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APPLICATIO�FOR CONSTRUCTI�1 pERMIT <br /> oF ev��.eui�oiNa onnsrori � <br /> 3200 CEDAR STREET•EVEREIT,WA 88201 •258-0910 <br /> � DEMOUTIUN ❑ COMBINATION �BUILDI 6 .✓�p. MECNANICAL ❑ p�UMBINO ❑ S�GN <br /> PROJECTADDHESS:L�tS �St��$�/ ����MLI»: Q � <br /> �� e,PGir��w.�..l. <br /> ow�.cn r.n an <br /> u ��'fL:�i � <br /> - 4ltwaTyr.. 24// �4 ll�. ..:ui..�L Yf/ r �r i <br /> � wt�oara a�v � i� �� ��. 7q.1 �3 i6LS <br /> N�/� ma` <br /> ..acMrtc+ us�wrta uuiwonEss Gry �; <br /> i � <br /> cEw�wica�*n.crw uu��oait G� ��' ���( �� GRt Sbsa yStGs! <br /> F� t1�IEl�CfMfE• <br /> �I�Qi.SrJ.. 4IhMuTiv.. L1//:r Nd, •N A.�s 1ht •r � !Mlt�l Cza.�fos /ic� NddrN Iot2G <br /> cc m�cron wa�oon[ss att rm Nt <br /> M� SI�tF liCfMS[r <br /> TA i�� 7aef�o�.....rn <br /> MVY�MGCWiN1�ip1 Yly��pp�[u qry <br /> !m nqN[ si�tEl�CfM3E� <br /> I <br /> C W IMCT�pCF Oi Md1R <br /> $b xe t—' HEATING SYSTEM: �jiqS ❑ELECTRIC ❑ <br /> ocseweewweu1osouwarooiw.rvav[o ' �wrk:rr[rowuio w <br /> 1 HEREBY CERTIFY TMAT I HAVE REAO ANO EXAMINED THIS <br /> >uaosFo usc or nnpxo APPLICATqN AND 1(NOW THE gAA1E TO BE TRUE AND CpqqECT ALL <br /> S tr J PR011510NS OF UWSµD ORDINANCEg ppyEpN�NO TNIS TVPE OF <br /> tFG�LOEYwiqNp�Plpltpry�yqhy�pryp��n�ry��E� MIORK Wlll BE CWAPL�ED WITM riHETHER BPEGFlED MEREiN Oa <br /> NOT.THE ORANTRq pF A yEpM1T ppEB N0T PRE,iUME TO OrvE <br /> L01 ��� � AUTHORITY TO VIOUTE OH GINCEL THE PROVISION OF ANY <br /> SE OTHEq STATE OR LOCAL tAW pE0UU71N0 CONSTRUCTION OR TME <br /> PEqFORMANCE OF CONSTRUCTIpH,THAT�AM�UTHpqI�D BV THE <br /> • OWNER OF iH18 PqOPERTY TO PERFORM TIE WORK FOR WMICM <br /> APPLICATION IS MADE AND I COMPLY WITH TNE S7ATE <br /> =.wcti r.0�.o.wweu COMRACTORS LAW 1l,27 RCW AND YYE20p WAC. <br /> ♦ • —00 — O <br /> CQv31RUC11(Nl1041lFMOE0.M011[S�.TFlEfl10MiMM�[II �^� , / � ` '"'��/ <br /> �L2G5 •�DA1° <br /> arvwweuiura[uo. <br /> PLUMBINO MECH�NICAL <br /> NO. TYPE OF FlIINNE Op ITEU FEE N0. TYpE OF EOUIPMENT <br /> WATER CLOSET(TOILE7) FEE <br /> BATHTUB � �—��a�� <br /> UVATORY(WASH BASIN) � FOACEDAIq 6Y$TEMS <br /> SHOWEN HE�T PUMP <br /> KITCHEN SINN 6 OISP UNIT HEA7ER3 <br /> CLOTHESDRYERS <br /> DISHWA$11ER � MNOEHUOD <br /> UUNDqYTPAY � WA7ERHEATEq <br /> CIOTHES WASHER �pg� <br /> URINAL• METAL F�qEP{ACE(yyppD BURNIN6) <br /> DRINKIN6 FOUNTAIN FlpEPI/��E�NSEp� <br /> FLOOR DRAIN M'�D BURNINO) <br /> (y�S FlREPU�CE <br /> BACKROWPREVENiERS � ��QE <br /> SIKK�SERVICE—BM,ETC.) � MSPIPINO <br /> D4UU3T FAN <br /> � <br /> � <br /> SUBTOTAL t SUBi07AL t <br /> PERMR t ' PERMIT f <br /> TOTAL FEE i TOTAI FEE f <br /> °OR OFFICE USE ONLV: <br /> nONiSEISKJt � MEMSEIYCIt iIOFYi4�Ct <br /> M1/�NGKUMMNIII ![F q(�{VT1q <br /> 0 y �J <br /> sE xavE �ou u yN;µ�q F, FEES V�IUATION FEE <br /> �-.2 �000 i aw <br /> cmrruwrena waowcwxo aaa�oau �� 30 �� I�U <br /> z� wrs � <br /> 4 v 5 . ^'""""' ;p J <br /> qa.wL� MOdSIM[3 OCCVO/JIIlO.W U�{{M[Nf ���µ <br /> R. ua Z � o„, vi� <br /> �ESNN�M1£RPEO'D MELSpI ,1ppi�pry/,�,Aµ�yyp� J� ;^', <br /> J l�v <br /> �EI3MMPF0'D RE�ip� OIII[P <br /> {i�t[IIUGMIAM1CIWql �ra <br /> �oear.owsr nµs�+movEon CITYOFEVERETT niei.r.wo�ue � <br /> �_� out '�/6�57 TAX CODE SL0 OS TOTAL a�'� <br />