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' � APPLICATION FOR CONSTRUCTION PFRMIT <br /> CITY OF EVERETT•BUILDING DIVIS.JN � <br /> 00 CEDAR STREET•EVERETT,Wq gB201 •259•BB10 <br /> ❑ UEMOLITON OMBINATION ❑ BUILUING _ ❑ ME�CAL O PLUMBING ❑ SIGN <br /> PROJECT ADDRESS:��� ��� �� <br /> �__ <br /> IFi4N� lMOUE 5 ��� 1`{�r/" VI���„�!A6�,r�`/`.�(I <br /> uul 'Vs: ulr Tj� nqr�E ( w'J`�C� <br /> `!"��:'( <br /> ��. r a w�n onc s — � � <br /> Po ��g ����A�J�}� — <br /> CFM W'n.L on �IMd�Ess rnr � IISLI� <br /> YC. ' pN1R1Gi0R YNlApppE55 �TM llr � � [1 �n�� — - <br /> M�� SIqEIKCH$[• ��— <br /> RU IPACtOR YW�/�p�q[55 CIIY IIP <br /> � MqqE S��I[lK[NS[� <br /> cwtwcr oau o•r.py <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> � a � �wEwvowco cwuc*rcnsor�uror�pnerp <br /> "�" <br /> • <br /> � lS• 1 HERE�Y CERTIFY THAT I HAVE READ qN0 E%AMINEO TNIS <br /> viqroRDu pr puio-rq APP�ICATION AND KNOW TNE SAME TO OE TRUE AND CORRECT A�L <br /> PROVISIONS OF UWS ANO ORDINANCES GOVERNING TNIS TVPE OF <br /> �E�'`�°Ex"'°�'o"o'�attisrnhrectoxan�n,�cNrvqcw�Es� WOHN WILL OE COMPLIED WITH WNE7HER SPECIFlED HERCIN OR <br /> NOT. THE GfiANTINO OF A PERMIT DpES NOT PRESUME TO GIVE <br /> ��� ,_�—��• I � AV�MORITY TO VIOLATE OR CANCEL THE PROVISION OF AKY <br /> � /p�{��(f\ OTHER STATE OR LOCAL LAW�EGUUTING CONSTRUCTION OR TNE � <br /> '11=-�`L—! PERFORMMICE OF CONSTRUCTION.THAT I AM AUTNORIZED UV THE <br /> OWNER OF TMIS PROPERiY TO pERFORM TH[WORI(FOR N'HICH <br /> APPLI yp N IS M E A � I COMPLY WITH 7��E STATE <br /> P��� WN A(J70 LA e C AN0296.200 WAC. <br /> � <br /> tt+�S�nUC�Wl0u1lEr�pER�WnE55. (lEnqr'ENuupE� /-7/9� <br /> % {�'�N <br /> s <br /> o�rt <br /> an euswcss iccnsc rm <br /> PLUMBINO <br /> NO. TYPE OF Fl%TUqE Op ITEM MECHANICl1l <br /> FEE NO. IYPEpFEQUiPMENT FEE <br /> WATER CLOSET�TOILEn <br /> BATHTUB NC—NMNOLG UNRS <br /> IAVATORY ry4q5H BASIN) FORCED A R SVSTEMS <br /> SMOWEF HEAT CUMP <br /> NITCHEN SINK S OISP UNIT NEATERS <br /> DISMWASMER CLOTHES ORVERS <br /> UUNORY TR�Y FiANGE HOOD <br /> CLOTNES WASHER WATER HEATEfl <br /> UHINA� WOOD STOVE ��-- <br /> MEfA�FIREPLACE(WOOD DURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN (H'�>n BUflNING� <br /> BACKFLOW PREVENTERS �FIREPtACE <br /> SINK(SERVICE—BAF,ETC.) ��GE <br /> GAS PIPING <br /> E%HAUSTFAN <br /> --�-- <br /> SUBTOTAL S SUOTOTAL t ' <br /> PEPMIT S PEPMIT S ��— <br /> TOTALFEE f TOTqLFEE f <br /> FOR OFFICE USE ONLY: <br /> �A���TB� AEN15Fi0ACK Si0E5FIB/.CR <br /> MuICUCCMNUWfO ![f nff.I1PIN0 <br /> USEtOxf 101enF� V�UNf9�E <br /> FEES VAlU�T10N F�._ <br /> OYFS p�q <br /> �CK�IfUNI�IqN MppsOwEWM6 BUIO�� <br /> UNpS SSEpi&pG91 <br /> rwuowb � <br /> CCNP.VKY pollOw[S OC�UPANIlO�O B�SEu[r�f ��� • <br /> now uFG�u�CN — V <br /> Or[5 O NO <br /> FW[SPryryty[PPEOD NF/.Spu ��p'IWuIM1.WC��fC� <br /> iqFNMMNEO'J PF0.Cp1 <br /> OII�[li ����—� <br /> S�AI[BlNlqnp 5p11CN41(if <br /> IYVEOif.pNSt VleN5MM0VFOBY <br /> CITYOFEVEREIT rueicwon.s — <br /> LOCALSALES <br /> one TA%CODE IS 3105 Toi�L — --:-- <br />