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APPLICATI� POR CONSTRUC�N PERMIT <br /> CIN OF EVERETT•BUILDING DNISION � <br /> 3200 CEDAR STREET•EVERETi,WA 98201 •(425)257-8810 `A✓��r <br /> \� <br /> ❑ CEMOLITION Q.�COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBMO ❑ SION <br /> PROJECTAODRESS:_7�OS E HE.ar,�E�e wR1Y <br /> �U.14MS� OAVIO ?305 £ NEATdER�L,l4Y EVT.iWA 4BZo4 �42� 353-065/ <br /> 1J L�i NEL � <br /> I�H�Nf 44141{MK55 G�Y )IV RqMF <br /> ���Q_ <br /> UKMqCIOnb(yGnU� YM�DOn..S C��V li� PH(Wf <br /> O w NEK <br /> C�FNF�1µCparyllC�(}1 y�i�/.MMIf55 C1�� jif 14NNf <I�II11�(NV• <br /> owNe2 <br /> MFP��Wc�.iI[.YD�apin�r�ua v�n�MWkss bn _ Tr r�b4t SnqlKE45f• <br /> OWryI�F _ <br /> P�11Yfl0.L[ONIP�flp1 W�l/�qMf55 CIIY IIV 1•N;MF SlAli�l[FHSf� <br /> 55 <br /> tournuc�rn¢c ui vrtwK <br /> _��us�,{ � HEATING SYSTEM: JS�GAS ❑ELECTRIC ❑ <br /> �FSCPiBi WJaR��vl�SW�uf spp�WF NVpYEO C[MI�CI vf NSON/.MI I'�NM6 MO <br /> �7CISTInI:a S,F Q LIAMS <br /> 4z5 - 53 -o�5i <br /> F I HEPEBY CERTIFY THAT 1 HAVE READ ANO E%AMINEO THIS <br /> nuarozfovst or nw�dx: AGPUCATION AND KNOW TNE SAME TO BE TRl1E RNU CORRELT�LL <br /> PROVISIONS OF�AWS AND ORDIN�NCES GOVERNING THIS TYPE OF <br /> SEE A(`7 C rC. WORK W�IL BE-COMPLIEO WITM WNETHER SPEpFIEU HEREIN OR <br /> trc��.n[xmrnwwrnor[nn�sMovme[iavanm�cemvcon[s ppT TNE GRANTMG OF A PERMIT ppES NOT PRESUME TO GIVE <br /> �ot qioa or AUTHpR1TY TO VIOL�TE OR C�NCE� TNE PROVISION OF ANY <br /> OTMFR STATE OR LOCi1L lAW REGUUTINO CONSTRVCTION OR TME <br /> PERFORMANCE OF CONSTRUCTION.TMAT I�M�UTNORIZED BY TlIE <br /> OWNER OF TMIS PROPERTY TO PERFOHM TME WORN FOR WHICM <br /> OB2t3 OSI OZq po OO AP7��CAiION IS M�DE AND 1 COMPLY WITH THE STATE <br /> r.ncrt uxiu rn�un�n CONTq�6LOR51AW 1B. 27pCW,�ND 29fi200 WAC <br /> N/A U 1 Y 1 // i/ <br /> ca�smucnrnio�r��rwnuvw�sS�c�[mqv[mwwFu x •�v �,�/�(ti, 9-9-9� <br /> �Ka�iuw u��i <br /> a+.e�vressic�Hzcno <br /> PLUMBING YECHANIC�L <br /> NO. TVPEOFFl%fUREORAEM FEE NO. �YVEOFEWI►A1EM FEE <br /> WATEH CLOSET(TOILET� q/p—AMqp�O UNR$ <br /> BATHTUB FORCE�RIR SVSTEMS <br /> LAV�TOHY(WASH BASIN) HEAT PUMP <br /> SHOWEN UN17 NE�TERS <br /> � KITCMEN SINK 6 DISP / CLOTNES ORVERS <br /> DISMWASNER FANGE HOOD <br /> LAIINORY TRAY WATER HEATER <br /> CIOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE�WOOD BURNING) <br /> DRINNING FOUNTAM FIREPIACE MSERT(N'000 BURNING) <br /> FLOOR ORAIN G!S FIREPLACE <br /> BACKFLOW PREVENTERS GAS FANGE <br /> 51NK�SERVICE—B�R.ETC.) GAS PIPING <br /> E%HAUST FAN _�_ <br /> SUBTOTAL S SUBTOT�L = <br /> PERMIi f PERMIT f <br /> iOTALFEE S TOTALFEE f <br /> FOq OFFICE USE ONLY: <br /> 111(1NfSfiP�Ct PIMSf1p�L� SiIXSfIB�Q M ORCKMV P !Ff �FfiMtHO <br /> O� <br /> nwtorr �o�+nt• vecex�un fEES V�lU�T10N FEE <br /> --r— <br /> ❑rrs ❑r.o n�rinrr. <br /> uric�a nvnuio. vo o�vwrtuw sin a uoc�i .— ' <br /> "ns rivunwr. <br /> .__._ _" ' _ "_"__�— <br /> oc�mr��.::. �.:.a.. vr.cu��xiia�n e�srwn� vrr...:� _ — <br /> w�� <br /> � cn <br /> _�'3 %._ �.ts ❑wn _—_._ ---' ___"_ '_' <br /> i�uisrm>�.i�uA�o'o �r.sov .rw�u�»,.inwonc. <br /> ntan — _ —. —_ <br /> riatw��uNean nnsnv -- — <br /> [��11 PII�IUN(i511nC1����.! : <br /> �Yi'f M rQ�lil I`I�Y[1nl'P(1Vf�Pv� • <br /> � CRY OF EVERETT ninuc wrw�.s <br /> �y- LOCAL S�LES -- — --� - �— <br /> _,L=1,j o•�t q q g9 TA't COUE IS 0105 TOt�L <br />