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APPLICATI� FOR CONSTRUC�N PERMIT� <br /> ITV OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 88201 •259-BB10 <br /> DEMOLITION ❑ COMBINATION 1 BUILDINQ ❑ MECHANICAL � PLUMBINO ❑ SION <br /> ROJECT AD RESS_----1�/lI� J <br /> � D S �✓f,2 E( 4/ �0.�D�S� <br /> awsn �u ss nn nr mox¢ <br /> IEM�MT Yy��ppp[$5 GiY <br /> j10 p�pyE <br /> 1q[Mi[GtOR�($IGHER Y4l/�pqE55 GT' lll� VII�NE <br /> GEv[�NCWIDeC10N uulMMF55 GtY Im AqNF 541F1KFN5E• <br /> uF}UMGICOHiP�CiOR Y4l�pMESS f.lrv S�P DIqNF SIAiFIKEN$E� <br /> ��2,�aNd� �� ��,�,��,�� �C��y� <br /> GCON C10R 1�00PE55 Y IIV P�qx�� <br /> SIqElSfHSE• <br /> COM�IUCIvn�E W Nqllt <br /> ,s�. l HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> Cf WlEHp1R�ND$pUAPEi001.WEWVLlVEO � CONf�CIMPSdINq%q1(Np <br /> � y <br /> 1S�sems <br /> 1 HEREBY CERTIFY TNAT I H�VE READ AND E%AMINED TMIS <br /> nn000sEous[or euipw APPLICATION ANO KNOW THE S�ME TO BE TRUE AND CORRECT ILL� <br /> PROVISIONS OF lAWS AND ORDINANCES GOVERNINC THIS TYPE OF <br /> tcc•iocscmnnor�arnovcnnivarmenowoneneceiwpmnE51 W�RK WILL BE COMPUED WITH WHETHER SPEGFIED HEREIN OR <br /> NOT. THE OPANTINO OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �°� moc. a' AUTHORITY TO VIOLATE OR CANCEL THE PqOVISION OF ANV <br /> OTHER STATE OR LOC/LL LAW REOULATINO CpNSTHUCTION ON THE <br /> PERFORMANCE OF CONSTRUCTION.TNAT I AM AUTHORIZED BY TME <br /> OWNER OF TNIS PROPERTY TO PEPFORM THE WOqK FOR WHICH <br /> APP�IC�TION IS MAUE AND 1 COMPLV WITH THE ST�TE <br /> riwc[i rui i o.mmecn CONTRACTOR UW/��/}RCW�ND 496.20U WAC. <br /> CONSINULIqNIdWIEMDEII.MMESS.iFIFVWNENW![P �������(Ylsl/1.}/�/ ��11/LiYJ�/�/ <br /> X <br /> ��l I / 011E �7- <br /> \ <br /> G1YBu5wES5lCFN5EM0 <br /> P����� YECN�NICAL <br /> NO. TYPE OF Fl7lTUpE OII ITEM FEE NO. NPE OF EOUIPMFM FEE <br /> / W�iERCLOSET(TOI�ET) NC—MWpLpUNITS <br /> / BATHTUB FORCED�IRSYSTEMS <br /> / UVATORY(WASH BASIN) HE�T PUMP <br /> SHOWER UNIT HEATEPS <br /> KITLMEN SINN 6 OISP CLOTHES ORYERS <br /> DISHWASHER flANGE 11000 <br /> UUNDRY TR�Y WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL MEfAL FIREPLACE hV00D BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT pNOOD BURNING) <br /> FLOOq DRAIN G4S FIREPIACE <br /> BACKFLOW PREVENTERS GASRANGE <br /> SINK(SERVICE—BAR,ETC.) GAS PIPING <br /> EXNAUSTFAN <br /> SUBTOTAL S SUBTOTAL f <br /> _ PERMIT 5 'ZQ , PERMIT f <br /> TOTAIFEE S TOTALFEE f . <br /> FOR OFFICE USE ONLY: <br /> fOON15f104R PF�115EIB�CN 4Df5FIPKF M�NCII[CMNNqfp fFF Mf.FIPINO <br /> usr:w.c iounu waH�vtt FEES V�LIIA710N FEE <br /> __ OVES O MO pN�pixf. <br /> ��fili��i114:1�fION HOO�OWEIIING SIlfO�ElDf✓11 <br /> IINIf[ <br /> 1'IVYpINC. <br /> ie:eonvev �uavcve6 attun�vrto�o e�u�am � <br /> �,°`wr uFCruNiGl <br /> �HS ❑a0 <br /> IJ�f SGOAVLERPEO'� 11F�Spl �Dp�IpH41Y�NC11(Clt <br /> �__ <br /> Ob�f� <br /> �<unuuqEOD PF�[M <br /> $IqC 011ilOMfr SIIIICI�Apf.! <br /> ni•ioTr�as� rinvsenrnwEnm �RypFEVEHEIT rum�r.v,aus <br /> LOCALSALES --- <br /> on[ TA%CODE IS J105 TOTAL <br />