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APPLICATI� FOR CONSTRUC7�1N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201•257�BB10 <br /> ❑ DEMOUTION ri COMBINATION ❑ BUILDING ❑ MECNANICAL ❑ PLUMBING G 516N <br /> PROJECTADDRESS <br /> �31 S IPC�fN�oR6 A�resN�^F E•rC�-c�'f w* q <br /> q U u rt�r�OM�E55 ��/ n/q/�(J <br /> � �1`��-�� �-7�� wC'�R�-J �arrf_...n a� 1 Z� "1/S �a / <br /> Qv���-1 <br /> � N�Nt M�M1 Cp+[55 CIiY 2V <br /> -9'ZS-9�3:�3�g <br /> r.nc�ir[c�onucsror¢a uui.om[ss uir rw rvroxc <br /> GENCPµCONIRCIpfI M�L/.00RC55 '^YS(1 �__Cyl�, IP MON Si�iCIILCNSC• <br /> - (� 2awirwlµ�r.Jti��P1� w+4v�ii4 16obc�-o�i P�.u.S�e1SCz <br /> MfLN�NK4CONIR/.CtOR Mul• [55 OlY !F 1'nqK SI4[LKCNS[� <br /> IROPBiN:rCONIN1Liq1 MAR�D:M[55 UR IO' AqNC SLI[IXINSI� <br /> co n�cirnccorww� HEATING SYSTEM: ❑GAS I1 ELECTpIC 7l <br /> 1 �4� <br /> ocscumcwonxu.owwnEroo.+c[mvav[o <onr.c+rcnsw�ui roncra <br /> 0 6 /- 066 <br /> 'rC,YL oFF <br /> �_ I PLvY A Q_�. ,a. I HERE�V CERTIFY TNAT I NAVE READ AND ExAMINEO TNIS <br /> C�'J I U �'�w��`�Z APPLICATION PND KNOW TME SPME TO PE TRUE AND CORRECT AI.L <br /> rnr,rosto us[rn nmmur PROVISIONS Of LA1Y5 AND ORDINRNCES GOVERNING TMIS TVPE OF <br /> WORK WILL OE COMPLIEO WITM WHETNER SPECIFlED HEF[IN OR <br /> iwuocscuwiunrn�raaenn�swn++e[mwonenemnwecM�cs� NOT. TME GRANTING OF A PERMIT DOES NOT PPESl1ME TO GrvE <br /> wt xix. a AUTMORITY TO VIDLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STPTE OR LOCAL UW REGULRTING CONSTRUCTION OP TME <br /> PENFORMANC OF CONSTRUCTION.TMAT I AM AUTHOR2ED�Y TME <br /> OWNER OF T PROPERTV TO PERFORM TME WORN FOR WHICH <br /> APPLICATIO IS MAUE ND I COMPLV WITH THE STATE <br /> �u¢uiuiormwoca �TRAGT LAW 37 WANDY96—.Y00\VRC. <br /> \/ <br /> eo�s�aue+�w�a•r��crroer.wm[ss.*utr�wek�uue�n �� b� <br /> ���iw�E o��c <br /> urv e�swcss��ccr�sc rr� <br /> PLUMBING MELM�NICJIL <br /> NO. TVPE OF FI%TUPE ON ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> YlATER CLOS[T�TOILET� A C—A HNDLG UNITS <br /> OATIITUB FORCED AIF SYS7E1dS <br /> LAVATORY�WRSH BASINI MEAT PUMP <br /> SHOWER UNIT HERTERS <br /> KITGHEN$INK 6 DISP CLOTHES DRYERS <br /> DISHWASMER RANGE N00� <br /> LAONDRY TRAY WATER MEATEP <br /> GIOTHES WASM[R WOOD STOVE <br /> URINAL METRI FIREPLACE�WO00 BURNING� <br /> DRMNING FOUNTAIN FIREPLACE INSERT(WOOD�URNINGI <br /> FLOOR DRAIN CAS FIREPLACE <br /> BACKFLOW PREVENTERS GAS Pr1NGE <br /> SINK�SERVICE—�AF.ETC1 GAS PIPING <br /> E%HAUSTFRN <br /> SUOTOTAL S SUBTOTAL S <br /> PERRIIT S � PERNJT 5 <br /> TOTALFEE S TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> rnCL�st�L¢c uUn5O9Eo- sIce5E1BLLR PUNb HuuBcn ICF H[c[ivlNp <br /> �O/ -00 <br /> uscr.:��a �otr.nu vec+Hisrts FEES VA�U�TION FEE <br /> r.vcs n�ro ouao�� <br /> ��ErGXiUMiln�qN NO[K�WLLIOG 6ii[O�PILWI� <br /> UNi1$ i'lUUBi1G <br /> CLf�,Up�NCY HJq51pn($ IX;CU1'�NIIOb B�SLMI.N1 M(CN�NiC4 <br /> OY6 :i NO <br /> liAESfM�Mti0.P�[OO R[I.SCN ����µP�CNECK <br /> OiHCq � <br /> (W[���nMpEOD 11E�SON � <br /> LuIE Bwl�ixuSWLe�NGE I <br /> nrcorcoMsr n�Ns•rviwvmev �IT`.'OFEVERETT r�oicxrou..s <br /> LOCALSRLES <br /> �„� 7AX CODE IS 3105 TOT�L <br />