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APPLICATI� FOR CONSTRUC7�N PERMIT� <br /> CITV OF�EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257-8810 <br /> f: DEMOLIiION ❑ COMBINATION �jLBUILDING f� MECHANICAL ❑ PLUMBIN6 ❑ SION <br /> PROJECTADDRESS <br /> �- . .a3�3 r+c1c� <br /> omrcn uui�ow+tss Grv rm qqqE <br /> DAu�o r��Rsr=�� - �urctz�rr��r� aezot �zs-zs9-�z5o <br /> tl�lnrll 4�IL�IIb1155 Cllv IT IMpHE <br /> I.NLwIi(L{Oqp[SGMu M�Il��D11E55 �IfV jp A��� <br /> QMR4CON1R4ip� MuI�DOPF55 CRY I9 IYK}R 61REtS(MSU <br /> VECnnNiL4Cp1iRI.CIOu q/,M1�ppn65 CitY }ro AqH[ SiniCLKENSC• <br /> f'lVN9nMaCONiP�f,tO� 1.41L�UMISS f.�1Y )u. Ap11i. $i�1L.ICINSL• <br /> CD111p�ft�PK[d W� <br /> /�j�� HEATING SVSTEM: f-1 GAS f-1 ELECTRIC f� <br /> ocscam¢ww n.�osw+n[rpov.cnxvav[o co�rtr.ctn�nw��o��m�ovtro y <br /> 4N� �uRu., r-aK �..r z � oc, q�ip�lf��es�sY-�zs�., <br /> I NEREDY GERTIFY THAT I MRVE READ AND EXAMINEO THIS <br /> maro5E0 es�or eonomr, APPUCATIGN AND KNOW THE SA1lE TO BE TRUE ANO CARRECT ALL <br /> PROVISIONS OF UWS hND ORDINRNGFS GOVERNINO THIS TYPE OF <br /> �cr.uo[scamriona�uoocn*r�srww�enowrn�rucMrxrocoricsi �'�RN WILL OE COMPLIED WITM WNETHER SPECIFlEO HEREIN OR <br /> -� �Q� NOT. THE GRqNTING OF A PERMIT OOES N0T PRESUME TO GIVE <br /> �a�—�3-��a��or H e�+ 7UG pUTHORITY TO VIOLATE OR CANCEL TME PROVISION OF ANY <br /> OTHflR STpTE OR LOf.AL LAW REGUUTING CONSTPUCLON OR THE <br /> PEPFORMANCE OF CONSTRUCTION.iNAT I AM AVTHORI2ED BY TNE <br /> OWNER OF iHIS PROPERTY TO PERFORM TME WORR FpR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITM THE ST�iE <br /> ru+c.[ue.�ovuuu[n — CONiRqCTOfi5LAW1B2]RCWAN0296200WAC. <br /> GC�'"�3 E� - UC� <br /> ca�sinvc*ar1ia�r��c�mcnr,narss �cierrovruuunrn Y ����. �- ZZ �O� <br /> � S�I��V�f D�i[ <br /> Lilv puSiNf SSUCE�6[�q <br /> PLUMBING MECHIINICRL <br /> N0. TVPE OF FIXTUNE Oq ITEM FEE NO, TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TORFT� q C—AHNDLG UNITS <br /> BATMTU� ' FORGED AIR SYSTEMS <br /> LAVATORV IWASH BASIN) NEAT PUMP <br /> SHOWER UNIT MEATERS <br /> KITCHEN SINK 6 DISP GLOTHES DriYEfiS <br /> DISHWASMEfI RANGE HOOD <br /> LAUNDRVTRAV VdT[R NEATER <br /> CIOTH[5 WASHER WO00 STOVE — <br /> URINAL ' METALFlREPLACE�WOO�BURNING) <br /> DRINNING FOUNTAW FIR[PLACE INSERT(WOOD pURNING� <br /> FLOOR DRAIN G0.S FIREPLALE <br /> BACNFLOW PREVENTEPS G�1S RANGE <br /> $INR�SERVIC[—pqR.[TC� GAS PIPING <br /> E%HFUSTFAN <br /> i <br /> SU�IDTAL 5 SUB7'GTAL S <br /> PERMIi 5 PERMIT 5 <br /> _ TOTALFEf 5 TOTAI.FEE S <br /> FOR OFFICE USE ONLY: <br /> fPONiSUB�Cx �URSUH�Lx S�p[SC1B�C� n HCrvEC� 4BCR �[E P6EiPLM <br /> � I� o ' ��0 - O/ <br /> uscza� ior•nu e.uHrsrtc FEES VAlVAT10N FEE <br /> �-`t N C=x�� :,.�s „� T- <br /> nrc���i uun�.ror�� �n or owcwre sve a eirv;�� eu�miw; y uJ � <br /> �� UNRS <br /> �� N�i I�lVM31NQ <br /> pGf.ilf•�NGY �n:C�5i�0�5 IXCVP�NiL0�0 B�SE1ACNi � <br /> �Il�N�NiL4 <br /> U f'.v15 1p <br /> n,csr.�iveiwn[oo nusov �oort�ari��runcN¢K <br /> ,VO <br /> n"ininarnacoo ausai <br /> o*�cn <br /> /'�J n�rE eunrnre suucn.nc� I <br /> ��vr�xcov�r M��s�rr +ar qTVOFEVEREiT v�micww+.s <br /> �/� IOCAL SALES -- <br /> nu� � (• TAX CODE IS J105 TOTAL � <br />