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ppPLICATI� FOR CONSTRUCT�N PERMIT� <br /> CITY OF EVERETT•BUILOING DIYISION <br /> r4� , ,_3200CEQAF�TRE�ERF��WA4_�9'=01/259•8870 <br /> �}f'� 1.1� ��� �� �l�it/ <br /> ❑ DEMOLITION ❑ COMBINATION ❑ 9UILDINO ❑ MECHANICAL ❑ PLUMBING ❑ SI6N <br /> PROJECT ADDRESS: �w � -'-' ' T AND E �N9�i�� ��lw pa��t�Zk rT wA r <br /> t.,�i�?i2V � k ' �7 709� N4��ot �.wri� •'••.","n� w�'tN �1��7} 7S'�6��t <br /> OWNF11 <br /> YMIALpIL•u5 ��ry 1 �E <br /> —1'1/( .n,�•�� _ bn !m nWnF <br /> ItN�MI uN{���f55 <br /> �,I C � H-�� C1�Y lll' I`IqMf <br /> •11C111f(^C�M1Vf2�G (11 Y/.p�b�11F55 <br /> / /1( /('�� — �iqtiE Sd�EIK[w5F• <br /> Lf�[mlCp��n�G1On M�����RS Glv l�� <br /> A:/1 lip MqNE [I�iFlKEwSE• <br /> 4LCIIWiC0.CIXO04tOP Mul�M1�Ei5 fllY <br /> � �,' Clry li� PIqME SUfElKEMSF� <br /> RUVpINGCONIR�G�OP NutA00PE55 <br /> ` �.� <br /> canr�.c�rmceawrn. � HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑� <br /> � :' � 'i� ^ !� <br /> - couuci r[nsovum r��awt uo <br /> pES�aieEWtMM�M150U^nEr001�GEwvavEo I. <br /> � % J�'��! i <br /> I HERE�Y LER7�FV TNAT I lIAVE READ AND E%�MINED TMIS <br /> APPLICATION ANJ NNOW 7HE SAME TO BE TRUE�HD COPRECT ALL <br /> orqrosEous[or euiwMa • ' / r PROVISIONS OF LAWS AND ORDINANCES GOVERNiNG THIS TVPE OF <br /> INF 7� �� f n!�'�•� r ����✓'�!t WOPK WII� BE COMPLIED WITM WHETHER SPEqFIED HEREIN OR <br /> ieeuoaun�rrro�wr�nrc�v'�'"°«°'^'°""n.c�*woeuncsi NO7. THE Oft�MING OF A PERMiT OOES NO7 PRESUME TO GIVE <br /> `o'�eLa� 7 q � � AUTHORI7Y TO VIOUTE OR CANCEL 7ME PRO��SION OF �NY <br /> ` OTHER STATE OR LOCAL L�W REGUUTING CONSTRUCTION ON TNE <br /> � '1^ C f� {- d PERFORMANCE OF WNSTRUCTION.7HAT I�M AUTMORIZED BY THE <br /> � � OWNER OF THIS PROPERTY 70 PERFORM THE WORK FOR WMICH <br /> APPLIC�TION IS MAOE AND � COMPLY WITM THE STATE <br /> CONTRAC RS LAW IB 27 RCW�ND 296R00 NUC. <br /> VMLEtNAII.0.MNJER ,�1 <br /> ..,F< ��Y rx�i .nosr'�-� ' /5' � � //S-O7 I <br /> CONSIPUG1KYIlO�NIEMpk11.MIMfSS.IEI[N�MCHUYPFf( 5 'N^ nE � O�lf I <br /> CIIY BVANESS IILENSC MO <br /> PLUMBIN6 MECNIINICAL � <br /> TVPEOFEOUIPMENT FEE <br /> NO. iYPE OF FI%TURE OR ITEM FEE N�' �_�NDLG UNIfS <br /> WATER CLOSET(TOILET) <br /> FORCED AIR SYSTEMS <br /> BATHTUB <br /> UVATORY(WASN O�SIN� HEAT PUMP <br /> SHOWER UNIT NEATERS <br /> KITCNEN SINK 8 OISP CIOiHES ORYERS <br /> DIS/IWASHER {7ANGE HOOD <br /> WATER HElQER <br /> UUN�PY TRAY <br /> CLOTHES WpSMER W WD STOVE <br /> METAL FIREPIACE(WOOD DURNING) <br /> UFlINAL FIFEPLACE INSERT(V:OOD BURNING� <br /> ORINNING FOUNTAIN �S FIREPIAC[ <br /> FLOOR URAIN <br /> UaCNFLOW PF7EVENTERS GnS RANGE <br /> SINK(SERVICE—�AR,ETC.) GAS PIPIKG <br /> E%NAUSTFAN <br /> SUBTOTAL S ''�3TOT�l f <br /> r_ �'T f <br /> PERMIT S i�7��FEE f <br /> TOTAI.FEE f <br /> FOR OFFICE USE ONLY: — <br /> n�vc�itc+rw�u+rn� r�F n[cnrirro <br /> .�wx�scm.a nc.nsr�n�c. sotsna+t+ � <br /> OSEIOME lO���E• WC�NISi1F <br /> FEES V�LU�TION FE� <br /> ❑rts O� mnin�wn '�(m/pRTn'I <br /> NF�crUU��11fIpN NOMmv[IUNb S�IEoretOM1 %uueWG <br /> W��IG VO � <br /> CCCVi'�xCY MMSIMIS OCCVn1N�lO�U 11�SE4fN� y(f.�1.w�G1 ���_�' �_r <br /> a�oyn � �!_..L <br /> /YI I �''� a�cs F"" r.wxnou.in,xnrtce <br /> ��nemNn�ennEoo ^�+'a" — <br /> u � ������ <br /> r�nEunnMncao n�•sp. �.�n <br /> �u surtowuwr.svnr.wm:[ _ .H[lL <br /> imto�r.avs rieric�r��•imor CITYOFEVERETT ��'^�'��""� �� LP -- <br /> 'h LOCIILSALES <br /> � C�f ,,,,� _��� ,ql, TA%CODE157105 TOTAL _ <br />