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APPLICATI�1 FOR CONSTRUC7�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,lNA 98201 •257-8810 <br /> ❑ �EMOLITION f7 COMBINATION ❑ BUILDING y�MECHANICAL ❑ PLUMBING C i SIGN <br /> � PROJECTADDRESS )�^ ?� /C,�� J,�r�� C�ve �O�DI <br /> /Cli,� L u-� <br /> owrie u.iuonaess citt zir P��+e <br /> �+' , �� nh11 ���Y�rl Q�,�I[� - 1G,� Pl JUE �Prlin.inwnl �las �1�17-�7b1 <br /> 1cn.ert uul/.Dtln[ss ertv I�`O�^' rHOM[ <br /> � d <br /> �AwrtEt*onoesari[n uu�eooaEss crtr zin P��oHe <br /> c �cor+rA.crou wneooness att tir rnort s�r�uceNse <br /> �f1� �tlllFr �E`ratnvq 110���10 �aKr �r�nt 9d'�SS' 3'��Suii/ f�(I�r�Tl��UBD <br /> 1 �AECNANiC OI:tPAC10P N�IL�G E55 OIY Ili FHONE S EL E <br /> PLU1ABRiGLON�RA.^,IOR Y�IL�JJR[55 CIiY 2�P N��ONE Si/iEliCLt6C� <br /> �wmnecrvnkeoryGa� r,� �1L HEA'fiNGSYSTEM: . GAS ❑ELECTRIC i-1 <br /> ,yesswmewonvu.os�au.n �ooucenrvovco cox*ecrP[asouumvHorverio <br /> `� �f�' v '(� S'M . � <br /> �c�-� ��P i <br /> �'1 i xs� c`� �ID �'r �i�� appE CAB ON ANDIKNOW THE SAME TO DE TRUE AND CORRECT ALL <br /> �rno���[nrom�oll' . PRpVI510NSOFLAWSAf10ORDINANCESGOVERNINGTHI3NPEOF <br /> � �� - '�� WORN VJILL DE COMPLIEO WITH N'HETHER SPECIFIE� HEFEIN OR <br /> ier.n�ocs:=vuorvovrnoventtis�a:mee�owoaetua�tt�ocovrts� , NOT. THE GFANTING OF A PERMIT �OES NOT PRESUME TO GIVE <br /> �or e�ocn or � I��1� AUTHORIiV TO VIOLATE OR CANCEL TME PROVISION OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTHUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> ObYNER OF THIS PROPERTV TO PEFFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COh1PLY WITH TNE STATE <br /> �vnnc �rne i o uon�a[e CONTRACTORS LAW 1027 RCW AND O WAC. <br /> LONStP�LONLOANL@l�ER'/.DpPE53.LRW110rvEN111A6CF �� J—� �`�"� � <br /> �� pUE <br /> OiY OOSME55 4CEN5[fb. <br /> PLUMBING MECNANICAL <br /> ryp, TYPE OF FI%TUflE Ofl ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> N'ATER GLOSET(TOILET) f✓C—h'HNDLG UNITS <br /> BATHTUB FORCEDAIRSYSTEMS /(,yJ QJ <br /> LAVATORY(WASM DASIN) HEAT PUMP <br /> SHOVIER 11N1T HEATEFS <br /> KITCHEN SINK 8 DISP CLOTMES DRVERS <br /> DISHVJASHER RPNGE NOOD <br /> LAUNDRV TFAV WAiER HEAi�R <br /> CLOTN95lVA5HEF WOODSTOVE <br /> URINAL METAL FIREPLACE�VJOOD BURNING) <br /> DRINKING FOl1NTAIN FIREPLACE INSERT(WOOP BUANING) <br /> FLOOF DRAIN GAS FIREPLACE <br /> BACKFLOW PREVENTERS GAS RANGE <br /> SINK(SERVICE—BAR.ETC.) GAS PIPING <br /> EXHAUST FAN <br /> SUBTOTAL S SUBTOTAL 5 <br /> PERMIT 5 PERMIT 5 <br /> TOTALPEE S TOTALFEE S <br /> FOR OFFICE USE ONLY: M.UCOLO 3 C� <br /> lPONi5Lt0ACN PEeF5Ei0ALN SIOES[iO�CN �'UNCNWMNUAIBEfl F[E R[CEIf'iN0 <br /> w[zoue �areaE> v�Gu+tSrtE FEES VALUATION FEE <br /> :IYES ❑x0 B���pi� I <br /> L[I.HILiiA?<iqN hO0I0WElLVIG 512[OF6LOG91 <br /> UNOS p�pMBING <br /> OGCVPANCY WJOf5i0PH5 WCUPANIWM 0A:'VENt MEGIIINIC4 � <br /> IA.-0UP � <br /> ❑YES ❑��0 <br /> LinLSPPiNFIEPRE0�0 RE�5011 �W��IDNALPUNCNECM � <br /> OiNER � <br /> fN�EPlAR1APWD �E�SON <br /> SiAIE BwL01tW SURCIIMGE I <br /> 1vGEOFGONSi PI.WS�VPPOVEOBV CITVOFEVERETT ��BIICVlOPNS <br /> LOCALSALES � <br /> i„�� 7A%CODE IS 3105 iO7AL <br />