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APPLICATI�1 FOR CONSTRUC�N PERMIT <br /> CITV OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259•8870 <br /> ❑ DEMOUTION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SION <br /> PROJECTADDRESS: IC( 3O rng�� �� �rgek � 4� �UP�,�-� <br /> OWqE 441A0011055 �M1 ....jm� R10NE <br /> �-�-i��sbs ��"'�'/�e 300 .,�a-__S�i�,r (��S- �,o'a� <br /> raurt uu�.,ninrss urv '— nr nwr�c <br /> exw*m�on oesme[n uen uwness nrv __—_ - .n — m�o� . <br /> �' Zo�� 656-�(S 6 5 <br /> '�nutpy'nn`�on �o l �15 Y ( I(.�� ui6yH/�(/i [��4 W rvrz0 � Z ci��[uC[HSE. <br /> rTa{/ <br /> MECNIJACALCON10LClq1 M4l�IXN�E55 _FIfY L ln' P�bNC 9�Ifl�CEvSE• <br /> PtUMOiNGCONI��L�p1 uu�IIXM[55 Cil! b�� P�qNF SGIEl6EN5E� <br /> CpIfMLIP1110EMYq11N 0O - <br /> �� l_I � � 3O — I{EATING SYSTEM: ❑GAS O ELECiRIC ❑ <br /> oEunmchonKumwu.�Ff� i(rv vra rfxn�r�rnivw�umr�rorrtra <br /> � � _.__. <br /> I IIEf1E0Y CERTIFV TI�AT I HRVE READ AND EXAMINEO TNIS <br /> rnaos[ous[a n�ntp.w APPLICAIIUN AND RNOW THE SAME TO OE TRUE AND CORRECT ALL <br /> PPOVISIONS OF LAWS ANO ORDINANCES GOVEPNING THIS TYPE OF <br /> WOf1N WILL OE COMPLIEO WITH WHETHER SPECIFIED HEREIN OFl <br /> iccuocunivuor�orrnorcnnivqwxenaxrnenunrxvcp+cs� NOT. 71iE GRAN71N0 OF A PERMIT OOES NOT PRESUME TO GIVE <br /> wr eioce a� AUTIIOf71TV TO VIOUTE OR CANCEL THE PROVISION OF ANY <br /> O711ER SfAfE OR LOCnL LAW REGUTATIN�CONSTRUCTION OR T11E <br /> PERFOf1MANCE OF CONSTRUCTION.THAT I�M AUTMORIZED BY THE <br /> OWNEl1 OF iH15 PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MqDE AND I COMPLV WITH THE STATE <br /> PNIL[LLVID.MI4BLI1 � WNTl74Ct0lISLRW�d37ACWAN0296200WAC. <br /> CWS1Ot�CtIpllOeNl[NUE11.Wp�FS5,1E1EAqnENWBEp � '� �/jy�� <br /> �� u .t.r 4 <br /> OeIE <br /> CIIY p114NF.5F lCFNS[!q <br /> PLUMBING MECIIANIC�L <br /> NO. TYPE OF FlXTURE OP ITEM FEE NO. TYPE OF EOIIIPMENT FEE <br /> WA7ERCLOSET�TOILET) NC—MINOLGUNRS �— <br /> B�THTUB ' FOfICEDAIRSYSIEMS <br /> LAVATORY(WASH UASIN) —r IIE41 PUMP <br /> SHOWER UNIi HEATERS <br /> KITCNEN SINK 8 DISP CLOTIIES ORYERS <br /> DISHWASHER IIANGE lIOOD <br /> UUNURY TRAY WAIEIi IIEATER <br /> CIOTHES WASHER WoOU S10VE <br /> URINAL MI_IAI.I'IREPIACE nY00D BURNING) <br /> DRINKING FOUNTAIN flfiGPLACE INSEf7T h'lOOD BURNING) <br /> FLOOR DRAIN GAS fIR[PLACE <br /> BRCNFLOW PREVENTERS ' GAS MNGE <br /> SIMC(SERVICE—DAR,ETC.) —;— Gn5 PIPING �— <br /> EXI IAUST PAN <br /> SV�TOTAI f SU9TOTAL S <br /> PERMIT S PERMIT f <br /> TOTALFEE 5 � TOTALFEE f <br /> FOR OFFICE USE ONLY: <br /> IPp1I5FtP�CR PE�115FiPLCR 9OFSFIH�Ce �len(IKf� pf0 ![F OFCF�MNO <br /> —.s��c _. <br /> wElorve �men[e v�Cemsnf FEE V�LUATION FEE <br /> ❑Y[5 ❑Mp pltll�ltllf. /]��JT <br /> L C. <br /> NFIGN�441I�ilON NOC��WLIIIMp S�IEO�BIUGOI �--- <br /> uHns <br /> nuunivn <br /> OCCUv�v�� pMS�Mt2 OCCYVAN�IU�D 6�SEYENI _-�--�_—....-�–_— ��-- <br /> G�OVP MFCiPMGI <br /> ❑YES ❑NO � �– <br /> li0E5M..Rt[R11E0'U IReipl AOpII11N�111�NO1fCK � <br /> amm <br /> rinru.w�nnm�o nr+srn. ._ <br /> [IAIl1111111111Mt11111('II��If1I � <br /> rvr[orr,oMs* ninxse po�Enor CITYOFEVERETT nimmwrm..c <br /> {���/ 'i� LOCAL SALES --—--- — —..� <br /> wie TA%CODEISJ105 TOT�L __ ��Q;�n <br />