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APPLICATI� FOR CONSTRUC�ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 320U CEDAR STREET•EVERETT,WA 90201 •(425)257-8810 <br /> ❑ DEMOLITION ❑ COMBINAnTIO'N_ ,� ❑ UILDING �MECI3ANICAL ❑ PLUMBINfi ❑ S16N <br /> PROJECT ADDRESS: S-Da'� l%� � <br /> f/)�n�,ta�}'�.-,�r.,,� -�n A�_�ff, /JA_ �11S,.2s-9-3�'E � <br /> n 4n�4xMF.55 GYrv 2ir erqn[ <br /> 1{M�VI 4Y1�M�f$$ �J1V )IV P��O1�( <br /> •f��x�fCtOflMSiPW� ���InMX�F55 C�•V lrv PrqY.f <br /> LfNI��ICONIII�f.ipl 4�ilI.IXM[SS CII� Iif ryN)YI i1�fLlICfHL• <br /> s�n�l�,�-tl�..ol�te.J.e.,�.uEO-a�/��o -�7�%s�.A�L�r y,�..��A�6o-y�, f�vs <br /> MFuuwuirnvm.cmn ouium�css rrv rir � v�is:r <uni¢cu.'—F[— <br /> �1114BM1GCO�IIN�f,1CY1 4��l�IXMfS$ CIIY I�� fNOhf $I1�fIK(MSf• <br /> S � <br /> c meci r�uc�ur wm+ MEATING SYSTEM: AS ❑ELECTRIC ❑ <br /> � nrvr�n«�rnjou.���GEMvavcnn,,( can �nnsa+� rrxm..o �J <br /> �S 5 � � /�`' Li l iL �J ��y\iLr,.�Al�{A�vf� <br /> �s m a ru r° <br /> � I HEREBY CERTIFY THRT I HAVE RERD �ND EXAMINEO THIS <br /> APPUCATION ANU HNOW TNE SAME TO BE TRUE AND CORRECT �LL <br /> uiarosfuva�or nnnan PROVISIONS OF L�WS AND ORDINANGES GOVERNING THIS?YPE OF <br /> WORK Wil l BE COMPLIED WITH WHETHER SPECIFiED HEREM OR <br /> lrc:uMsrnn•nrna vna�nrvrs�rovmBuowa�en�cNlwotoni5i qpi, THE G�ANTING OF A PERMIT OOES NOT GRESUME TO GIVE <br /> m� ouxx or AUiHOPITY TO VIOLATE OR CANCEL THE PROVISiON OF �NY <br /> OTIIER STRiE OR IOCAL LAW REGVUTING CONSTRUCTION OR TNE <br /> PERFORMANCE OF CONSTRUCTION TNAT I�M AUTMORIZED BY THE <br /> OWNER OF iH15 PFOPERTV TO PERFORM TME WORK FOR WHICM <br /> APPLICATION IS MADE RND I COMPLV WITM THE STATE <br /> rnncn tu i a uvwpr n CONTR�CTORS lAW 1fl 2]RCW�ND 296 200 WAG <br /> �cr���niK�ron�o�r��r�rcrn�n�scrzit�+�m[wwntn ��� � �. .✓.%��u.L�U�SL.ref�' <br /> e�L��vnc o�rt <br /> CIIY HUVNLSS lKENS[NO <br /> PLUMBING MECNIINICAL <br /> NO. TYPE OF FUlTURE OR ITEM FEE NO. TVPE OF EGUWMENT FEE <br /> Wr1TEH ClOSET�TOILET) NL—NHND�G UNRS <br /> BATHTUB / FORCEDAIRSYSTEMS <br /> LAVATORV(WASHB�SIN) HERT PUMP <br /> SNOwER UNIT NEATERS <br /> KITCHFN SINN 8 OISP CLOTHES DRYER$ <br /> DISHWASNER RANGE HOOD <br /> L�UNDRY TP�Y WATER HEATER <br /> CLOTHES WASHER \VOOD STOVE <br /> URINAL METAL FIREPLACE�WOOD BUFNING) <br /> DRIN1(ING FOIINTAIN FIREPLACE INSERT�1VOOD BURNING) <br /> FLOORORAIN GASFIREPLACE .� '�. <br /> BACKFLOW PREVENTERS GASRANGE <br /> SINF(SERVICE—B�R.ETC.) GAS PIPING <br /> E%NAUSTFAN <br /> SVB TOTA� 5 SUB TOT/LL f <br /> FERMIT S PERMIT f <br /> TOTALFEE S TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> IIIf1NIVtll�fy 11l�115f1P�f.N $�OF$(�B�CM IY�MC��LC�NV4PfP0// ffF �fCl���MO <br /> nvmvr io�•n�. vUr�s�i[ � J ES VALUIITION FEE <br /> ❑.[s n� numiw: <br /> neicm�vn�nor vonnw�un.e z¢Eoraioevi '--__ <br /> urns rivVnw, � <br /> ___"_ "__ _ _ ..."'__{-- <br /> ceuime-.:. �.um� ucu��wiu�u e�srMtvi vrcuwmn - __ _ _ <br /> our <br /> � o.ez o� --- ---- -- <br /> i��;is��nr:nuin�a'u-- mu�v — �ow�mvun.vora _ <br /> o�urn — —_ — <br /> n�,i.ura�moo � m.srn —__ <br /> s�m nunowi'.cnnoumx <br /> ��rr cx ca�<� r��vvnrnovrnnr LITY OP EVERETT n'a�'.r�*�^•� -- —��'"— "-' — <br /> LOCALSALES — — -------"`—' <br /> ��„�E TAX COOE IS 0105 TOT�I �CJ('J � O� <br />