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APPLICAT�N FOR CONSTRUC�ON PERMIT
<br /> CITf OF EVERETT•BUILDING DIVISION �
<br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257-0810
<br /> ❑ DEMOLITION �COMBINATION ❑ BUILUING ❑ MECHANICAL ❑ PLUMBING ❑ 516N
<br /> PROJECT ADDRESS: I I�I'I�j =Z� �/�- 5 C. .
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<br /> MEATING SYSTEM: J�QGAS L ELECTRIC ❑
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<br /> �L-� ��LbitILL{ etS�DENLE _ � ��EREOY CERTIFY iHAT I HAVE READ AND E%AMMED iM15
<br /> APPIICATION AND NNOW 1ME$AME TO BE TqUE�ND CORRECT ALL
<br /> �norosvo ust o�nnnav� pqOVI5lON5 OF LqWS AND ORDINANCES GOVERNING THIS TVPF.OF
<br /> WORN WIIL BE COMPLIED WI7H WHETHER SPECIFIED HEREM OR
<br /> �[c�in[scnu•uworr,rorenn�s�awupnowoa�mo�+wocontm NOT. iHE G�ANiMG OF A PERMIT DOES NOT PRESUI.tE TO GVE
<br /> tot_.(�e�oce or �jzr_t a I '� AUTHORITV TO VIOLATE OR CANCEL TME PROVISION OF ANY
<br /> 0T11ER STA�E OR LOCAL LAW RECULATING CONSiRUCTION OR THE
<br /> PERFORMANCE O�CONSTRUCTION TMAT I�M�UTMORIZEO BY THE
<br /> ����_�/ �// OWNEF OF TMIS PP[;:iniY TO PERFORM THE WORN FOR WMICH
<br /> qPPI.ICATION IS MADE >ND 1 COMPLY WITN TME SiATE
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<br /> PLUMBING MECN�NICAL
<br /> NO. TVPEOFFIXTUNEOHI7EM FEE NO. iVPEOFE0UIPMENT FEE
<br /> � WATERCLOSET�TOILET� A/C-P/fINDLGUNITS
<br /> BATHTUB FpRCED AIR S�STEMS
<br /> LAVATORY(WASH BASIN) NEAT PUMP
<br /> SHOWER UNIT HFATFRS
<br /> RITCHEN SINK 6 DISP C�OTNES URVERS
<br /> DISHWASNER RANGE HOOD
<br /> LAUNDRY TRAY WATEF HEA7EF
<br /> CLOTHES WASNER NlOOGSTOVE
<br /> URINAL METAL FIREPLAGE(WCl't BURNINW
<br /> DRINKING FOUNTqM FIREPIACE INSERT rNpOD BURNING)
<br /> FLOOH DRAIN r GAS FIPEPIACE
<br /> BACRF�OW PREVENTERS GASFANGE
<br /> SINK�SERVICE-BAR,ETC� GASPIPI.VG __` �—
<br /> EXHAUST FAN �_
<br /> SUB TOiAL E SUB TOTPL f
<br /> PERM�T S � _ PERMI7 f
<br /> I �/ 70TAlFEE S TOTALFEE S 'y_
<br /> FOR OFFICE USE ONLY:
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<br /> IISf)(]Vf�p IO�U1[♦ Vq�4 $11[ OEES V11LIlATION FEE
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