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APPLICATI� FOR CONSTRUC7�N PERMIT <br /> CITY OF EVEiiETT•BUILDING DIVISION ��" <br /> �200 CFDAR STREET•EVERETT,WA 90201 •257�d870 <br /> "1 DEI�)LITION 'I COMBINATION �i BUILDING XMECHANICAL i. PLUMBING G SIGN <br /> PROJECTADDRESS <br /> ) I0�l 1 51 �yJe 5� <br /> o�carn ue��oan[ss an zM nrone <br /> A.up�e.J r_1y��o.i��o z i 1 STR✓e 4= r�e.cr q4'Lo� u LS- 3S3— �3r� <br /> ICII�N1 A�4L�Op�L55 L�IY }p PHqIC <br /> ���..��I�[C:On[�[5\iNLP AI�IL�I%M1[55 CIiY IT MIQYC <br /> GEt�[f14CWUNA�iqi qu��OGPC55 Cirv Iw �4p��[ SLi[lKCNS[• <br /> 0 <br /> .Y.9SH:tiv+¢J-u^:w�1.N�. IIS4b �1L�e,.+Nr Ra4...o..0 '1YJS2. �b-u�-uo6v ti�9STH'-�7A4V <br /> uccN�Ncucari*n�c�ou uu«oon[ss tirv tm rrqn[ s*��[�C[Ns[. <br /> PuiMp�th�LONIP��ICq Yu��tt%II55 Crtv pm ANNC SI��EIIC[NSE� <br /> fll�Itfl�Cif'PiCLCi WOPX <br /> 7 p,,�p HEATING SYSTEM: fl GAS fl ELECTRIC fl <br /> f�l`.C��i11[WOl�S�IIp6W�RCfW1�GCIHUIXI'CO LDII�Ct�(IISON11101'�q•�CNO <br /> .,-.: :�L. ,� zo�- c.ro-�o�y <br /> �;nc ��. 7P'�A.�' LU,..��T;0.�¢2 j O <br /> -,ti�5�� �-v.y,,,,,�/�« 5 S�`�'� 1 NEREDY CERTIFY THAT 1 HFVE READ RN� E%AMWED THIS <br /> raarosm use •omm�w APPUCATION AND NNOW THE SAIdE TO OE TRUE 4ND COBRECT ALL <br /> S f n PFOVISIONS OF IAWS AND ORDINANCES GOVEPNING TNIS NPE OF <br /> 11 1YORK 1VILL DE GOIdPLIE�1YITH WNETV!ER SPECIFIED NEREIN OR <br /> �meiocwumtroHp�rnovcarviv�onHxnon-on�rr.cnnvacaxs NOT. iHE GRANTING OF A PEPMIT DOES NOT PRESUME TO GIVE <br /> �o+ ew'. er AUTNORITV TO VIOLATE OR CANCEL TME PNOVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORIAANCE OF CONSTPUCTION.THAT I AM AUTHORIZED DV TME <br /> - - OWNER OF THI PROPERTV TO PEFFORM THE WORK FOR WHIGH <br /> APPUCATIO I M AN� I COMPLV N9TM THE STATE <br /> r��u rna io wuocn CONTRP R AW �CW AND P96200 WAC. <br /> mns�nva�o�:io.ni�uo[neoo4[ss.reie>��o�icr�euecn x � Q' ZL-� 1 <br /> sicn nr o.*e <br /> urv oo-:vuss uccnsc�a <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TUNE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 1YATERCLOSET�TOILEi1 AG AHNDLGUNITS Z�O� <br /> �ATMTUD RCED FIR SYSTEMS <br /> IAVATORY 1\YASH BASIN) MEAT PUMP <br /> SM0IVEF t1NlT MEATERS <br /> MITCNEN SINN 6 DISP CLOTNES ORYERS <br /> DISHWASNER qANGE MOOD <br /> LAUNDRV TRAV WATER HEAT[P <br /> I ���TMESWASMER 1YOODSIDVE <br /> � URINA� p1ETALFlREPLAGE�WOODBURNING� <br /> DRINNING POUNTAIN FIREPLAGE INSERT pY00D�IIRNINGI <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACHFLOW PREVENTERS GAS RANGE <br /> SINK�SERVICE—BAR.ETCJ GAS PIPING <br /> E%MAUSTFAN <br /> SU�TOTq� 5 SUBTOTAL S <br /> PERId1T S PERh11T 5 <br /> TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> 1��'�'!15[19�CR RCM6EIB�LM S�MSCIBMN PUNMCCRiN N !CC RECUPfNJ <br /> —�3 <br /> i..i.ronc i0t�ace e�cer�tsirc FEES VALU�TION FEE <br /> m�s c Ho om�oina <br /> �.i�-n�riiu�r�rror� noo�trv:cun+c sucorwa��� <br /> VIIIIS RUMB�Mi � <br /> �erkv �Op4�L5 CCLVP�Nil0�0 9�SC4CNi �������N54 I <br /> ;lvE6 f11q � <br /> �. r.S�ViW✓.LCP11E00 PGSGN �LOil1,�N4fYINCYCCX I <br /> otHrn I <br /> ,,:i.ueuamo ausa� i <br /> seie euno�xa suncn�aoc i <br /> +•i�i.cu�o�isr w.�s.roiro�tner CITYOFEVERETT vue�ewcn�s I <br /> LOCALSALES <br /> o.rr iAX CODE IS 3105 TOTAL I <br />