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APPLICATIdR FOR CONSTRUCT�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETi,WA 98201 •(4 251 2 57-881 0 <br /> �DEMOLITION ❑ COMBINATION ❑ qUILDIN6 ❑ MECHANICAL ❑ PLUMBIN� ❑ SION <br /> ERWECTADDRESS: �DSO,s�9SA �UE SE EU ivsl 9fr�o� <br /> /f�MMNRD r <br /> JNAlJrc p��sos-H�.-S E Ed !�/.I 9'b�Y s'as=.��r-o y <br /> ow�+tu i vui ss arr ar ar�wc <br /> IEN�NI 4Y14Ip1f55 ptY )ip p�qNF <br /> ♦1�CNi4C10R�EyGNE� M��I��MESS ptY )ip MICNf <br /> f.(N[IIIlCON1MC�p1 MAM11pp11E55 Cllv dP Mv)4[ [G�IlICO15F� <br /> A:FO��HiC0.MNIR4,l0� M��I�GOPE55 (.IlY !iP Plpl[ $LIFbCENSE� <br /> MuuB�MGCON�nqipP N�il�Of)uF55 L�lx � I�P FMONf 51�1ElILFN4• <br /> CONtM[I 1'f11L[U�WIl11X <br /> HEATING SVSTEM: ❑GAS ❑EIECTRIC ❑ <br /> OFSCNBf WOPM INU iOU�Pf fMllfif W VIXVlD �p�f�C�VfR$ON AN[IlIMJNF Ip <br /> �� ,S <br /> I HEHEBY CERTIFY THRT I HRVE READ �ND E%AMINED TMIS <br /> mmms�o us�or pmiqrn APP�ICATION RND NNOW THE SAME TO BE TRUE AND CORPEC7 AI.L <br /> �. ,�J PROVISIONS OF�AWS r1ND ORUINANCES GOVERNING THISTYPE Of <br /> WORN WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> �Fcuo[SUurnwwvuoeEnrviS�awNPaawoneN.cHrvqpon[51 DJp7. THE GR�NTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> im moca or AUTHORI7V TO V�OLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LRW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.TN�T I AM AUTMORIZEO BY TME <br /> OWNER OF THIS PR07ERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND 1 COMPLV WITH THE ST�TE <br /> cu+cR ru i D miuqcp� CONTRqCTO S LRW iB 2 R W AND 296200 WAC. <br /> .-}0.=;6 052- O'�l O00 f <br /> C(Y1S�p:IL11MIlO�M1[NI1fP.MIN�LS5.1ElfAlONEMUMRFP x ���r, /a — ��'�7 <br /> 51GNqUPE O��L <br /> GfvBU9NE55UCFN5[rv0 <br /> PLUMBING MECMIINICIIL <br /> NO. TY7E OF Fl%TUPE OH ITEM FEE NO. 7YPE OFEOUIPMENT FEE <br /> WATER CLOSET(TOILEn NL—NHNDLQ UNRS <br /> BA7HTUB FORCED AIR SVSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SMO W EP UNIT HEATEHS <br /> NITCHEN SINN 6 OI�P CLOTHES DRVERS <br /> OISMWASHER RANGE HOO� <br /> I LAUNORY TRAY WATER HEATER <br /> CLOTHES WASMEH WOOD STOVE <br /> URINAL METAL FIREPLACE�WOOD BURNING) <br /> DRINRING FOUNTAIN FIREPLACE INSERT hNOOD BURNING) <br /> FLOOR OF�IN GAS FIREPLACE <br /> DACKFLOW PREVENTERS GASRANGE <br /> SINN(SERVICE—BAR.ETC J GAS PIPING <br /> E%HAUSTFqN <br /> I <br /> __ SUBTOTAL E SUBTOTAL S i <br /> PERMIT S PERMIT f <br /> TOTALFEE E tOTA�FEE f <br /> FOR OFFICE USE ONLY: <br /> innrncnn+r. nnnsnn�c. S�MSFiP4n r�r.wurtc+vuu�n/rn rfr �rnm�Ho <br /> '_ 4 �7 <br /> mrrn4r im.n�� viceH�su[ FEES VAIU�TION FEE <br /> ❑rts ❑ruu —�� <br /> niniort+n <br /> ��ue�a i wnenw eu cr nw�wue sq�or nioeni — --—_' — — <br /> iri�s <br /> riuunrvn <br /> � , <br /> � <br /> __'." '_...___ " __'__'_—}—__ <br /> u:a�..�. i�ini w:an,.r��iwu n�sruv.� v.cn.rur.i <br /> ❑.Fs ❑�,n _—_ ._—__ __._.___.. _._ <br /> �ti �6_.un�r�ton—� nr�<w� �naunr�uriwc�rtcn <br /> ._ �omfi� _--_ _ _ _ __ <br /> �e,In.TN•lntyU — — qfn50v . <br /> 41�11 flllill)M1:5111t[II�f1Ci[ <br /> nr�rn cov�� — ��in��errnovtnnv CRYOFEVERETT rimncwnvc -- "" '— -- -'_ <br /> LOCALSC.LES -� — ---� --- - <br /> ��.�E TA%CODE IS J105 70T�L <br />