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APPLICATION FOR CONSTRUCTI PERMIT/1/� <br />� •!OF EVERETT•BUILDINa DIVISION � � <br /> 9200 CEDAR STREET•EVERETT,WA D8201•259�8810 <br /> � OEMOLITION ❑ COMBINATIOtL �BUILD�fi �MECHANICAL ❑ pLUMBINO ❑ SION <br /> PRO.IECTADDRESS: �X�S ,� /ytn <br /> LeTS lS 214 Gt N: p,i/i,,. MLI,,,� � he �. <br /> OrmEn —� YMlNIp1Eb <br /> OM1 lp� �IqM� <br /> ,cw�`71°,r�. �r.�ru. 29�� :4 u -N.hA .� �.�ir 9t�� f � L,. <br /> u.�woncs: aTM » � � � 4 G i C <br /> NI� <br /> .ncwncrwocswrtn �un�uou[ss an <br /> / � �MOik <br /> GFMfatCpl�NC�W �.nwme �♦ 1i ��( (SOG) GR=-SDsa yl TGse <br /> nnM xr.tivarnt. <br /> �f�.sn4 4�UMICi L.' [.. L�//w. {/ ..� �-._ <br /> EC CYCOMiH�CiOR �WI�Oq�F3S 6J 1StlS /1cS M �e ;l�,�.I <br /> an ' l,� ��� <br /> Tn @r �Efsnw�,u�,+D sT��EUCEra[. <br /> n�uewccwrw�[ra� - u�n�oonEss an tm <br /> �b M� surtuu�st. <br /> cwrwcrrac[a� � <br /> Eb xe � HEATIN6 SYSTEM: �AS ❑ELECTRIC ❑_ <br /> oEscnie¢�u�osouuicroovo[rrvano � twry:rr[max�wo �q -- <br /> ` O — <br /> Z • <br /> ' � HEflEBY CERTIFY THAT I HAyE READ AND E%AMINE� THIS <br /> ororosEo usE a euauw �PPUCATION AND KNOW TIIE gM1E TO BE TRUE AND CORREC7 ALL <br /> S� tr ✓ PAONSIONSOFUWSANDORDINANCESOOVEiWINOTWSTYPEOF <br /> �EaixscwvrqvampEnn�s�pwnqiowp��n�pTMp�r �pK WILI BE COMPLIED WITH WNETlIER SPEGflED HEREM OR <br /> . NOL TNE ORAHfINO OF A PERMIT ppEB NpT PRESUME Tp ONE <br /> i01 �0C" � AUTHOPITY TO VIOUTE OR CANCEL THE PROVISION OF ANY <br /> SEE /}(�/k,�/ D �TNEII STATE OR LOCAL UW REOULATIN(i CpNSTRUCTION OR THE <br /> — PEflFORIM.4CE OF CON9TRUCTION,Tly�T I AM AUTFpqIZED BY THE <br /> OWNER OF TNi9 PAOPER7Y TO pEqFORM 7ME WORI( FOR WNICN <br /> APPLICn��ON IS MADE AND 1 COMPLY WITH TME STATE <br /> ou¢EL nu t.0.1uu�[a CONTpACTORS LAW 1l27 RCW AND 796.t00 WAC. <br /> . � � � <br /> :WSi11UGMIlOu1lENOE0.�➢011f6l.1EUIIIMIFMWlFR ppNAIURE 1 '• D � J ^���� <br /> �271 c o�tc <br /> � an�aicEw�no. <br /> PLUNBINO MECHAMCAL <br /> NO. TYPEOFFl%IUREOpREM FEE N0, iYP[OFEONPMEN! <br /> � WATER CIOSET({pILEn FEE <br /> / BATHTUB � �—�NDLOVNRS <br /> ' FORCEDAIRSYSTEMS <br /> UVATORY(WASH BASIN) � HE�T PUMP <br /> i SHOWER � UNITNEATERS <br /> KITCHEN SINK 8 DISP / CLOTHES Dl1YERS <br /> / DISHWASHER RANOENOOD <br /> UUNDRYTRAV / WATERHEA7Efl <br /> CIOTHES WASHER WOOD STOVE <br /> URINAI� � MEfALFIREPUCE(`YOpOBUfiNINO) <br /> ORINKINOFOUM�IN � FlREPIACEIN8ERT <br /> FLOOR DRNN M'OOD BURNINO) <br /> ' OAS FlREPll10E <br /> BALKFIOW PREYEMERS ��QE <br /> SINK(SERVICE—BM.E7C.) MS PIPINO <br /> OODUSTFAN <br /> � <br /> _ , <br /> SUB TOTAL t SUB TOTAL t <br /> PERMIT f PERMR f <br /> TOTAL FEE S � TOTAL FEE S <br /> 'OR OFflCE USE ONLY: <br /> na�rstrs.0 n[autw.� Fwut�+ac RYIp[GtMWfA r[r <br /> �.9 Zp �� NCErrW <br /> seror�E �� wtu�Fe veewt�iF FEES V�IUAiION <br /> �� 0� FEE <br /> e�e�ruwunw w�Fraweww nuawrorti �� L 2 �J !f' I 7J <br /> � 555 '7 S,F. ^"'MNP �Do <br /> qc�.�cr rcdfi�+ts xcue,wttow wc�rrt <br /> n �•i 2 0� o w .va.ue.i �.v i av <br /> nESOWmR(PPEO'D NE�id �ppIqMA1.RµL}Y,�II � <br /> ��: <br /> ��EwMuqEOV nF�FW 01�[R <br /> Sl�l[IItaMR14xCiWqt ;� � <br /> �vcorr.a�zr nµs•.mwcoer CRYOFEVEREI'T nnir.vaxi � <br /> �-�.! LOCALSALES �v � �a <br /> ont J�$�Q7 TAX CODE IS 7fOS TOTAI �a� ��v <br />