(CODE IS JI05 iOTAL �f� ;LZ� <br />