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APPLICATI� FOR CONSTRUC7�N PERMIT� <br /> CIN OF EVERETT•BUILDING DIVIS:ON <br /> 3200 CEDAR STREET•EVERETT.WA 98201•257•BBIO <br /> ❑ DEMOLRION L COMBINATION ❑ BUILDING (�.' MECHANICAL LUMBIN6 G SIfiN <br /> PROJECTADDRESS ( �O3/ /-+uCIcL/ <br /> M�4�IX`HC55 CitY SP R�UE <br /> rYla+k S��b`�M,�,.�s� Laltt.Sle�n,+s �;s � �43G-t <br /> iE1NHt C� 2 �F <br /> �nc�rt[cra+ocsc�rcn u.,w.wncss tin :v r�H[ <br /> cErvFa4cIXrtnncIIM MULAOMtss Ql� Iv h4lf slert4LEMSE� <br /> MEC�1�41U1CONIN�.CiCP M�0.�W�fiS CIiV lp 1'1MAK Si�iCIICEHi[• <br /> PlVMOMGCOHIR�CiCR Y�I AJPC55 ^.ItY 111' RqME SII.tEL�CFHSE• <br /> naC� lUa�4c,� �enkYS,l�c I'lo2A 1'L�l�S_ S�u E✓ere 6 �Iz.5�5o�i �oron� <br /> cornn.ner+ccarwoA q5o HEATINGSYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> oEs nieE n��osou�n �oorr rcNavco conir.c*rcnsw1r.rroroarhea <br /> I NEREBV CEPTIFY TMAT I NAVE READ AND E%AMINED THIS <br /> FPPLICATION AND NNOW TNE SRME TO BE TRUE AND WRRECL ALL <br /> anoros[u usc w amioirva PROVISIONS OF LAWS 4ND ORDINANCES GOVENNING TNIS TYPE OF <br /> WORK WILL OE GOMPLIED WITH WMETHER SPEGIFIED HEREIN UR <br /> �[c+�o[sca�*�a+aPao°E°�ri5��+eaowouen.ceTM'uca'�Es� NOT TME GRANTING OF A PEAn9T DOES NOT PRESUME TO GIVE <br /> AUTHORITI' TO VIOLATE OR CnNLEL THE PROVISION OF ANV <br /> wr eioce a OTHER STATE OR LOCAL U17 PCGULATING CONSTRUCiION OR TME <br /> PERFORM�NCE OF CONSTRI'LTION.THAT I AM AUTHORIZEO BY THE <br /> OWNER OF TMIS PPOPEP:Y TO PERFORM THE WORK FOP WNICH <br /> APPLICATION IS MAD�: AND � GOMPLY WITH TNE STATE <br /> CONT TORS UW 1fl.7 RGW AND 29fi200 WAC <br /> r�wcu t�a i o nuue[n <br /> consm�¢nonio+H�F�u.�oouEs..*ciE�+�artvuxe[n % � . o�n <br /> sa«�r E <br /> Clir BUSiNE55lCEN5E 1q <br /> PLUMBINO NECM�NIC�L <br /> qp, TYPE OF FI%TURE OP ITEM �E 1+O p,C—AMNDLG UNIES ,I�ENT FEF _ <br /> WATEP CLOSET�TOILET� — — <br /> BATMTU� FORCEU AIR SYSTEMS <br /> LAVPTORV(WASM BASIN� HEAT PUMP <br /> SMOWER UHIi NEATERS <br /> NITCHEN SINN 8 DISP CIOTHES DRVEF$ <br /> OISMWPSMER RRNGE NOOD <br /> LAUNDRV TFAV WATER HEATER <br /> CLOTMES WASMER WOOD STOV� <br /> URINAL METAL FIREPLACE(WOOD BURNING) <br /> DFINKING FOUNTAIN FIREPIACE I:ISERT�WOOD BURNING) <br /> FLOOR DRPIN G4$FIFEPLALE <br /> OACKFICW PREVENTERS GAS R�NGE <br /> SINK�SEFVICE—�AR.ETCJ GAS PIPING _— <br /> E%HAUSTFAN <br /> SUBTOTAL 5 SUBTOTAL S <br /> PERMIT S PERMIT S <br /> TOTALFEE S TOTALFEE 5 <br /> FOR OFFICE USE ONLY: (/ necc�e�w� <br /> ru�is�io+c+ niansci,.�c. v�scre�cx wHCM[cxr�we[OUd" rE� — <br /> J <br /> USEZJV[ <br /> imene� vecurtsrtE FEES VAWATION FEE <br /> "�5 �� BNLPN(t <br /> NEbN1l�M'.1/.IpN VN11�O�LlIlAI $IZCC�BIPM1TI ��yBIHG <br /> IX;CV�IN�V�'�:V SIJ�iS GCLMIM 10�0 B�SE4CN1 y[�H�ry�y <br /> GnWe ❑KS f]NO <br /> •oonavun�vcnEa <br /> nnES�u�nR[nPcao nF�sOn I <br /> UiM[P <br /> liPE�UP4RE00 AE�SCN <br /> SUIf&Irt��NG SV�CN\PGE <br /> �rre�coHsr. rv�ns�ar�-coer CITYOFEVERETT ��K`w""s <br /> LOCALSALES <br /> n.�� TA%CODE150105 TOTAL <br />