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APPLICATI� FOR CONSTRUC'�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201•25&BB10 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDIN6 O MECHANICAL ❑ PLUMBINCi ❑ 810N <br /> PROJECT ADDRESS: �"�C�Q� E'ME R5C)IJ PL <br /> �l�Ri I�AFISL-GJ . >AN1F <br /> PM1EM wvt�OP�F55 C�IY rm ryp�( <br /> IEM/.Nl Ylulyfpl[SS GIY I10 R�CMf <br /> •RCltli(Cf011pE51GMf11 Y1h�Cp1F55 Clry )i� y�qy( <br /> �GR,R�nF cc.i�- 7 �a- AI�ucEitgtkl 5�'A a'P�(,O�' Z�� 71Z/ MG 3R �4 <br /> OEMNitOHrR�t101 uul�pOncss Cilr )m 1ry,M1E t1�tElCFMSE• <br /> YEMNMKCbAN.Cipl 4u�ApOnF55 f.ItY !�P %qME ilrtEtKEMS(� <br /> Plll�lHG�CON�t1�CfOR 4Yl/�DpRF55 CIM1 jIV pIqNE S��IEIICEN$E� <br /> canruct v�cc a'xonK <br /> �(��p��) HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> oesw�Tr.du u�n so.unc soouae.rvavco ca�ue�rcnsw.ex�rwnc w <br /> - i R ' ' o � <br /> I l/EREOY CERTIFY TH�T I HAVE fiEAD �NO EXAMINED TMIS <br /> APP�ICATION M�ID KNOW THE SAME TO BE TRUE AND CpRRECT ALL <br /> rnoroseous[a euipw PqOVI510N5 OF UWS AND ORDINANCES GOVERNING THIS TVPE Oi <br /> i[auo[umar�or�orr�qr[nniyqrmecipnoq�nac�rvqconasi �RK YALL BE CAMPUED WITM NMETNER SPECIFIED MEREIN OR <br /> �o� eiou LYO D��p F_F��Q.2N.� �ARi� �L THE ORANTIN6 OF A PERMIT DOES NOT PRESUME TO �IVE <br /> �_ AUTHORITY TO VIOLATE ON CANCEL THE PROVISION OF �NY <br /> OTHER STATE OR LOCAI LAW REOULATIN6 CprySTRUCTION Oq THE <br /> PERFORMANCE OF CONSTRUCTION.TM�T I AM AU7MORIZED BY THE <br /> OWNER OF THIS PROPERiV TO PERFONM THE WOPo( FOR NMICM <br /> � ��� -G� - 00 �PPUCATION IS MADE AND I LOMPLY WITH TME STATE <br /> wx[ivaio.riw[a WNTR� ORS/LfAW1827R DY96.YOOW�C. <br /> C(Y151MICIIWl0.WlFN0EN.10d1E5S.tFlFR10NEMUlfR � �L��j/ 1 ��/1G_ �Z'�7' /� <br /> � i Oo u ' u�E2 �,.��� d��v wit <br /> �• <br /> Z O cirveuv�rtssicchura <br /> PLUMBINO MECHIINICAL <br /> NO. TYPE OF FlXTURE Ofl ITEM FEE NO. TYPEOF ECUPMFNT FEE <br /> WATER CLOSET(TOILET) NC—M/NOLO UNITS <br /> BATHTUB FORCED AIR SVSTEMS <br /> IAVATORV(WASN BASIN) HEAT PUMP <br /> SHOWER UNIT NEATERS <br /> NITCHEN SINN 6 DISP CLOTHES DRYERS <br /> DISN WASHER RANGE HOOD <br /> LAUNDPY TRAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPIACE(WOOD BURNING) <br /> ORINKING FOUNTAIN FIREPIACE INSERT�WOOD BUflNING) <br /> FLOOR DRAIN GAS FIREPUCE <br /> BACI(FLOW PREVENTERS GAS RANGE <br /> SIKK�SERVICE—B�R,ETC.) GAS PIPING <br /> E%HAUST P!W <br /> SUB TOTw S SUB TOTAL f <br /> PERMIT S PERMIT f <br /> tOT�IFEE f TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> fIqNISC1PACK pCMSf�B.�CR S�OESFIl.LL'v. IY.WCIKCRMNBfII fEF f1(f.fMIMO <br /> n <br /> usEia�E iarenFe wCua9iF FE S VAlU11TION FEE <br /> ❑�ES ❑M pu1IYVM1 <br /> ��Eb��ili�ol/.iqN wOOSOHElUM6 SiiEMNW/11 <br /> UNII[ <br /> I'111Y111� <br /> LC,��MC� xOdSIM{5 OCCIIPANfl0�0 !w5[uFNI �������� ! <br /> Dv[5 ❑rq <br /> f10E5%UMcI[IIPW'0 nEASP' �OOIIIfW�lRLN61fCM <br /> mum <br /> lMIFMMMPE00 PFeSW <br /> SL�EOu�OmGSu�C�uK! — �� <br /> Irr[ar.ovst nuNs�rniwvcoer CRYOFEVEREST nmirv.on�a <br /> LOCALSALES <br /> wit TI1X CODE IS J105 TOTAI J ' () <br />