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APPLICATI�1 FOR CONSTRUC�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVIStON <br /> 3200 CEDAR STREET•EVERETT,WA 98201•257-0810 <br /> � DEMOLRION ❑ COMBINATION _ BUIlDIN6 ❑ MECMANICAL ❑ PLUMBING ❑ BNiN <br /> PROJECTAZD;i�ESS '� <br /> qVMR 4I.l�CME55 GtV 10 NqHE <br /> rlAa.-�t� $re.... 2714 uw;14 A.� E.r,c$ 942a N2S•zSw•4r�v� <br /> *E�uN* +n�oon[55 C�*r v pr�ph <br /> . �y.�?pn(..�.�nnanne <br /> ,�In�cirny�aLi7--��oun�ss cirr :v rh�onc <br /> v <br /> GEMP4CONIR�CIq1 �A�It�ppu65 CILY Sb 1'IATS SfrtFl6tM5E• <br /> YELN�NCK ONIPI.CIOR MuI��MC55 OIY ZV %q1,C S1�IClqCNSC• <br /> IYIIMBiNGCONlII�LIIM YAIl�DU1�65 CiIY !P AN]NC SLiFIXtNSC♦ <br /> eorna�cirnccn�w«+e NEATINGSYSTEM: ❑GAS I�ELECTRIC ❑ <br /> �ODo.00 <br /> ocuu�ecwoaKumsouu+croor+c[nHavco corn.crrmsor,um �p <br /> �*�=. � C:lz � ory.�-u . - �103/ •�' <br /> I HEREBV CERTIFY THAT I NAVE READ AND E%AMINED THIS <br /> APPLICATION AND NNOW TME SRME TO BE TRUE AND CORRECT.ALL <br /> >aovasm u5c w n io�w PROVISIONS GF LAWS AND ORDINMlCES GOVERNING iHIS TYPE OF <br /> s �"��' WORN WILL BE COMPLIED WITM WMETHER SPECIPIED HEREIN OR <br /> imu xnmiroxorr�wrcmris�rnvHonowonen.c��iwotrrrtsl NOL TIIE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> m* eian or AUTHORIiY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGUUTING CONSiRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.iHAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PPOPERTY TO PERFORM TME WORK FOR YMICN <br /> APPLICATION IS MADE AND I COMPLY WITH TNE ST�1TE <br /> pu¢u tev m ruuueen CONTRACTORS UW 1827 PCW AND 2962W WAC. <br /> "/iJ7 ! '!7Z <br /> CONSiRUC1iONlOWI[MIXB.�WnE55.1RCMh�N[NUY9EP y �w���.�� ��1(��OO <br /> S�IUR[ OI.IC <br /> CIiYBUSwC$$iCCN$ENO <br /> PLUMBINO MELM�NIC�L <br /> NO. TYPE OF FlXTURE ON ITEM FEE NO. TYPE OF EOUIPIJENT FEE <br /> WATER CLOSET(TOILET� A'C—0.HNDLG UNITS <br /> BATMNB FORCED AIR S1'STEMS <br /> LAVATORV(WpSH BASIN� MEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINN 8 DISP CLOTHE3 DRYEPS <br /> DISH WASMER RANGE MOOD <br /> LAUNDRYTRAV WATERHEATER <br /> CLOTMESWASHER � WOODSTOVE i <br /> URINAL I METAL FIREPLACE(WOOD BURNING� <br /> DRINNING FOUNTAIN i FIREPUCE INSERT(WOOD BURNING) <br /> FLOOR DHnIN GAS FIREPLACE <br /> BACKFLOW PREVENTERS GAS RANGE <br /> SINK�SERVICE—BAR.E1CJ GAS PIPING i <br /> E%HAUSTFAN <br /> SU�TOTAL S SUBTOTAL 5 <br /> PERMIT 5 PERMIT 5 <br /> TOTALFEE S TOTALFEE S <br /> FOR OFFICE USE ONLY: _ a <br /> (PUNI:[1P48 HURSCIO�CK SJESCiB4R R.WCBEC6INMB[N f[E/��^ PCCE�VI1.p <br /> 0 <br /> wc:o�.c` I ia*�nu vueisrtc FEES V�IU�TION FEE <br /> ❑KS �]NO OWLDiNG � �Y1 �S �/✓ <br /> NCIGNiI�MIl4pN pNIf�OWllli� S�CIXOIpGII � <br /> �'IUYPiNG <br /> OCLII��NCv ry'JCf51CF15 OCCI11'�N110�0 O�SCVCNi u��H�N�µ <br /> LRJ11P � <br /> ❑Y6 1q <br /> fIRESPPiNK[LCFPWO PEASON ( \(� �WIIKINKFWICIIELR <br /> /�� �JCI�I`J� OiH[F <br /> PIP[�UPAIPCOO Ri.�W� <br /> ��� � ��� lr1�, SUIEBURDWGSVPCNMGE �D <br /> vv <br /> LVPE�XC01151 RAHS�>VIIOVEOBY CITYOFEVERETT 1'UBtFN1�11RS 7[� <br /> �`— LOCAL SALES <br /> �� yY o•+E y TAX LODE IS 3105 TOT�L S O <br /> ,T l�� _�, DJ <br />