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APPLICATIO� FOR CONSTRUCTI�N PERMIT <br /> CIN OF EVERETT•BUILDING DIVISION �C� <br /> 32001:EDAR STREET•EVERETT,WA 98201 •(425)257-8810 <br /> ❑ DEMOLITION ❑ COM6INATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING �SIGN <br /> PROJECTADORESS: �-0�—/{ S� L ni L-i d A1NLL /t/!�y <br /> �. ��(U/t Z��/� S+2 9�/0/ /vfja -�a�{7 <br /> owvEn uui�oon¢z�/ circ tm r�on� <br /> [ ao�r �'��ps - �zos q s,t B�e�tlmai�WY <br /> rzH.w uen�nwrss crtr �m nuonr <br /> .nou.rc*onnesicno� v�neonness nrc nr — m�onr <br /> �1DLIT� 55.A� 37rJZ I.l� I�a e �w�r I.�. 1a�I7J�� r7£fUJI 353-S�f`53fi Av�/TSSo37/JCi <br /> a�si r.a�an�nrn u.n wo /ss � r.nv rir mmvc surt vcrrvsE. <br /> ci�+.J �7�� <br /> MFCIPNiGIL�NII:\CID11 MLM1��OnE55 LIIY }iP PpO.0 SL�IFL�CCNSE/ <br /> �I./II�MBIl�GCO1111i�fICl1 1I�1(AfNXlFS�� CIfY IIP PMONF S�AIf11LEH$F• <br /> II �9��" <br /> � <br /> wum�cr rnicc ar vmnrc <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC i_. <br /> urscmee wone er.n snw�e roo�+ee invoiveo r.aniec*vrnsov.e�o rHorvs uo <br /> i9.as SRw�vF �r wa� s�,� ,..D,,,.,� ,���oq-s <br /> L.��N�W /�m eN �Y� ---- <br /> I HEREOV CERTIFY THAT I H�VE READ �ND EXAM�NBL THIS <br /> �norosfo c a ami0�aa APPLICATION AND NNOW TME SAME TO OE TqUE AND CORPECT ALL <br /> PROVISIONS OF LAWS FND OPDIHANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITN WHETHER SPECIFIE� HEREIN OR <br /> iccuo � mrri orrrroa[nrv�srrowrvn[�owonennc�nwocon¢5� NOT. THE GRANTING OF q PERMIi �OES NOi PRE5UAIE TO GIVE <br /> io� aiocn —or AUiMORITY TO VIOIATE OR CANCEL THE PROVISION OF FNY <br /> OTMER STATE OR IOCAI LAW PEGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.TMAT I AM AUTNOR2ED BY TME <br /> OWNER OF THIS PROPEHTY TO PERFORM TME WORK FOR WHICH <br /> APPLICATION IS MNOE AND I COMPLV WITM THE STATE <br /> rencn un u uu n CONTRACTORS LAW IB27 RCYJ AND 29fi200 WAC. <br /> �� !�s � �� <br /> WNSIfIVGiI(XIIO�NILNMf1,AIXN�G55.1[IEAIONENOMOFP x �/���� <br /> 'i1GN�lV11[ �M[ <br /> GIY6U4N[SSL�tN5CN0 <br /> PLUMBING MECMANICAL <br /> NO. TYPE OF Fl%TUflE OH ITEM FEE NO. TYPE OP EOUIPMEN7 FEE <br /> WATER CLOSET(TOILEf) p/p—q/HNDLG UNRS <br /> BATHTUp FORCEO AIF SYSTEMS <br /> LAVAIOPY(WASH DASIN) MEAT PIIMP � <br /> SHOWEF UNIT HEATERS <br /> NITCHEN SINK o C'.SP CLOTHES Ul1VER5 <br /> DISHWASHER RAIlGE HODD <br /> LAUN�f1Y TPAY WATER HEATER <br /> Cl0'HES WASNER W00�STOVE <br /> iJpINAL METAL FIREPIACE(VJGO�BURNING) <br /> ONINNING FOUNTAIN FIREPL4CE INSERT(W000 BURNING) <br /> FLOOR ORAIN GAS FIREPLACE <br /> EACKFLOV/PREVENTERS GASRANGE <br /> SINK�SERVICE—DAR.ETCJ GFS PIPING <br /> EXHAUSI'FAN <br /> SUB TOTAL E SU�TOTAL Y <br /> PERMIT S PER/AIT E <br /> iOTALFEE 5 TOTALFEE f <br /> FOR OFFICE USE ONLY: <br /> rnnrnsrtn+re nrensneecr s�orsc�oecx ruenircenuvnrn rer nrcnr�.�o <br /> oa3 393-� <br /> usczorvv �o�nnrn v�ceNrsrt[ FEES VALUATICN FEE <br /> —r <br /> ❑rEs ❑�+a n�nmwc. 1� <br /> NEIO�rtPVIteL04 �:Op'UW[IUNG SISEO�Bl�G91 — � — 1� <br /> ������ 1`111uqMli <br /> �� <br /> OC1111`Thf.Y H:1��[li'.n,1.5 IX:C111'�N�IU�(I B�GfM[NI HFl.IIAAIC�1 <br /> (.110U1' <br /> ❑�ES ❑Np — <br /> fiNfSPlnkxLEFPEO'0 �F�SON vOp�IpNN.%PNP2CK <br /> O�VFf1 <br /> PPEAtpNM1IPW'D BF�SOV � —' �.�//, <br /> G1�11 q1111111N1:SI111C11�f1(:! — /l ��'u <br /> � / � <br /> �mearoovsr r�nws�rrnovtnm CITYOFEVEflETT ranur.won�s <br /> LOCALSALES - — —�-- - <br /> ���,E TA%CODE IS 3105 TOTAL <br />