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F '' APPLICAT�N FOR CONSTRUC�ION PERMIT <br /> . CIN OF EVEflETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILOING ❑ MECHANICAL ❑ PLUMBING � SIGN <br /> PROJECTADDRESS: ��eu F.. .-o\�\ wc Cw�-aN- �vr ����\� <br /> �-511\e,�.-1 \-��Y,�,=,�1 14 Y9 T .a..� Y_d ..rl— v .,� �"}73 <br /> vwrcn w�rt�u+�Ess trtr rm nqrq <br /> C�\\e.-. 12 �E..... -�- \llnl F. .N C... l= . .-«11 l�r QQ�I� I.....,y,� A�-�i-.]1Sln <br /> �c�+r.�* uuiuxncss �arv rm rvwr�� <br /> �nc�xrtc�onocs�r.v[n uu��non[sSac�Uy�� Qqn rm rowMr o�:c`S\�t�\\3�� <br /> a <br /> �:a ..�_L�K'.rc�l\lti.r�An�v.�r c -\,.�rA.y�p�il QF�J� ��-1e:1>V25��."Fl�\ <br /> crMrnLL�oMMc�an l�onn6s p�r br �vpqp p�ut��CrMSE. <br /> N6IUNICIILONIP�CIq1 MYI�pGlE55 CIIY !�P AIONf St�IFlKfNS[• <br /> PLU4BMGCO111P�GIIX1 MMApp11R5 Clb jIP P1qNE S�AIRK(Mi[� <br /> h��l.�`l� ���— <br /> CW 11utt P1XCE IX W011R <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> pFSG�tOCWp1a�NO5WM1Ef00��GE1xVIXV[DliO'ac. �G- 71 � f.Ox1ALl1Y�5pINAM�ON[Ip <br /> � � � ` <br /> .'� <br /> � ` , ? � � I HERE�Y CERTIFY TNAT I HAVE READ AND E%AMINEO TMIS <br /> rrrorosmusc a mma ��, d �p� APP��CATION AND NNOW THE SAME TO BE TRUE AN�CORPECT ALl <br /> - PROVISIONS OF UWS ANO ORDINANCES GOV[RNING TIIIS TYPE OF <br /> �' WORN WILI �E COMPLIED WITH WHETIIER SPECIPIED HEREIN OR <br /> �im�iocscnmuwarivwrcnrcrya�maziowp�en�cn�xocan[s1 NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> iot `» eiax(-SI2��aF�_ �UTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR LOCAL LAW REGUUTING CONSTRUC710N OR TNE <br /> PERFORMANCE OF CONSTRUCiION.THRT I AM AUTNORIZED BY TI/E <br /> OWNER OF TMIS PROPERTY TO PERFORM THE WORN FOR WIIICH <br /> � _ APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> ru�cn tiu i o.rmue[n CONTRACTOPS LAW 1837 RCW AND 296 200 WAC. <br /> ca+stmiciwr�ia�n«Horn.rnunt5s.tctFnarhmnue[n X �r.. 1., . C_ �/�� /��/1 � <br /> src:H�i�mE� o•�c !'— � <br /> CIIY 0V9Nf.551K[NX NO <br /> PLUMBIN6 MECH�NICIIL <br /> NO. TYPE OF FlXTUPE OR ITEM FEE NO. TYPE OF ECUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—MINDLG UNITS �— <br /> BATHTUO FORCED AIR SY57 EMS <br /> UVATORY(WASN OASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISP CLO711E5 DRY[RS <br /> DISHWASHER MNGE HOOD <br /> LAUN�RV TRpY WATCR I IGTER <br /> CLOTHES WASHER WO00 STOVB �— <br /> URINAL METAL PIflEPIAC[(WOOD�URNING) <br /> DRINNING FOUNT�1 W FIREPUICE INSERT pNOOD�URNING) <br /> FLOOR D9AIN GAS FlREPIACG <br /> OACKFLOW PREVENTERS GASMNGE <br /> SINN�SERVICE—OAP,ETCJ GAS PIPINu <br /> IXHAUST FAN <br /> SUD TOTAL S SUO TO1AL f <br /> PERMIT S PERMIT S --� <br /> TOTALFEE S TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> r�rsrtnece nunsnn+cK 5�0[SEfB�Cl r�nuurtc euuprn n� �J- nrcrmtr�n <br /> �Vd. ,J n a n 5�(J JZ �a5— <br /> USciorvE� Iot�nF� ,� vecentSrF FEES «LU�TION FFF. <br /> l�'� `t�FS�'�� ❑res �i1ii omaHn �0,�7'� �O <br /> unnc�rtuurt.noH rvoaowcwxa s�rEweioom <br /> "Q�l.1tJE. unii� .UP nuumr:o ' <br /> __ � <br /> OCCUFANCv NpM51Ma15 OCCU�1Nfl0�f1 B/.5[4FN� �������y <br /> C�Il01T <br /> OYFS O MO — " "' <br /> fii1E5PMfMlFflPCOD 11F�SON M�bItt1N�11YANC�NCN <br /> UIIKO -- -- <br /> IINEhIMM11E0'0 PFASfy, ' <br /> Alel[B1nID��111C1U�fE �� �:�aL� <br /> �mca[ovsr nnns�rrriov[nar CITYOFEVERETT n�a��cwonac <br /> �FA LOCALSALES ------ --------- <br /> „��t 1�L� TAX CODE IS 7105 TOTAI_ _____ �n� L^'J <br />