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' � APPLICATI�1 FOR CONSTRUC�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR Sl REET•EVERETT,WA 98201 •257-0810 <br /> � DEMOLITION � � COMBINATION �BUILDING f"�. MECHANICAL Cl PLUMBING ❑ SIGN <br /> PROJECTADDRESS <br /> ! 2 Gr .,� !�� <br /> o�.v�u� M�nnooaiss cur n� mro�rt <br /> L!/44_�G/�t7TE �7Z�b .flr• r-r�'f�/!�� 4Yra� <br /> -v.u��/� ra.� ooncss on n� ���Tic — ' <br /> /r <br /> �=cratrr.•�ono�c/sv:vn+ M�i�e�oHt.s cur bn m«.�a / <br /> �uc�!/�R4��iY�1�DXE.� A�l��l�l(/dt...✓A�.�� <br /> „tptr.i�annu.irn ue���ooiacs, ur. nn r�ar�¢ su�n¢[rv,e• <br /> 4tC��t�a��IDn up��pnn155 [irv rir Nro�M1 FelE1�C[r6t. I <br /> i�u4pµ}GONIPALlINt N�iUDMl65 Olv IM' ���WC S1�iCUCI�6t• � <br /> .:�'111���11�1�IC1�Of V�DI�rt <br /> �OOO HEATING SYSTEM: 1C�GA5 (1 ELECTRIC � I <br /> /.�et^woi,nenu's�(�w /r�0puc.ennq�.. coNucir�usouu�o�rj./y rq(oI N <br /> —�/"����=—T_�-���� ��_LI��V��'( i��� I <br /> =1I(���J�-����J f:S�I�' � <br /> �O E�'S Z_� I HEREDY CERTIFY THAT I HAVE FE�D AND E%Ah11NED THIS <br /> APPLICATION AND NNOW THC SAIAE TO CE TRUE AND CORfiEGT.ALL <br /> �� e;[e usc a noi�o��n PROVISIONS OF LAWS AND ORDINANGES GOVERNING TIIS TVPE OF <br /> WORN WILL OE COtAPL1ED\YITH \VMETHEfl SPECIFIEO NEREIN OR <br /> iic+ioescawironaraovcnnisnormo[ owoue*i¢n+:�ocornv NOT THE GRANTING OF A PflRM1T DOES NOT PRESUME W GIVE <br /> �or__moca w AUTNORITV TO VIOLATE OR CANCLL iHE PPOVISION OF ANY <br /> OTN[R STATE OR IOCAL LAW REGULATING CONSTRUCTION pR 11'E <br /> PERFORIdANCE OF CONSTRUCTION.iHAT I AM AUTHOFIZED OV TME <br /> - OWNGR OF TNIS PPOPERTV TO PERFORId fHE IYORK FOR WHICM <br /> APPIICATION IS MADE AND I CUMPLY WITH TME STATE <br /> r.neu u.in r�uuuen WNTRACtOPS LAW 1 27 RCW ANO296200 WAC. <br /> OD f31So D//Oo �_. .t�/ <br /> co��sv�uciae iouuu�ote.00rrzss.m[vnorrt nouo[n <br /> pn D�IC <br /> CiM1UL �4LY'UCLH5Ul0 <br /> PLUMBING MECN IICAL <br /> NO. TVPE OF FIXTURE OR ITEM,' FEE N0. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILETI / '' A�C—AlINDLGUNITS <br /> �A7NTU0 / FORCEDAIRSYSTEAIS <br /> LAVATORV IWASM OASIN� i REAT PUMP <br /> SHOWER UNIT NEATERS <br /> KITCH@N SINK A DISP CLOTNES GRYERS <br /> DISHWASHER RPNGE H00� <br /> LAUN�RVTRAY � NATERNEATEH <br /> CLOTHLS WASH R / WOOD STOVL <br /> URINAL ) IdETALFlFEPLACE�WOODBURNINGI <br /> DRINKING FO . TAIN � � FIREPLAC[INSERT pVOOD OURNING) <br /> FLOOR DPA1 -- GAS FIqEPLACE <br /> BACKFLOW P EVENTERS ' GASRANGE <br /> SINK�SERVI E—�A0.ETC.I GAS PIPING <br /> i E%HAUSTFAN <br /> / <br /> $UB IDTAL S � �J SUD TOTAL 5 <br /> PER1.71T 5 FERh11T 5 <br /> TOTALFEE 5 TOTALFEE S <br /> FOR OFFICE USE ONLY: C <br /> rnou�sru.ce ac�nsnn.0 sncscro.,ce �.��c�piM¢yEN[TT !rzc a¢norra <br /> mit 3Arvir.es <br /> iuelo�a :oru�n �nr.r�tsuc FEE9 VALUATION FEE <br /> :',�is '�r�n nmm.rm �7 '4� 7-i <br /> uocrrtuun.iar� worowci�in,: sso�n_�*��nljbS.(. WL <br /> wns rwueiw <br /> QM9 $fi �a.Q4fL`S <br /> a:co�.ru�.v rn^.as:onis occorew�o.o iu�:i��uu uwiuna�u � <br /> myo�y <br /> � -�t5 'lNU � �.� <br /> IIIzL51�NINMICRPC00 NGSON �ODI1KHµlYµCHECK .� <br /> O1MEP ' <br /> III�I�I�qMPEOO RC�SqI <br /> su.c emm�wt suucnence <br /> +���iccoesi rur�se�nnovcom� CITYOFEVEHETi vunikwa�+s <br /> LOCALSALES �, <br /> nni Z Zo � TA%CODE159105 TOTAL �4-'� . <br />