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� � <br /> APPLICATION FOR CONSTRUCTION PERMIT� <br /> CITY OF EVERETT•BUILDING DNISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257-8810 <br /> ❑ DEMOLITION ❑ COMBINATION tSBU�LDING O MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS: �LL� m�� ' u(a� [475) 3�6-3138 <br /> S�a.�rilmnMlk-�IN3c�n �'�m ��2 l �l,l f�2 �+__ ,4� FvE�tr. Wa A87.as <br /> OwMFR a 4u1�00uE55 dIY SiP P�qN( <br /> N//y <br /> 1FM1N� 44141q1E55 GfY l�P %qNE <br /> LA� W111���P:lLo--A�4Y_. l3� LM.t� Siot� /{= SF1tTiz6 4tlA (ZyG1 325•1�53 <br /> �ucrw*(y�a�oEvcNcn uu��oonEss c�rv rm rMOwF <br /> Q`/ �151-• �• l00 Il(nrtt � SE. I�r_I�LU�, I� R86�3 . L4c�) 451-8977 [srs_ <br /> cEN[MICOWrNc10�1 u�il�Oq�Ess C�M1 1ir r�YriF SiMcIK[NSF� <br /> MckiN,t?lv r� 5a�5 �nn �. Snm�l 5�.�rrF �:�G4 AR12U (zlXo) 71oz-33U <br /> VECN�mCllf,p4fN�ClOu 4u�I,pp�E55 db b� F�qNC Si��FI�C[NSE• <br /> Slb�.� Il5 VLlC�4• <br /> MUUBMGCON1R41M M�R�OpNF55 Citt l�� PNWE SI�IEIiCCMSE� <br /> ��iIY�.LX�D.W <br /> CONINLI INNG[Of VAI�K <br /> HEATING SVSTEM: GAS LECTRIC ❑ <br /> OFSCwBFwVaR�N05W�u f00��GEMVO�V[D COxI�L N�n$ON�M��I .rq <br /> T�IMA-1' IM�Pnu°�ltatl��l' �oYL UGl Arl- <br /> oYL <br /> u�a�� �n�«�xv oF �N�A e��ir F ds 6y6-�.� <br /> 1'.PMZIY�• IGI�'��AL. mF[�.ti��� C�Z� � HEREBY CERTIFY THRT I l/AVE READ AND EXAMINED TMIS <br /> >uo�osfousc or emmiw APPLIC�TION AND NNOW THE$AME TO BE TRUE AND CORRECT AlL <br /> N` 1,_,'�� fl . PROVISIONS OF UWS/�ND OROINANCES GOVERNING THIS TYPE OF <br /> ��� WORK WIIL BE COMPLIED WIiH WHETHER SPECIFIED HEREIN OR <br /> t[c��o[scuinnpvarirorEnrv�srawHac�owonenecH o� a1 NOT. THE GRANTINfi OF R PERMIT OOES NOT PRESUME TO GIVE <br /> ia� aiaR pr AUTMORITY TO VIOUTE OR C�NCEL THE PROVISION OF ANY <br /> �`� �"' � n OTHER STATE OR LOCAL LAW FCv'ULATING CONSTRUCTION OR THE <br /> F+qT MiL,WQ(J�• PERFORMANCE OF CONSTRUCTION.TMAT I�M�UTNORIZEO BY iHE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOH WHICM <br /> � '�)�t l�_'��O1[,��Q/�^�q APPLICATION IS MAUE AND 1 COMPLV WITH THE STATE <br /> ru�cn�u io ruwesa <br /> '�� CO T�RACTORS 1 7 RCW AND Y96200 WAC. <br /> CWSiRUCI1pNlO�NICN�F11.W0��(SS.1ElkPqMENV40Efl % <br /> ' IZ-Z3�R <br /> ""`03 63 °„` <br /> arv euvncss icENu ero <br /> PLUMBING MECNANIC�L <br /> NO. TYPE OF Fl%TURE OH ITEM FEE NO. T'VE OF EOUIPMENT FEE <br /> WRTER CLOSET(101LET) /VO—�/HNDLG UNRS <br /> BATHTUB FORCED AIH SYSTEMS <br /> IAVATORY(WASH BASIN) HEAT PUMP <br /> SHOW ER UNIT NERTERS <br /> NITCHEN SINN 6 DISP CIOTHES ORYERS <br /> DISHWASI/ER RANGE HOOD <br /> UUNORY TRqV WATER MEATER <br /> CLOTHES WA511ER WOOD STOVE <br /> URINAL AIETAL FIREPIACE(WOOD BURNING� <br /> ORINNING FOUNTAIN FIREPUCE INSERT(WO00 BURNING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACKFLOW GqEVENTERS GAS RN1GE <br /> SINK(SERVICE—B�A.ETC.) GAS PIFING <br /> FJWAUST FAN <br /> SUD TOTAL S SUB TOTPI S <br /> 7ERMIT S PERMIT f <br /> TOTAIFEE 5 " TOTAIFEE S <br /> FOR OFFICE USE ONLY: ��] • QGC.c,(i .�Z /_�`L <br /> �IH)NiYiPWa PfN5E10�IX S�OESffl4M R�MC��FLxMIW[p fEF �KF�PINO <br /> r �� � <br /> vseloer �o��A[� ��Cu��9�F FEES V�LUATION FEE <br /> ❑res o.a eu�a�+n I ()3H.0.�0 7j�j.30 ;C? <br /> MFIGNll141l111QV wawrtwxn sacaeiocrti <br /> „�„� 1 �s ^sa ��uA,.� —---- � <br /> � <br /> OCCIM�4C� M('�S�MiS «:cw.Ni�o�oy� n,3 B�5 Nl 4fCMnNKN <br /> c�wr <br /> 3�-�5�1 7 OS`3 �2H ons �o -- — --- <br /> h,.-- — .opucr.u.n.vaxcK <br /> � rsrn nicanco�o nr�so.l <br /> '1!S `/7� ou�ca --- --- <br /> I�aE�UFMR[O'O RNSOV <br /> �s ti/�!s c�u[nunDrvr.s�mcr��mt _ /1 �/� <br /> L}L=_ <br /> �rr�orcmar rtnws�rraov[oar CRYOFEVERETT ninur.won+5 <br /> v _N � LOCALSALES ,) <br /> /' � � <br /> __ ,.�,i �- �� �j� TA%COOEISJ105 TOTAL _ ✓ �1. � L <br />