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APPLlCATI� FOR CONSTRUCT�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257•8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �MECHANIC�I ❑ PLUMBING ❑ SION <br /> PR ECTADDRESS� - <br /> r "��!'�2Fa��ZS'��`�5_��.�-- <br /> ONMFR Mu�11�p1�(55 [I�Y rqN[ <br /> 1FM�M� Mq 4pR25 M1n t�o r•qrq <br /> •nGM�fCipnry(yWrtn X�qPfSS [��r !�r .Kwf <br /> I��Cf� ,��(7�'THtYL.Y�L[=�l� 1�5�/LkV1��13L�Zs�2 Z�f-����. <br /> NF114 CONIpLLiC/1 M41• 55 C 1• l�� <br /> 4ECHIMGIGW�P4�W 4utA0LWf55 CUY bP %Ip:f [I�IfIICENSE• <br /> %IMMGCON1Pklp1 4M�Op�E55 prv Ila M�bJ SU6110ENSF• <br /> COxffl.�tl VIbCE O� — <br /> � Jb � HEATING SYSTEM: p GAS O EIECTRIC ❑ <br /> o[upefwon�.wnsou• �00� M K cwr�c�nnsw�rnrHttrt�ro <br /> ` <br /> / <br /> 3 I HEREBY CERiIFY TNAT I HAVE AEAD AND EXAMINED TMI$ <br /> APPLILATION AND NNOW THE SAME TO BE TRUE AND LOARECT �LL <br /> 1+�oiwsrousc or evxarc: PROVISIONS OF UWS AND OROINqNCES GOVERNING THIS TYPE OF <br /> WORN WIIL BE COMPLIEO WITH WNETHER SPECIFIED HEFEIN QR <br /> lfG�l0E5CPo��qN0�1'nOPERfT�S�qWxp[IOWONI.f14nMOCML51 NpT. TNE GRANTINfi OF A GERMI7 DOES NOi PRESUME TO GNE <br /> m� eioca a AUTHORITY TO VIOUTE OR CANCEI TME PROVISION OF ANY <br /> OTNER STATE OR IOCAL LAW qECUL�TING CONSTRUGTION OR THE <br /> PERFORMANCE OF CONSTRUCTION THAT I�M�UTMORRED BY TNE <br /> OWNER OF THIS PPOPERiY TO PERFORM THE WORK FOR WMICM <br /> APPLICATION I$ MA7E 4ND I COMP�Y WIiH TME S1ATE <br /> rui[El wio xuuNn 'n CONTR�CTORS UW IB 27 RCW AND 296200 W�C <br /> ��7���1�����/ <br /> CdISfIXIC�ICNIO�MIf4DiP.M1Y1E5T�[l[hqNfMX/11F11 1���� '� 1l^� <br /> 11 M�IU� �� Q � ur_Y 1• <br /> ua� —'–�– <br /> CI1�lULECSSICFNtt NO <br /> VLUYlINO MELH�NICAL <br /> NO. TYPE OF fl%TURE OR ITEM FEE NO. TY�E OF Eq1pMFN{ FEE <br /> WATER CLOSET�TOILET) NC—NHNDIG UNITS <br /> BRTHTUB FORCED AIR SVSTEMS <br /> LAVATOA�(NUSH BASIN) HEAT PUMP <br /> SHOWER UNIT NEATERS <br /> KITCHEN SINK 8 OISP CIDTNES�RYERS <br /> DISHWASHER RnNGE HO00 <br /> LAUNDRY iR�V \VATER HEATER <br /> CLOTHES W�SNEN W000 STOVE <br /> URIN�L META�FIREPLACE�WOOD BURNING� <br /> DRINKING FOUNTAIN FIREPLACE INSEPT(WOOD dURNING) <br /> FLOOR DRAIN GAS FIREPIACE <br /> BACNFIOW PREVENTERS GAS RANGE <br /> $INK(SERVICE—BAR,ETCJ GAS PIPING <br /> E%HAUSTFAN <br /> �– <br /> SUB TOTA� f SUB TOTAL S <br /> PERMIT = PERMIT S <br /> TO7A�FEE S TOTALFEE f <br /> FOR OFflCE USE ONLY: <br /> f11pNlYiP�LI pl�PSF1pIt11 yp[y101CM M�MC�� L�M1LWP Iff Offfll'�HO <br /> usctonr im.nu v.oeM�y�E FEES VAlU�T10N fEE <br /> OrFs O w �— <br /> au�nw: <br /> MfIW111MfAlIO4 NQQlOW[IIING SIlEO�llONfl <br /> Ilv�l[ <br /> ry�iuprvf <br /> OC�pFpI.4CY Wrv�lin,l) CY.C���MI1010 l�YI(NI MfIN�N�f11 � � .� ..• —j— <br /> ❑ns aro ---'-- --�--- --- <br /> fWE5A1iNRlLNP[00 �f�}fn IpplqN�il��tiOYP <br /> 1111�(H <br /> Rn[�URMPtO'O Ff�fOV �.._ <br /> <���1 11�n11N41:SUObi�nf:! <br /> I�pffNf,ONV R�M$U'Mpyifl6Y �- <br /> CRYOFEVENETT nieur.wrv�+z <br /> LOCAL SALES -- — --� — <br /> o�tt TAx CODE IS 0105 7oT�l <br />