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APPLICAT�N FOR CONSTRU�ON PERMIT� <br /> CIN OF EVERETT•BUILDII�G DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257•8870 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ S16N <br /> PROJECTADDRESS r�-� zD R���Le. A��JQ . <br /> v� <br /> owxEn uu�roncss crcr :n wa.h <br /> c��+� c.�� a�zo R„�;�-a��e C�rn 9yz-0� yZi'Ls`1-ioYo <br /> iFNYI� YM/�E55 CItY IV PHGE <br /> Sni^< <br /> Y1CN:fECiq10CSK•NEP YYL��DRC55 LIIY IC Aq,E <br /> G[MRNCOniN,�L�OR �uIMM�E55 GiY IP RIPVF SiI.iELICEMSF� <br /> c_1��e �I RaF,�-� T-N� �0. f3er 2447 L���aiN�.1/c �/.�07L /6Q��/n-::: ScNnt.QGl86Pe� <br /> 4ECN�NqµCONiP/.CIDF 4�R�1)DPE55 CIfY 3V RqrvE SiMElRENSE• <br /> RUuOM]=p11P�GfOfl M�ILAUpPE55 CIIY !iP P��GE S��iELICENSE• <br /> CONtfl�Ci PPCE Of WOf1R <br /> T , yoS i�TA. HEATINGSYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> oEnnrec wonx uu sournt�oar�cc nnavEo wrrtr.c�rrnsovuro r��a+c w <br /> aa.�Q ' fL...�m• 1.v - �..� . — tJni aa( A� � - >-.Lt_�//O/ <br /> it N��a 1 06 G Ail �Crl lm�r� �'i'� r <br /> /� p � I HEREOY CERTIFV THAT I HAVE READ AND E%AMINEO THIS <br /> ��nr' V '�`�� � APPLICATION AND NNOW THE SAME i0 OE TRUE AND CORPECT ALL <br /> rnoaououse a avanna . � � pqOVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF <br /> ` WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> �¢cuoEuno*aHa>Pqtnivlsiqwr�ana4oner nMownEs� NOT. TNE GRAN71N0 OF A PERMI7 DOES NO7 PRESUME TO GIVE <br /> �or s�p�� a AUTHORITY TO VIOLATE OR CANGEL TIIE PROVISION OF ANV <br /> OTHER STATE OR LOCAL UW REGUUTING CANSTRUCTION OR THE <br /> FERFORMANCE OF CONSTPUCTION.THRT I AM A1ITHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PEPFORA7 THE WORK FOR WHICM <br /> APPLICATION IS MADE AND 1 COMPLY WITM THE STATE <br /> rurcR*•xiomiuecn CONTR TORS 102]RCWANf1296200WAC. <br /> ca�smuc*wiio�Hicrmcn�ow�css.r¢i[nwrrtxuuocn x �(,,. �J'�- ��OI3 �Oa <br /> ----- sw�.rne.ZS 4Z�j w�e <br /> CILY BuSM[55 UCENY Iq <br /> PLUMBIN� MECHANICAL <br /> NO. TYVE OF Fl%TUNE OH ITEM FEE N0. TYVE OF EQUIPMENT FEE <br /> WATER LLOSET(TOILET� NC—NNNDLG UNITS i <br /> BATHTUD � FORCEOAIRSYSTEMS <br /> LAVATORV�WASH OASIN) ! ��EAT PUMP � <br /> SHOWER � UNITHEATERS i <br /> NITGHEN SINK d DI,^�{� CLOTMES DRVEfiS <br /> DISHWASHEH RpNGE HOOD <br /> LPUNDFY TRAY �M1'ATER MEATER <br /> CLOTHES WASNER � WOOO SIDVE <br /> UFINAI � METAL FIREPLACE(WOOD BURNING) <br /> ORINKING FOUNTAIN i FIREPLACE INSERT�NO00 BURNING) <br /> FLOOP DRAIN GAS FIREFLACE <br /> BACKFLOW PREVENTERS ! GAS R�NGE <br /> SINK�SERVICE—BAR,ETC.) WS PIPING <br /> I EMMAUSTFAN <br /> i <br /> SUBTOTAL 5 SU9TOTAL S <br /> PERMIT S i PERMIT f <br /> TOTRLFEE E TO:ALFEE f <br /> FOR OFFICE USE ONLY: <br /> fPONTSflB�GM Rbfl5E1B�L6 Si0ESE10AC6 RINCNFLRINNBCP IFE PELE�PiNO <br /> 06��'CX�( <br /> usezw¢ �o*enu c�cwrsrc FEES V�LU�TION FEE <br /> ❑res ora eutiomo <br /> n[wrrtuun�ipx waowewx� sacae.orvri <br /> urais Muuema <br /> CCCIIP�NCY MRSLOP(5 OCCUPINTIOM B�SEYFNt MFCN4I�CK <br /> GPWP <br /> prES ❑x0 <br /> fFESPPINNLEPPE00 PE/.WN HAl1NIxKYIMU:CCY. <br /> OiN[R <br /> IRiENAR411E0D PE�SON <br /> SUfE 61MOYq SUPLNMG[ <br /> rmeorccns*. run;.rvwvEo v CINOFEVERETT wei�cwams <br /> LOCALSALES <br /> p�� � � � . - TA%CODE IS 0105 TOTAL <br />