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APPLICATIO�FOR CONSTFiUCTI�I PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257-8810 <br /> ❑ DEMOUTION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING O SIGN <br /> PRUJECT ADDRESS �/ <br /> r V/f✓ � / <br /> un ooncss arv — :r ro� <br /> � livL �c�s� Sl � (�ie � 11t�), S �LoJ yLi L1�4 �� yd' <br /> 1EN�Ni 4�M1�pp�E55 ���• t� A�h <br /> I.11L111�[CIORp[54MN Y1A�OIX�E$'. CI�Y SY' M4,E <br /> OCMP4 4LtOR M I.0!0-11�C55 CItY tb A��E SI�IEIILLNSE• <br /> � �M/�/Q�� <br /> n'O <br /> MCGUNq4C(WiP61IX1 N�ALOpIE55 Crt� !A Aq1B S�I.1ElKU6E� <br /> 1YVup11bLONIMLiM M�R��GI�55 LIIV 11' 1'1q11E $I�IEL�LCNSE• <br /> V <br /> cor�miu:r nn�y{aiR J� HEATING SVSTEM: GAS ❑ELECTRIC ❑ i <br /> LC/ <br /> oesu��o;won tum j���cr��ti ivro�fo O � r t cwun rrnson uu mwNc ro <br /> r <br /> I NEPEBV CERTIFY TIIAT I NAVE PEAD PND [%4MMLD TNIS <br /> APPLICAfION ANO KNOW THE SAME TO�E TOUE�ND CORREGT�LL <br /> rnurosm us[a om�ww� pROVISI0N5 OF LAWS AND ORDINr1NC[S GOVEhVIN'�IHIS TYf�E Of <br /> WORK WILL OE COMPLIED Wlill WHEiHEfi SPEQPI[0 HER[IN OR <br /> i[a��ceR��tqr�aniwn[nrris�ee�ovoneiuc��rvmca��[s� ryOT TIIE GRRNTINQ OF A P[AMIi DOES NOT PRESUM[ TO CIVE <br /> �m B�ocn or AUTIIORI7Y TO VIOLATE Ofi CANCEL THE PROVISION OF �NY <br /> OTHER STATE OR LOCAL LAW REGUL4TINU CONSiRUCT10N OR TNE <br /> PERFORMANC[OF CONSTRVCTION.THr1T I AM AUiHORIZED DY TIIE <br /> OWNER TNIS PPOPERiV TO PERFOPM TNE WORK fOR WH:CH <br /> APPLI TI 1 IS IAADE AND I COMPLY WRH i11E STnTE <br /> nencEU�M�0 ruue[n CON FC HS LA I IB2]RCW AND 29fi200 WAC. <br /> / <br /> CONSINUC1qNlOINlE1A[R.�Oq1E55.1[lFR1.M�EMIY9ER � ���� � � � � <br /> Ulrt A1[ <br /> LOYPV4KSSLCVSE W <br /> PlUMA1NG MECHIINICAL <br /> NO. TYPE OF FI%TURE OH ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER GLOSET(TOILET) A'C—MINDLG UNITS <br /> �ATHiUfI � FORCEO AIA SYSTE�dS <br /> I.AVAiORV(WASN DASIN) i NEAT PUMP <br /> SNOWER UNIT HEA7ER5 � <br /> NITCMEN SINN E DISP � CLOTIVE$DRYEI75 <br /> DI:HWASHEP RANGE HOOD <br /> LAUNDRV T11�Y WATEA HERTER <br /> CLOIHESWASHER � WOODSiOVE � <br /> URINAL � METALFlREPLFGE(WOODOUPNING) i <br /> ORINKING FOUNTAIN i FlREPIACE INSERT(WOOD 911PNING� <br /> FLOOR�RAIN GAS FIREPLACE <br /> O�CkFLOW PfiEVENTERS ! GAS RANGE � <br /> SINK�SERVICE—OAR,FTC.) GAS PIPING <br /> — E%HAUSTF�N <br /> — i ' <br /> ' -- <br /> J <br /> _ � <br /> i <br /> i � <br /> SUOTOTAL f j SUOTOTAL f <br /> PERMIT E � PEIiMIT 5 <br /> TOTALFEE S � TOTALFEE S <br /> FOii OFFICE USE ONLY: _ <br /> �rrc.�sr�o,cn nE�nsc�ew� sroessm�cK i+i.rvcNECK�eEn rcE nccewiro <br /> u-cvouc wunrr. v.c.�ranc FEES VALVATION FEE <br /> nns ���ro euamra <br /> ��ciUrtuuiLtiou uMn6 OwCluxO siiEaBlDYf� <br /> NIMBi1%i <br /> LCCV��Nt;V Ipq5lCn45 OCLVI'�NIIO�U B�SEYENi YELII�IIK'./.L � <br /> G�UV� <br /> ❑Y[S pN0 — <br /> fIRESPRiNelL11PEO0 �EASON ALOi�✓JMK1'L.WUIFCIt � <br /> 0111Cfl <br /> fI�L�U11M11F00 f�E�5Ct1 I <br /> St��E PvidMO SML1�uroE <br /> iroEorcons� n�Ms+rnnonoer CITYOFEYEHETT we�cnu�.% <br /> LOCALSALES — <br /> ����� TA%CODEISB105 TOTAL <br />