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APPLICATI� FOR CONSTRUCT�N PERMIT <br /> CITV OF EVERETT•BUILDING DIVISION � <br /> � 3200 CEDAR STqEET•EVERETT,WA i8201 •259-BBIp <br /> ❑ OEMOLITION �'COMBINATION ❑ BUILDINO ❑ MECHANICAL ❑ pLUMBINO ❑ g�pN <br /> PROJECT ADppEBS: /D�O� /�JyY'/j�E SE F l i� ri-- <br /> ��1d��� L3cRRW� /n�n�L2A FSc W- <br /> p wn�ow[ss u a� <br /> I l ppyC <br /> IE1UNi `YYl�Dq1E>5 — <br /> cnr ra w,or,e <br /> .ncMrzcronocsmxrn ux.m�ss r�„ <br /> �j ��r cnr �� <br /> )'-'r1FP 7�;"Y �i�Y7!]Z�J 77' �AUF`'x� fi�.��0 f� L/�- S �>, "L"/y� <br /> LEMEIuI OM MCIOq 4M1�001255 LIIY Yp�� <br /> �� 541E IqEN.^f� <br /> YECN4M.LLCIXIiMCIDp pWt�dMIE55 dtY <br /> ��� P�F SIAIEUCENY• <br /> PlU1lNGCpIiNKip1 MNl�pp11E55 CJrv lln <br /> q�E St�1ElICENSE� <br /> caxia�c�w«c�a v�w+n <br /> HEATINO SVSTEM: ❑GAS ❑ELECTRIC ❑ <br /> o[ wom��ao sou�w roor�o[wvuvEo coxucr xxswua vxor�rn <br /> � p r. �' <br /> �l��-_� �4G�2:`�..�'' i <br /> ,Pli,�Sl/v� ' �J���I�� � HEREBY CERTIFY THAT I HAVE READ 11N0 E%�MINED TXIS <br /> nnoros[ouse iprp APPLIC�TIONµD KNOW THE SAME TO BE TRUE AND WqRECT A�L <br /> � �f� PROVISIONS OF UWS AND OqDINANCES GOVERNING 7MIS TYPE OF <br /> iEGK0E5CnonWp�prppEp}y�yq�yH�ip�ypp��kH��Es� WORK WILL BE CAMPLIED WITH WHETHER SPECIFIED HEREW OR <br /> NOT. THE ORAMINp OF A PERMIT DOES NOT PRESUME TO OIVE <br /> ioi S _si� �r �UTHOFITY TO VIOLATE OR CANCEL THE PqOVISION OF ANY <br /> �;I1,E�,.� OTHER STATE OR 1OC11L UW pE�UUTINO CONSTMICTION Op 7HE �.. <br /> •�•��L— PERFOAMMJCE OF CONSTRUCTION.TFUT I MI AUT/IpqIZED BY THE <br /> �-r OWNER OF TMIS PROPEFTY TO PERFORM iHE YYOqK FOR YVHIC/I <br /> '��-����""`� - — �O��J APPUC�TION IS M10E AND I COMPLV WITH THE ST�TE <br /> wnyei r�x i o.ruue[n CANTRACTORS LAW 7827 RCW IUdQ 2%.200 WAC. <br /> ��'- noo-ov 5-Unn � <br /> COMSiWG�WNIONJLENOEP.�OMES4.lElEN�ONEMIMBEH ��� n 3�-5�— <br /> scxn�un�—� <br /> n�rz <br /> an eusxess ic¢Nu��o <br /> �U�� AIECXANICAL <br /> MU. TYPEDFFlIRUPEOIIREM FEE NO. TYpEppE011lpyp�{ <br /> WATER CLOSET�TOILET) FEE <br /> BATHTUB � NC—��OUNRS <br /> UVATORV FORCEO AIR SYSTEMS � <br /> (WASM BASIN) HEAT PUMP ��— <br /> SFqWER <br /> KITCHEN SINK 6 DISP UNIT HE�TERS <br /> DISHWASHER CLOTHES ORYEHS � <br /> UUNDRY Tq�y �GE HOOD '--+-- <br /> � WATER HEATER <br /> CLOTHESWASNER � WOODSTOVE <br /> URINRL ME7AL FIflEPLACE(VJOOD BUflNING) <br /> DRINKING FOUNTAIN FIPEPIACE INSERT(WOOD 6UflNING) <br /> ROOR DRAIN GAS FIqEPLACE <br /> BqLKFLOW PREVENTERS GAS RANGE <br /> 1 SINK�SERVICE—BAR,ETC.) <br /> GAS PIPING <br /> ' E%HAUSTFAN <br /> _. SUB TOTAL f SUB TOTAL S <br /> _ PERMIT S PERMIT f <br /> TOTALFEE f TOTALFEE S <br /> FOR OFFICE USE ONLY: - <br /> lRONIYiN�CM pl�pSFlB/4[ Slp(SFIBACM h�Nf.11CCKNUM1f�,/�) !FF 7 ;n/'/ RFf.0P1Np <br /> us[rmc �Ot�n[a __�l/!�.� / �J0,7`S <br /> vecer�ry�E FEES VAI.UATION FEE <br /> ❑YES ❑1q O�M19� l �l <br /> IIEIGIIfl1M11�lIOH NOClIIWEIIING $ISEO(BIUC✓fl /��J'� ">/�� iJV <br /> �,,,�� N� � , � , <br /> ���,���, � i v� <br /> ocpciuouvcr ru�r s�nw[s occuv�x�io+o e�s[ — <br /> +rcH�r�icu <br /> ❑.es p.n '7 � O� <br /> fmE5ln:NnIERPCOU nH50x eppllpNelll�NCN6t � <br />�IRLµARMHFO'U PFAcpH OlMEO <br /> SIMf010:IMVG51111[I�AOGF `j� � � <br /> IYPIO«.ONGt .P��N51�I`II �EO�Y �-- � <br /> � ,' CITYOFEVEqETT nimir.wn�xs -- <br /> ' �^ � LOCAL511lES I � <br /> ou[ 7 '�; TA%CODE IS 3105 TOTAL ���—`� <br /> / <br />