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APPLICATIO�FOR CONSTRUCTI�1 PERMIT� <br /> CITY OF EVERETT•BUIIDING DIVISION <br /> 3200 CE�AR STREE7•EVERETT,WA 98207•257-BB10 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDINfi IB MECNANICAL ❑ PLUMBIN6 ❑ SIdN <br /> PHOJECTADORESS ���3 ���R iWE. 6��- 9$T.D, <br /> owr<n wuwartss un z� . i+ot <br /> YaaA RoiN �125' Z�1'1S'lb <br /> i[1YN} Y41�W11E55 GL1 SO PQE <br /> u�LNiECI0qOE5qNEP 4ul�WnF55 pn' ZP ' R10xE <br /> ��1 Y4l/�pL�11E55 CIIY 2P R1JME 6i�tElICFNSE• <br /> g�cu�sa a� s.�ce�c �cn� i maR+aE� ar�a r�e Ev-o a�r.ol �ss-ss2-3u4 <br /> Y[pNMC4COxiMCiM ul.lAppiFsS t�ir xe R�qE si��RICyFNt�E• � ���./• <br /> - f/��Z�.v\ <br /> PIUI.IStIqCp1*MGlp1 W4�W11E55 CItY IO Aq11E S1AiEl1LEM5E• <br /> wnmectmcea o HEATINGSYSTEM: QQGAS ❑ELECTRIC ❑ <br /> 00. _ <br /> pESCPiBE wJ�1M N10 WUKE FOOi�6E Wv0.VFU COMfI,tI l'CNSOIINO AIp1E Iq, <br /> L. wa Pi w s - - <br /> I HEREBY CERTIFY THAT I HRl'E READ AND EIfAMINED TN�S <br /> �FPLICATION AND NNOW THE SMIE 70 BE TRUE AND CORRECT.ALL <br /> movououse ar eutioren PROVISpNS OF LAWS AND ORDINMlCES COVERNING TNIS TYPE OF <br /> RE�LIOEI�aAI... WOflK WILL BE COMPLIED WITH WMETHER SPECIFIEO HEREIN OR <br /> tFOKOE5CMi19MOFC1ICOFN�Y�SWVIMlEIOWOP1tt�dI1NVCOP�F51 rypT.TNE aR�HTINO OP A PERMIT OOES NOT PRESVME TO a1VE <br /> tot uact a AUTHORITY TO VIOLATE OA CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW PEGULATIN�CONSTRUCTION OR TME <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZEO BY THE <br /> OWNER OF THIS PROPERTY TO PEHFURM TNE WORK FOR WNICH <br /> APPUCATION IS MADE AND 1 'COMPLY WITH THE STATE <br /> puc[i isz i0 ruueEn CONTNACT R UW iB21 RCW AND 2B6.Z00 W�C. <br /> CqI51RVCilONLOINIEMIXR�OD�F55.lEL[AIJNFM/4B[F x (������ ��4��� <br /> naw. o�.E <br /> cirveu;•[ss�cErrscw. <br /> PLUMBINO MECHIINICIIL <br /> NO. TYPE OF FIRiURE OR ITEM FEE NO. T'PE OF EOUIPMENT FEE <br /> WATEfl CLOSET(1 OILEi) NC—AMNOlO UNITS �_ <br /> BATHTUB i FORCEDAIRSYSTEMS <br /> UVATORY(WASH BASIN� NEAT PUMP ! <br /> SHOWER � INITHEATERS <br /> NITCHEN SINN 8 DISP i CIOTHES DRYERS <br /> DISHWRSHER R��M�� <br /> LAUNDflVTflAY / WATERHEATER <br /> CIOTHES WASHEH w000 srove : <br /> URINAL � METAIFIREPUCE(H'OOUBURNING) � <br /> DRINNINa FOUNTAIN i FIREPUCE INSERT pY00D BURNING) <br /> FIOOR ORAIN 4A5 FINEPLACE <br /> BACKFLOW PREVENTERS GAS RANGE <br /> SINK�SERVICE—BAR,ETCJ I 6ASPIPINO i <br /> � EXH�USTFAN � <br /> i � <br /> i <br /> � <br /> SUBTOTAL f � SUBTOTAL S � <br /> PERMIT f � PERMIi f <br /> TOTALFEE f ! TOTALFEE f � <br /> FOR OfFICE USE ONLY: <br /> f{p11�5EiP�.LM PE�RSEIBKR SIOESEiB.�GR 1YrNLNECRMMlER fEF RCEAiW <br /> /U�- OP� - <br /> use>a� ior�n[n v.cw�snc FEES V�LU�TION FEE <br /> ❑rE5 ❑MO �pq <br /> HEIOIIII���lA1qN ��OtVNELLMI S�IEO�&�fl <br /> ftllMB�q <br /> OCCIF�MCY nU[l51Ca[S IXCIIIUNiIO.N B�5"e4ENi ��h�ry�y <br /> 01101N <br /> O�ES ❑NO <br /> {PE 6P11iMt1E1111E00 11C�SON �1���µ�E�F <br /> O�Irt� <br /> iPE�LMM11E0D PE�SLH <br /> Si/.tE MM1dxO 6MLYWME <br /> .rr[aconsr r.exs•wnovcoe. CITYOFEVERETT a����s <br /> LOCALSRLES <br /> p��� TA%CODE IS 3105 TOT�L <br />