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APPLICATI� FOR CONSTRUCT�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98207•257-8010 <br /> ❑ DEMOLITION ❑ COMBINATION BUILDING Q MECH�NICAL fl PLUMBING � SIGN <br /> PROJECT ADDRESS <br /> 3oz5 R���� Ava , �'�����- , ww 9s�ol <br /> OWMN M�iI�RnC55 C�fY IW A�qIL <br /> �u. �vt N Cln�c �901 /�v/ N.� �venN' wN 9�20/ �15-259•o'J66 <br /> 1CN�Ni M�¢nCM[55 bIV IM' NNNi4 <br /> u/p _ <br /> �acNrtrcrw�xsw�rtn uuu�roress arr zn r��art <br /> i � µ�,tl �trrs, /nc 11335 N[ (2ZW�l�IO k�rl�-IanA� uW 4Ko3�1 yi��3 2z4'l <br /> a[u[n��con�aac�oa u�iiuw�[ss a v [�r �r�oiuc s�nuWunt. <br /> ,�II . Ce'¢ Axrr �.l^� luv2 �G�4 S�- netia.ws�i,.LJ1a��2%o 3bp�5E8317t <br /> utouNrCf corna4ron ( uw�oou[ss cin rin nqM[ su�uKuau <br /> �l al1 f I 1<(1 <br /> ��qpup�NGCWIRvI_t �I�nWWR55 C�Iv P�n iryMtR SI�ILLiCl16!• <br /> JJJ_�fY l�($IQ (�� <br /> con;n�c�rnc[aw �K � <br /> g Z dZ� ��X� HEATING SYSTEM: f7 GAS f"1 ELECTpIC <br /> ocscaiotwon- K�..00.n[ra��.r.[nrvavm ca�*narenw�i.vnrr�a¢r�o � <br /> �3G.2 sF.�u.teZeh�ktce�cr.iFJc_t�liha�;Icc� -�I-4NIu.J Gt.[�tt�l—L25. &Z?-2zV'� <br /> _�f�n/�i�i� l-/,r �rnshyJir��.y����sre�n „/rrkir�. _ <br /> I HEREDV CERTIFY THAT I HAVE READ AN� E%AMINEO iN15 <br /> J�N�r Z Io vtls, i nl a ct •.y n�r MLI S J J ppp��CFT10N PND KN01Y TME SAME TO DE TRUE ANO CORRECi.4lL <br /> rnn�osm osc a om�mNr�� PROVISIONS OF LAWS AND ORDINANCES GOVEPNMG THIS TYPE OF <br /> n`�f�� ���1 L WORK \NILL pE GOM1IPLIED WITM WHETHER SPEQFl[D IIEREM OR <br /> �tw:'ooa cn�vibrvnvnonmvis��anr�ouowaneruc�r.wcaa�[si NOT TNE GRANTING OF A PEPMIT DOES NOT PRESUME TO GIVE <br /> �or '�e�ocK ���a '�U AUTHORITV TO VIOLFTE OR CANCEL TNE PROVISION OF FNY <br /> OTHER STATE OR�OCAL LAW REGULATING C01lSTRUCTION OR THE <br /> PERFORIdANCE OF CONSTRUGiION.THAT 1 pM pUTHORIZ[D OY iHE <br /> OWNER OF TMIS PROPERTY TO PERFORM THE WOPN FOR N^IICH <br /> APPLICATICN IS MADE AND I COMPLY 1VITM THE STATE <br /> �u¢utu io reiumrn CONTFlACTORS LAW 102]RCW ANp 296200 WAC. <br /> op�/2y / a o0 <br /> con;�nocnoxion��uuou� oon�ss.tuuxmtnuuarn �r� ��Q�yyr ���� <br /> fht £v[�/N C!�}a,_�_5[�F�' S.�u1V�� � o.rt <br /> ��,.e�s����ts��«xs��., <br /> PLUMBING MECHRNICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET ITOIIET) A�C-A'HNDLG UNITS <br /> DATNTUD FORCED AIR SVSTEMS <br /> LAVPTORY i1YA5H BASIN) 11EPT PUh1P <br /> SHOIYCR UNIT MEATERS <br /> NITCHEN SINK h DISP CLOTNES OFVERS <br /> DISHIYASNER RANGE HOOD <br /> LAUNORYTPAY WATER HEA7[R <br /> CLOTHES WFSHER WOOD STOVE <br /> URINAL IdGTAL FIREPI.ACE pY00D OURNING) <br /> DRMNING FOJNTAM FlREPLACE INSERT(WOOD DURNING� �' <br /> FLOOR ORAIN GAS FIREPLACE � <br /> BACNFLOW PREVENiERS GAS RANGE <br /> SINK ISERVIGE-OAH.ETC.1 GAS PIPING <br /> ERHAUSTfAN <br /> SUBIDTAL 5 SUDTOTAL 5 <br /> PERMIT S PERMIT 5 <br /> TOTALFEE S tOTAIFEE 5 <br /> FOR OFFICE USE ONLY: <br /> rnovt�[ln�^.� ne.nsno�eK sioes[*B�tK Rn N[rFr w i[[ 7 n[e[mieq <br /> �`�0/�-C�3 i��:�.a,�- <br /> v:,r:e�+[ (� i tt o-�Uwsne FEES VALUAiION FEE <br /> ✓ mca n uo emmnu �L� <br /> .,��.�,�,,,.,,.r��, .A�,��n<«�,� s,:Ea��a,� � <br /> �,,,,_ �� .�ca - M�uP,�; <br /> � IX'C�TnNCv'qC�SlWIIS b'..CUMNIIOep B�5[wENi UECN/,NICN <br /> GNOVC � � '�/� <br /> 1•l,2 j- r/: r/'(J s n Ho <br /> nnc varvawnEao ae�w�� �wrtewkttuiortce <br /> a <br /> ,�n c 5 vl ,i o.,,�a _� <br /> rn7uu—m.neao ae�sa� <br /> ��(Zi ��.j HI- srncem�on,sonce.ace � <br /> * naewcam tteNs�nocrcor CITYOFEVERETi rumcwo�.ns I <br /> � a' V l'�"'C K /_, ' LOCAL SALES � — - <br /> nuc 7 �J `�� TAX COOE IS J105 TOiAL <br /> N7�c' 1._�.a i5 dr FX�/K��/.IC,N CG�N�hy�,+i�; ���r - 5� L��174/�-5 - <br /> H� ���ri or �.t rOJPP.`� <br />