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APPLICATI� FOR CONSTRUC�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 9820/1 •(425)257-8870 <br /> ❑ DEMOLITION ❑ C�O]MBINA'T�IO1-N� ❑ BUILDING L��µMECHANICAL -�n�❑ PIUMBIN6 ❑ 516N <br /> P OJECT DRESS� 1-1 �5 W�' ���� ���e�� IAJ� �� <br /> ��ct1p�� `fGtr�u�s 7�'f5' 1n�• Glc..W�,e.�tF_, W+� Qxzo3��2qaG �i3 <br /> Ovw�Fn vu��Rluf55 Cn t��• rrq4[ <br /> 1CN�4� wui�IIU+[55 Gtv !m vrqbF <br /> /.11L1111fCfQ11MLfYli1 M/.ry�IXMif$$ CIIY !�� �rKW� <br /> GM111�lCOHIp1Ctq1 Wil��MESS / Ot\ !�� M1NNt [4�1�K(NSf� <br /> �1L �rJERG`�s1'� �_u,��' -�1�I�. 5c.ST�loz I�,,.w�1Je�.��4��i�l83,r IDEkES06G,1M <br /> � <br /> u[nuaiuirovm.r.ion u.�i�rrness em r nna+r �'cu�ri¢[est. <br /> I`I114PM(�COIIIR�fIGI 4��l�MY�IS$ CIIY lIV 1�1�0��( $II.��IIL[N51• <br /> ��CONfO�C� f N <br /> �� (j7 HEATING SYSTEM: O GAS ❑ELECiRIC ❑ <br /> _'�J_U <br /> MSCPiPiY'Jnv,�NO$OW�f Ipp1�GFNVIXYCO Cp11�ClM1150N�MIlN�(M�NO <br /> 1 HEREUY (,ER71FV THAT I HRVE RERD �ND ExFMINEO THIS <br /> APPLICATION AND 1(NOW THE SAME t0 BE TRUE AN�CORAECT ALL <br /> ""p1pSfOO�E M.-Ir�� i'qOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> J WORN WII� pE COMPLIED WITM WI/ETHEP SPECIFIEO HEREIN OR <br /> �twiatsnarrrworrnoRnnivrn�mauowonenecxrnocon[si NOT. TNE GR�NTING OF A PERMI7 DOES NOT PRESUME f0 CIVE <br /> m� eiocK or_ AUTMORITY TO VIOLATE OR CANCEL THE PPOVISION OF �NY <br /> OTMER STATE OR lOC'.L UW REGULATING CONSTRUC710N OR THE <br /> PERFORMANCE Of CONSTRUCTION.TNAT I AM�UTHOHIZEU BV TME <br /> OWNEN OF THIS PROFERTY TO PERfORM THE WORK FOR WMICM <br /> APPLIC.QION IS MADE AND 1 COMPLY WITH THE ST�TE <br /> peuc[lr��ioMiumn CONTR� SlAWt027RCWAN�296200WAC. <br /> CO'�S�n�K��(%i�MNtfM�fllNlM[Sit[II1wONfM.wRF�1 x i(1 . CI -- �C' �/� _ � / <br /> �.pp� np. bUl <br /> C�IY BU4M5 IiCtNS[Np <br /> OLUMBING MECN�NIC�L <br /> NO. TYPE OF Fl%TURE OR ITEM FEE NO. 7YPE OF EOUIPMENT FEE <br /> WATER LLOSET�TOI�ET) NC-M/NDLG UNITS <br /> BPTMTU� FORCED AIR SYSTEMS <br /> LAVATORY(WASN BRSIN) HEAT PUMP <br /> 5lIOWER UNIT HEATERS <br /> NITCNEN SINN 8 DISP GLOTIIES OI7VER5, <br /> DISN\4ASHER R�NGE HOOD <br /> L�UN�RY TRAY H'A�ER HEATER <br /> LLOTHES WASHER PlOO�STOVE <br /> URINA� META;.FlREPLACE M1YOOD BURNING) <br /> DRINRING FOUNTAIN FIREPLACE INSEFT(YlOOD BURNING) <br /> FLOOFOFAIN � GASFY7GFliCfi (� <br /> OAGBFLOW PREVENTERS GASRAhuE � <br /> SINK(SERVIC[-BAR.ETC.) GAS PIPIN3 <br /> EXHAUSTFAN +_ <br /> SUB TOTqL S SUB 70TpL S <br /> PERMIT S PERMIT S <br /> TOTALFEE S TOTALFEE S <br /> FOF OFFICE USE ONLY: <br /> rnnNturrvK nr�nsr�p+r.• S�asr�n�c� r��wa �+uwrn �ir nrctm�Ho <br /> ns�rovr im.nF+ v.cev�s��[ �FE� D V�lUl1T10N FEE <br /> - T_- <br /> ❑rF5 O� q�h��y�., <br /> ��tic�a i�mu�rov w a nwcwr.o sae a uocni —.— — <br /> uvns nvunwa <br /> —_'__ ' ___"__—�—._ <br /> CCCITI�::Y Y . )Ii.LI♦ p:C11fMN11{IW B�NV(\I 4f(1111�F11 <br /> C.IIOU1` ____ <br /> ��f5 ONO <br /> fu:l`APiyYI[NPC9'0 ��f�50N �Od'M14�IM1�MUHC�t _ <br /> OI�KI1 <br /> 1..:(PtP11MNL00 �1fI.[nY <br /> .41111 BII�IU�N:c1111L11111C.( <br /> nreo�ra�er nnac�rrnnr�nm CRYOFEVERETT mm�r.wrw��s —�-" -'-' -- <br /> LOCALSALES -� — --� --- <br /> �„�t TAX CODE IS J105 TO7nL <br />