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APPLICATI� FOR CORISTRUC�N PERMIT <br /> CIN OF EVERE7T•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259-8810 a� <br /> ❑ DEMOLITION COMBINATIONv ❑ BUILDING A ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> `P��ROJECTADDRESS: � � � p ���/ <br /> (y.�/ �tlh ��aN P �r✓� PJ� W�d�'�r'�S� 3/Nv <br /> /pYMEP 4 t�OME55 pM1 j�p p��� <br /> �Ex�Nf u4leDOB[55 �Ib jip PUOM[ <br /> /.11CIPl[L�MM$�GIIf11 u/.IIMOf1E53 Cllv lli•- MIpNE <br /> _G[NEf1•(�prv��,�(XI N41�0011E55 f.11Y JI1' P�IONE <��ICIICCNSE� <br /> �� y � n� <br /> X c .. �i i <br /> / KIUHIC4LONIPLC10ii Y4lApME55 Lltt )ip pllpyE i��1E4CENSE• <br /> 1'W401NGCOII1N�f,1 �Y�IL�pp11f55 <br /> G�Y (IP plq,^NE SiqEUCFNSE• <br /> CCMIR1C1P11iCE0[ N <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑_ <br /> oEscnieeh x osou�ncrooveEwvav�o� c�n+.nrcnsa�uror�quErro — <br /> � <br /> I f1ERE0Y CEHTI�Y THAT I MFVE READ AND E%PMINED TNIS <br /> riroros[ovsE w eonpua A�'P��CATION ANO NNOW THE SAME TO BE TRUE AND f.OFRECT ALL <br /> PROVISIONS OF LAWS AND OR�INANCES GOVERNING THIS TYPE OF <br /> WO4iK C�IL�BE COMPLIE�WITN WMETHER SPECIFIBD MEREIN OR <br /> �ccetoescmntwr�orrrrorcnrv�s�urorm�eE�owca�nrcnrvpca+Es� NO7. TNE CRRNTING OF A PERMIT DOES NOi' PqESUME TO GNE <br /> ia aiocn a AUTHORITY TO VIOLAIE OR CANCEL THE PROVISION OF ANV <br /> ' OTNER STATE OR LOCAL LAW REGULATING CONSTPUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNEF OF THIS PROPERTV TO PERFORM TNE WORN FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WIiH THE STATE <br /> ru�tEiv,zioruwe[n CONiR TCRSLAWIB27RCWAN0296200WAC. <br /> covsmucrwriio�.vicxocn.�nonrss.�Eic�+wr.�rwncn �Q� ���Ij��l,�.� ��g1�7 <br /> rx��un[ o�rt �f� <br /> CI1Y OUYNB51 M06C Ii0 <br /> VLUMBING MECM�NICAL <br /> NO. TYPE OF FIXTURE Ofl ITEM FEE N0. TYpE OF EOUIPMENi FEE <br /> WATER C�OSET(TOILET) P/C—MINOLG UNR$ <br /> BRTHTUB FOpCEOAIRSYSTEMS � <br /> IAVATOHY(WASH OASIN) HEAT PUMP <br /> SMOWER � UNITNEATEFS <br /> KITCHEN SINK d DISP CIOTHES ORVERS <br /> DISNWASHER flANGE1100D <br /> LAVNORY TRAY WATER HEqTER <br /> CLOTHES WASHER W000 STOV[ <br /> URINAL MIETAL PIqEPU+CB M'OOD OURFING) <br /> DFINNING FOUNTAIN FlfiEf'lAC[INS[(ii(NO00 BUANING) <br /> FLOOR ORAIN GAS FIREPLACB <br /> �FCNFLOW PREVLNTERS GASRANGE <br /> SiNK(SERVICE—ORR,ETC.) GAS PIPING —r— <br /> E%HAUSTFAN <br /> ` P <br /> _ SUOTOTAL S SUBTOTAL f <br /> PERMIT S PERMIT S /j� <br /> TOTALFEE f TOTALFEE f — <br /> FOR OFFICE USE ONLY: �h ��'J <br /> ��ON�SFTp�CR pE�f15FlR�CN 9pE5f1R�CN Pl�Ntll[CXM1V411f11 !Ef '11FClIPINO <br /> usc+aric ioien[e vnun�v�E FEES VpLUATION FEE <br /> ❑r[s ❑rN p�Rwun ; <br /> 11[IGIIIlI41f�f10N rypppy/[��ING 51IELVOLIXVlI � <br /> UNII[ ' <br /> R11M111N� ' <br /> CLCOCAI6Y MpSRMu[5 CCCIICANIlOeO B15E4fNt I <br /> GI�WI' MFCIUWGI <br /> ❑Y[$ ❑Mn � <br /> fINE$CNINYLEf111[00 �f�[pl �pbll(1N�IfY�N�11lCx <br /> 0�1�[11 <br /> fill�.[µ,VIMP[O'0 n��[pq <br /> [II.�C 1111�1(li�l(151111CIINf[ <br /> nrEorr.oNsr r�nas�rrnwmn: qTYOFEVEREiT rvni¢wn�nv <br /> LOCALSALES --- —— —--- <br /> n+�[ TA%CO�E IS J105 70TRL <br />