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APPLICATI� FOR CONSTRUC7'�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION �\� <br /> 3200 CEDAR STREET•EVERE7i,WA 98201 •257-8810 <br /> � OEMOLITION � i COMAINATION �(I BUILDING ❑ MECHANICAL fl PLUMBING �'i SIGN <br /> ?�JECT ADDRESS <br /> ' //ia 73 r72ock��"�/ �..=i2 wvt <br /> rn+mcn uui•oon[ss cirv tr mrorh <br /> ��n�S,��c�flr s4�i lt/.�c-.�1,e,vn�/�fvfn�iT 9fr�o � C��a-�3�.3-�"�J <br /> iLM�Nr u�rt�OC1�Fs5 c�tv Pr 1'IqNC <br /> 11N;HiICLipIM5GiK11 MeM1�p011E55 CIIY IY' MIqIC <br /> GII�INLCp11PI.CICq 4�iUMY�ESS [tlY IW A41t 5��1[IICCNJE• <br /> ��"�pd���iC��s?T-S30/�✓� 1 xa��.���.g? 9�s�o� -�J�s-3s'�8GP9 <br /> 4rOur<µcONtnN.�a Mert�uM¢55 cilr tm rvqM <br /> RUMO[qCON�R�CiOI R�uL�OLQ[55 GItY IP RMNIE S���LUCIIISC• <br /> IONIRILI FRCE(K Wqln <br /> HEATING SYSTEM: �I GAS f�ELECTRIC i�__ <br /> IX:sCnnrKone�vu5W�1¢fOOre,cnnavtp -- CONoprtuwi��iqr�qrrcrq <br /> I HI:REO! CERiIFV THAT � HAVE READ AND ERAtdMED TNIS <br /> APPLICATION AND KNOW THE SAME TO OE TRUE AND CORRECT.ALL <br /> 1"K4'OS[D [W IN�IU�Mi <br /> 5 PROfIS10NS OF lAWS AND ORDINANCES GOVERNING THIS T�PE OF <br /> �� \40RK WILL DE COMPIIF.n WITN WHETMEN SPECIFlEO IIEREIN OR <br /> ime���ca��n�ror�c c�rrmr�s�uvmuuuwaieneo�rv.oca+is NOT THE GR�NTI4G OF .`5flM1T OOE; NOT PRGSUME t0 GIVE <br /> io� oioc. or AUiHORIiY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> JTNER Siqif OR LOCAL LAW REGULATING CONSTRUGiION OR TNE <br /> PE9%OR1dFNGE OF CONSTRUCTION.THAT 1 Ahl AUTMORIZED OY THE <br /> /�, 01YN[R OF TIIIS PFOPERTY TO PERFORh7 THE YfORK fOR WHICH <br /> _(�2 (7S� O�7 OD APP�ICATION IS MAOE AND 1 COMPLY WITH iHE STATE <br /> cu u5���M�ui CONLRACTORS LAW 18.2�RCW AND 29fi200 WAC. <br /> �1G �t2G-�iy'-oz3G na Z <br /> mam�iprnon�uer�ucn..ou�,css.�ucnrorrcM:uocn x � —s_p� <br /> sw: o.�[ ' <br /> I <br /> LItY BUSIMSS lK[NSf�q <br /> PLUMBINC MECHAN�C�I <br /> NO, TYPE OF FI%TURE OR ITEM FEE NO. TVPc OF EOUIPMENT FEE <br /> WATER CLOSEi(t011Ep NC—A'HN�IG UNITS <br /> BATNTU� FORCED AIR SVS7EM5 <br /> LAVATORV(WASH 04SIN� NEAT PUMP <br /> SHOWER UNIT HEATEf75 <br /> NI7CMEN SINH A DISV CIOTHES DRVERS <br /> �ISNWASMER RRNGE HWO <br /> LAVf+ORY TRAV YiATER NEATER <br /> CIOiHESWASHER —~ WOODSTOVE <br /> URINAI METAL FIREPIACE�WOOD OURNING) <br /> ORINKING FOUNTAIN FI9EPLACL INSERT(WOOD BURNING) <br /> PLOOR OfiAIN CAS FIREPLACE <br /> OACKFLOW PREVENTERS GAS R�NGE <br /> SINK IS[qVICE—�AR.ETCJ GAS PIPING <br /> E%MAUSTFAN <br /> SU6 tOTAL 5 SU�TOTAL 5 <br /> PEfiAfli E PERMIT 5 <br /> TOTALFEE E TOTALFEE 5 � <br /> FOR OFFICE USE ONLY: <br /> reo�rt•on.cR nc.n,cio�cK ancsc�eecx ru�+l /+���� � icc ncomnro <br /> ux¢iart io�•nu v�uH�srtc FEES VQWI�ION FEE <br /> nres nra owm�uo <br /> �ac���uui�.��w� un�rnwu�irvr, svca'eioo�i -- _ <br /> urms —'— <br /> AU401NG � <br /> �IrM.CV N.1(V VMlS IX:CV1`nNll0�0 P1$[4lNt M61UNK�l <br /> f1Yt5 II Iq <br /> IIf1E5YPnnlLBR[O� ��UtiIXI 4MJ�IION4R.WORCR I <br /> o�rrtn <br /> I <br /> rn�uununtao nuwn <br /> SI�IE BU4MN:SV�L��uipE I <br /> rmcorconn nr.r�s�rvnwiuur CITYOFEVERETT �'ue�cwon+s I <br /> LOCAL^.F.ES � <br /> nni TAX COCE IS J105 7oi�L <br />