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APPLICATI� FOR CONSTRUCT�N .PERMIT� <br /> CITY OF EVERETT•BUILDINfi DIVISION <br /> 3200 CeDAR STREET•EVERETT,WA 98201•257-8E70 <br /> ❑ DEMOLRION ❑ COMBINATION ❑ BUILDUW ❑ NECHANICAL ❑ PLUMBINO O SHiN <br /> PROJECTADDRESS � <br /> �l /1 U N('� 0� l/�ce�. cnv a <br /> � + -�431 Fuc�e� hve - f�r `�saGf , 3'bD�(cla�-2cXx>> <br /> TEW/,i Wl�0�NE59 CT' 11 AqNE <br /> `c�n <br /> �n,:w*Ecr�ncesar[n wa�a[ss an n nur< — <br /> k� �c�xr Cu�S�ruclic�l-i[�irwtkrn�nncb.Dr-��e{inni`l�`1Ba9lr - 3Lon-�,�g- 1.�Y_` <br /> a¢�wuc�.rucron wa�oorhsa cm xn rwa s*�nurnw.R4urtrW4PP <br /> K-ft.t�r Cr�n1�L�Ci;n� �Q1�,=nrr1,.-n�- v�ch��i7h ����flo-3(2ilrr��-2cco <br /> �EG�utnLKbINIMCIM 4AlWINE65 pT' IP 1110ME iTpfLSExiE� <br /> nJ� <br /> RWBRqGp1lMGip1 WIARHE55 QIY S�� RdE ]T�IELKEnSE� <br /> ,v/P _ <br /> cor�r rmeenwa� HEA7INGSYSTEM: ❑OA$ ❑ELECTRIC ❑ i <br /> I"74 - <br /> MSCRO�.E WO'N M10 SOUME iWiMf YrvQVFO CM�ILI VEIIlCNNqlI��lE M0. <br /> CCT�-,'��r�-c� n�i�r,�,•�cha��� W e�l Krv� ne.-- �a�-�lns- ?oov <br /> nond — <br /> �� kd �.%i�H� fn� f n^� la-�t��in� <br /> I HEREBY CERIIFV TX�T I HAVE REAO AND EXAMINED TH19 <br /> MPLICATION ANC KNOW 7HE SAME TO BE TRUE NID GORRECL/�LL <br /> ri+oror^o us[oe eua�o PRpVI510NS OF 1 AWS AND ORDINANCES OOVERNINO T/IS T'PE OF <br /> WORK NAIL BE C�OAIPLIED WITH WHETHER SPECIFIED HERE�N OR <br /> lfO.4q:5CR�ipryOiPIK'KRIY151uI.11lE10YI01�R.�CNTNpCOM1E51 rypt 7HE ORAN7INf3 OF 11 PERANf DOEB NOT PRESUME TD 6NE <br /> ior xocK a AOTHORIiY TO VIOLATE DR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OFl LOCAL UW REODUTINO CONSTRUCTION OR TiE <br /> PERFORIMNCE C�F CONSTRUCTqN.TNAT 1 AM AUTHORIZEO BV THE <br /> OWNER OF THIS PPOPERTY TO PERFORM 7HE WORK FOH VMICN <br /> APPLICATION IS MADE AND I COMPLY WITH TME ST�TE <br /> ru+cEti.uio.ruuxn CONTMCTORSUWIB.Y7 CWAN02Bl200WAC. <br /> :� <br /> CONS1MFtqNL0�111EN0ERMMf55.iGlERtl�EMMEN / �� ��-7-L�� <br /> k�f�ur 40/ 5�5 �a� <br /> cm�wressic¢r¢ra. <br /> PLUMBINO MECN�NICAL <br /> NO. TYPEOFFlXTUPCOIIIiEN fEE NO. TYPEOFEWIPMENT FEE <br /> W�TER CLOSET(TOILET� NC—MMDLQ UNR9 <br /> BAiHTUB FORCEU AIR 9YSTEMS <br /> IAVqTbRY�WASH BASIN) NEATPUMP <br /> SHOWER UMT HEATERS <br /> NITCHEN SINK 6 DISP CIOTHE501i:EH5 <br /> DISHWASHER MN6E HOOD � <br /> LAUNORY TRRY WATEP HEATER <br /> CLOTNESW�SNER � WOODSTOVE <br /> UflINAI METAL FIXEPUCE(WO00 BURNIN(3) <br /> ORINNIN�FOUNTAIN FIREPUCE INSERT(WOOD BURNkq) � <br /> FLOOR OMIN i OAS FIREPLACE <br /> BACKFLOW PREVENTER$ i OAS MN(3E I <br /> SINK�SERVICE—BAR.ETC.) I OASPIPINU I <br /> EaMAUST F1N <br /> �-. <br /> i <br /> SUBTOTAL S i 5�1�TOTk s <br /> PERMIT f PEF7MIT f <br /> TOTAIFEE S TOTALFEE f <br /> FOR OFFICE USE ONLY: <br /> FPONTSETB�CN pEMSEiB�t1t SI�ESEIMLII RAIILMEGRMMEP iFE ME£PiM� <br /> useza.s io*u+�� v+cµ*cirt FEEC VIILU�TION FEE <br /> orts a ra �o„o � <br /> HEa�rtiwirr,rnn nonowcuma saeax i. <br /> umi5 � � R�b <br /> OLCIAUFY W 0[SMES IX:CiA/.ti�%� M 4FM �d�.k <br /> ORqN <br /> OVE3 0 n0 <br /> iWE6VNiNRtERREOD PE�SCN '���kAµ�'� <br /> OTrtN <br /> iNEeWu�PFCU PE�SON <br /> Si�IE bRONO MG1410E <br /> r.vea�coxsc vwis+ +ar CITYOFEVEHEI'f wxcr.wue <br /> P��� wi'�L[! �O TAX COOE IS 9 05 TOT�L <br />