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APPLICATI�1 FOR CONSTRUC�N PERMIT� <br /> CITY OF EVERET7•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257-8810 <br /> � � DEMOLITION .-' COMBINATION �:/ BUILDING ��� MECMANICAL i,i PLUMBIHG —' SIGN <br /> PROJECTADDRESS <br /> O l�ACi�c VC <br /> vn•�u� vu�.omcss cirr s�n rvrovc <br /> K�4=�lEYr¢5 909 Pnc�oic nvr Eti�SSZT 46TTall <br /> sn.rv� u.a�uo�tss a*r nr �ror¢ <br /> .r_�cr¢ioao�sia��o� �n.��r.on+iss a�r rr �r«xK <br /> Ccu�ih �\:ADS 930 �v CaMONa +SW^�� 2B<92 360 (,14 GGLS <br /> oerrtr,uco� aa�M•n�oa+cs3 arv ao m�mK s�nr�Kuize. <br /> Sv�o�Ey tbirar <br /> AM�caa Sa�.n� i5i�4�LvA. M��+�5e7Jo 3�a_�rA�7;A( •te�'TSS-Si9 <br /> u[rnu��cuc.ri�a�c�rn u�n�ooe[ss urr )ro imorn surc�cnrs[. <br /> ri�nnunrcc�n�+c+ou r�ui�uon�ss —c?r in� ncrrt s+�r�iKu�sc. -- <br /> � ..�„�ctn�cEorvra+n <br /> H � VSTEM: ;�,GAS : '.ELECTRIC '- <br /> u.swm[vnmxu�osooencr�ro�u-tn���r,vco 'm�.n��rzn� iorv�art.no <br /> _S.�i.NR�Jnn A�D � ��w.l _ f <br /> /�J��� . ToM /w4�T 1-1�q5 36o G:8 7 2 BI . <br /> I NLRE�V C[RTIFV TMAT I I/AV[ R[AD AND G%AMINED TMIS <br /> APPUGATION AN�NNOW THE SAIdE TO�E TRUE AND CORRECT.ALl <br /> �w�ro,ro ost eu� � PROVISIONS OF LAWS AND ORDINANCES OOVERNIHG TMIS NPE OF <br /> WORK WILL�E CO�dPLIED 1YITH WNETHER SPECIFIED HEREIN OR <br /> i��:ei oucNmnoriprrnoninrviv�owr�et�owIX+�necNiwocart5i NOT THE GRANTING OF A PERMI7 DOES NOT PFESUIdE TO GIVE <br /> �r,e�Zj 1 1 _pi;v-x�,��or � � AUTNOPIIV TO VIOLATE OR CAhCEI THE PRO\IiION OF A1V <br /> OTN[P SiAiE OR IOCAL�AW REGULATING CONSTRULTION OR TIIE <br /> [4S\ 2S� oF�(5 �2—�S�VC ��OF PERFOH�dANCEOFCONSTPUGTION.THATIA1dnVTHORIZEDDYTYE <br /> OWNEF OP THIS PROPEPTY TO PERFORIA THE WORK FOR WM'CM <br /> LCTS �(�'�y WG. 13(.K �L4 APPLIGATION !S MADC AND I COMPLY WITH iME STAT[ <br /> b�ucua�mrw eta CONTRAGTOFS.'.JV1827RCWAND29G200WAC. <br /> —��3ZSJ s�o i /� �(/7� <br /> cor�svvuc*vs�ia�rviuroca eowrz5s*REm�orrt vuuutn X ''�l/�/�j �lp.[(N� �C// <br /> 5��:�II�IUt�L . C11C <br /> CItY Po.iHL55liCl NSL 1tJ <br /> PLUMBING MECNANICRL <br /> N0. TYPE OF FI%iURE OH ITEM FEE NO. TYPF OF EOUIPMENT FEE <br /> WATER CLOSFT ITOIIET� A C—A MtJDLG JNITS <br /> pAiNTUB iORC[�AIR SYS1E1d5 <br /> LAVATORYIWASHUASIN� i HF.�TPUMP ' <br /> SNOWER UNIT HEATERS ' <br /> KITCMEN SINN 6 DISP �L01HE5�RVERS ' <br /> pISHWASNEF RAIJGE IIOOD � <br /> LAUNDRY TRAY WATER MEATCP <br /> CI.OTHES WASMER WOODSTOVE <br /> UfiINAL 1.1ETAL FlPEPIALE(WOOD BURNMCa) <br /> ORINKING FOUNTAIN FlREPLACE INSEPT�WOOD OVRNING� <br /> FLOOR DRAIN GAS FlREPLAGE <br /> BACKFLOW PREVENTERS GAS R4NGE <br /> SINK(SERVICE—BAR.ETC.) GAS PIPING <br /> E%NAUSTfAN <br /> SUOTOTAL S SUBTOTAL E <br /> PERId1T 5 PERMIT b <br /> TOTAL FEE 5 TOTAL FEE S � <br /> FOR OFFICE USE ONLY: _jJ�J✓ <br /> �aOrrtSpM[� nUnS[t0�[.x siUcf.(�6". M�qo�tcx 4n[n �[f RE;cietNO <br /> �'J ' p ' S ' �,� C7� / .�� <br /> � J- - <br /> o;[mm: io�nnu . srtr � FEES V�LUATION FEE <br /> �"� vLs ld�no ewinr�., —1 �� � <br /> nh;Nlllpqn➢pN IqOr[�WEILnYa S][�.lBI[Y��� <br /> IINI15 VIUMBI�I) �- <br /> j bb S f. �_ <br /> �n�M,'r rppAfFMCS CLCVv�uil0�� Nastr�INl MECM1NICl1 I <br /> '�°� I „1 i .� V <br /> �i��f 51'NI�MLIRPEOU R[I.SON �RpNLLYIANCMCt <br /> O1H[P � <br /> 1i�fPl��F�P[00 PE�50�1 — <br /> SiRE BUM1OMI3 SUICNIPOE <br /> inascrnar vieusumnovtunv CITYOFEVEREiT �ni�cwonns <br /> Y ' I LOCAL SALES - <br /> � �„F ��L>�� TA%CO�E IS 3105 To7AL <br />