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APPLICATI� FOR CONSTRUCT�N PERMIT� <br /> CIN OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET�EVERETT,WA 98207 •(425)257•8810 <br /> ❑ pEMOLITION ❑ COMBINATION ,� BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTAODRESS: I I I 5E E�reft .A.lad,( wtiu_, �ULVL'�' W� LSUA.fLGT�JO� <br /> _�,�lPfi�.A{f.C_E�f�_Cdd.4LS,_2.�10 (��f-(�l,��i�r!.E_�,fCd.��e��L�Q(Q2 2oG-� - I�- <br /> OWYi11 4�11�Oq�EiS Cltt LIP IqN[ <br /> G✓CC�II' �//�U�4'CGS �°�'V1CZ� �N.G - <br /> rzv.r� uui�no�+rss r,nr trv ruout yG>� <br /> .�-�°�,���„ ,�Es�-�weo �a+ti a,� w ,�z� �.�"re�c���tlA�43��-�6��. <br /> ���. , �„�h. �,�. <br /> MoQ�fow�" �5zo 2zo�sw, Sua}cZ2o, NLtl��rxr_'�1P.. 9a0�}3 4zh-G�o��_ <br /> f.tNUUlCO•.pULlpfi M��I�DC��E55 Ci1Y IiP PiN)Yf 541IIiClN^.f� <br /> I+�OONGG�f IQ}�'7'IY <br /> uvPun¢+lmvt��cion uuleMntss C.�tt T�r ru0nr 9��FucEnSF. <br /> PtuuBrt�GCOI�IP�Clp1 4uU0011f55 Cltt 1�� P�qnF SUtFI�CFNSF• <br /> �ONIMCI l'(11Cf O(M011� — <br /> n�� H9ATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> io[woaK�Mn cnu�nr�oor�cr wvavco m�n�c�n nsa+�rro mm�rc Hp <br /> �a�- e�v� ��., n.�tv�✓ct¢wial��io� ' ��� <br /> '�6 ' aUs nuu�' ¢zh- �O�o- G�o6 <br /> t HEHE�Y CERTIFY 7HAT I HAVE READ AND E%AMWf:b TMIS <br /> naro5f ou5[or Bwm�w APPUCATION AND NNOW THE SAME TO DE TRUE AND WRRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANLES GOVERNING THIS TYPE OF <br /> WORK Yllll.Oc COMPLIE�WITH WHETHER SPECIFIED HEREIN OR <br /> itcew[scnirnavar�ror[nn�s�awxeuowan�neonwOton6i ry0T THE GRANTING OF A PERMIT DOES NOi PRESUME TO GNE <br /> io� macx or AUTHORITV TO VIOLAiE OR CANCEL THE PROVISION OF ANY <br /> ����y., OTHER STATfl OR LOCAL LAW REGULATING CONSTRUCTION OR TME <br /> SCZ SVIAA.� T PLRFOPMANCE OF CONSTHUCTION.TMAT I AM AUTHORRED DV THE <br /> OWNLR OF TMIS PROPERTY TO PERFOFM THE WORN FOR WHICH <br /> APPIIC�T10N IS MADE AND 1 COMPLY WITH TME STATE <br /> rencrt w i o miuntn� /� CONTRACTORS LAW 1B 27 RCW AND 296200 WFC. <br /> �/( � �� �C/ �� -V����� [�� ��� �� � <br /> –J J�( ���- A ���� ���� ���� L <br /> Ct14[in�iLlitx��O�MI[MK11./.OM��55.21EA1WEMI4PEP x��_�(Jyy�]/fU� (ZI��T <br /> S�GN/.1 G I � D��f <br /> OfY fl114Nf5$l�CE NS[Hp <br /> PLUMBINC MECHANICAL <br /> NO. TYPE OF Fl%TUPE Ofi ITEM FEE NO. iYPE OF EOUIPMENT FEE <br /> WATER CL05ET(TOILET) A/C-NHN�LG UNITS <br /> BATHTUD FORCED AIR SYSTEMS <br /> LAVAiORY(WASH UA;,14) MEAT PUMP <br /> SHOWER UNIT HEAlERS _ <br /> NITGHEN SMK 6 DISP CLOTHES URVERS <br /> OISHWASNER RANGE HOO� <br /> LAUNOHI'TRAV WATER MCATER <br /> CLOTHES WASHER \YOOD STOVE <br /> UFINAI METAL FIREPUICE(WO00 BURNING� <br /> DRINNING fOUNTAIN FIREPLACE INSERT(W000 BURNING) <br /> FLOON ORAIN GAF FIREPLACE <br /> OACNFLOW PREVENTERS GASRAHGE ' <br /> SINK(SERVIGE-BAR.ETC.) GAS PIPING <br /> --� <br /> EXHAUSTFAN <br /> SUBTOTAL S SUOTOTAL S <br /> PERAIIT 5 PEAMIT S <br /> TOTALFEE 5 70TALFEE S <br /> FOR OFFICE USE ONLY: <br /> inavlNi0�1('.[ �f��SFiPUCx SOGSFIB�Ca PI�NO�ECtlNUMPf11 fFf�� ��I �«f���� <br /> y � <br /> ina�rarr �menF� v�Ce.��SnE iEES VRLUATION FEE <br /> ' _ ___—r__- <br /> OYF6 0 MO BUIpNfr � 7� . //3 :���> <br /> ut�f.r��l�vn�u0u nOO�UwfLtiNO 512E0�llOG9��� –1 � <br /> UNiI$ 4 PIIIM�Nf . _�. <br /> U <br /> q;C�MMII M10�SL�nU aCCUMN11J�0 BLSFMENI MFI'H�MK�1 <br /> [.110111� - . <br /> S OY[S �N� ` — <br /> nr+csiwmnirnnaro m�.sw •oniirnuiruvo�rc. <br /> ro o�„�� — — <br /> ��:.i nuuuneo'o nrecnv '— �'_-' <br /> 51�p nuttl'.rv05vnc��Mf.E ��� • <br /> No --'--._ �..;J�-' <br /> nr�rnro•in rin�vs�rrnovroar CITYOFEVERETT ����i����""' <br /> �JY1� LOCALSALES " — ---'------�-- -' <br /> �-� ��.�E )� 3� 9) TA%CO�E IS J105 ioTnL _ <br />