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APPLICATI� FOR CONSTRUC�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98207 •(425J 257-BB10 <br /> ❑ OEMOLITION ❑ COM�B7IN..�iDN ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDflESS:-N�.��O� T (��q i V r <br /> � 09Q <br /> D�wso� _ C�nv�r J�i ' .i�� y�c aR,��Fv�a�7r y�S-3sS�S6iY <br /> OWYFN <br /> � Y nr .�ou[ <br /> 1[N�N� 4µY1Mf55 " <br /> ryiv bV wpeF <br /> �f1CXi�(Liqll%5�G4E11 u�ilnq�PF55 [itY !i� ��.�( <br /> ff�If�1�lCVr�ifllLlOq 4�i1.�IXl'�E55 CIl♦ )�f I�ixlY[ cl�rLIICCNSf• <br /> 4Ff.1I�M' '�(}I�R�fiU.� 4��1/�)011E55 fAiY j�(� <br /> ��bM1'f 51��{LKEN[E� <br /> �� J <br /> 1'1114BINGCG11P�f,IC(1 Mul�LV1f55 CIfY IIP 1'Np�F Sl�tlllC[MSf� <br /> CWI��C��111Cf O(NWIK <br /> HEATING SYSTEM: ❑GAS ❑ELE�TRIC ❑_,_ <br /> orscworw�nv.vusou.nr�oor�c�wvavro cw�.crvrnsa�•rmrHovrvo � <br /> e%P iro�- Arao� � — <br /> _��I,�C D `� I HEREBV CERTIPY iHAT I HAVE READ AND E%AMWE� THIS <br /> rororos o ii��i�ipr,n APPLICFTION AN�NNOW THE SAME TO BE TRUE ANp CORREGT A�� <br /> _�`� PFOVISICNS OF LqWS AND ORDINANCES GOVERNING THIS 1Y�E OF <br /> IVORK WII L BE COMPUEO WITM WMETHER SPEGFlEO H 3lEIN OR <br /> iew�oEScmrupiwrnor[nrv�SM-,wr�p¢pwpur�¢Hnvpponcsi NOT. THE GRANTING OF A PEFMIT DOES NOT PqESUME TO GNE <br /> �o� A��+--w AUTNORITY TO VIOIATE OR CRNCEL THE PROVi510N OP ANY <br /> OiNER STATE OR LpCAL LAW PEGUUTING GONSTRUCTION OR iHE <br /> PERFOqMANGE OF CONSTqUCTION.THqT I AM AUTHORRED BY THE <br /> OWNER JF TMIS PFOPERTY TO PERFORM THE WORK FOR WMICM <br /> APPU' N IS MA q I COMPLY WITN THE STATE <br /> rexct uM io�nruxen CON RCTOPS UW�]q�W pN Z9 200 W�C <br /> / <br /> cors�nirc*ir�i�o�M�fxt�fnNxn[s��r[�rr�rpnErNupF�� <br /> % <br /> NI ( ��1! <br /> �IfYBV5NES514[VSL 40 <br /> PLUMBING - <br /> MECHANICRL <br /> N0. TYPE OF FlXTUFE OR ITEM FFE N0. TVPE Of EOUIPMENT FEE <br /> W.�TER CLOSET(TOILET) A/C—PMNDLG UNRS <br /> BI.TNTUB FORCEO RIP SVSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIi NEATERS <br /> NITCHEN SINK 8 DISP CLO(IIES ORVERS <br /> DISHWqSHER RANGE NOOD <br /> _ LAUNOPYTRAY WATERHEFTER <br /> _ CLOTHES WASHER 1400�STOVE <br /> URINAL METAL FIFEPI ACE�WOOD BURNING� <br /> DRINNIN�FOUNTAIN Flq[PLACE INSEFT�WppD BURNING) <br /> _ FLOORpqqIN GASFIREPLACE <br /> BACNFLOW PIiEVENTERS GAS RAI.dE <br /> SINK�SERVICE—BAR,ETC J GAS PIPING --� <br /> E%NAUSTFAN <br /> — �— <br /> __ $UO TOTAL E SUB TOTAL i <br /> PERMIT f PEFMIT f <br /> iOTa�FEE E ' iDTAL FEE f <br /> FOR OFFICE USE ONLY: <br /> n�or��:nn.�. nnnsne.c. sicesr�e.c. ruxco¢nvuunrn r�r n¢rmr.ro <br /> __ d� <br /> �":����� �ot.uu v¢�ru�su[ fEES yALUATIpN FEE <br /> ❑rEs ' <br /> ❑� PIXIMN(. �— <br /> �4nP�ll�ou�up� sO b UWRO� SIEWBI�GRr <br /> IIY�I.\ <br /> f111411iNf <br /> l���..�li ���I.'411 VI:f111'�NIIU�p B�{(4fN1 4I1'I�NAI'y � � —�_ <br /> ❑vF5 ❑40 <br /> w..nlp�PEO'U -- nieSM �OpIrMlnih�NCi?Cn <br /> — 011�F 11 <br /> ���.fStAIiMP(O'� fIF1tOY <br /> f�n1l 911�lUiNt:5iMC1�41C.f <br /> nr�nrcova rvnr�s�nrn�vrnur CITYOFEVERETT ronur.wrn�w�. <br /> LOCALSAlES ' --� —' '-- ' _ <br /> __ n.�e TA%LOUE IS J105 TOTnL <br />