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APPLICATI� FOR CONSTRUC7�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUIIDING '� MECHANICAL ❑ PLUMBINO ❑ SIGN <br /> PROJECT ADDRESS <br /> Z � <br /> !�� uuuooncss =nr za rvnrh yLr-zs9 S7_7/ � <br /> EN,NF T k]J�'�,�rt7 /yo2 �,Qa�dvK �v¢ce,�r y�1o� vts �ss-s2sz w� <br /> 1A�I1�0011E55 CI1Y jn (�Np�F. <br /> •PCN11ELi0RpE5GN[R q�III.COPE55 CRY p4 1'NJHC <br /> GEK1UtCON1N�Ci041 M�tL�00PF55 CIfY jy� pg,y�� Si�fEIICENSC• <br /> NECII�NICAlC0111'1P/.Li011 \I�IL�ppPCS$ LIfY 1�� �Y� � c5�1,1.1/C�1�C�CN$C� <br /> �Tl S t�PKTlNt� S7ap E. Nu41N MOU,Por'y 1�27Z 7an6 �J��t/'1CZI�{ �� <br /> RuuaMGCOY1n41oB M�M1�0.�n[ss trtr qr N�W.! sr�t6LKINs[. <br /> CONfNh'.1 VPCC WO11M <br /> � ZC-� HEATING SYSTEM: )GGAS fl ELECTRIC ❑ <br /> DESOaieEwOn6eNo5ci�n[r i�G[noav[� cPYL�i N9rrqn[rq <br /> v <br /> EX�5 .r ,�,ys_ 2 - 239 - L 3Z <br /> � I MEREDV CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> APPLICATION AND NIJOYl THE SAME TO BE TRUE AND LORRECT ALL <br /> maro5[Dus[or nw ua PROVISIONS OF LAWS AND OflDINANCES GOVERNING THIS NPE OF <br /> � r'�' WORK WILL BE COMPLIED WITM WNETMER SPECIFIED HEREIN OR <br /> ¢.��o[scaiarror�csvAon�nrcivwnuuttowa+�necniwutav¢s� NOT. THE GRANTING OF A PEHMIT DOES NOT PRESUME TO GIVE <br /> m* xiaK or /•UTNORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> /� OTHER STATE OR LOCAL LAW PEGULATING CONSTRUCTION OR TME <br /> r3��� A�v IG DIA � PERFORMANCE OF CONSTRUCTION.THAT I AM AUTNOqIZED�Y THE <br /> ��— OWNER OF THIS PROPERTV 10 PERFORM TNE WORK fOR KMICH <br /> �� S L CATION IS DE AND I COhIPLY WITH TME STATE <br /> r�nc[i*�eiouuue[e ONTR TOR LAW B RCWAN0296IOOWAC. <br /> (7 - C <br /> L0�61nUCl NIOVI E�ro(P.AppP[55,14(NqNC�u140EP x O <br /> SA'.p�111 OAf <br /> LIIY OUSIN[$$IICENi(Iq <br /> PLUMBINC MECHANICAL <br /> NO. TYPE OF FIxTUPE OF ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET� A C—A HN�LG UNITS <br /> OATHTUO FORCED AIR SVSTEh15 <br /> LAVATORY(WASH�ASIN� HEAT PUh1P <br /> SHOYJER UNIT MEATERS <br /> KITCHEN SINK 8 DISP CLOTHES DRYEPS <br /> DISMWASNER RANGE NO00 <br /> LAUNDRYTRAV WATER MEATER <br /> CLOTMES WASHER WOOD STOVE <br /> URINAL META�FIREPLACE(WOOD BURNING) <br /> ORINKING FOUNTAW PIREPLACE INSERT(WOOD 6URNING) <br /> FIOOR�RAIN GAS FIREPLALE <br /> OP�KFLOW PREVENTERS GAS RANGL <br /> SINK�SERVICE—DAR.ETC.I GAS PIPING <br /> E%HAUSTFAN <br /> SUO TOTAL S SUB TOTAL S <br /> PERAtIT 5 PERMIT 5 <br /> TOTALFEE S TOTALFEE : ' <br /> FOR OFFICE USE ONLY: ()'� — <br /> vnaasne+ca nuascru.cn s�ocse*wa rwicncaxuue[e r[e necemrw <br /> us[rv�:[ iaraau wc+niSnE fEES VAlU�T10N FEE <br /> '�KS r� BuitDiN6 <br /> nEIGHII�UilAiqli ryp0l0'F[IU�G SCCO�O��GTI <br /> UNi15 ���8.� <br /> aOup�k� �ACi9ME5 OLCpC1NIlO�U OASFMLN! 4EC�4NCq <br /> ❑YCS ❑NO <br /> I,nlSVPiNeIEFREO� PE�SON �Oi��ON4ClMlURLN <br /> o*Nrn <br /> IiP�µI,RNPEOD PEASCN <br /> S�tlE BWIDING SUnCNERGE <br /> r���corcoNsr riuisr.vnrrovcoer GTYOFEVEREIT waicwoa�s <br /> LOCALSALES <br /> �._�i TAX CODE IS 3105 TOT�I <br />