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APPLICATI� FOR CONSTRUC�N PEAMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257-8810 <br /> p DEMOLITION ❑ COMBINATION G3�BUILDING ❑ MECHANICAL ❑ PlUM81NG O SION <br /> PTROJECTAODRESS�_�,���s,Q�_�'��� A/f� ` <br /> oYr���s�i�BC'$�ic��n�9�1 r�.orc �J—I 3��:� <br /> �rv.u� uui�namss X r.nr ric v��or.,� <br /> �1tRi9�SawEaef' �c�Lo.l.dLd,E.✓.� /�.x.r..a.o�.�y�f,�s (�,tr) r2r-ozr� <br /> •11Lr�RC�On Es4.uU� 4�n�M'nFss cirir— lm .yr.r ' <br /> ��: <br /> � '�fHf114C� II�('IMuI�41ilI.MM[SS CiI� l�� 1'iX)4f f1�Il110ENSf• <br /> �'✓' <br /> VibuNiUlC(lvin�flOn 4�iUtME55 f.�h bP Mqtif Q�1lUC[NSE• <br /> 1qV4P���LCO111N�pM 4��t�qM(55 [IIY IIP 1'NONF S�AILIICFFSf• <br /> CONI11�C11'I�ILE Uf V.ORK <br /> HEATING SYSTEM: ❑GAS ❑EIECTR�C ❑ <br /> -,r�rvr�D a1G��n���o�wcwvavto c uc*rinw�/f� G(J� 4 G.7 " ��'ZJyy <br /> ��-.£rT—S� � � <br /> I HEREBY CEATIFY TNpT I NFVE READ AND E%AMINEO TNIS <br /> APPLICATION�ND I(NDW TNE SAME TO BE TRUE AND CORRECT AlL <br /> ��°Q°O�f°p°�p1°0���� PPOVISIONS OF UWS nND ORDINANCES GOVERNING TNIS TYPE OF <br /> - -t7�/T�G� WORN WI�L BE COMPLIED WITM WNETMER SVEQFIED HEREIN OA <br /> tmun[sa��rucnornnor[nnivqMr�eaawaun•n�*woca+[si NOT, THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> �o�._.�-moc. M AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTNER SiATE OR LOCRI LAW RECUUTING CONSTRVCTION OR TME <br /> iJr,(jiow/ Ne. L. �'ERFORMANCE OF GONSTRUCTION THAT I AM AUTNpRIZEO BY TME <br /> OWNER Of THIS PROPERTY TO PERFORM iME WORN FOF WMIC11 <br /> ��-D�C�� 03'J -O00, APPUCATION I MADE �ND I,'COMP�V WITN THE ST�TE <br /> r��n u�iu mruntn CONTRACTORS AW 1 ]qCW A 96700 WRC. <br /> [ry151n�1C11tM�lO�vlfNllfnM1tMM�[Sif[ttIVq4EM14Pf11 _ �/Q�J%7J�'���� �V ��/�� <br /> _ .G �Wrt � V '"��[ <br /> Ci1Y R114MSS lK[M[t HO <br /> PLUMBING MELH�NICAL <br /> NO. TYPE OF FlllTURE OR IiEM FEE NO. 7VVE Of EWIPMp/T FEE <br /> WATER ClOSET�TOILET) NC-M1NDlG UNRS <br /> BRTHTUB FORCED RIF SYSiEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SNOWER UNIT MEATERS <br /> NIiCHEN SINK 8�ISP CLOT11E5 Di1YER5 <br /> UISHWASHER RANGE HOOD <br /> L�VNDRY TRRY 14ATER HEATER <br /> CLOTHES WASNER WOODSiOVE <br /> URINAL MET4L FlREPLACE hv000 BURNING� <br /> �RINKING FOVNTAM FIREPLACE INSGRT(W W D BUFNING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> UFCNFLOW PREVENTERS GASFANGE <br /> SINN(SERVICE-BAR,ETCJ GAS PIPING <br /> E%HAUSTFAN <br /> �— <br /> _ SUB TOTAL S SUB TOiAL S <br /> PERMIT S PEPMIT S <br /> TOTAI.FFE S TOTAI FEE f <br /> FOR OFFICE USE ONLV: �J�/O-n�: 7 <br /> Innv�v�Nrn / nr�n5rtn�f• 40C5[IRK+ NCRttnuw�rn r(r nrCrm�Np <br /> Zo �s ' ,s-� - '�. yl <br /> uztrovr �. �m.i�u v.cev�s�F FEES V11lU�ilON FEE <br /> ��j --�— <br /> ��'�/ ❑vFa ❑M) R��IMM: —SL� <br /> I�fIf.11I1�V11111U\ 4pry1�W(111NG SIjIIXDIUG�fI ' � <br /> � ��v��. ZG6 J ' �� „w.,� : <br /> '�" � - ---- ----- - - _---+-- <br /> (%:ll����.'.:Y N�!vl��•alf UfC11N.H1lU�I1 R�[fV[\I Mf1�.�111�('11 <br /> f.l�lltl <br /> �f�� OY[5 Yn � ' � ' <br /> rrtsrne:ni6IDcao-- �f�sav �MntwunerCroee <br /> Olntn -- _— — —_ <br /> I.i:lPlAli\IPlUO �If�c�1V � <br /> t��ll fl11ilUM(:SIIf1Cll�f1::[ <br /> nrtorto�+�t rt�+cu�rv�ovrco• GTYOFEVERETT rnm¢vmr�.s '�� -' "'" -" <br /> LOCALSALES '---- ------- ' <br /> - �'/�I._ ___ o.�F U b�/� 70.%CODE150105 TOT�I______ ____'__ __ <br />