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APPLICATIO� FOR CANSTRUCT�N PERMIT <br /> CITY OF EVERETT•BUILDItiG DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257-6810 <br /> ❑ DEMOLITION I i COMBINATION I 1 BUILDING 17 MECHANICAL �PLUMBING I � SIGN <br /> PROJECTADDRESS <br /> Sqr�P <br /> o�.ruu� ua:�ww�tss arc zw v�w�re <br /> M C Ni1�.8 2L � .r�-r-z�„y��. �,.t�sr,w, 9fsoP" (�iI)-Jf.� 9r2 9 <br /> iuwa uuuoon[ss cnr �m wpr�� <br /> �ncmt�cronpc.nr�[n ueneow¢ss cnx tm mnc � <br /> cmcn�ucanrucrrn u�w�oartss urv nr rirorn': Su�Eucnae• <br /> �� ccwmuri-zJ ID%Z7-Ii pR. 1F. F�.FPN7 9y�ag �4:J�JJ�e7c� ('-�y_r.�, � <br /> u[o�ar�icu-ornnecron wui«�mncss ntv rir n�or¢ s'u�c�Korse• <br /> rw�.ir>:rx:rowu�ciun uniuow+[ss un m• iv�ur,[ :u�cuccns[. <br /> cuiii nc�rnccorwonx <br /> FiEATING SYSTEM: I-I GAS I I ELECTRIC i 1 <br /> occca�oE wu�vn um sw�ne roov.ce vnavm caiuc i ru�wn am rnouE�.0 <br /> /ZEPL C <br /> I NEREOY CERTIFV THFi 1 HAVE PEA� AND E%A1AIN[D iM15 <br /> APPUGATION NNO KNOV!1NE SAME TO�L TRUE�Np CORHGCT.ALL <br /> rnoi�an u irse w nmmn�:. PROVISIONS OF LAWS ANO ORDINANGES GOVEHNING TI16 TYPE OF <br /> Sr WpRK 141L1 0[ COIdPLIED VJITH 1'JMETIIEfi SP[CIFlE� HE{iGIH OR <br /> u�.>�.u[;cmrnoriq�rnov[mvis��owuouowo����uanwocorrz.� ��OT THE GRFNiiNG OF A PERI.UT DOES NOT PRESUh1fl i0 GIVE <br /> im U�ocK or AVTIIORIiV TO VIOLATE OR ::�NCEI. TIIE PROVISION Of ANY <br /> OTHER STATE OR LOGAL LAVJ REGULATMG CONSIRUCTION OR 711E <br /> PERFORMANCE OF CONSTRUCTION.THAT I Ald AUTIIORIZ[D pV TNE <br /> OWNER OF THIS Pf10PERTY i0 PERFORld THE VJOf1N fOR WHICM <br /> �PPLICA710N IS MADE FND I COIdPLY WIIH TM[ S7ATE <br /> r.�.u�u+mxuuo[n CONTRACTORSLA�82]PCV�N 2962�OWAC <br /> / <br /> / <br /> cous�nucnonioun[rio�n�uoness.iE¢v„oneruuoen X J .l'F dFroG _ <br /> smrvemnc � . u�¢ <br /> cnv ovsiM[ss iKoisv rro <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TIIRE OR ITEM1t FEE NO. TVPE OF EOUIVMENT FEE _ <br /> WFTEB CLOSET�TOILEp NC—A'HNDLG UNIiS <br /> �FTNiUO FORCED PIR SYSTEIdS <br /> LAVAiORY�YlASM�ASIN� IIEAT PUIdP <br /> 5lIOWER UNIi HEATERS <br /> kITCHEN SINK R 01SP CLOTMES�FYERS <br /> �ISMYlASNER RANGE IIOOD <br /> LFUNDRYTRAY WATER HEFTER Flf �yip <br /> GIOTNES WASMEP WOOD STOVE <br /> URINAL METAL FIREPLAGE�WOO�DURNING) <br /> DRINHING FOUNTAM FlREPLACE INSERT(WOOD Ol1RNINGI <br /> FLOOR DRAIN GAS FIREPL4CE <br /> �FGKPLOW PREVENTERS GA$RANGE <br /> SINH(SERVICE—OAP.ETC; GAS PIPING <br /> E%HAUSTFAN <br /> � SU�TO7FL 5 SUUTOTAL 5 �— <br /> AEfildlT 3 PERIdIT S <br /> �_ TOTAI.FEE S TOT4L FEE 5 ' _ <br /> FOR OFFICE USE ONLY: (Y� �(�_ <br /> n�o�rtsOO:cv �nm�SOunLx 5�oE5c�e�Lx rlANcu[czNOVe[n R[ ncQ�Pnio <br /> u i.rcr,� w�u�u v�t•e�suc FEES VALUATION FEE <br /> f1vE5 f1�10 tluM1UING <br /> I�Ei9�nlM1���e1pN IqCfp".LLLIN(} SRFOIOLOGT <br /> Ilrlil5 RUMIIJq � <br /> ' �q W SIDPtS CCCUf��ll 1041 O�SFYCN� u��������µ I <br /> �d�oVnv� <br /> nrEs nrro <br /> �r��;r„r�u[nnEon nus�N� <br /> wonicr�urwia¢Cn <br /> OprtO � <br /> rn�e<in�=anEao uusoq <br /> s�Arz ounmra swcr�u+ce I <br /> nii�n�.wer rinu5���novmor CITYOFEVERETT �veicwrmn5 I <br /> LOCALSALES ' <br /> �.�� TA%COOE153105 TOTAL I <br />