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• APPLICATION FOR CONSTRUCT�ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREFT•EVEflETT,WA 98201 •257•BBI O <br /> ❑ DEMOLITION f� COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBINfi i:i SIGN <br /> PROJECT ADDRESS �� � � OAKS E vc R� T/ 9 Pz v/ <br /> owxca uuu[w�css crtr zr rnarc <br /> pEcoREs K. RiGH� //20 /y8'� 57, NF ARLi4icTaN w,1 9S2Z3 36o-6s2—yl2y <br /> iCNANt A1I.ILA�pPE$$ CIiY jq M�2 <br /> �/A�HN% <br /> .ucwrEc*wucs�crrt�� u�i��waEss c�rv iv �� <br /> �:Vi[NqCONIR/.Lipn Mut�MM[55 CI1Y ZW MqNF 9�iLlqCNS[• <br /> T"«RN-KrYRC'VHiR 11on E✓cKGREfN wn/ EVERf17,wA 9E1�3 %uRNK oE6J7 <br /> biG�+r�CnWura�cron uuuppncss Qn TN'' rvror¢ SretilK[RMNs�. <br /> ���u�amccann..cron u�ii�o;wcss cirv ir rr�orx Sr•+[iki,�s[. <br /> CONiR�C11TGC M WONY <br /> �,'�?� HEATING SYSTEM: ❑GAS '-1 ELECTRIC ri <br /> ocscninc won�+��o scu.�[roo*ecc iuvavco cmrt.r.r rcasou.��o rnoHc r� <br /> �+'FPGNC� .5 LiN 7' oF woniic <br /> I NEREBV CERTIPY TH.1T I MAVE READ AND EXAMINED TMIS <br /> rncMoxo usi a ounomn APP���AT�ON AND KNOW TME SAME TO BE iRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND OflDINANCES GOVERNING TMIS TVPE OF <br /> WORK WILL OE COIdPUED WITN WNETHER SPECIFIED HEREIN OR <br /> a.+�o�scumrio�+arvnoaenrvisnowxocmwonen¢nmocanrtsi NOT THE GRANiING JF A PEPMIT DOES NOT PRESUME TO GIVE <br /> �a� y Biot� 7�or AUTNORIiV TO VIOLATE OR CAIICEL TME PROVISION OF ANY <br /> OTNER STA7E OR LOCAL LAW REGULATM(.CONSTRUCTION OR THE <br /> PERFORIdFNCE OF CONSTRUC710N,THAT I AM AUTNORIZE�BY TME <br /> OWNER OF TMIS PROPERTY TO PERFORM TME WORK FOR WHICM <br /> APPLICATION IS MADE AND I COMPLY WITM TME STATE <br /> ��ncu u.i o r�ouou� CONTRACT RS LAW 1027 RCW AND 29G 200 WAC <br /> oov3yo �FvooYov ,--- <br /> mris�euc*ron�ouuenotn.�ooi�tss tn����o�+crmue[n 7 �j�:,i �f/ 0� <br /> aN�1Vl�k D1tE <br /> CIi V BU5111L5$l�CLNS[Iq <br /> PLUMBING MECM�NICAL <br /> NO. TYPE OF FI%TUPE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> � WATERCLOSET�TOIL[T� A'C—ANNDLGUNITS <br /> �ATHTUD PORCED Alfi SYSTUdS <br /> LAVATORY(WlSN BASIN� HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITGNEN SII:R d DISP CLOTMES ORYERS <br /> DISHIVASHF.P RANGE NO00 <br /> LAUNDRY7RAV 1YATEP NEATEF <br /> CLOTHES WASHER WCOD STOVE <br /> URINAL METAL FIREPLACE�WOOD�URNING) <br /> DRINKIN3 POUNTAIN FIREPLACE INSEflT(WOOD BURNING� <br /> FLOOR DRAIN GAS FIREPLACE <br /> �ACNfIOW PREVENTERS GAS RANGE <br /> SINN�SERVICE—�AR,ETG 1 GAS PIPINQ <br /> EkMAUSTFAN <br /> SUBTOTAL 5 SUDTOTAL 5 <br /> PEPMIT 5 PFRMIT 5 <br /> TOTALFEE 5 TOTAIFEE 5 <br /> FOR OFFICE USE ONLY: 'y�v{ � + z �• Ati� _��{,�' <br /> ruoars *u�c� �� n[ne�i�� s�o�e��K� nutio�EcnHvuoea rr[ acCootuo <br /> IV V <br /> us[zo�rt �� ior�au �aceHisut FEES V�LUIITION FEE <br /> :��e[s ee.�' Bmionxi <br /> ucmrrt�nn�i� , iiinwovrtwr�o cii�ar��i rwuev+a <br /> occoemcr rwps*wrts accvr.r.ii9.o a.sr��erir --- <br /> � �r I /U/} r utt��ui�c�i � <br /> t res o rw <br /> nesnmyxi[uama ncewr� �Wn�oHueuruC�ctx <br /> oTMEn <br /> rw[nuqunEoo aE�so�i I <br /> �� SUtC BUII�iN�SVRC11/.PGE <br /> r�rcu�cor�sr vunsevv tper CITYOFEVERETT vvo��cwonKs <br /> V — ` / i �� I LOCAL SIILES � <br /> 'V n+�r J' TA%CODE158105 TOT�L <br />