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APPLICAT� FOR CONSTRUC�ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVEAETT,WA 98201 •(425)257•8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING L7 MECHANICqL ❑ PLUMBING � SIGN <br /> PHOJECT ADDRESS: /L 2% Lom/l/J,�O .F�/_o��r� <br /> ��9L DA�n/�' 7ti2Zon/i617�..�e.w� 5.is�LErrG /fL,f Zt7-027�i <br /> OvmFR 4uL�o0uF55 Clrv li� v�l <br /> �CN�NI UYI�fIWf55 f.�tY )�V puOMF <br /> •11LMffC10110EYGNfn N�����AFSS CIIY l�l` f��(1Nf <br /> �.�Nf�4COMiMC1(X1 4/.III.O(1�E5$ CII� jll' �iN)V[ ����LI�CENi{• <br /> MEcriaNuac Az/t ,s-�?z nifr ,�,iE sE qrrsro Y{oy�Li-�747 n.r�ra,o,rovrPy <br /> 4Fb4WcrtcOv�n�Cipn uMIRMWE55 ��N I�� rnoFr S���fUCEvSE• <br /> p111MBINGCON1R�f,Ip1 M�II�INMES$ CiIY IIC pNONF $1/.If110ENSf• <br /> cwm.0 rmc[o�wnn. <br /> ,_y�d p HEATINr SYSTEM: .AS ❑ELECTRIC ❑ I <br /> oruaier v�nK�Mo sou.uc�oor�oF wvavco co�n.a�rnsoe.rm n�mr w j <br /> J i IR-DA✓I¢ 7.�RZaN 4Z.S� �.a^}d�73 � <br /> NF.�n/ bl1S G�r�eNAeE t� �M7=NE _ <br /> I HERE�Y CEFTIFY TNqT I NAVE PEAD AND E%ANWED THIS <br /> APP�ICFTION AN�NNOW TNE SAME TO BE TRUE AND CORRELT ALL <br /> wprosfo us[or eund�.r. PROVISIDNS OF LAWS AND OROINANLES GOVERNING THIS TYPE OF <br /> WORN W�IL BE COAIPLIED WITH WHETHER SPEQFIED HEREIN OR <br /> t[euaescmruouorv'ronarvisrawv8eiaxa+enecNrwomM[51 NOT. TME GRqNTING OF A PERMIT DOES NOT PRESUME TO GNE <br /> im Bioca o� AUTHORITY TO VIOLATE OR CANCEl TME PFOVISION OF ANY <br /> OTHER STATE OR LOCAL LArV REGUUTING CONSiPUCT10N OR T/IE <br /> PEFFORMANCE OF CONSTPUCTION THAT 1 AM AUTHOR2ED BY iME <br /> OWNER OF THIS PROPERiV TO PERFOFM THE WORN FOR WHICH <br /> y3S2- ��C� ^ ��3 �pa0•3 APPIICATION I$ MADE ANO 1 COMPLV WITH TNE STATE <br /> r��u�ea io�mwtn CONTR/.CTORS LAW 182]RCW AND 296200 WAC <br /> CONilI111CfIp110IN1[III%fl.�(%M�C55.1[l[1'HONEMUNPFII X !/ _ Q�/� I��Z�� <br /> 'GA�1U1� U�If <br /> CIfY B114NESS l�L[NSC NO <br /> PLUMBING MECMIINICRL <br /> NO. TYPE OF FI%TUNE OH ITEM FEE NO. iYVE OF EQUIPMENT FEE <br /> WATER LLOSET(TOILET) PIC-AMNOLG UNI7S <br /> BATHTUB FORCED AIP SYSTEMS <br /> LAVATORY(WASH BASIN) MEAT PUMP � <br /> SHOWER UNIT MEATERS <br /> KIfCHEN SINK d�ISP GLOTNES ORVEFS <br /> DISHWASI/ER RANGE H000 <br /> Lr1UNDRYTRAY ' WATERHEAIER <br /> CLOTHESWASHER --� I VlOODSTOVE <br /> URINAL METAL FIPEPLACE(WOOD BURNING) <br /> ORINRING FOUMRIN FIRCPtACE INSEFT�l"JOOD BURNING) <br /> FLOOR DRAIN GAS FIREPLAGE <br /> OACNFLOW PREVENTERS GASRANGE � <br /> —� <br /> SINK(SERVICE-BAR,ETC.) GAS PIPING <br /> E%HAUST FAN _i_ <br /> SUB TOTAL E SUB TOTAL 5 <br /> PERMIT S PERMIT 5 <br /> TOTALFEE 5 TOTALFEE f <br /> FOR OFFICE USE ONLY: _ <br /> rnne.artn+rx nr�nsrtn�cn sio[s¢�e�cv ruunrtc•vuwnrn rfr �rrn�rno <br /> irs[torr �m��E• v.uv�sn[ E V�LUATION FEE <br /> ---� <br /> ❑vf5 O M> P�niPiva <br /> uEiG���Vvnq�04 n0 O��wfIUNG yqE D�BlOG91 ----� <br /> IIN�1\ p1114RiNf <br /> ._ ____ _._...._.. __ _ _ . � <br /> r.1101111h1:♦ N�rv�i�.9lf IX:CIItUNIl01p O�tFMfN� MFI:I��llif�l <br /> ❑�[5 ❑N9 <br /> em[svtnl�nlfPPEO� IIFA[ln �WI�iON�iP��vG�lCe _ <br /> oinfn � <br /> w=Tnia�unia�o � awsov -- <br /> \I�II flll�lf)�vl'.S�IIIC11�11C! <br /> rmroi�:ova rinvsu•rnnvrnm CI7YOFEVERE7'f ��,w��cwon.s �"�'— -"�� -- <br /> LOCALSALES - — - ----- -' <br /> ����t TA%CODE 15 9105 70TAL _ i <br />