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APPLICATI� FOR CONSTIRUCT�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STflEET•EVERETT,WA 98201 •259•BB10 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �MECHANICAL/ ❑ PLUMBfNG ❑ SIG <br /> PROJECT ADDRESS:. �9,�� Meir �ll Cr�c�G P K L•/✓ /�r.w.y C...4.. -/f/� %f"� <br /> oen[n u.iuoou[ss urv r��• n�or¢ <br /> � <br /> �-P� �or'n� �✓ �T. 1. l9?D Mn�r.(� �ltc (C �Ywd <br /> 1[N/J1� II�f10I1f55 C.IIY lll� f1�3NC <br /> /.I1CMi[CId1�ESIGNEII M�IIA00�if$$ Clry ll.� I��IO�IE <br /> -��k,,� '+�G-id8o <br /> cc�[n�imM+n�nrn ouuonnrss orv — rn• r�ow� suiu¢[r�s[. <br /> Sm i-+�. ���� _5r/ �5 [irr5 Il!)( -_S�/}"A✓� . t % �>.�.. G/,4 9r?VJ4 SM%rNFS/i6a7 <br /> u61uwC0.CONIDeL10� Mul OOnE55 brv i�� PnONC S��tElKEwSE� <br /> PIUMeMGCOxIP�C10n NuI�W�E55 Orv li� P��OVE S1�iEUCENSE� <br /> caawanmccorwonK HEATINGSYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> ocsf�—�PleEwon�.r�osou•� roo..cemvavEo coMr.c.rcnsor.HonHor+cNo <br /> h [M/ —/ <br /> �or;�� h` <br /> I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> APPLICATION AND KNOW TNE SRME TO BE TNUE AN�CORRECT ALL <br /> Pnorosqoust a'eaia�a PROVISIONS OF UWS AN�ORDiNANCES GOVERNINO THIS TVPE OF <br /> � WORK WILL OE COMPLIEO WITN WHETHER SPECIFIED MEREIN OH <br /> i[ae�oescmrnwor �nrvisnawr�actowon•n�cr�rnrocon[si NOT. THE ORANTINO OF A PERMIT DOES NOT PRESUME TO GIVE <br /> mt oioce or �UTHORITV TO VIOLATE OR CANLEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGl1LATINO CONSTRUCTION OR 7HE <br /> PERFORMANCE OF CONSTRUGTION.THAT I AM AUTHORIZEO BV THE <br /> O'NNER OF THIS PROPERTV TO PEPFORM THF.WORK FOR WHICM <br /> APPLICATION IS MADE AND I COMPLY WITH TME STATE <br /> PMLEL 1M 10.NU4BF11 CO/N''T�RRCTOflS LAW 1027 RCW AND 296.Y00 WAC. <br /> CdI5MUL110N10/u1lEv�FR�0OnE55.fElCnqMEMMPEt1 �\ �/l��p�_��� �� ���5 �� <br /> SIG Uf1C��� pAi( <br /> CIIYBUSINESSIiCINiCNO , �S7'� . <br /> PLUMBING �ECMANICAL <br /> NO. TYPEOFFI%TUREOpITEM FEE NO. 7YPEOFEOUIPMENT FEE <br /> WATER CLOSET(TOILET) P/C—MINDLG UNITS <br /> BATHTUO FORCEO AIR SYSTEMS <br /> IAVATORY(WA511 DASIN) HE�T PUMP <br /> SHOWER UNIT N[ATEPS <br /> KITCMEN SINK 8 OISP CIOTIIES DRYERS <br /> DISHWASHER I7ANGE HOOD <br /> LAUNDRY TPAY lVA7[fl 1{EqTER <br /> CLOTHES WASHEt7 WOOD STOVE <br /> UN�NAL MEiqL FIREPIACE QMOOD OURNING) <br /> DRINKING FOUNTAIN (IREPLACE INSERT�WOOD BURNING� <br /> FLOOR�RAIN GAS FIREPLACE <br /> OACKFLOW PREVENTERS GAS MNGE <br /> SINK(SERVICE—OAR.ETC.) GAS PIPING <br /> EXHAUSTFAN <br /> SUO TOTAL f SUD TOTAI S <br /> PERAl1T 5 PEfiMIT S <br /> TOTALFEE S TOTALfEE S <br /> FOR OFFICE USE ONLY: <br /> rnouium�c+ nc.nsctn�cK smcsE�s•c+ r��Hc��cc+� ncn rtr� � nr�cmrHo <br /> � .�� <<(o.a� <br /> uSEIw+[ imenfn waetsnE FEES VALUATION FEE <br /> ❑rE5 ❑Mo ounDm6 <br /> MflGlIIUVII�iION NOU�WEILIMG SISEOlUIbC✓11 <br /> UM1lli 1'111M111YC <br /> � <br /> OCCu�ANL� MO MSIlWfS IXCUMNILO�� 6�SFMfNt u�����M��� <br /> cnoun <br /> ❑V6 ❑NO <br /> lIIiESFPINRIERFCOD �H504 �Dd�iON�IAI.NC��(d <br /> T� <br /> on�en �� -'� <br /> rineu.wMnro'o �[.�w� <br /> � suqowiwursnnnunr,c - <br /> nr¢occovsr rinHs� povmor pTYOFEVEREI"f ruonr.wones ' <br /> !4 LOCALSALES � — <br /> O+t F <br /> � TA%CODE�S J105 707AL " I � <br />