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� <br /> �; n APPLICATI� FOR CONSTRUC�ON PERMIT <br /> CITY OF EVERETT•BUILDINa DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •25&8810 <br /> f7 DEMOLITON ❑ COMBINATION BUILDINO ❑ MECHANICAL ❑ PLUMBINO ❑ BNiN <br /> PROJECTADDRESS �,,,^��' Z�-,�y� �� � / � <br /> 'Y41L4,tiC <br /> bNNEH Mul�DORESS CIiY SIP P1qME <br /> fir.,.�iv„��eb,l �� l4ub t�t,.� �.4- c..,� aen &.cc .�► loy5�R'�sti <br /> riruxr� u�n�omess cm zr v� <br /> �PLMIECTOR0E5iGNER M�IILa0IX1E55 C�tY DF RIOME <br /> ,iNT1 L_ C✓; lAJY1W <br /> GENEflAILONiP�CT MYL/�Wf1E59 C�n' IIP VXdE ff�tEUCENrI <br /> tia-mc ��s c�nw CUu,n�rs�E a�o�uJ <br /> MELNM�IC/�ICOMTHALTOR MMl�Dq1E55 CIiY $IV VIid1E STATFUCEN9E1 <br /> PWPBINOCONiR4i0R MNLAODRE55 L�iY 21P PIIOHE 9TAlElILEN5E1 <br /> CONiHAGt 1'BICE Oi WqIN <br /> HEATING SYSTEM: OAS O ELECTRIC O <br /> pE$CflIBEN911NANp50UAPEi00T,1GEMVOLVEO TVEP4p1/Jq 1q. <br /> ¢C (o�/ / <br /> 5� as s s 6 8 a3 <br /> — � �� I HEREBV CERTIFY THAT I HAVc READ AND E%AMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT.ALL <br /> v seouseoreu�qrq PROVISIONS OF UWS AND ORDINMKES OOVERNINa THIS TVPE OF <br /> S WORK WILL BE CAMPLIED WI7H MMETHER 6PECIFlED HEREIN OR <br /> LEO�LOESCPIPTIp10FM.OPEPiY�51qWN0ElPN �n�FH;w onE51 , NOT.TNE OMNTINa OF A PERMIT DOES NOT PRESUME TO OIVE <br /> LOi�BIOCN OF WZ�1' �' UTHORITV TO VIOUTE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL UW REODUTINO CAN9TRUCTION OR'!IE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUfHOFIZED BY T1E <br /> ^� OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR NMICH <br /> � �V2 f. U�U nD I APPIICATION IS MADE ANO I COMPLY WITH TME STATE <br /> PMGEI iNf:D.NUMBER CONTRACTORS LAW/1B 27 FCW AND 29E2W WAC. <br /> Cd�SiPULPCMIO�NLExDER.�ppRE54.lElERKK1EM1M0ER xn(JI.C.y`/� C.(��iQ 'h7/f[,(i ��IV, •� <br /> _ SIG11Ai1111E �,aya C/ o�re <br /> cn aus�rrtss ucexse I+a. i <br /> PLUTABINO MECXIINIC�L <br /> NO. TYPE OF Fl%TURE OR ITEM FEE NO. TYPE OF Fl%TUNE Ofl REM FEE <br /> WATER CLOSET R�ILET) A/C—MINDLO UNITS—H.P. <br /> 7 BATMTUB I FOHCEDAIR8V9TEMS—B.T.U. M E.A. <br /> LAVATORY(WASM BAS!N) HEAT PUMP � <br /> SHOWER UNITHEATERS—B.T.U. M <br /> KIiCHEN SINK 8�ISP CLOTHE$ORYERS <br /> DISHWASHER VENTIUTION FAN <br /> / UUNDRI'iRAV I RANOEIqOD <br /> CLOTHESV1.45HER I WATERHEATEF <br /> URINAL WOOD STOVE <br /> ORINKINO FOUNTAIN MFTAL FlFEPLACE(WOOD BURNINO) i <br /> FLOOR�RAIN FIREPL1ICE INSEFf(YlOOD BURNINO) <br /> BACKFLOW PFEYENTERS OAS FIREPUCE <br /> SINK(SERVICE—BAR,ETC.) OAS RANOE <br /> OAS PIPINQ <br /> E%HAUSTFAN <br /> SUB TOTPL 3 .Y SUB TbTAL i <br /> l PERMIT 5 PERMR S <br /> TOTAIFEE 5 TOTALFEE t <br /> FOR OFFICE USE ONLY: <br /> iRON15ElB�CA( ♦ FE�PSETO�CN SiUESEiO%CN C LIrtGtMIY611 FEE — ����ML. <br /> ! <br /> USEIdIE �� wr�a[� v�uvrs�r FEE8 VALUA710N FEE <br /> nres n ra eunnmo (� <br /> rrtaxr uuir�rrou � r�o.a rnrtwra size a xoari. <br /> uHns 2 t.F. Livi�IQ t aur�erm <br /> f. <br /> ��up.n:r �aasrw¢ acuv.xr�o•o e.seueNr � / MEc�µi�w <br /> 1�3 � Z ❑ves Ma <br /> [IP MAPMt1E0�D REASM ��n�KftAMLMECK <br /> OTNlR <br /> FIRESVpINRIERPEOD AE�SON <br /> ST�TE BUil01N0 SIRd�MOE <br /> LYPFOfCOvSi cuvs�ovqov�o��r CfTYOFEVEREIT ouukwwws 2 <br /> •�y— J�? LOCALSALES <br /> .yL T{ o��E ! 'o ` TA%CODE IS 3105 70TAL OD <br />