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APPLICATI�1 FOR CONSTRUC�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STRE 7•EVERETT,WA 98201•259-8810 <br /> ❑ DEMOlJT10N ❑ COMBINATION �LLWNO CI MECHANICAL ❑ PLUMBINO ❑ SH3N <br /> PROJECT ADDRESS: _ I� 1�} (�/��.p 5 /ky-i CU r�Tt- b;,�i. S g.{o r <br /> �Aw�Atkc: D�iS I�,iS' .s Aw' �rr w✓�. g�Zv � gEs•4syL <br /> ox�cn �ui�mrcss an nr� nvt <br /> 1[W�M� Y.4�Op�f55 (ytY l�� <br /> 1'14R <br /> ♦IILNlICIOPfIf51GMfR WIIYfIXI[SS G�Y lll'... Mq( <br /> I'N F�/ks (,)�rks '1505 cJ**Jt Qo An� � wa. guti�R.��.��lr���l 553 l 4S� <br /> OFHEW1cONtnnGtrn u4l�qM1[55 Glr � )il:--' / M1� [I/.1[IC[NSE� <br /> MpC7ASW f�066Mk <br /> YEM�MC4LOM�P�C�OP 4M�pIY1FS5 dIY lil' � MIOME S���EIiCENSE• <br /> OIUulMGCON�N�LI011 Y4l/�qYq55 GIY lil� MqNF SIAIElCEN5E1 <br /> COM114C�FIYC(IX Wptlt <br /> � SD V �� NEATING SVSTEM: Lt1'EAS ❑ELECTAIC ❑ <br /> ascnieE v.on.uo wu•uc roouae NvavEo f.cM��l:l rt�iSfM�uR�MlM41p ` <br /> ADDn� , �n }'0 S � /.qw2puce D(anu 34e'�F55 <br /> I HEREOY CERTIFY �f1AT I HAVE RE�O �NO EIIAMINEO THIS <br /> waroxo us[a mixw1a APPLICAiION ANU NNOW THE S�ME TO 8E TRUE ANO CORRECT ALL <br /> ,FL'S//�C11� PflOVISIONS OF LAWS ANO ORUINANCES GOVERNIN6 7H15 TYPE OF <br /> WORN WILI BE COMP�IED WITN WHETMEH SPECIFIED HEREIN OR <br /> IEGKCESCNM1011K1Y1d4PfY�yqNNpEIOWOt1�11K111NO�pp[5� Npt.7�IE OR�NTINO OF A PERMIT DOES NOT Pf1E5UME TO OIVE <br /> io� eiocti or AUTIIORITY TO VIOLATE OR CANCE� THE PROVISION OF ANY <br /> OTIIER STATE OR LOC1LL LAW RE6UUTIN(7 CONSTRUCTION Oii THE <br /> PEHFORMIWCE OF CONSTRUCTION.TIWT I M/AUTHOHIIEU BY TME <br /> OWNEfl OF 7MIS PROPERiY TO PERFORM THE WORN FOR NMICH <br /> �PPLICATION IS MI10E �ND 1 COMPLV WITH TME ST�TE <br /> vwc[iruioruuecn — CONiRACTOfiSI�WIB�IflCWAND2%.200W�C. <br /> CONSfRIL1p1110411[1fLfl.y1p11ES5.1f1[RIdIEM14y11 X �,��p ,�' �' 2y 's7 <br /> • M�E <br /> ilYM15�14551iLlx5L 1q <br /> PLUNBIN6 MECII�NIC�L <br /> NO. TYiEOFFlKTURE011�TEY FEE NO. 7YPEOFEOIMPy(N} FEE <br /> WATERLLOSET�TOILET) NC—MINDLOUNITS �— <br /> BATHTUfI FOfICEl1AIR SYSTEMS <br /> LAVATORY(WASN BASIN) IIEA�Pl1MP <br /> SHOWER ONR NEATERS <br /> NITCHEN SINN 8 DISP CI.OTIIES ORYEPS <br /> DISHWASHER �MNGE f100D <br /> UUN�RYTR�Y ' WAIERIIEATEfl <br /> ClO1HESWASNER —r p/(�7pg�pyE <br /> URINAL Mf:fAL FIOEPUCE(WOOD OUHNING) <br /> ORINKING FOUNiAIN FIREPUCE INSEflT�W00D BURNING) <br /> FLOOR DRAIN GAS fIflBPUCE <br /> B�CNFLOW PREVENTERS GAS IIANGE <br /> SINK�SEfiVICE—BAR,ETC.) GASPIPING 00 � 4� <br /> E%IIAUST FAN <br /> SUBTOTAL S SUBiOTAL f SD� ' °' <br /> PERMIT S PERMIT f <br /> TOTALFEE S TOTALFEE f <br /> FOR OFFICE USE ONLY: <br /> f11pM�5C10�LN 11E�OSf10.�[M $IIKSlIP4M M1N�CIRfR111iµ��p !If O(f.lMlHp <br /> CLL S��__ <br /> �is[taic m��nEe v¢u��snr -�� FEES V�LIIATION FEE <br /> ❑rEs ❑w oieuxxn <br /> ��iimnuwutwn wanwttu„c vtEaemcni --- <br /> ur�qs <br /> Iry11WIMl <br /> tX;lVl'�N[1 IqpSICMS OLCWMNIlO�D BLY4EN� ufbl�Mf.�1 �-�— —!— <br /> C�OIIP <br /> OY[$ OM --' .— <br /> imis�nwK¢nuroo nr�x�w ux�ixwun�Ncmr. <br /> __—_. �__ <br /> o�u�n <br /> nnc,�enuncmp nf�sov <br /> sun ni�uxrx:sxr.�umc <br /> nnrnrcmis� r�exs�rn�nvmnr CITVOFEVERETT n�Mrwrv�.s <br /> LOCAL SALES ------— — — <br /> nm TA%CODE IS 0105 TOT�L <br /> � _—' —. L— <br />