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APPLICATI�1 FOR CONSTRUC�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 9fi201•257-8810 <br /> ❑ DEMOLRION :—. COMBINATION ❑ BUILDING ❑ MECHANICAL y'ZPLUMBIN(3 G SIGN <br /> PROJECT ADDRESS <br /> /�/ ��tu �� 6 <br /> OFNEP ' M�R�DD�E55 CRY SP Nf.1E <br /> i��2t�i»r�G�J /r/S�/�-�cc- <br /> r �xr u�nwwcss cnr zn r�qr4 <br /> �PCNrt[LiOPO[SG�KP Map�CIXlE55 C�IY IM hqrl[ <br /> f.EMH0.Gd1iR1LiOR YM.Gpp11C55 GiY 2V RqF[ SU1FlCEMSb <br /> M[LII/.NiC4COIliP�CipR UnIL�OqiC55 CIIY SR' AHII[ il�1CLKCNSC• <br /> �M1UMBMpCOn�n.�LtOn uu�tNn[55 Cii� tp �Wr�l 5'��[liCLr�SF� <br /> l�l�`5 SERd/lf P�/'/(3 `�f//K�c'o��tp�Z S Lo �9 zS�e i.�.1rJEssri6 s�T� <br /> coHrnecr mec cr woec HEATING SYSTEM: f_l GAS ❑ELECTRIC �� <br /> ocscumc vron.�vo sou.n[.00ucE mvano covr�n rtr+wri..m rHoy��q <br /> 1 HER'.BY CER7IFV TNAT I I/AVE READ ANp E%AIAINE� THI$ <br /> RPPLICATION AND KNOW TNE SAIdE TO BE TFUE AND CORPEGT.ALL <br /> rearosco us¢ar auuniw PROVIS�ONS OF LAWS AND OFOINANCF.S GOVERNING TMIS TVPE O� <br /> WOFN WILL BE GOIdPLIED WIiH WNETHER SPECIPIED HEPEIN OR <br /> i[maocSCnwtro��orvuortntr�S�qnHBE�oww�necMrnoca�¢51 HOT. �HE GRANTMG OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �m o�aa a AUTHORITY TO VIOLATE OR CANCEL THE FROVISION OF ANY <br /> OTMER STATE OR LOCAL LFW REGUUTING CONSTRUCTION OR TME <br /> PERFOPMANCE OF CONSTFUCTION.THAT I AM AUTMORRED BY iHE <br /> OWNER OF THIS PROPERiY TO PE,IFORM THE WORK FOR WHICN <br /> APPLICATION IS MAOE AND I WMPLV WITM THE STATE <br /> rnuccu.e io Nuwe¢n CONTRACTORS UW iB 27 PCW AND 2%200 WAC. <br /> ca�s*u�ciror�to�xi:xoca,noonEss.t[irnwxExwaca X /�7�y�.0�-'✓�—� /�/rjj� <br /> Sx.tMTVIN DI.i[ <br /> CRVBJ`^.[SSI�CINSC�q <br /> GLUMBING MECMAN�CAL <br /> N0. TYPE OF FI%TUHE OP ITEM FEE N0. T�PE OF EOUIPIAENT FEE <br /> WAiEP CLOSET(TOILET) A'C—A HNULG UNITS <br /> BATMTUD FORCED AIR SYSTEMS ' <br /> � LAVATORV(WASHOASIN� HEATPUAIP <br /> $HOWER � UNIiMERTEFS <br /> � NITCNEN SINK b�ISP CIOiNES DHVERS <br /> DISMWASMER R4NGE MO00 <br /> IAUN�RV TRAY WA1ER MEATER <br /> CIOiHE51YASHER 1Y00D STOVE <br /> � URINAL : ME7FLfIREPLACE�WOODBUPNING) <br /> DRINKIN.FOUNTAIN FIREPLAGB INSERT IWOOD�URNING) <br /> FLOOF DPOIN GAS FIPEPLACE <br /> BACNFLOVl PR[VENTEPS GAS RaNGE <br /> SINK�SERVICE—OAR,ETC J GAS PIPING <br /> E%IIAUST FAN <br /> SUOTOTPL 5 / SUBTOTAL 5 <br /> PERMIT S y(J PERMIT S <br /> TOTPLFEE S TOTALPEE S <br /> FOR OFFICE USE ONLY: <br /> ff�ONIiC1P�CM PE�PSEi9�CN SIC[SEiO�[X VI�YC�I[CRMJMBCP fFE KCEFi11J <br /> � �QD <br /> usc:o�¢ mreau v¢•ntsrtc FEES VALWTION FEE <br /> r.:res u w em�omc <br /> rrzicNr�nert�i�cr� r�orovrtuiva sizca'e�roii — <br /> ur�rts rm�nuuc <br /> c°aouo��r rioas*oahs occuru+iio+o e.s�ucNr �Ec�an�ce� <br /> nvcs nr�o — <br /> IinFSnqrNALE1INWO PE�SON �COOqN4PL�MOQCtl <br /> OT�ER I <br /> fIf1E�4M.If1E0D Pf�50N - <br /> SIE�F BNLO�4G RMCMI.AGE I <br /> rmr.or cor�st n�nvwnovco er CITY OF EVEHETT �ue�p wp+r.s � <br /> LOCAL 511LES � <br /> �.,� TAE CODE IS J105 TOtl1L <br />