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� '' APPLICAT�N FOR CONSTRUf�ION PERMIT <br /> , CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259•BB10 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING O MECHANICAL ❑ PLUMBING h( SIGN <br /> PROJECT ADDRESS: ��a 1l �..�.-c�� l��� C-L-�.- N- <\n n�>>1� <br /> �-C4��e,�� \-��_.,-.,�,� 14 vv -t�.,� r_a ,.�t- v �v •�b°3�J <br /> vmrtn uuiwprzss arv tm r�qrrt <br /> C���e» 2 \ae -1- \��„t F . .\1 C . \' .e � l t� q' l� t ao� a�-�a- ��s-t <br /> icH�Hr uuiuwncss cnr ar nronc <br /> nnc�m[c�onas�nrtn uu�uwn�ssac�U\o �U �{��n nr r�ror.F o��'S\��\\3�� <br /> �- p� L' llln�!'A� ��""421'�Qr-\.-C1�5�S���� QU...I]n. .. n��V� Y1�� <br /> C.[n[n0.cO�hNc1� IMINIEss Gir ` � rir nNv� ' s���[���CE N`� <br /> MECO�NIUICON�I1�Clp1 M1R�OG1E55 fJiY !11' p1YJNI 5���(IKfNSC� <br /> RU401NGCONIR�GIOi1 Y/.0.�Op11E55 411Y jIV pIqNE SG�CIKfNS[• <br /> � � � <br /> cwrn �rraccorv.vnx <br /> HEATING SYSTEM: ❑GAS ❑ELECiRIC ❑ <br /> ocun�ecwonh�Hocau•ncroomcFrvvavco�s�'.c� pc.- » e� cannc�rcnsor�uror��pn.r10 <br /> C � � <br /> .� <br /> �� � `�, � I HEREDV CFRiIFV 7NAT 1 HAVE READ RND EXAMIN[0 THIS <br /> rrqms[ous[or ouip �. �, �d � ��PP�ICATION AND KNOW THE SAME TO DE TRUE RND CORqECT RLL <br /> -- PROVISIONS OF LAWS AND ORDINANCES GOVBRNING THIS TYPE OF <br /> � WORK WILL �E COMPLIED WITH W1IETHER SPECIFlGO HEREIN OR <br /> �icw�aumruoeai+rorcnrvivrownenowon�necxrv.oconcsi NOT. iHE 6RANTING OF A PERMIT UOES NOi PHESl1ME TO GiVE <br /> im =�'� aiocn��i'y� AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW PEGULATIN�CONSTRUCTION OP THE <br /> PERFOfiMANCE OF CONSTRUCTION.THRT 1 AM�VTNOAIZED OY THE <br /> OWNER OP THIS PROPF9TV TO PERFORM THE WORK FOR WNICH <br /> �-����y _ ���� _�11� _�11.� APPLICATION IS MAD[ AND I COMPLV WITH THE STATE <br /> Mncn fui�o.mrv0[n f.ONTRACTOfISIAW 1027 RCW AN�2D6200 WAC. <br /> CW5111UCiq1l101JlICNpEf1.Mp11E55.tE1FHqNEM14Bf11 X ��`. p. ., (! �%l.�� //�.�/% � <br /> SIGNMUII� � p�lC /� 1 <br /> pIY BUAN[5$IICCNSC NO <br /> PLUMBING MECH�NICAL <br /> NO. TYPEOFFlI(TUHEOflIiEM FEE NO. TYPEOFEOUIPMENT FEE <br /> WATER CLOSET(TOILEi) A/C—MINDLG UNRS <br /> DATHTUO FORCF D Alfi SYSTEMS <br /> LAVATORY WASH OASIN —� <br /> ( I NEAT PUMP <br /> SHOWER UNIT IIEA7ER5 <br /> KITCN[N SINN d DISP CLOTNGS ORYERS <br /> DISHWASMER MNG[HOOD <br /> LAUNDRYTR�Y Wp7�q��U7Eq <br /> ClOTI1ES WASHER WOOD STOVE <br /> URINAL METAL FlREPIACE hV00D�URNING) <br /> DRINNING FOUNTAIN FIfiEPLAC[INSERT�YOOD BURNING) <br /> FLOOR DRA:N GAS PIREPLACE <br /> OALKFLOW PREVENTERS GAS MNGE <br /> SINK�SERVICc—OAR.ETC.) C+AS PIPING <br /> [%HAUSTFAN <br /> SUBTOTAL S SUOTOTAI S <br /> PERMIT 5 PERMIT f <br /> TOTALFEE S TOTALFEE S <br /> FOR OFPICE USE ONLY: <br /> fOCNTYIOACN pCMSI�BACN SIpESEiB.WK PUNCIIC�Cy MI411f0 f[f /� f1ff.IIP�NO <br /> IVt� �n an VrS'�� 2 (�r� <br /> os[aox[n ^� w1�nF� ,S vr.antv�E PEES VALU�TION FFF. <br /> ,��- J ��C�J�j- � OVES A��+O Oulbw(t —�r— <br /> nucrtuun.uorv rwixownurm v:eoreioom �P,�"l`� O/ � DO <br /> �Cc'Fl.1iJE u���s .JP riuuniuc ' <br /> oeeuv�ver rqnsic.e[s oeeurnH�io�o eAs[u[xt ������H���� —�— <br /> cnwr <br /> Ores O no - -- <br /> rn�esrniHK¢nnmu nr�sor� �Ddimeu.nwturte <br /> ��__ <br /> am[n <br /> NIiENAIiMPFOD RF�SON � i <br /> SGIEB�PIDiMl51111[IUOfE -_-- i� <br /> tmcarr.ovst r�nes�rrnw[nnr CITYOFEVEREIT n�mr�wxina <br /> �JM LOCALSALES - ------- ------- '-- <br /> o.�e I TAX CODE IS J105 70TRL ; <br /> a✓ /c'� �Q <br /> -- -- ---- ---- — ---'— <br />