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APPLICATI� FOR CONSTRUCT�N PERNiIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257•8810 �:�—•• <br /> ❑ DEMOLITION �COMBINATION �I BUILDING ❑ MECHANICAL 14CPLUMBING ❑ SIGN <br /> PROJECT ADDRESS �y <br /> �.+�00 � l'6w�npLa-r[ � e� <br /> owv[n 11 u.n.ow�css cirv zc f1 qronc <br /> C'enw.+uU� L . l�lelr;� �oFO� �-e�+.�wanciaQ ��e�a.Yt��'�a-'3 ?153- ��/SCo <br /> iLrvurt NUL��p�E55 Crtv IW 1a�W2 <br /> AR�11116i1RDE5GN[R M�iL�WHE55 Clry IN PN01iC <br /> �,_����I-+�P � <br /> c n �A.c�an u .00acss mrr z� r�ar�c s�re�Kcnsc. Z�P <br /> ���sc �rr. cCr��a� . �-C_ C ��Gn2 �1� ,Ll,P�t„�ir.�-��f9gZ.o-t�2s-Zc7-I�,Ga ��ssu-� <br /> �',l�� N4L�65 tlh IP P1p11E S1RElICCNSE• <br /> �IMIC �lw�9l 4N- �l�— <br /> PIUAIUINuLONIDI.LiOR M�RApONC CRV 2P 1'Iq11E SIAIEIXL115E• <br /> caanecr vHtE a wonK <br /> � � HEATING SYSTEM: ❑GAS ❑ELECTRIC 17 <br /> o c mcwonKu.o vwcc *ecennav g nI cor�ucrrcasoNe�iY r��cv¢rw <br /> w.Io�. a/� "l�,Y.W R / 5 C �S •Z/ -Z� <br /> P,,�� r� ' <br /> I HEREBY CERTIFY TMFT I MAVE READ AND ExAMINED TMIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AN�CORRECL ALL <br /> rn�r<��c or nm�ona PpOV1510NS OF LAWS AND ORDINANCES GOVERNING TMIS TYPE OF <br /> S WOPK WILL BE COh1PLIED WITH WMETHER SPECIFIED HEREIN OR <br /> ¢r..iotunivt norvaov[erv6/rqnrve[imv ner*�cnmotovic � NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> io� '�� B�ocK�lya ��� AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTMER$TATE OR LOCAL LAW REGULATING LONSTRUCTION OR THE <br /> � p � n�� (C� PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> 5 OWNER OF TMIS PROPERTY TO PL��FORM TME WORN FOR WNICH <br /> a I • c.a.. � APPLICATION IS A9 E 9 I COMPLY WIiH THE STATE <br /> rwa��.io ruuoin � CONTR TORS LA 1 27 C AND 296200 WAC. <br /> -no . -cx� -oa o <br /> cc451nVCrroulaVllVlo[P.�M`n Ss.iR[RqNZNUUPEP X � �� � <br /> r�F�F _T� � I SK.N� �E ����� t[ <br /> ❑tV BU9NESS I�CCNSE NJ <br /> PLUMBING MECN�NICAL <br /> NO. 7YPE OF FIXTUHE Ofl ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � WATERCIOSET(TOILET� NC—A'HNOLGUNITS <br /> BATHTUB FORCED AIP SYSiEMS <br /> IAVATORY(WASH BASIN� HEAT PUMP <br /> � SM0IYEH UNITHEA7ER5 <br /> KITCMEN SINK 8�ISP CLOTMES ORYERS <br /> DISI/WASNER RANGE HOOD <br /> LAUNDRVTRAY WATERMEATER <br /> CIDTNES WASHER WOOD STOVE <br /> URINFL METALFIREPLACE(WOODBURNING) <br /> DflINKING FOUNTAIN FIREPLACE INSERT h"lOOD BURNING) <br /> FLOOR ORAIN GAS FIPEPLACE <br /> BFCKFLOIY PPEVENTERS GAS RANGE <br /> SINK�SERVILE—�/R.ETC.1 GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL 5 SUBTOTAL S <br /> PER�11T 5 PERAIIT 5 <br /> TOTALfEE S TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> rnor.rscre�cK nun;[�e�cx smEsete�cK wwwc<Mr�uue[n rct nccuvr�m <br /> usc:onc �m.�u v.cu,rsne FEES VRLW1710N FEE <br /> .^.YES ��q Ou¢D�rq �O <br /> ��6G�IiL�4itA1pN HOC�ON[LLi�Y1 iQCO�&IX'.TI <br /> UNRS � <br /> hU4BmG <br /> GNOUV��I �O[fS�CAL3 IXCUORIIIO�O Oa5[4U1! N[GUNiC4 I <br /> ,3 .-:�Es n ra <br /> rwesanw.itnncoo nc•wv wortqnuvw�aECK <br /> I <br /> m�rtn <br /> fwE�UnuNE00 �E�SON <br /> Si�IE&IM1O�NO SU�1LnMGE <br /> rmccrca�sr n�ri��wnovtoev CITVOFEVEflETT �uei�c�M.s <br /> � TA)(COOE SLJ OS 70TAL <br /> -�_ - --- �„�3��'_ <br />