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APPLICAT�N FOR CONSTRUC�ON PERMIT <br /> CIN OF EVERETT•BUILDIN.ri DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257-8810 <br /> ❑ DEMOLITION ❑ COMBINATION (� BUILDING ❑ MECHANICAL O PLUMBING ❑ SIGN <br /> PROJECT ADDRESS: I9�S�"_ �-nC'�QFI`����� <br /> �u�s= M`c.o�t �5sz.1���'�ao�� �-u�izc-ir WY�, 88zo1 4zs zs� <br /> pvmEn u�n�DouEss cin t�r �rowt <br /> 1EN�Nt NNI�IIMF55 Ll�v )iV G��ON[ <br /> AZS-�y'3EQ� <br /> •fILNiIC�0�UE4GN1�� 4u1�OM+F55 V1V I�� � :W! y <br /> �M�-Cc7�1 1.93z 1OM61'nZl���c�1��S 1il1'1��13F7o1 M��YGxo�3'A <br /> NE��ICONlIuf.IL� 4u1��ITR55 Cilv pv iu:Y( [I�ILIiCENSF• <br /> YFOUHiGICONIR�CIC� N��l�f%Wf55 f.�h Si1' h�ONI GI��FI�CFHSE� <br /> PIIIMBIMGCO�I�P�f,lp1 Y�M1IpME55 CIR qV CMOLF SGIFIICFNSF• <br /> COHfNCIV�ILEUfWW�M � / <br /> ,5,�(� ATING SYST �GAS ❑ELECTRIC ❑ <br /> pescainr.w�nxu:nsou�ur.00r.ccwavcn � � - coHucrv�aso�uumrwovruo — ��0 zs'zs '�' 7 <br /> :Z;ii <br /> ���I� I HERCBY CERTIFY TNAT I HAVE PEAD AND E%AMINED THIS <br /> I�2 APP�ICATION RND KNOW TNE SAME TO BE TRUE AND COFRECT A�L <br /> n�nrosv o Ust or nortoiuc: PROVISIONS OF LAWS AND ORDINqNCES GOVEFNING THIS tYPE OF <br /> WORK WIIL BE COMPLIED W�TN WHETHER SPECIFIED HEREIN OR <br /> iEcetoEscmrno�+ rrirortnttisrawrvaCmwa+�neoirvroconcsi NOT. THE GRANTING OF A PERMIT DOES NOT FqESUME TO GIVE <br /> io� "� ia���o� F — AUTHORITY TO VIOLATE OR CANCEL THE PROVIS�ON OF ANv <br /> rf�.� �-v 0T11EH STATE OR IOCAL lAW RFGULATING CONSTRUCTION OR TME <br /> ���yC,1/yJ K ��r�� T�J I H'� YUTT �NC1 PERFORMANCE OF CONSTqUC1�JN THAT I AM AUTHORRED BY iHE <br /> .1 OWNER OF THIS PROPE TO PERFORM TME WORN FOR WHICH <br /> lN VOU.�M� O� APPLICATION IS M E AND 1 GOMPLV WITM TNE STATE <br /> euecl ux o miunen CONTRACTORS lA 10 RCW A'JD.^96200 WAC. <br /> 4�_�'7y 382.-OI"7-�S <br /> v c� <br /> COMSI[IIILiiCNlO�xl(Mf1FP.I.pMES�iC�[MOMENU4Pf11 x <br /> �� iy S'GNElplll O�1[ <br /> � <br /> bivpU3NG4lKFN:[':O <br /> PLUMBINC MECH�NICAL <br /> NO. TYPE OF FI%TUPE OR ITEM FEE NO. TVPE UF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—NMNDLG UNRS <br /> 9ATHTUO FORCED AIR SVSTEMS _ <br /> LAVATORY(WASH BASIN) MEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KRCHEN SINK 8 DISP CLOTNES ORYERS <br /> DISHWASHEF PANGE HOOD <br /> LAUNORY TRAV WATER HEATER <br /> CLOTHES M�ASHER VJJOD STOVE <br /> URINAL IAETAL FINEPIACE(PlOOD BURNING� <br /> URINRING FOUNTAM FIREPLACE INSER'(VJO00 BUPNING� <br /> FLOOR ORAIN GAS FIREPLACE <br /> BACNFLOW PflEVENTERS GASflANGE � <br /> —� <br /> SINK(SERVICE—BAP.ETG) GAS PIPING <br /> E%MAUST FAN _i_ <br /> SUB TOTAL S SUB TOiAL f <br /> PERMIT S PERMIT S <br /> TOTALFEE S TOTALfEE 5 <br /> FOR OFFICE USE ON�LY: <br /> rnnvrvrrn.re aransnp.c� siocs¢�a�g+ tt�xo�¢�tiu�a rr��3 � nrrvm�No <br /> LO I.e p 5 -t10 tn` lf/ S <br /> ��4Ero.�� � i�ir,n�./�/y� ( vC�v�v�E FEES �.��V�TION FEE _ <br /> �j){y y�. ❑Yf5 NO RI1111N4�. �-� �� <br /> r�riaa uwneuqv �+o v nwcww, six[or eioc�i �'��v ,///� <br /> S IINi�G rn ! 1�1114RN'.: 2iV(� <br /> l <br /> IX:l11VIACY 41�I�I��ulS Of.CV�1Ni 10�0 9�51 Vf41 yl�'M�NIL�1 <br /> cnour � � ___ __ -- <br /> _� �__ Or[5 Eino — -- — <br /> r�uEsvim:.ienn[aa nr�sor� �oauovnruvaae� —_ ___ <br /> o���rn <br /> iInEAUNMPlO"U AF��fIV �I/ <br /> [In�[Ri1�lU�M1f.c�lllfl��ll:! T_� <br /> �rnrorco�i�� nnvs�rmmrnm CRYOPEVERETT mnnr.mv�nc ��"'— <br /> LOCALSALES - -- ----� --��-- <br /> �_�_ ��.,t? S TA%CODE IS J105 7o7�L______ _' <br />