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APPLICATI� FOR CONSTRUCT�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257-8810 <br /> ❑ DEMOLITION ❑ COM2BINATION �sUILDI�N�7G � ❑ MECHANICAL ❑ pLUMBIN6 ❑ SNiN <br /> PROJECTADDRESS: �J( �K�''��O /TI/F— - <br /> D �G�=-(3 r�G-�v F ��c�L--�(— 3c �t? <br /> OM�fO 4u1��F55 C11Y I�� �'b'i[ <br /> 1fM�Nl M41�fKKS55 f.IIY llv I4qY( <br /> .ncwirctonnts�n�a� uui.nv�fss o�v i�r - n«nr <br /> ctM�n.iro�+�n�c�m o+n�wm�ss on nr -r�x�ar n+nncrva� <br /> uiO��wGtrOvtn�f,l(M v�nrtH%R55 brv A�' rvq�.r cL�i16MCE. <br /> 1411411MGCON�u1f,1M V✓tRM1�F55 [irv l�n Pwp4F S��IFIKFFst� <br /> cw+m�a n�m�o�wrm <br /> �ZOvD�G MEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> IXSCRiR!N^HM�hll iW�nl{OO��Gt M WIVCD Lpll�El nl�SM�Mt��xnf NO <br /> ��� <br /> I NEREBY CERTIFY IHRT I NAVE RE�D AND E%AMINED THIS <br /> pPFIICAT10N AND NNOW THE S�ME TO BE TRUE ANO CORREGT ALL <br /> r�vMosvo v<t nr n�mdwr {`FOVISIONS OF�pWS AND ORUINRNGES GOVERNING THIS TVPE OF <br /> WORK W�IL BE COMPUEO WITN WNETNER SPECIFlCD NEREIN OA <br /> irc�iocscnn•up.wrvortnn�5�nwunnaww�n�cMrwocon[5� Npt TNE GR�NTiNG OF A PERMIT OOES NOT PRESUME TO GIVE <br /> m� moc• Or AUTHORITV TO VIOLATE OR C�NCEL TME PROVISION OF �NY <br /> OT11ER STATE OR LOCAL LAW REGUUTING CONSTRUCiION OR TME <br /> PERFORM�NCE Of CONSTqUCTION TM�T I�M�UTHOHIZED BV TME <br /> — OWNER OF TMIS PROPERTV TO PERFORM THE WOHR FOR WHICH <br /> APPLICATION IS A1ADE AND I GOMPL� WITH THE STATE <br /> rmcrt u.i o�nwxnn WNTH�GTOR51 AN'IN.'1 RCW AND 2?5 t00 WAC <br /> covcm��cnrninu�ir�mrnvrv�iss�[�tn�orEwwnm K <br /> st.r�none. on� <br /> rn:.omrt vs i Kt Nv.n <br /> PLUMBING MECH�NIC�L <br /> NO. TYPE OF FIIlTURE OR I7EM FEE NO. iYVE OF EOUIPMENT FEE <br /> WRER ClOSET�TOILETj NC—M/NOLG UNITS <br /> BRTHTUB FORCED RIR SVSTEM$ <br /> LAVRTORY(WRSH BASIN) FE4T PUMP <br /> S��OWER UNIT IIE�TEf1S ' <br /> i_ <br /> KITCHEN$INK 8 DISP CLOTIIES URYF.RS <br /> DISHWASHER RFNGE HOOD <br /> �AUNDPV TfiAY tYATER HEATER <br /> CIOTNES M7�SHER LYOOD STOVE <br /> UR�N4 METAL FIREPLACE pVOOD BURNINGI ` <br /> ORINRING FOUNTAIN FIREPLACE INSERi pYppD Bl1RNINGI <br /> FIOOR OA��N GAS FIi1EPLACE <br /> DACNFLOW PREVENTER$ GAS RANGE �_— <br /> SINK(SERVICE—B�R.ETC) GAS PIPING _ �— <br /> E%HAUST FAN __�_ <br /> SUB TOTRL S SUB TOTRL S <br /> PERMIT S PERMIT f <br /> TOTALFEE S TOTALFEE 5 _ <br /> FOR OFFICE USE ONLY: <br /> IP04iViP��• �(U�Sf1PK[ LMS[I!1[� M1�vOM1QAowfl�� Rf �(f1iMN0 <br /> r17fJ�`S <br /> nvio•m w�u�u v.c�v�vn FEES V�LU�tION _ FE� <br /> ❑vf5 ❑M� Pu�MW. <br /> uuc.�a nv.�o� w n nwuu�.c s�n a nmai .— _ '—. <br /> ^�^: ruran�r. <br /> ._' ____ _—"__ ' _ .-_"—}__— <br /> I I111N\::• ��..ol 1M�11�IVMllO�l1 R1[IW'�1 Vf1:1��MI'II <br /> OlH` _ <br /> o�rs ❑rn —'-- - __ _._-__ <br /> r�,r.r�:ru:n.uuvro�o_—_ nr�srn " �ttri�nrynwoxc. _ <br /> p���tn __— ._ '—_—_ <br /> ian.inr,,�nmo -- m�sav —'_ <br /> ��I RVnIPbf.Snrcu�nlH <br /> �.rv n,:oac� q�vs�rrnpv�nn. CRY OF EVERETT r��nir wn�i+c " ' --__�" —" <br /> LOCALSALES -�--- ---- --- ' <br /> �,.�t TA%LODE IS�105 TOUL __ <br />