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APPLICAITI� FOR COI�iSTRUCT�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201•259-BB10 s'�r <br /> ❑ DEMOUTION ❑ COMBINATION gf BUILDING � MECHANICAL Q] PLUMBINCi O 816N <br /> PROJECTADDRESS: YBSB 1:�, l;�FINA+fn 4R. �Fv�Rrii �t�A. 7i�.o3 <br /> Sr-:�� � ��akysl�F�sF, s,�,.,FJ Ya� as�•3,raa <br /> omrtn ..ui�owi[ss arv t�r .xaw[ <br /> ,���^rJ <br /> �EM�M� uulMq��55 c�lr fre nqqt <br /> (S*^',f� <br /> ♦11CMi6i011pE51GHfN MN�Od165 CI�Y pP MqN[ <br /> o�JrlF'C I, <br /> GEMf114Cp1�11I.L1p1 441M011[SS CIIY l�l' MqNf [l��[lIC[NSF� <br /> C 1"�I���\ ' <br /> MECIUMCRCON10�Li011 MMl�Ob1E5$ bh )iP pIqNC S1REl�CEMSF� I <br /> :;�J/�f�l <br /> hV4BMG,C-IO_N1IPALJIOR N�ilMp1E55 CIIY !11` PIpN[ S�qEl4[MSE• <br /> nN/ILl1 <br /> CPviMLt 1'm�E Oi KON( <br /> . a y )00 i��';�,� HEATING SVSTEM: 1�)GAS ❑ELECTRIC ❑ <br /> ocunmE �rmfau��roor�cEr�voiv[o J c�uc�r�nsou r�.»wr� <br /> - .]d,�F7' LiV/NF SP�'[r /GO�Ti�dS S1'FJP �i£[sri� <br /> _�,�J rd /.e%T F FOViJia� Yd5 a 66'Ay 5'3 <br /> ' fC�P�pQ�( p� �y�S��fJ� �.vp� I NERE�Y CERTIFY THAT I MAVE pEAD �ND E%AMINED THIS <br /> APPLICATION AND KNOW THE SAME TO RE THUE�ND COFRECT ALL <br /> onaouovse ar�euadua p pROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> FF�'{rIN�,Q[ p.FS�GL'-��-C WORK WILL BE COMP�IED WITH WHETHER SPEGfIED HEREIN OR <br /> LFll.l0E5CRvlqxO(FIqMq�Y�9qWNp[lpWpi�p¢ryMOCOHE51 NOT. TNE ONANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ior a? eiota pr T•��F �'T n� AUTHONTY TO VIOLATE OR CANCEL TNE PROVISION OF ANY <br /> G�E'7.�FA�z°� � OTNER STATE OR LOC/y UW REGVUTINO CONSTRUCTION OR 7HE <br /> F�^S � 6'o.{�JQ,�/i'� 44E PERFORMANCE OF CONSTRUCTION.TH�T 1 AM AUTIIONRED BY THE <br /> �WNER OF THIS PROPERTY TO PERFORM THE WOHN FOR 1YMICH <br /> RGT4S7n'Ff�7SJ APPLICATION IS MAOE AND I COMPLY WITM TME STATE <br /> PMCfL iE[1 O MNBER CONT C ORS LAW 18 7 R W AND 296.200 WAC. <br /> ` SE '6T7-Od9'o00�/ f ,(J/� <br /> coHsrmicria.��w.r1u�ocn.�omcss.icuna��wncn z o/� o�/ Y1'l'� /01�6�97 <br /> nW�f!i sKvu�urrc o�iE <br /> CIIY NU.LNf•.:IICEN�[N!1 <br /> PLUMBINa RLCIY/� �[ t �LY 4S7FQ MECM�NICAL - - <br /> NO. TYPE OF Fl%NPE Ofl ITEM FEE NC. TYVE OF EOUIPMENT FEE <br /> .� WATER CLOSET(TOILEn /// —r— q�_ �— <br /> MINOLG UNITS <br /> / � BATHTUB / (OliCED AIR SYS�EMS <br /> �J- LAVATORY(WASHBASIN) / M[A1 PUMP <br /> �1'� SMOWER � UNIfNEAIERS <br /> / KITCHEN SINK 8 OISP CLOTHES OOYERS <br /> / DISNWASHER NANG[Ii00D <br /> UUNDRY TR�Y WATER HEATER <br /> CLOTNES WRSHER WOOD STOVE <br /> URINRL M[TAL FIREPLAC[(WOOD BURNING) <br /> DRINKING FOUNTAM FIREPtACE INSERT p400D BURNING) <br /> FLOOq DRAIN a, GAS RREPIACE <br /> B�CKFIOW PREVCNTERS GASRANGE <br /> $INN(SERVICE—B�A,ETC.) GAS PIPING <br /> E%HAUSTFAN� <br /> SUOTOTAL S SUB70TAL f � <br /> PERMIT S PERMIT f <br /> TOTAL FEE S TOTAL FEE f <br /> FOR OFFICE USE ONLY: � <br /> fRONINiR�LK / RE��SFiB�CK� A�CS[IB¢R � M�NCIi¢e�emllf� f[f Kf.tM�Mp <br /> � S� �� /�•�� <br /> useeav�,/ im�ncn �ecex� ¢ FE V�LUIITION FEE <br /> ❑.es o ra nuiatir. /S LS �� <br /> I�E�GNillwi��-fgN� q"ptDw[lliM 51t[pBIIX'✓li — _--�� <br /> �K� 2ZB S.f. P�/ ) rwum�vr. <br /> CCCVVGNCr NJMSIMIf CCCV��NIIU�D B�YNENt u1O4NK./ .?O ! <br /> GR <br /> �.} �. ❑t�s N�, --- - � <br /> PflE INRlEI1PCOD �FEiON �lM?IIOr�qRI.NPIfCK <br /> 0�11[11 <br /> RFE NARM I1(00 11f�SpY <br /> S�AI[111111IM41:511=11/fl([ --�-�D <br /> rmeorcousr n�nus��rntwcnar CITVOFEVEflETI' I''���i•'w.:n.< <br /> LOCALSALES �— ---�------- --- -----��— <br /> � _ _��.ivri �L��� TA%GODE IS J105 TOiR'.___"____ _____. <br />