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APPLICATI� FOR CONSTRUC�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVEiiETT,WA 98201 •257-BB70 <br /> ❑ DEMOLITION ❑ COMBINATION , UILDING ❑ �dECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS C�.z�_ �G� � t�/� <br /> � � G <br /> owr��p en�wu[ss cirv zP rNa,E <br /> �'"C-,.I � ��-�-N V�� SI .!� J 0 J-SOS�v <br /> �cH���r u+a�oou[ss rtr Pr zn rr�w,�c�y �`� �/j�/� <br /> �� 1� C(Z'L /�Gr(� .l.G-� lC'✓ " " T' / .7 Z� <br /> �ncrar[croGs�Glt� u.i`.��ss ��1L�"' ��-3 IM �CG 5'� . SB,J�-� 1L.�.���..� y�0).� <br /> ncvrn.�wH�n.cmn uuVcoacss • urv rw rr�a¢ sm¢iK�vs[. <br /> 6c..>n�.2 <br /> MEO��NiCµCONiP�CIOA 4Ml�OGPE55 Cilv dV %IWIE SGICIK[NSE• <br /> PW40OqCONIH�CIpP MAR�MRE55 CItY IP MpNE SiRElKCNSE• <br /> CON1R1Ci PPCC OF Wq1X <br /> Oo J _ o� HEATING SYSTEM: GAS ❑ELECTRIC C7 <br /> ocscnie[wonK uo sowuc�oo*�.[nr+a�co toHr..cr rcasai u�o vrro��c rq <br /> `_ roo ,� ' I/aH S/ �c. <br /> SF. 8 S 303- O <br /> I HEREBV CERTIFY TMAT I NAVE READ ANO E%AS11NE0 THIS <br /> APPLICATION AkD NNO\Y TME SAME i0 BE TRUE AND CORRECL ALL <br /> reoroscous[or ewimm� PROVISIONS OF LAYlS AND ORDINANCES GOVERNING THIS TVPE OF <br /> WORK 1VILL OE CO�dPUED WITN 1VHETHER SPECIFIED NEREIN OR <br /> i[euoescm�rro��o�rwacr+rv�5ranneuowonen�cNiwoeoPrtsi NOT THE GRANTING OF A PERMIT DOES NOT PRESUTAE TO GIVE <br /> lor Bix� o� AUTHORITY TO VIOLATE OR CANCEI TNE PROVISION OF ANY <br /> OTMER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PEPFORM1IANCE OF CONSTRUCTION.7HAT I AM AUTHOR12ED BV THE <br /> OWNER OP TNIS PROPERTY TO PEPFOPM THE V10HK FOP NMICH <br /> APPUCATION IS MAOE AN� 1 WfAPLV WITH THE STATE <br /> r�nc¢�uxiprniue[n CONTPACTOPS W1827RCW D246 OOWAC. <br /> DCiv o O� �� /� p <br /> CC44PULtqNl0�1lEN0E11.�DC11C55.1[1CN10NENJ4BCP x ,, /I /� �J' {J (� <br /> _�J�)�A�.P S.:vn1t oeiE <br /> cnv eos.niss i¢o,sc rro <br /> PLUM8INC MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOl11PL1ENT FEE <br /> \YATER CLOSET�TOILEi) A C—A MYDLG UNITS <br /> BATMTU� FORCED AIP SYSTEh15 <br /> LAVATORY pVASH BASIN� � HEAT PUMP <br /> SHOWER UNIT MEATERS <br /> NITCNEN SINK d DISP CLOTHES DFYERS <br /> DISITYlASHER RANGE HOOD <br /> LAUNDRVTRFY 1YATER MEATEH <br /> CLOTMES�YaSNEA �VOODSTOVE <br /> URINAL METAL FIREPLACE M1Y000 BURNING� <br /> �RINKING FOIINTAW FIREPLALE INSEfiT I�YOOD BURNING) <br /> FLOOR ORAIN GAS FIREPLACE <br /> BACNFLOW PREVENTERS GAS RAN�E <br /> SINK�SERVICE—BAfl.ETC.1 GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL 5 SUBTOTAL 5 <br /> PERhl1T 5 PER611T S <br /> TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> fPOHi5p04e RGPSOBAIX SpEgi9K6 vWICM6KNJ48Lfl iLE �ECLioirq <br /> Z� -z� 's r poo� _oo � • .�. 3 <br /> ust:a� iutenu a+:.�nrSnE FEES VALUATION FEE <br /> �"I IO S�I "�ES (MJ BVLLD�rq (! � I ,.� <br /> nbtn�t�iVnnnq rAO�OHTIUM: S.CMB�.oiTi <br /> 2 UHII$ I �.` h4'M9�1If� � <br /> � <br /> OC.fU���G� IA CI$iCPkS OCGU�NIf lOM O�SE4[Ni VECNA14CAt I <br /> OVP <br /> KS :0 <br /> MCS�NiNqfPPWO Pl�SCN �����P�6RCN <br /> OIM(p <br /> fIPE�URYIICOU PE/�5011 <br /> Sl4E0Wl0iN]SVP;AINiA I�, <br /> iwccrccuv ri�ns�rri+mmev CITVOFEVEHEiT ����ka'ou+s � <br /> -} _� / LOCAL SALES � <br /> �L nL onc S �b�00 I TA%CODE 1S 3105 TOTAL /j <br />