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APPLICATI� FOR CONSTRUC7�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257-BB70 <br /> �DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING G SIGN <br /> PROJECT ADDRESS <br /> F.-Pt�, C� <br /> y�pQ,eB u�0./.oa+[55 Cm tN n�d1E <br /> �r�r_ c�c,,r� 2'73(� d�A,z�Zis��'� �'�� v��.�Q�zo� 4ZS-zSz-o(�y-y <br /> TE ANi Y4LRCME$$ CIiY Ii PIOIG <br /> NItWtORpESG M�R E55 CIiY 21V 1'1q11E � <br /> �9c���r, �si- Zes���rce� 44152P���'si'�li. I-K. �PvP�1s �l nr�Qec287���n <br /> ycNCRµGpI1RACiD M�RI.COPE55 CIIY ZN iR LKlNSE• <br /> —�`n1��� <br /> 61 NICqLONi /. t0 MAy��pPE55 CRY ZP RqNE S1�iCLKFNS[• <br /> FWMBINGCONip4i041 M�M1MpRE55 CIiY ZIP %Iq1E 51/.IEIILENSEi <br /> CONiRALt PRCE OF M'p�R <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> iecwon�umwu+Acroo+ cE.rrvav5o }. 1 tov.•crrcnwvurorw�rtuo <br /> 1� 1 <br /> — 4�-P� +Z <br /> � MEREBY CERTIFY THAT I HAVE READ AND E%AMINED TMIS <br /> � APPUCATION AND KNOW THE SAME TO BE TflUE AND CGRRECT.ALL <br /> r aoroseo uw or ommmG PROVISIONS OF LAWS AND ORDINANCES GOVEFNING TMIS T'PE OG <br /> WORK wILL BE COMFLIED WifH WHETHER SPECIFIED HEREW OR <br /> acu��a�s��.w�ia�N�a� caovcnrv�sMowrveciowoaen�c�m�oconcs� NOT. TNE GPANTING OF A PERMIT DOES NOT PRESUME 70 GIVE <br /> iocJLL,d,_"L_��r�or AUTHORITY TO VIOLATE OR CANCEL THE PPJVISION OF ANY <br /> ' I OTMER STATE OP LOCAL LAW REGULATING CG'�:STRUCTON OR THE <br /> ,t T� 'S'I' pC PERFORMANCE OF CONSTRUCTION.iHAT I0.�A AUTMOflIZED OY THE <br /> OWNER OF THI� PPOPERTY TO PERFORM THE WORK FOR\YHICH <br /> 5I l� Q �" QC1 � APPLICATION IS MADE AND I COMPLV WITH TME STATE <br /> ��W;u*�.v i i rrtive[n CONTflA TORS lAW 18.27 RCW AND 296200 WAC. <br /> f �11'11�C'IZ ��'U�1L C.Q� � C— N `F��(/ � <br /> CONSi VCiiONIO�NIFtNEP WpBE55.iClCM NENU BfR x <br /> T M I Swrv�Nn[ iE0 <br /> RUGk (�A�E 415- -o� �i�reuswcss�Kcvscra <br /> P�UMBING MECHANIC�L <br /> NO. TVPE OF FI%TUNE OP ITEM FEE NO. TVPE OF EOl11PMENT FEE <br /> WATEF C�OSET(TOILET) A'C—A'HNDLG UNITS <br /> BAiMTUB FORCED AIR SYSTEMS <br /> LAVATORY�WASN OASIN) MEAi PUTAP <br /> SNOWEP UNIT HEATFRS <br /> KITCHEN SINK S DISP CLOTHES DRYEPS i <br /> DISHWASHER RA4GE HO00 <br /> LAUNDRVTFAY WATERHEATER <br /> CIOTHES WASHER WOODSTOVE <br /> URINAL METAL FIPEPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN FIREPIACE INSERT(K'OOD BUPNING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> DACKFLOW?REVENTERS GsSRANGE <br /> SINK�SERVICE—OAR.EiC.) ;PIPING <br /> E....AUST FAN <br /> SUBTOTAL 5 SUBTOTAL 5 <br /> PERMIT 5 PERMIi 5 <br /> TOTALFEE S TOTAI FEE 5 <br /> FOR OFFICE USE ONLY: <br /> fpONt5E1B4n PE�RSCIBACI( SWESEiBLC6 PIAN[NK6NJu0EF f[E P6EIPLNO <br /> usem�+c io*.nu wtu�rsrte FEES VALUATION FEE <br /> nres n r+o aunmra <br /> ��Euartuwurun raarnvcuna s�zeaazocli <br /> uwrs v�uu0:w <br /> a�p.wcr ruasmnu accurw��ow anscucHr ucaunK.x <br /> CYES ❑Iq <br /> RRESPNINGL[PHW� PEASON �W��bM4RANCMECR <br /> on�rn <br /> riAEnunuNcon nc�sorv <br /> suiE aunomc sunc�.nee <br /> nveorco�usr nwrs.vreovmer qTVOFEVERETT weinxronKs <br /> LOCALSALES <br /> p.n TAY.COOE IS 3105 TOTAL <br />