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APPLICATI� FOR CONSTRUC'!�N PERMIT� <br /> CI fY OF EVERETT•BUILD�NCa DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257-8810 <br /> !J DEMOLITION ❑ COMBINIITION rl BUILDING O MECMANICAL ry✓PLUMBINIi CI SIGN <br /> PROJECTADDRESS /� <br /> �fITJ SlevcvS �� ':Jlud. �tvtwH— <br /> pVMCR/� CMutNqa[55 CiiY !M 1M,?( <br /> ( 1� a {— C �'{Vt{� <br /> TFN�NI wMDDPC[5 CIiY tp ryp�( <br /> �IICNIi[CiplU[SY�HfP 4�ilF�Mt55 G(Y I�' M�ylf <br /> 1,,; .t. gva�wi-, z�z3 ��t.��ellc.- r4v� Si,.�,�..-� ziz-csvg <br /> G[N[R4CONIRI.�IOF Y�M1 pW+CSS CIIY IR 1YpA Si�i[IICCNSf• <br /> A�we�, 3r za- c���, ,a-�-e., ��..-.�-µ zs y -b�,-�- <br /> 4LCuunC4C0�f•P�Ciqt M�K��WIE.55 ilY IW Mq14 S��iLICCIG[• <br /> PIIIUURYL1O1r�iR�C1M Y�M1AWnC55 CiiY .w M1pN[ S1�IClKtNS[• <br /> uj� YFIYhbe�v'1 �4i�ol I�ef''S+ Sw td„-..�,u wr1 GJ�2,. �-1:ffu��',ro�z�P <br /> mH wc*vncta�wonn <br /> )S —� HEATING SYSTEM: f-1 GAS fl ELECTRIC fl <br /> ucscan c wrn«u�o sowAc roo*r.cc nnavcn cartu;.r�n�n r,Ho n«�v�iq — <br /> 1 HEREOY GERTIFY TNAT I HAVE REAO AND E%RMIYED THIS <br /> APPLIGATION AND KNOW TME SAME TO�E TRUE AND CORRECT RLL <br /> vHavosm ub:or euuuivr: PROVISIONS OF LAWS AND ORDINANCES GOVERNING TMIS TVPE OF <br /> _�].�� �� J 4lY�N /^2'}7tU1'Y� WORN Will�E COhIPLIED WITM K'HETMER SPEQFIED HEREIN OP <br /> aLuo€scnnrcr'n�corcam�suoweoc�owonennp�mncawts� NOT. THE GRRNTING OF A PERMIT DOES NOT PFlESUME TO GIVE <br /> im e�nc+ a AVTMORITV TO VIOLFTE OR CAHCEL TNE PROVISION OF ANV <br /> OTHER STATE OR LOCAL UW REGVLATING CONSTRUCTION OR TME <br /> PERFOBMANCE OF CONSTRUCTION.THAT I AM AOTMOR2ED BY TNE <br /> OWNER OF TMIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> �yr� f C — OJJj � OL APPIICATION IS MAUE AND 1 COMPLY WITM TNE STATE <br /> r�.ctiwiomv.�ocn CONTRFCTORSLAW1821R W ND296300WAC. <br /> cor�s�nuc*�ai�ow�trv�[0.��on[ssm[rr�q�[rniue[n x�. �— �k'l3 <br /> s. r.umn: wic <br /> biYRV4MSSl¢O6[M <br /> PLUTABING MECNANIC�L <br /> NO. TYPE OF FIXTURE ON ITEM FEE N0. TVPE OF EOUIPMENT FE'e <br /> —� LVATER CLOSET�TOILETI AC—A NN�LG UNITS <br /> �FTHTUO FORCED AIR SYSTEIdS <br /> LA\'ATORY�WRSH 6ASIN� MEAT PUMP <br /> SM0IVFR UNIT NEATER$ <br /> KITGHEN SINK 8 DISP CIOTNES ORVERS <br /> D15.1WASMLR RANGEHOOD <br /> �AUNORV TRAY WAiER MEATER <br /> GLOTM[5\YASNER ' WOOD STOVE <br /> I/RINAL METAL FIREPLACE�WOOD DURNING� <br /> � DRINKINGFOUNTAIN FIREPLACEINSERT�WOODBURNING) <br /> FIOOR DFAIN GAS FIPEPLACE <br /> BACKFLOIY PREVENTERS GAS RANGE <br /> � SINN�SERVICE—OAP.ETC.� Hy^ GRSPIPING <br /> (� Sh+IV E%HAVSTFAN <br /> 5��+L <br /> N /1 <br /> SUBTOTAL 5 SUDTOTAL 5 <br /> PERh!li S PERMIT 5 <br /> TOTALFEE 5 TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> rroNrsRB�Cx pUnsEla4n S�[sRe¢x nl , pp[ueW[P R[ acc[��t+p <br /> /U �OOJ <br /> vscorrt �oru+[� vecwr5n[ FEES V�LUIITION FEE <br /> nrrs �� eunar:o <br /> N[IGH1lIMIi�ipN NpqpW[LLI!M 51.'COfWCG'll <br /> UIUiS VLUl101NG <br /> �IIOmnNCV M1J�40Ft. CLLV�n!IiIO�U Be5C1IlN1 M[Cn�NiC4 I <br /> V� <br /> 1VE5 f]NO <br /> i.u[Svn�Yr;I:PNEO� PFASpN M�i11pM1µPV.NCMCIX <br /> _ onrtn I <br /> ri�.Tn�nmaa[co nusorv <br /> s*uc eu��.onu sux„.ncc <br /> i�rcamvsi rie�rs•i�n�o-:Eoar CITVOFEVERE7'f we�qwoans <br /> LOCALSALES <br /> ��..q � TA%COOE IS 9105 TOTAL <br /> 1 <br />