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APPLICATI� FOR CONSTRUCTION PERMIT <br /> CITV OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVEREff,WA 98201•259•8810 <br /> ❑ OEMOIITION �COMBiNATION ❑ BUILDING D MECHANICAL ❑ PLUMBING � ❑ SIGN <br /> PROJECT ADDRESS: 3Ln�I' 7"`0�� <br /> DoNrA ocS� 36�1-+-Gv-s�n <br /> OwxEll WUL/�.tOFE55 Citt Z�o vNOhE <br /> TEMAMT �I�CMiSS GIT IIV YNp1E <br /> Cklp � <br /> •11LMIECi0B�E51GNEN 4�Il�COMF55 fltY )�� ��E <br /> ,�Ac.�1xs, �rfr 213iNiLsi�.�wAc.� ��gul 2.5t-7y� ��r�Z3ooN <br /> GEME�ulCOMlIULtOR MM�D�ME55 Qrv l�� ��OME ����EI�CENSF• <br /> MECHI.N�LKCONLNeLiOR MulAp0uE55 titt }iP WqHE SV.tEti[ENSE� <br /> hUYBNGCCMiP�Cipi MLIL�Lq1F5i Clb 11> PIqNE $IAIEIICfMSE� <br /> corrtrue�aroceavian. i <br /> ,f�C 0�' HEATING SYSTEM: ,I�GAS G ELECTRIC ❑ <br /> pESCPolE NOPR 4ND SW�aE fOpi�GE iNv0.vF0 [Or1i�C�vEn50N AM PI�p,E W <br /> I"�+/bv K Mi C.9 I�Y i1U! �N 2lL�VSo — <br /> N�„prl'(Sr�vow�FJ R��r �i� G�Tn�Pf <br /> ON�1/l+Tafl{ GG/(�''RVQIIap f}TMY,DC'M.l I HEREBY CERtIFY TMAT I HAVE READ ANO EXAMINFD THIS <br /> I� APPIICATION AND KNOW THE SAME TO BE TRUE�ND CORRECT ALl <br /> vnoroseous[or mudua �s PROVISIONS OF LAWS AND ORUIN�INCES GOYERNIN�THIS TVPE OF <br /> � WORk WILL BE COMPIIED WITH WMETNEfl SPECIFIED HEREIN OR <br /> LEO/�LOESLM�FI O�PAOPEAT�I3H�M�BEIPVOM�T��LNM'OCOPIES� NpT.THE ORAMING OF A PERMI7 DOES NOl' PRESUME TO GIVE <br /> io���0�ian y y � �UTFIORITY TO VIOUTE OR CANCEL THE PROVISION OF ANV <br /> OTHER STAiE OR IOCAL LAW REGULAT�NO CANSTRUCTION OR TME <br /> h�! �p� Q(D�((�� PERFOHMANCE OF CONSTRUCTION.THAT 1 AM AUTHOHIZED BY THE <br /> / p /� OWNER OF TMIS PROPERTY TO PERFORM THE WORK FOH WHICH <br /> � I�p O SSI V�IO �'US CONTRACTORSILAW1B27RCWNND296.2ppLW�CITH THE GTATE <br /> FMCFL TM I D.NUMBER �/.� 'A/� / <br /> GONSiPULtIOMIONItE1AEP.MIWE55.tElERWMfxIMl�11 �L./� �I��—'�✓ ' IO�LL�IB <br /> x WlE <br /> ���y SqN flE <br /> C�ttBUSNE55lILEM5EN0 <br /> PLUMBING MECH�NICAI <br /> NO. TYiE UF Fl%TUHE ON ITEM FEE NO. 7YPE OF EOUIPMENT FEE <br /> WATEF CLOSET(!OILET) A/C—M7NDL0 UN(fS <br /> BAT/RUB FOHCED AIR SYSTEMS <br /> UVATOFY(WASY�ASIN) HEAT PUMP <br /> SHOWER UNIT HEA7ER5 <br /> KITCHEN SINK 8 DISP CLOTHES URYERS <br /> DISHWASHER PRNGE HOOD <br /> IAUNORY TRAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL MEfAL FIREPIACE(W000 BURNING) <br /> ORINNINO FOUNTAIN FIREPLACE INSERT hVOOD BURNING) <br /> FLOOR ORAIN GhS FIREPLACE <br /> BACKFLOW PREVENTERS GAS RFNGE <br /> SINK(SERVICE—BAR.ETC.1 GAS PIPING <br /> FJ(HAUST FAN� <br /> SUBTOTAL f SUBlOTAI 5 <br /> PERMIT S PERMIT f <br /> TOTALFEE f TOT EE f <br /> FOR OFFICE USE ONLY: <br /> �r.ti <br /> IpONTSEtBACK AEMSEIBnCK SDESEf6eLM �{µCUKxNUVeEO !Ff PFf.F���wO <br /> � � �33 <br /> usFIONE im�nte veteHisr[ FEES VALUIITION FEE <br /> ❑YES ❑� �LetOiHf. 5SO00 L_ <br /> ME�6N�U�Ii��iOH MOOiOWFIUNG SZEOill00/f� �L,�'+— <br /> urarc o�uuonH: J <br /> � Y`4 � � <br /> QCQpPANQY qqS�MFS '-OCLV�/J1ilO/.O BLSEtlCNt � MLCM.widl <br /> °3 � ❑.e: ; 9 <br /> iWESPPiNItENPEO'0 AE�SM ���IONALR�NCIIF.CK <br /> OieEn <br /> illlEAIMMPEO'0 ME��Q`� �� <br /> ci�tE BunMnf.S�:KNr�E <br /> nceo�roMsr vuHs�vraovcoer CITYOFEVERE7'T runur.wonKs �, <br /> LOCAL SALES — <br /> ���f p�rE TAE CODE IS 3105 TO7AL <br />