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APPLICATI� FOR CONSTRUC7�N PERMIT� <br /> CIN OF EVERETT•BUILDING DI`11SION <br /> 3200 CEDAR STREET•EVERETT,WA 9820+ •257-8070 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRE'.S � �� .�,/a yp <br /> LGa L/iS' <br /> annca /� Muuoratss ,./ c�*� zir ab'ic <br /> ,C�, �Z,�, GO/ Ju•�....J�.> �vuz�' 9P�09 �s'as�.JGD.�f <br /> iEN�Ni �M1�CqiESS CIiY 2N FY/E <br /> ♦RCtlil[LiOPCCSGNEP Y�M1AJG165 CIiY ZW FIb1B <br /> GCNCR4Cp�I1PALLOP Y�ILADDP65 CIIY ZiV %q11C SiI.lEIILG:SE• <br /> �l � �� ,vd� _ y�io�Da,w��''y �,w.A2` �03 y�:z,r_�roiv DdPfe��vwei�K4 <br /> 1AEPUM 1lCONiREGIpq M�iUC 65 y C�IY IW PIqNC 5��¢lKENS[• <br /> 1'1UM9111GCONiR�CiOR IA�IL��JRf$$ LIiY ZIP I�IIONC $l�1ClICL115C• <br /> coura�crvaacorwor+R HEATINGSYSTEM: 6ZGAS ❑ELECTRIC Il <br /> s'101L� <br /> ocscn:ec�rrn� ��sau.acroo cein�, vEo coNr civcumr orvroHFxo _ � <br /> [ 1/ /^ � — <br /> � <br /> I HERLOV CERTIFY THAT I HAVE READ AND E%AMMED THIS <br /> APPLILATION AND NNOW TNE SAME TO OE TRUE AND CORRECT.ALL <br /> reoros[o us¢a�eurtwr1a pqOVI510N5 0P LAWS AND ORDINANCES GOVEPNING TNIS TVPE OP <br /> WOIiN WILI BE WMPLIED WITH WHETHER SPEGFlED HEFEiN OR <br /> IEGRCESCPipiIONC£PPOPEPIYISMOWNOElOWq1AR�MIWOCAFIE51 NOT. 7HE GRAN7ING OF A PEHMI7 DOES NOT PRESUME TO GIVE <br /> `cr BL«K � AUTHORITY TO VIOLATE OR CANCEL iHE PROVISION OF ANV <br /> OTHER STATE OR LOCAL L4W REGULATING CONSTRUCTION OR TNE <br /> PERFORA7AIJCE OF CONSTRUCTION.THAT I AM AUTHOHIZED DY THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WMICM <br /> APPLICATION IS h1ADE AND I COAIPLY WITH THE STATE <br /> ruacc�uxioxvuecn CONTRACTOR 1827 AND29G200WAC. <br /> CC'•+���UCI�ONLOANLENOER.AUDRESSTELEP1qNEMIN9EP �( •/• �' <br /> SqN� PC Al[ <br /> co?AOD'� <br /> cirr ous��xcss iK[r+sE uo <br /> PLUMBING MECMANILAL <br /> NO. n'PE OF FI%TURE Ofl ITFM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATEF CLOS£T(TOILETI A'C—AHNDLG UNITS <br /> BATMTUB FOFlCED AIR SVSTEh15 <br /> LAVATOFY�WASH BASIN) HEFT PUM11P __ <br /> SHOWER UNIT MEATERS <br /> KITCMEN 5 n�:8 DISP CLOTHES ORYERS <br /> DISHWASHEf! RA�:GE HOOU <br /> LAUNDRVTRAY ( Wq7ERHEATER _ <br /> CLOTMESIYASMER Wl'OD STOVE <br /> URINAI h1[TAL FIREPLACE�WOOD BURNING) <br /> DPINKING FOUNTAIN FIIIEPLACE INSERT PVOOD BUFNING� <br /> FLOOR ORAIN GFS FIREPLALE <br /> DACKFLOW PREVENTERS ! GnS RANGE <br /> SINK�S�RVICE—9AR.ETC J GAS PIPING <br /> EXHAUSTFAN _ <br /> SU�TOTAL S SUB TOTAL S I_ <br /> PERM1t1T 5 PERh11T S <br /> TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: IYI O 2 _ <br /> �PON�SEIDKK <br /> PE�PSLIOALR Si0E5EID�CK PlANC11ElvMjYOER {:E PCCUPiNO <br /> usczou� ior�nce v�cu�tsrte FEES VALUATION FEE � <br /> nr[s n�w ounoim <br /> uF�GMil1A�IlI.1qN IN+OiDN[Lll'N S�tEO[BIWTI <br /> ftUMOiW <br /> (A.Cu�4qY NJp404Y5 CCNPI.MLOIU B�RMCNI MCMANiC0. <br /> IiPGV� <br /> ❑YES [1 HO <br /> nb(:PPINatCRNE00 PEASON �W�1pWFlANLNECx <br /> OT�ER <br /> IiHE0.�11NPEOC PU50.N <br /> Si��E BWIDMG SUPCMi1GE <br /> ivncorcons* w.s�wnmcoer GTYOFEVERETT �eicwonxs <br /> LOCALSALES <br /> �,,,� TA%CODE IS 7105 TOTAL <br />