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APPLICATI� FOR CONSTRUC7�N PERMIT <br /> CITY OF EVLRETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257•8810 <br /> ❑ DEMOLITION ❑ COMBINATION �7 BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS <br /> 0 <br /> / . �! / c<<� 1.'��r.n' a� <br /> OIVNEP M4L.WCPC55 CIIY !�✓ R�IX1E <br /> _ /1,^/i .f Gi�n�X �!aiJiMA-�.�EUn,� n�' yS�an/ h�JR .R.f�o7.t7 <br /> ic�+wr r.uii.coucss ci*v zm r��orrt <br /> nPGXilEcronoESpucn R>il��pnEss 1���}.� cilr !ir hpNE <br /> %�UiL7�5 S�?h � !]/�s/nnP.! 1� �"/�F,P17Y ?4 0� ••�' 3Y -x�'/, <br /> ctr�cn.iwvrn.c�a+ u.u.oa�css SaiTc(� nrv :w �x.w�c sr�rttKcr�sc. �,� ��.-e9 <br /> D/J[�ip'S 5.?'i?t�rc1T i7��{-"iorP.� rs ?'t�l',�'c77- 4'S''.Jc4-i;A.�l-4.�n Dif��iOS�E v1t0�/ <br /> 4CCN�NtRCOYiR�CiON 4URADpPC55 C�fV IC PIqV[ SIAICIILlNS[• <br /> PlOMOiNGCON11ULfON NUL�DDNE55 CILY $!p AICIi[ 541(LCI:IISE• <br /> LON1MCt PPILE Oi W�`{14 <br /> 7nna �a� HEATING SVSTEM: ❑GAS Cl ELECTRIC ❑ <br /> o[,cniec wouK�Hn saiu+c raor�r.E ixvav[o cwrt�cr vcnsori r.r�o n✓.wc ra <br /> ` S SC� r 1 / .��� /' <br /> I HEREOV CERTIFY THAT 1 NAVE READ AND EXAMINED THIS <br /> APPLICATION AND NNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> wwvosEo u5E of eui�ouw� PROVISIONS OF LAWS AND ORDINANCES GOVERNING TMIS TVPE OF <br /> � WORK WILL OE COh1PLIED WITM WHETMER SPECIFIED MEREIN OR <br /> iEcuo[swmrqr�occppoEan�sroNno uronerteo�*wocovrtsl NOT. THE GRANTING OF A PERMIT OOES NOT pqESUME TO GIVE <br /> mr pip�K or_ AUTHORIIY TO VIOLA?E OR CANCEL TNE PHOVISION OF ANY <br /> OTMER$TATE OR LOCAI LAW REGULATING CONSTRUCTION OR TME <br /> PERFORMANCE OF CONSTROCTION.TNAT I AM AUTHORIZED BY THE <br /> OWNER OF TMIS PROPERTY TO PERFORM TNE WORK FOR WMICM <br /> APPUCATION IS MAOE AND I COh1PLV WITH TME STATE <br /> reu�E�r�uioxvere[n CONiRACTORSLAWIB27RCWAN 296YOOWAC. <br /> 93�723��'�Y <br /> corvstauciroHiau�icHorn.r.00ncss.rnc�Moncw4ern X_-�t-�-��_��� l-1 U�- �`�l �A/ <br /> s�cn�fwc oem <br /> GiV 9V9N65 LRLNSC 1q <br /> PLUMBING MECHANIC�L <br /> NO. TYPE OF FI%TUPE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET QOILET� A'C—A'NNDLG UNIiS <br /> BATHTUD FOpCED AIR SYSiEMS <br /> LIVATORV�WASH BASIN� HEAT PIIhIP <br /> Sh10WER UNIT HEATERS <br /> KI7CMEN SIYK 8 DISP ��OTHES DRYERS <br /> DISNWASMER RANGE HOOD <br /> LAUN�RVTRAY WATERHEATER <br /> CLOTHES1Va5HEF WOOOSTOVE <br /> URINAL ! IdETALFIREPLACE�WOODBURNING) <br /> DRINNING FOUNTAIN FIREPLALE INSERT(WOOD DURNING) <br /> F�OOR ORAIN GAS FIREPLACE <br /> �nCRFLOW PREVENTERS GASRANGE <br /> SINN�SERVICE—�Afl.ETfl) GAS PIPING <br /> E%MAUSTFAN � <br /> SUOTOTAL 5 SUBTOTAL 5 <br /> PERMIi S PERMIT 5 <br /> TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: /�-�ZD <br /> fPO11I5Ei�A�[ pGR5Et0�Cx, S�GCS[iBK� / PIAN �RKNU4BC11 fE[,, �/ PEGEIPT1q <br /> 2 � <br /> asc:acc � iorenu wcurt5rte FEES VRLUATION FEE <br /> - � G82o`� ,,�s o W�a,.: <br /> �.¢n:r�.0 ierury rvocumvmnn: s¢rorn�a:n .. <br /> /S V�IiiS � (' M�41B�NG <br /> r <br /> ca-cur.��cr r.�ors*aets accwu�rio.o o.scucu� <br /> Gn Vn � u[CN�Ni(,'AL <br /> nres <br /> r�aesvmm�.cnneao r.usa� �roi*roHuauno�ccn <br /> O1NEq I <br /> HREAUAMPW� f1EI.50N <br /> SLI[hWlOiNG WpCNMGE <br /> t�rcorcor:sr rur¢�rremionv CITYOFEVERETT roe��cwon�s I <br /> —(j' /J � Z� LOCALSALES <br /> _��� �,�� TA%CODE153105 TOTAL <br /> 33l0.7.5 <br />