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� APPLICATI� FOR CONSTRUC�N PERMIT <br /> CITV OF EVERETT•BUI�DING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257-8810 ���' <br /> t�l DEMOLITION O COM8INATION ❑ BUILDINfi ❑ MECHANICAL ❑ PLUMBINO ❑ S16N <br /> PROJECTADDRESS�,�//e/S /�' ��t CF <br /> O�WEu uu�epp1E55 C�b li� vrqME <br /> n ��n �� ,� e �..: ���" it+�r� s,inc am �r.�..,. n�woc (Tg,�s�s-�s <br /> � MMI YIdlES$ G�Y !IV NIOHf <br /> •M1�MifCf0111R51GNin YI.11�IX,WF55 Ci�V l�� 1'�NnL <br /> a.r ,�e iw....0�.f���y.� r?�_ <br /> N[MICWUNcI uuleq1nE55 Cilv )ir riqE 5441iCFNY� <br /> 4FC���N�Ulf.O4:P�C1U� 44l�DIME55 f.�h h� M�ONf SI�RlRENSE• <br /> f'tVYBOiGf.O111N�f1(N1 4Yl1qWE55 CIiM 1�� ('11'Jr�( SI/.IFIILFHil� — i <br /> CONIML�P111C(Of WCnM1 <br /> MEATING SYSTEM: �GAS ❑ELECTRIC ❑ <br /> UFSCA�BF YYJ11N�NI)SW�P[fpJ1Y'iE NVOlVFO CON1�Ct N(150N�Nfl l'HOvf NO <br /> ' /✓�'C.. � ' <br /> ��n � p /� I HEREBV CERTIFY THAT I NAVE READ AND E%AMINEO THIS <br /> �Y�I -S�'� APPUCNTION AND RNOW THE SBME TO OE TRUE�NO CORREC7 A�� <br /> I'fqnOSfO1R/l O-f pllj[rn4r-- PPOVISIONS OF LAWS AND OROINANCES GOVERNING THIS tVPE OF <br /> S/� WORK W�IL PE COMPIIED WITH WHETHER SPECIFIED HEREIN OR <br /> �[c��o[scmrup�orr�nrv�srqrmquowrn�n�ceiwocon[g NOT. TNE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �o� e�oca or AUTHORITV TO VIOLATE OR CANCEL THE PFOVISION OF ANY <br /> OTHER STpTE OR IOCAL LAW REGUUTING CONSTRUCTION OR THE <br /> PERFOFMANCE OF CONSTHUCTION.THAT I�M�UTHORIZED BY iNE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPI.Y WITH THE STRTE <br /> �wr,r�� ia i uunr - CONT TORS W 2]RGW RND 296200 WAC. <br /> Q�� �� > /' <br /> COMSIRtK1iCM 10�N 1 fMYP.tMIDE55.1R(lMOME MNPE11 ��(�/'jB <br /> M <br /> � —� I <br /> 3ti�4 <br /> crtreuvrrtss�KtNs�vp � <br /> PLUMBING MECNIINIC�L <br /> NO. TVPE OF fl%TUNE OR REM FEE NO. 7YPE OF ECUIPMENT FEE <br /> WRTER CLOSEi(TOILET) A/C—MINDLG UNITS <br /> BATHTUB FORCEO AIR SYSTEMS <br /> IAVRTORY(WASH BASIN) HEAT PUMP <br /> SNOWER UNIT HERTERS <br /> KITCMEN SINK 8 DISP CLOTHES ORYERS <br /> DISHWASHER RANGE HOOD <br /> L�IINDHY 7RAY WATER HEATER ' <br /> T <br /> CLOTHES W45HEH WOOD SiOVE <br /> URINAL METAL FIREPLACE(W OOD BURNINGI <br /> DRINKING FOUI.T�W FIREPLACE INSERT(W00�BURNING� <br /> FLOOR DRAIN GAS FIPEPLACE <br /> BACKFLOW PREVENTEPS GAS FANGE <br /> SINN(SERVICE—BRR,ETC.) GAS PIPING <br /> — E+HqUST FAN <br /> SUBTOTAL S SUBTOTAL f <br /> VERMrz S GERMIT f <br /> TOTAIFEE S TOTALFEE S <br /> FOR OFFICE USE ONLV: <br /> �MMivIP�fK tV�nSf�PKK Si0(SFtBKR �l/�xCiiF`�9Z� ,� t[f �Ffl�I'tIq <br /> ust iorv im��F� v�cea�s�rz FFES VAlIll1T10N fEE <br /> --T— <br /> ❑�es oNa xu,�,r�n <br /> neic�n uvneno+� �+a a nwcu�w s�tf a eiow� -- p— <br /> uana ru��nwr, _'_.'__ -__"__�._ <br /> uccurv�.r.r wrv.nw�s acun�vtm�n e.sruc�+� on:n.wvu - ' "_ <br /> cnan, ' _-'_ __ <br /> 0�[5 ❑b0 <br /> (WESM�I�ML[PPC�J'� Ili�tifW �OUII(W�I1YAr�C1?Lt . <br /> UII�[� <br /> fIP[pIARMPlVO AF��OV <br /> 5�11f RII�I�ml:5�1(1C����f[ - "� <br /> rvrtorta+s� r�ers�rrnoyfom CRYOFEVERETT �+�a���+��K� <br /> LOCALS�LES -� --'— —�— <br /> o.rt TAX CODE IS 7105 7oT�L <br />