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�� (� i� ��� Ln 9� X o9� <br /> �,� _ . APP i�ATI� FOR CONSTRUC7�N PERMIT <br /> JUN - 9199� CITV OF EVERETT•BUILDIN(i DIVISION � <br /> . ... ._ _.._..................... / <br /> 3200 CEDAR STREET•EVERETT,WA 98201•259-BB10 <br /> n D� bVER�EMT�e�ATION ❑ BUILDINO Ff AECHAMCAIaiot ❑ PLUMBKp ❑ BNiN <br /> PRQIECT ADDRE88 <br /> 5'd3 S e,r <br /> � k. � 3esse� I��� , sE�� H,i� li�1 -an-��Q�Q/7. <br /> �x�rtcronceswhn uuirnacss arv nv nur� <br /> aEricnucoN.iucioa wn�ss an m rra� srAhucEK�. <br /> 4EWAMGILONRIACTOR M4lMdlE55 GIY i1� P1qME ST�1FlKp�lF• <br /> Noy�zo�n \� ��no �s0) I�lefi 5} ,$�,U Ydo37 NaS-.�'s-393o 1ibR7�NY117OfA <br /> RIMMCOM1RIiLtOR Y 49 ll1Y IN RqNE 9TI1iEtIC915E� <br /> cw�m�crrn�orwan� <br /> HEATINfi 8YSTEM: OAB ❑EI.tC1AIC ❑ <br /> oexm� uos�nwr.n[ma�o cwr�crcmewwoaar<no. <br /> 1500 ! t <br /> l��o��r �..�ec uF1� �ou.�c. - 74S - 393D <br /> ` r <br /> '.�1�1a�C '�C.�rv:d� t 6\ rr�� I HEREBV CERTIFY THAT I HAVE READ AND E%AMINED T/MB <br /> rnovoxo usc�Ts"-J� �oPLICATION AND KNOW THE SAME TO BE iRUE AND C011RECT.N.L <br /> FRO�:SIONS OF LAW6 AND ORDINMiCEB(iOVERNNl6 TMB NPE OF <br /> WORK NALL BE COMPLIED WI1H WIIETHER BPECIFIED IIEREM OR <br /> imuoescwrriwormasEmr�sra�weEiwron�n�cxixomortsl NOT. THE ORIIMINO OF�PERMIT DOES NOT PREBUME TO OIVE <br /> �or xocx ar AUTNOPITV Tp VIOUTE OR CANCEL THE. PRONBION OF ANY <br /> OTHER STATE OR LOG1L LAW REODUliNO CON8TiK1CTqN OR TNE <br /> PERFORMANCE OF CONSTpUCilON.7H�T 1 Mi�UT/IORRED EY 7TIE <br /> OVRJER OF THIS PROPERTV TO PERFORM'XE WWiK PDR WlIICN <br /> .S I� ' S 7S- O - O APPLICATION IS MADE ANO I COMPIY MATH THE BT11TE <br /> o�wceina�o.r�weta CONTR�CTORS UW tE27 RCW Nq 2YE200 WAC. <br /> LONSi1KICMMlON11fMDER.M011E5l.TElERqNEMMKR X `AAl/y� L.IfJMy� [�-�70 <br /> ��� 019300 �� <br /> arv eusncss��cersE w. <br /> PLUIIlIf10 \IEqUNIC1IL <br /> NO. 7YPE OF R%7V11E OR Iltll FEE NO. TYPE OF FlRTVIIE pl rtEY FH <br /> WATER CLOSET(TOILET) A/C—AMNDLO UNIT6—H.P. <br /> BATHTUB FORCEOAIRSVSTEMS—B.T.U. M E.A. <br /> UVATORV(W�SM BASIN) HE�T PUMP <br /> SHOWER UNITME�TERS—B.T.U. M <br /> KITCHEN SINK 8 U15P I:LOTHEB DRVEfl3 <br /> DISNW�SHER VENTILATION FAN i <br /> IAUNDPYTR�Y MN6E1100D ' <br /> CLOTHES WASHER WwTER NEATER <br />. URINAL WOODSTOVE <br /> DRINKINO fOUNTAIN METAL FlREPUCE(WOOD BURNINO) i <br /> FLOOR DRAIN FIREPIACE INSERT(WOOD BURNINO) <br /> 6ACKFLOW PREVENTERS OASflREPLACE <br /> SINK(SERVICE—B�R.ETC.) O�5 RANOE <br /> O�5 PIPINO <br /> E%H�UST FAN i <br /> SUBTOTAL f SUBTOTAL i ,pD ' <br /> PERMIT f PERMIT f � <br /> TOTAL FEE f TOTAL FEE f O' <br /> FOR UFFICE USE ONLY: <br /> fROHf[FTP�CK REAlISEfP�CI( ypfSFiB�LY[ I'lAHC11ECRMl\6Eq RE PCCEM1q. <br /> usErov� io�nncn vncnNtsrE FEE9 VIILUA710N FEE <br /> nr¢s n rro aNiura <br /> IICIGIIll11.11il.iION 1qIXOWCW1q SllEd'&Odl1 <br /> UNii6 <br />' IYVYBMO <br /> G��nANCY WJClSRMY[5 CCCUI`/JI110�0 flAY4EN� MLW�NC�I <br /> IlTES ❑1p — <br /> fII1El�LMMP[OU qEA ,$^M �0.'IIIION�L0.ANCNECI( <br /> OTIER <br /> i1RE5M11N1(LEPPEOU PEASpI <br /> SI�iElMDN091W�INqE <br /> irrcorcowsr ruHs�wrwvcoer CfTYOFEVEHEI'T PueiawoaKs <br /> LOC�LSALEB <br /> OAtE TAI(CODE 18�tOS TOT�L <br />