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APPLICATI� FOR CONSTRUC�N PERMIT <br /> CIN OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257-8810 <br /> ❑ DEMOLITION ❑ COMBINAT�ON ❑ BU�LDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADORESS: <br /> OWME11 44LA[IM1F55 CI�Y lll� P19ML <br /> �^Pc G�.l�lr�r4.. C'C.���G //�29 �'`�.4vc SE GCve.-e//`�zos <br /> �i[ve � uui+rnnrss nrv nr v�wur <br /> S'i- .x c <br /> �nCW*fG�OnfhyGnLp� uu�e0nE55 /.U/� • !iP PrKn,/�i/'ZP4'" (/� (ptl0 <br /> �li bUt:/ �.�<.`ri ���.�: /D7�� [.l�Jfe �i/����i /VE SfYel/1�/'�L(Jv� /�/LS <br /> LFN(MlCOM1�1C1p1 Mu1�M)fIE55 CIIY �I�l 1'iMnC i1�1I11ClNV• <br /> 1�vn</� <br /> uFO�uaC�tGo�in�Cl)n uut�GO�t55 Cirv ]m Pirovr � fileRliCEMSE� <br /> �[tl/f�✓ � <br /> PIUuOhiGCO111nIf.�IX1 4��t�IXME55 GIr llv VMOi6 51�1lIICEMSf• <br /> [cl i'/C <br /> COM�MLII�IIICL U�M'O�X <br /> . T ZS 6�00�' HEATINGSYSTEM: OGAS OELECTRIC ❑ <br /> ufscmnfw9iN�at�sW�nt�C)ucEwv vEn ' cart�C�ttnSIXi�Nf��•�NfMfuo <br /> ./y�,m�e o�- ��«.�i,� wal� <br /> �(�✓!/!/�(�Y/ 5 _ 'L c'I _st✓fl/YO <br /> I HEREBY CERTIFV TNnT I HAVE READ ANO EXAMINED TNIS <br /> APPLICATION AND RNOW THE SRME TO BE TRUE AND COfiRELT ALL <br /> virorosro usc or nunpwn PROVISIONS OF LAWS AND ORDINANCES GOVERNING TNIS TYPE OF <br /> ��Uv�� R'� WORN WIIL BE COMPUED WITH WHETHER SPECIFIEU HEREIN OR <br /> l[c��oESCmrnoxor rnor[nttlsrrom�euowonen�cH*WoronEsl NOT. THE GR�NTING OF A PERMIT DOES NOT pRESUME TO GIVE <br /> m� oiocx or AU7HORITY TO VIOUTE OR CANCEL TNE PROVISION OF �NY <br /> OTHER STATE OR LOCAL�AW REGULATING CONSTRUCTION OR TNE <br /> ' PERFORMANCE OF CONSTRUCTION.TMAT I AM AUTMORIZED BY TME <br /> OWNER OF THIS PROPERTY TO PERFORM THE WONK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITM THE STAfE <br /> rencrt uR iu rrvrvnt� CONiqACTORS lAN'IB2]RCW AND P96200 WAC. <br /> �747 • ooi -oi6 - 030� <br /> COMSIf1IKIlON10�NIfNfIfRMMC$S.�[l(MIONEMNRf� X <br /> :IGN�IVIIE f1��[ <br /> G1YlV4HESSlK[NSCxO <br /> PLUMBING MECNANIC�L <br /> NO. TYPE OF Fl%TUHE OR ITEA1 FEE N0. 7YPE OFEGUIPMEM FEE <br /> WATER ClOSET(TOILET) P/C—NHNDLG UNRS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) MEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCNEN SINN 8 DISP CLOTMES ORYERS <br /> DISHWASHER RANGE HOOD <br /> LAUHORY TFAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE _ <br /> URINFL METAL FIREPLACE(WOOD BURNING� <br /> ORINNING FOUNTAIN FIREPLACE INSEflT hNOOD BUflNING� <br /> FLOOR ORAIN G/S FIREPLACE <br /> OACKFLOW PREVENTERS GASRANGE <br /> SINN(SEHVICE—BAR.ETC.) GAS PIPING <br /> E%HAUST FAN <br /> SUOTOTAI f Sl18TOTAl f <br /> PERMIT f PERMIT S <br /> tOTAIFEE S TOTALFEE f <br /> FOR OFFICE USE ONLY: <br /> inomzrrn.rx nnnsna¢. siocsc�e�a ruxa�¢xHuunrn rtr nrcvmrxo <br /> !�/�/� <br /> usrrorr �a��a+ wG���snE FEES VI1lU�TION FEE , <br /> �--r— <br /> ❑Y(5 O MI fl1�IMNl: <br /> ��fmm uvntnov No v ownurx: s¢E or e� � H.y --'— - <br /> u"n,r ru�uniur. <br /> /] Ch/AI i1 _"-__—"_ "_—_ '—_'—'— — <br /> cticurevr �o�woi.0 axmar��mw o v�vi uruur�rn <br /> a�uor � — __ <br /> �_/'!0/rj [s ❑��n <br /> �vn�t wnr,iuur�yu/—_ nr.sa� /,-�, �oairouu n.vcurc. �--- —_— __ <br /> � � �u.C� oiirtn _ <br /> �n/¢�/nuln�rnwu n��snv �/{�y <br /> !�/tl C .�^„� 5�9t RinlUwf.5nn6unG! __._ ___ _— <br /> rvrroico�n� nnvsu•rnovrnnr GTYOFEVERETT runur.wn��c <br /> G LOCAL 511LES <br /> � — IF��L wi�7I7�� TA%CODEI5�f05 7o711L ' � � _'� � <br />