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APPLICATI� FOR CONSTRU�:7�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVI'.iION <br /> 3200 CEDAR STREET•EVERETT.WA 982U7•257-887D <br /> ❑ DEMOLRION ❑ COMBINATION ❑ BUILDING MECH�lIICAL ❑ PLUMBING i:i SIGN <br /> PROJECT A RESS . _ 7� <br /> / <br /> aNNER MAR.�OOPE55 ��r �P �K <br /> �6�.�=F�r� - ��0 1vvE �wu� 23r�3 �l�. ,Qvtr MZoO L6L0� <br /> TEN41T 4�WPE5 UT� Iw A�E <br /> �� � <br /> I.RCNRECtOROE5IGNF M�R 00 FSv�� nCIiYI' SV � <br /> Cowt Slxe/ �32/ �A<t' /JALEP�VIG�III BEI(�� �,,,� , !✓A R82 <br /> OE LCONlR4TCR 4MtI.00P(55 CIl1 Zb ,� SUiklKCMSE• <br /> �'c,��N �'.On,sf- 1431Z $�'� n,c��QAtiI� t'rlils BE✓An.cX _! cPi� <br /> MEC �NK LCONL �CIOF M�RA'JpR[55 GiY Ii' I4�U�C SG1ClKCNS • <br /> �I - ,�' a ��2 ��, �o sF sbo•yzsr�272� <br /> RUM M1CONiP4iOR 4�rt♦ C55 CIIY IV . �D Sl�i[LICLNSE• <br /> �N.K1 1/�. �� � F � <br /> COHfP�iPN`COf �` HEATING SVSTEM: i GAS ❑ELECTRIC f-: <br /> b o- 3 i, <br /> pESCNRE q1rt/.Kl$ptl EfOJi�GCINV0.VCD CO4t t R53N�NOP E <br /> $Q �I � Hi1 w I <br /> �w 6Afr� 360 6 2 <br /> I MEPEBY CERTIFY TXAT I HRVE PEAO PND E%AMINEO TMIS <br /> MPLICATION AND KNOW TME SAME TO BE TRUE AND CORRECT ALl <br /> vnorosEo usE a�BunDmn PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TVPE OF <br /> WORK WILL BE COMPLIED WITM WMETHER SPECIFIED HEREIN OR <br /> LC04MSCApiqNGTPPOPFPLY�SHGWNBElW10RLII�LNiWOf:OPIES� NOT. TME GRANTIN6 OF A PERMIT DOES NOT PRESUME TO GIVE <br /> iot otxn a AUTMORITY TO VIOUTE OR CRNCEL THE PROVISION OF ANV <br /> OTHER STATE OR LOCAL UW REGULATING CONSTRUCTION OR TME <br /> PERFORMANCE OF COHSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER Of THIS PROPERTV TO PEPFORM THE WORN FOR NMICM <br /> APPLI ION IS MADE ANO 1 COMPLV WITM THE STATE <br /> vmcEueaiormue[n CON AC ORS 1IO2'7p•�//�y�•�AN0296200WAC. <br /> C �� IO�NIENDER.�ODi1L55.iElEPN011CMMBER �. A��M1"_J(/��V / —/ / _ZOOO <br /> S�GM�1URt D��[ <br /> C�iv BIISM[SS IiCCNSE NO <br /> PLUMBINO MECNANICIIL <br /> XO. TYPE OF FI%TUFE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILETI A�C—AHNDLG UNITS <br /> BATMTUB FORCED AIR SVSiEMS <br /> UVATORV(WASM OASIN) HEAT PUMP <br /> SMOWER I UNITMEATEPS D <br /> KITLHEN SINK 6 DISP CLOTMES DiiVERS <br /> DISHWASHER FANGE H00� <br /> LAUNDFV TRAY WATER HEAT[F <br /> CLOTHES WASHEH WOOD STOVE <br /> URINAL METAL FIPEPLACE�wOOD BUPNING) <br /> ORINKING FOUNTAIN FIFEPLACE INSERT IWOOD BUflNING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACKFLCIW PREVENTERS GAS RANGE <br /> SINN�SERVICE—OAR,ETC.) CAS PIPING _ <br /> E%HAUSTFPN <br /> SUBTOTAL E SUBTOTr1L S <br /> PERMIT S PERMIT S <br /> IDTALFEE S TOTALFEE 5 <br /> FOR OFPICE USE ONLY: C DUO�I' O�U <br /> Ipp41SE16�LF PE�RSf1B�LM SICfSLiB�CR ftANLHCCMMMB[P �CE AECEIFIN� <br /> uscrouc �m��u vr.tr+1tsna FEES W1LU11TION FEE <br /> � eunoma � <br /> �EaM*i�+�r.�un �amvcwrxi s�zcan �i <br /> O KIMB�rvG <br /> OGLU��Ntv IAG!'tOPES OGNG4NIl0 B�5[MENt YCCN�NICR <br /> GaCy1Y— \ <br /> N nr�s xa � <br /> nn[S�nni.i[nnEOo aus� �������"F�� <br /> ��� ��'bfi ornca <br /> na[�_nnrn,mo asesa� <br /> v�,' ��i sr�*c auaoirvcsunn�u+cc � <br /> / <br /> rroco�cais� nur�s�m vmev CITVOFEVEFETT wai�cwonrs <br /> C� LOCAL S�LES <br /> v � �,�E / '� � TAX CODE IS J105 TOT�L <br />