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APPLICATIOR FOR CONSTRUCT� PERMIT <br /> CITY OF EVERETT•BU�LDING DNISION � <br /> 3200 CEDAR STAEET•EVERETT,WA 98201 •(425)257-8810 <br /> ❑ DEMOI.ITION ❑ COMBINATION ❑ BUILDING �MECHANICAL ❑ PLUMBIN6 ❑ SI6N <br /> PROJECTADDRESS: 4'��I GLE.IJt�7�UD ��lt/G <br /> ti Co�13r:�y lo(oolGCLN�J�uDRJE ���T �zos Csr���3ss-3�9S <br /> rnwrn u�ii�noa[ss an nr rrq.�c <br /> 1[ry�ryl 1/41�IID��I55 GiY IIP R�OV! <br /> ♦II�Iryi��f011M$IGNCA M/.II�D�RE55 CIfY I11� MKINI <br /> GfNL110.COHt11Kid1 NLII WfIDE55 UIY ]�P P�1fYa[ SI��L UCENSf• <br /> C�,M�'LE>FG'�lSSE�✓rcE /53lcJE'fM�,CL�AVc.' E�£E� 9hZoi Cu25J259—S��7 <br /> Pf[rre•nGIf.DNIn�.;ton Vu��pOngS C�tt ]m 'r�qAf 9ufUt[NSE� <br /> MuuOdGCOMP�CIOP J��/�it��f�,1ME55 Cirv liv i'�F 5��1F16FNSF� <br /> iy2/O.CO -�- 'r <br /> ca:�n.ct nrxcc ar vron. ���� .E*l <br /> t'--t-5�5 "rt��N.�20�X /-'�6F5 c+Nr" HEATING SYSTEM: �'GAS ❑ELECTRIC ❑ <br /> �SCniBfwJnR�yt�SW���� DO��UFwVOlVf61 cON1I.c�rc��Sp��Mlr�qvFrq <br /> �_ <br /> I HEHEOV ;:ERTIFY THAT I MAVE REAO AND EX�MINED THIS <br /> APPUCATION AND NNOW THE SAME TO BE TRUE�ND COPRECT ALL <br /> nnonosvo us�ov emipun PROVISIONS OF UWS AND Ot101NANCES GOVERNING THIS TYPE OF <br /> WORK Will OE COMPLIED WITH WHETMER SPECIFIED MEREIN OR <br /> IFG�L06f.BIP�IpVOffTO�'E111Y�SIqWNP[IOWCA��11.C111NOGlH'IG51 NOL THE GRANTIHG OF q PERMIT DO[5 NOT PRESUME TO GIVE <br /> �o� niac w AUTHORITY 70 VIOlA7E OR CANCEL THE PROVISIGN OF ANY <br /> OTIIER STniE OR IOCAL LAW REGULATINO CONSTRVCTION OR THE <br /> PERFOFMANLE OF CONSTRUCTION.TIIAT I AM RUTNOR�•ED BY THE <br /> OWNER OF THIS PROPERTY 70 PERFORM THE WOHK F�9 WHICM <br /> APPLICATION IS MAOE AND 1 COMPLV WITH THE STATE <br /> rancn un o mn�xn CCNTRACTORS LAW 1B 2]RCW r1ND 29fi200 WAC. <br /> covs�micnorv io�H ir�n.u�mcss.rturHove wwn[n <br /> � 2-23-9�" <br /> 51GNtl IC OMC <br /> 6�V 6VLNl55lILINSC NO <br /> PLUMBING MECHIINICAL <br /> NO. TYPE OF FlLTURE OR ITEM FEE NO. TYPE OF ECUIPMENT FEE <br /> WATER CLOSET�TOILET) PIC—NHNDLG UNRS <br /> BATHI UB FORCED AIR SVSTEMS <br /> LAVATORY(WASN BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 OISP CLOTHES DRYERS <br /> DISMWASHER RANGE H00� <br /> LAUNORY TRAY 'NATER IIEATER <br /> CLOTMES W/SHER WOOD STOVE <br /> URINAL METAL FIpEPLACE�VOOD BURNINW <br /> DRINKING FOUNTAIN FIREPLACE INSERT(WOOD BURNING) <br /> FIOOR DRAIN GAS FIREPLACE <br /> OACNFLO�YPREVENTER$ GASRANGE � <br /> SINN�SERVICG—OAR,ETC.) GASPIPIN(i 9C b� <br /> — E%NAUSTFAN <br /> l � <br /> $U�TOTAL S SUB TOTAL S <br /> PERMIT S PERMIT S Y J � — <br /> tOTALFEE S TOTALFEE S _ <br /> FOR OFFICE USE ONLY: <br /> �BON1YID�fe (1fMi5f1B4[ SiIXS[IBLtx I�l�ub�[LxNU4MP� � �FF �Ffim�NO <br /> 9 <br /> us[1orvF w����E� veuvt in[ FEES V�LU�TION FEE <br /> _--�_— <br /> ❑vt$ ❑NO BIXIM1N(i <br /> ��timauvneno+ �+aanwetuwe s¢[weioeni — - � <br /> uvn< r�uunrvn � <br /> ___'_—_{—_'_ <br /> 0(:l:ll��\C� N1Mcl��u�!( LCCU1`IN1101p BI.V4(�I Mff11�MC�l <br /> W�OUI` __ _ <br /> OYES OMo - <br /> nr,�snavn¢nnm�o— nr+sa+ --- eonuouu.ne.�ortc. <br /> oinrn <br /> nm<unn�nm'o uf•�nv " <br /> f1111'fl11ilU�Nfi511�iC1Ul1f! <br /> �rrrorcovv rinvs�nrnovmor CITYOFEVERETT rvm�cwru+.� <br /> LOCALSALES -� -- --- —--"— -- <br /> n•,t TA%CODE IS 3105 TO7AL <br />