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APPLICATI� FOR CONSTRUC�N PERMIT <br /> CIN OF EVEFETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257-8810 <br /> ❑ DEMOLITION ❑ COM9INATIO�N � ❑ BpUILDI G ❑ MECNANICAL ❑ PLUMBING ❑ SI6N <br /> PROJECTAODRESSr� ��O Ltn/,U�oL <br /> OwMFn wi�Lp0aE55 cm Pr vrqMt <br /> X �'�� �,��v as9 �s�s <br /> i'�N�r� uuunwrss nn im nqnr <br /> �nGx*rCrpnf�E5�G4U� 4u��Mlu(ss c��r !m nq�4r ----' <br /> ti(Nl�11C041111C.�M 4u11p1M�f55 CII\ )�� IVMnf i1�111�CEN5l� <br /> �'!i�i«•' • <br /> MFCI��NI[µ(.[1Y111��IfJ� Vut�f%N�F55 f:1h 11f' C�'vNf i���fIICFNi�1 <br /> Mu4BrvGCOM1R�C1p� 4ullpMf55 Olv tm PHOTd 9�IFICEMS{� <br /> cc«m.crnmcturv�»X HEATINGSYSTEM: ❑CAS ❑ELECTRIC ❑ <br /> n rrninr w�nK�Nu sou.n[rpp��p�wvav[o cou�.cr�i nsa+�.rn n�nrr w <br /> �u .t- - l(/�ta2 /L'JRGC- _ <br /> �J�� � I NEPE�Y CERTIFY iHAT I MAVE AEAD AND E%AMINED THIS <br /> APPUCATION FND KNOW THE SAME TO BE TRUE ANO CORRECT AlL <br /> i�mrozro on w nvnnu� PNOVISIONS OF LAWS AND OADINANCES GOVERNING THIS TYPF OF <br /> WORH W�IL BE COMPIIED WITN WNETHER SPECIFIEO MEREIN OA <br /> ur,u ntsc��mip�w nnor[nnisrrnrHncmwonuucMiwocoAtsi NOT. iNE G�ANTiNG OF A PERMI7 DOES NOT PRESUME TO GIVE <br /> �m eioca M RUTHORITY TO VIOLATE OP CANCEI THE PROVISIpN OF �NY <br /> OTIIER STAT°OR LOCAL LRW REGULATING CONSTRUCTION OR iHE <br /> PERFORMANGE O!CONSTRUCTION TMAT I�M AUTMORIZED BY THE <br /> OWNER OF 71/15 PqOPEAiY TO PEFFORM TME WORK FOR WMICM <br /> APPLILATION IS h1ADE Ak� I GOMPLY WITH TME STATE <br /> peMn u�i o�mwpf n CONTRRCTORS lA1V IB 21 Rf.W AN�296 200 WAG <br /> t(W411111C�NMlWNIfNI1F11M1M15<�[l[n�WENU4REl1 z /-V -9i <br /> sG�UWnf n�R <br /> Ci1�0VVNCSSICtNSt HO <br /> PLUMBING MECHANIC�L <br /> NO. TYPE OF FlXTURE Oq ITEM FEE NO. TYVE OF EOUIPMENT FEE <br /> WATER CLOSEi(TOILET� NC—MIN�LG UNITS <br /> BATHIU� �OqCED AIR SYSTEMS <br /> IAVATOqV(WASH B451N) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KIiCHEN SINK 8�ISP CLOTIIES URvI RS <br /> DISMWASHER FFNGE H000 <br /> LAUNDRY TRAV N'A1ER NEATER <br /> ClO1NE5 WASHER \YOOD STOVE <br /> VRINAL METAL FlREPLAGE hY00D BURNINGI <br /> DRINNING FOUNTAIN FIREPLACE INSERi�'lpp0 BURNING� <br /> FLDOH DRAIN GAS FIREPLACE <br /> flAGNF�OW PREVENTERS GASRANCaE <br /> SINK�SEHVICE—BAR.ETC� <br /> GAS PIPING � <br /> E%HAUSTFAN � <br /> SUB TOTAI S SUO TOTAL f <br /> PERMIT S PERMIT S <br /> iOTA�FEE S TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> innqlvlp�rv nf�n5f1BKR AD[5[IB4K ri�vcutC�nuVnrn ffF nHtimqp <br /> !f'�3i= <br /> ��'�i royr m��nl� vu'.�v�vn FEES V�IU�TION FEE <br /> _ _'_T_— <br /> ❑rt$ ❑M) PI�iNM'. <br /> ����an ovn.not w a.nwnu.c su[a eioc�i --_'_ __ _ <br /> uYOc hU1MMf. <br /> _ .. . ... . . _j__._ <br /> If, .,��.:.• ���iel� Ul1��VH11J41 B1VV1\I Vf11��hY�1 <br /> 4�i V <br /> .. . O\[S OM�I . . . .... ... ......�. .- <br /> ��.1 i�rntll�F�19�.—_ Ipn�lw— �DUIi(nNhNlCrrtf� <br /> fll��(11 <br /> ��.1�'.A4�1NI110 �l�c!�V � <br /> V 111 Ru�IY4f.cl�f�u�pf <br /> .._ _ .�...___ <br /> ��rr ar¢ov<� h�rs�rmrnmpr CITY OF EVERETT ronncw:vi.c - - <br /> LOCAL 511LE5 —'— '� --- `--' <br /> i�.�E TA%CODE IS 7105 �oUL ;. � ,r,,�'� <br />