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APPLICATi� FOR CONSTRUC'i�N PERMIT� <br /> CIN OF EVERET'•BUILDING DIVISION <br /> 3200 CE�AR STREET•EVERETT,WA 90207•257-8810 <br /> ❑ DEMOUTION ❑ COMBINATION j�l BUILOING �j MECHANICAL � PLUMBING G SIGN <br /> PROJECT ADDRESS 3 I fl �}t'�-��R- �'� J E 2�'c 1 8 Z03 <br /> OVINEii M4L�DOPE55 CIiY ZiP RqN[ <br /> �o��, 3��.�,� $10 {{Ep7HE.Q�S. Fa1FR-ET�' � �R qazp3 ��s-zs�-ssar <br /> h.1wA1� A u�ae�OP[SS CrtY ZiP flqxE <br /> �}�JaT�.E4 i1LCkIl15CYJCF. 190� �3R0AoE�4eS Sen-rri.E. RBlai Zob- 1r�Jf-�'joo <br /> ABcertEcronoE :NEP P�ileoDnEss crtr 1W FqNE <br /> GENFFKCANIMLiOF IA�0.��CRL55 CIiY 1�� VWJNG SLIEIIL=NS[� <br /> SeL� . <br /> M[LN4ry�CFLLOtI1PRCiq' MEIL�DDR6i Gry SiV PIq11C SiqCLKE16E• <br /> l <br /> PLOPBOqLONiBRC10P YI.R�DJR[55 '.1iY IiP V�qRE SiRtELKCNSE• <br /> � <br /> cor�rnectnncso�wone HEATINGSYSTEM: GAS ❑ELECTRIC ❑ <br /> ,�T��g, �'oD�c. OF t�$�SE DT+ <br /> oss'cniee wonx u�o wuene roo*.ce ivvavm co�iucr rmwi�exo m�or�e ia <br /> Q- B�¢- 3 -�Vae <br /> I HEREOY CERTIFY THAT I MAVE READ AND EXAMINED TMIS <br /> APPLICATION AND KNOW TNE SAIAE TO BE TRUE AND CORRE�T ALL <br /> rnwopseo�os.6�orom�—oum` PROVISIONS OF IAWS AND ORDINANLES GOVEFN�NG THIS NPE OF <br /> F-G���YY C-� WORN WII.L BE COIdPLIED WI7H WHETHER SPECIFIED NEFEIN OR <br /> uce�ocwniarnrvo�vnorcrarrs�oxrveaowon�necHrv+ocow[si NOT THE GRANTING OF A PERMIT OOES NOT PRESUIdE TO GIVE <br /> �C* B�iocK� q \ or AUTHORITY TO VIOLATE OP CANGEL TME PROVISION OF ANY <br /> ...� Q}I {-.{y �+ rO S PERFOflMANCE OF OONS RU,C ION LTN TG AM AU MOPI ED BY THE <br /> OWNER OF TNIS PROPEfliY TO PERFORM TME WOFK fOR WHICH <br /> S��F�'I DO3 O�O OZ O APPLICA710N IS MADE PND I WMPIY WITM THE STATE <br /> renc�i*axiormMoce CONTflA M 2]RCWAND296200WAC, <br /> Co�ismutri rnoexierm[e.woness,rziEvnonsxuuucn � //'7 /pti1' <br /> s�cn�ru � ��— <br /> cnrousnrtssuceHscra <br /> PLUMBING MECHANICAL <br /> NO. T'IPE OF FI%TUPE Of71TEM FEE N0. TYPE OF EOUIPMENT FEE <br /> � WATERCLOSET�TOILEi� / / I A�C—AHYDLGUNITS <br /> $. BATHTUD 1� 2 FOFCEDAIRSYSTEh1S _ <br /> "� LPVFIORV IWASH DASIN) .,�. HEAi PU1AP <br /> � SNOWER f/ � I UNITHEATERS <br /> � KITCNENSINK801SP � GLOTHESORYERS <br /> OISHWASHER RANGE MOOD <br /> 1 LPIINDRVTRAV 2 WATEPMEATER - — <br /> CLOTHESWASMER � WOO�STOVE <br /> URINAL METAL FIREPLACE�WOOD BURNING) <br /> ORINNING FOUNTAW F�AEPLACE INSERT(WOOD BURNINGI <br /> � FLOORDRAIN GASFIREPLACE <br /> �fCNFLOW PfiEVENiFRS GAS FANGE <br /> ( SINK(SERVICE—BAR.ETG) GAS PIPING rU l I <br /> E%NAU57 FAN N." ! <br /> SUBTOTAL S SUBTOTAL 5 <br /> PERMIT S PERMIT 5 <br /> TOTAL FEE 5 TOTAL FEE 5� <br /> FOR OFFICE USE ONLY: <br /> rnonrs[.o+rv nunsc�wcx �vy sioEscioic.: rurva�ccnruuncn rcc n�<cw+wo <br /> - z5*�� S O� "Oa U <br /> usceo��a '� �Or�PceC v+unt5nc FEES �ALURTION FEE <br /> ��' Z U/NO a :lV[5 �0 BU4M�v'. <br /> IH!GlrtliMilRlpN�� . 'IQ'�DW�UTA AICOfBlatl <br /> S lv nw,owo i <br /> occuau+cr raas+w�s occuv�Hiio.o wscucnr uEnuHKu 1 <br /> ro <br /> s r,�+: <br /> rwesrmm�icenwo nuson �cortrouuruneeecx <br /> onrt� I <br /> imeeununroo �usoH <br /> SinF.BGiDn+G SUaLNMG[ <br /> iVPEO�CONSi PIANS�CPIqVCOBv CITYOFEVERE7T NBICNCi�nS I <br /> LOCALSALES <br /> —/.) u>re ZS JO 7A%CODEIS0105 TOTAL �_ <br />