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IAPPLICATI� FOR COWSTRUC�N PERMIT <br /> CIN OF EVERETT•BIIILDING DIVISION � <br /> 3200 CEDAR STPEET•EVERETT,WA 98201 •257-8810 <br /> ❑ UEMOLRION ❑ COMBINIITION ❑ BUILDINfi ❑ MECMANICAL ❑ PLUMBING G SION <br /> PROJECT ADDRESS �,s ��� � <br /> qVv[p N�4�DDRC55 SP A�� <br /> � ' °IL.ro/ �fZ�r Lf2�o�S <br /> H� •/e3s�S.wni u� � � <br /> �ibf�6'r.�•�e�4 /3�Lr /� �!/AA/6 �,At�� �i34� lerG -�fo-Zz3 <br /> ��cmrectwocsa :n +�ooucLss��� A �jy zv nan< �4 Ot <br /> l�Mdil/id6l�Y/.� (vy (��le I���IA1�lM1� $�.f7 �ul.— �� <br /> -HERµL011iP1ClOP M� ��E55 CIIV 2p RIPE 511IELILEHSE• <br /> MECI��NICN A�CICfi M�IL�f.'U�E55 CIIY $V PM'�MIC SI�IELKCNSE• <br /> 4'\V4UIqC I h'.iCA M/.M1�CIX�C55 CT' SIV AICIYc Si�fEIICENSE• <br /> barta,crvnceor + � HEATINGSYSTEM: - GAS OELECTRIC ❑ <br /> �y,f Gg32z SP ��+fcuE — <br /> ,�%�ER.�jOU ,Rir�'�✓6 �'la'• ' �.K.o���a� a <br /> /yjQ -Q.Yi.G�'!� _.. ?GZ'i • g40�LL3S <br /> I MEREBY CERTIFY THAL I HAVE READ ANU E%RMINED THIS <br /> APPIICATION AND KNOW THE SAME TO�E TRUE AND CORRECT.ALL <br /> asmvs¢ov am ma PROVISIONS OF UWS AND ORDINANCES GOVERNING T1115 T'PE OF <br /> � WORK WIIL BE COMPLIED WITH WMETMER SPECIFIEO HEREIN OR <br /> � c¢pescnTrvwarro�tarv6�owne[io:vou�inCeTMoca��c5l NpL THE GRANTING OF A PERMIT D7ES NOT PFESUME TO GIVE <br /> im o�ocK or I�UTMORITV t0 VIOIATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR�OCAL UW REGULATING fANSTRUCTION OP TNE <br /> VERFORMANCE OF CONSTRUCTION.THAT I AM RUTHORIZEU BV THE <br /> OWNER OF TMIS PROPERTY?O PERFORM THE WORK FOR NTIICH <br /> APPUCATION IS MADE ANO I COMPLY WITN THE STATE <br /> r�n��iwmnuvxa CONTR RSLAWIB2]RGW�ND 200 AC. <br /> _o _ i!o O/o / D /l Q� <br /> cOuStPVC��ONlo�rvl[WEu.eC(MESS.1Rc f�NUBEn x <br /> SRF O�i <br /> CiI u5inE55lK[v5G rq <br /> CLUNBINO MECNINIC�L <br /> Np, T'VE OF FlIITUPE Ofl ITEM FEE NO. T1'PE OF EOUIPIIENT FEE <br /> WATER LLOSET(TOILET� A�C—hT1NDLG UNITS <br /> OATHTUB FORCEDfJR SVSTEMS <br /> LAV�TORY�WRSH BASIN� HEAT PUMP <br /> SHOWER i UNITHEATEfiS <br /> NITCHEN SINK 8 OISP CLOTNES DRVERS <br /> � ISHWASMER RPNGEHOOD <br /> 60RY TRAV WATER HEATER ti_ <br /> CL HESWASHER WWDSTOVE <br /> URIN METAL FIREPUCE(WOOD 6URNING) <br /> URINNI FOVNTAIN FIREPLACEINSERT�WOODBURNING� <br /> FLOOR D IN GAS FIREPLACE <br /> ORCNFLOW RFVENTERS WSPANGE <br /> SINH(SERVIC �-�RR.ETC.� GAS PIPING <br /> E%MAUSTFRN <br /> UBTOTAL E SUBTOTAL 5 <br /> RMIT S PERMIT E <br /> TO LFEE b TOTALFEE b <br /> FOR OFFICE USE ONLV: G( " 0.3,� <br /> n�Jv�s[rb.ce nGnSciaKR S�E5Ei6�Ga M cN6KN�l9[n RE aKEmt�q <br /> � � � r� , . ��� <br /> ue.c;ov� � �orr.nt. v.cwtane FEcS V��UIITION FEE <br /> ClV[5 []W &IIpNC <br /> .J <br /> �rtic�r i J+� ��orrwcwwc s�zEaeioci� Z <br /> J RVMB�NG <br /> CC�Vp�NCY u0.%SRo�S CCCVP�NiIOb B�SEM[Ni YECXeN�C4 <br /> a 3-s s-r in�o d� �•Es � <br /> � n,—�s�mv.aamm� ncnwrv �oa*an+�ruxceece <br /> N-I <br /> yC� �'�y 02AM'4��o aTMcn <br /> �weumm�wou aeesox <br /> � � T�.,QQ surteusancwnc�+ncc � <br /> .X+ <br /> .�rEwcons� nu+s�roirovcoer GTYOFEVERETT ���won+s ���: .tc, <br /> V / �y� Z _ LOCALSALES <br /> �I �C p�r� �' (K� TA%CODE IS 0105 To7�L <br />