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APPLICATI� FOR CONSTRUC�N PERMIT� <br /> CITV OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259�8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING pp MECHANICAL ❑ PLUMBING ❑ 51(iN <br /> PROJECT ADDRESS: / \ <br /> ow.�ru — —'--'u:d:an7ss crv t�r rnm� <br /> �—C��2f 1�73v 19��Pvf 5�`E�✓�iiefl 7X:,208 <br /> 1[IUN1 i IlNYI(5$ CIIY IIC p1q11! <br /> ��1CAMifL�011lIFSI�FlP MYII.PpfiF55 Clry �ii V�1QN! <br /> Gfx[IIH C(x�11UCIlYI MYl�q1i1E5v [II\ 111` 1'��Ou[ $I�If IIC[N[F• <br /> w�Ccslu T�{� i�� • 3 1� 1�'Pr�c ��. i,,�;&1W_f�/6�7�G YL•o jP;a GJ45f1iI/AO/1 LQ, <br /> 4(CII�NiC�t y»ltfl�f.lOf� 4�It�U(RIE55 CItY I,C 1•IqM1I GI�1!I�CENSF• <br /> ._ ___ .._. .___ ._ <br /> MUYNIMGCOIIIn��lpt 4�Il�f%NIESS l.�Iv I�� I��q1iF 51�1(I�LFNSE• <br /> Lb1�R.k�PIM1C[Uf WpfIM <br /> Ayl�a �p HEATING SVSTEM: (2�iGAS U ELECTRIC � <br /> iKscuipr r.vnv�nn�p��n[rool�cF wvav[o co�+��c�r[nsori�nn rrrorie rro <br /> ('Ynlr.,c cri y iov� hl� �.a��, } Gke Fvr Gl:c. E�ly,1 l.'� zvb R6o iB i�- <br /> 1 NcREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> AFPLICATION AN�Nt10W THE 5/ME TO BE TRUE AND CORRECT ALl <br /> vnorowo use a nuiuen PROVISIONS OF LAWS FND ORPNANCES GOVERNING THIS TY�'E OF <br /> WOFN WI:L�E COMPLIED WITN WMETHEfl SPEQFICO HEHEIN OR <br /> �[cAiorscmriror�crmacHn�s�a'+rvaz�owa+�n�cr�iwoconcsi NOt. THE GRANTING OF A PERMIT DOES NOT PPESUME TO GIVE <br /> �oi niax W AUTHORI7Y TO vIOLATE OH CRNCEL 7ME PROVISION OF 0.NV <br /> p OIHEN STATF.OR LOCAL LAW AEGULFTING CONSTRUCTION OR THE <br /> �� n�ChC�µ PERFORMPNGE OF CONSiRUCTION.THAT I AM AUT110RIZED BV TME <br /> OWNER OF THIS PROPERTY lU PERFORM THE WORK FOR WHICH <br /> APPLIC�TION IS MA�[ AND I COMPLY WITH THE ST�TE <br /> rucFimiDruuaza � SLAWiB27RGWAND29fi200WFC. <br /> �YB o SI`�o o i ot�>o <br /> w+s�n�cnor��o.r��r�nrn..mnrssreunwr�e�uvnrn x S ],d jeal- <br /> sir.r��runr n�� <br /> cin euvu[ss�K[r�,c r.n <br /> PLUMBING MECHANICAL <br /> NO. TYPEOFFI%TUREORITEM FEE NG. 7YVEOFEOUIPMFJ�7 FEE <br /> WATER CLOSET(TOILET) p/C—MiNOLG UNRS <br /> BATNTU� , FORCEDAIIISVSTEMS <br /> LAVATORV(WASH BASIN) HEAT PUMP <br /> SNOWF.R UNIT HEATEFS <br /> KITCNEN SINK 8�ISP CLOTNES URVERS <br /> OISIIWASHER HANGE fi00D <br /> UUNDRV iRAV WATER HEAIER <br /> CL0T41ES WASMER WOOD SiOVE <br /> URINAL MLTAL FlREPIACE(WO l�BURNING) <br /> DRINKING FOUNTAW FIREPLACE INSERT�WC 7D BURNING) <br /> FLOOR�RAIN GAS HREPLACE <br /> BAGKFLOW PHEV[NTERS GAS(7ANGE <br /> — �_ <br /> SRIK(SERVICE—�AR.ETCJ GAS PIPING <br /> EXNAUSTfAN <br /> SU�TOTAL f SUD TOIAL f �— <br /> PERMIT S �'ERMIT S —�— <br /> TOTALFEE S TOTALFEE f <br /> FOR OFFICE USE ONLY: <br /> �iww�vnur. nunsr�n¢. siocsr�x¢. r�wnrtrK�uunrn nr nrcnr�r�o <br /> usctovr im��rc+ wcen�snr FEES ��LU�TION FEE <br /> ____—_—�_ <br /> ❑.rs ❑�+o mein:vr. <br /> �aic�nuun.unN aoiYuwuunt. s�tFaxiur.n� --__---_— _ <br /> owu.; ruwnrvr. <br /> '___ _ --__ _—_'____._{-- <br /> a;coru«:v r��xn�w�s a:cur�r�tm�o e.vutxr yF�rumw <br /> �n�m <br /> nr[s ❑.w -- ---- —�— - <br /> [nIF51XUNALf011[OD 11l�SCN �INn�NIN�UN�NCnfCK <br /> om[n —'___'— _ <br /> nui uwr�Mnro'o unccy. ------ --— <br /> yu�c nmmiac sa��umx <br /> hrp[xrtk,st rinvs�rrmnnev CITVOFEVERETT r��x�i,-,���,� <br /> LOCAL SALF.S ---- -- <br /> u.�t TA%CODE i5 7105 7oTAL � <br /> —_� <br />