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APPLICAT�N FOR CONSTRU�ION PERMITu�}. <br /> CITY OF CVERETT•BUILDING DIVISION ��R <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259•8810 ���' <br /> ❑ DEMOLITION ❑ COMBIIN/ATION O BU/I/4DING ❑ MECHANICAI O PLUMBING ❑ SI';N <br />, PROJECTADDRESS: /�`YD� /9� f�-C .�� I�n.Lf" �. <br /> pwMEn ueilepGnE55 �Crv i�� vuOrvE <br /> �,�u,� c����/,.0 iiia� �H� � L--�� �d'�P 33�-�si� <br /> �Eqp�i� uu� [55 rnr hP vuouE <br /> /.11C�I�f[�iq10f51LN[!1 4AItMp(If$$ CIIY )rt' PNONf <br /> LEN[MIWNIp1G.M MAIL.NOf165 f.�lY l�l' PIIOME $IAfEIILFM$E� <br /> 4(CIIeN4N COu1PeC100 M�IL AppOF55 f.lrv IiP PIIONF S1AIE IiCEHSE� <br /> PlUYOiNGC�N�R1Clq1 4uLA0pPE55 CIIY 2�v p110NE $iME4CENSE� <br /> [ MLl l'�ycE f1N �S?� <br /> CCT^� vc+� �/L/r�Kf �3� G�Sjy HEATINGSYSTEM: ❑GAS ❑ELECTRIC O <br /> O[SLPIBE YRNIR�MD$WI.f1E IQIIlGE INVOIVE� LONI�C��f1150NM101'HONF NO <br /> ��- SF/'�- - <br /> I HEREOY CERTIFY THAT I NAVE READ AND E%AMINED THIS <br /> onorostous¢or eunw, - APPLIC/.TION ANO KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AN�OROINANCES GOVERNING THIS TYPE OP <br /> WORK WIIL BE COMPLIED WITH WMETHER SPECIFIED HEREIN OR <br /> IEGeLDESCnm�ip10iP110KPrv19�JWNB[lOwOq�LleLUTvroCOv�E51 NOT. THE ORRNTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> im ntacz__or /UTIIORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OtNER STATE OR LOCN.LRW REGULATING LONSTRUCTION OR iHE <br /> PERFORMFNCE OF CONSTRUCTION.THAT I AM AUTHORIZEU BY THE <br /> — OWNER OF 7H15 PROPERN TO PERFORM THE WORK FOR WHICH <br />�, APPIICATION IS MA�E AND 1 COMPLY WITH THE STATE <br /> vu¢n ru i u xuuoea CCNTRACTORS lAW 1827�RCW//�ND 296."00 W C. <br /> LON5�11ULt10N101JIIENOf.11.AUIX1E55.1fLEP1104ENV4PEP x ,� .O/i(!�/y' ^(�j� t��'�-'�'�' /��/� <br /> SIGMANP —� o•ic <br /> CIfY OI,CMESSIICEnSC NO <br /> PLUMBING MECHFNICAL <br /> NO. TYPE OF FI%TURE f+R ITEM FEE N0. 7YPE UF rOUIPMENT FEE <br /> S WATEFCLOSET�fOILET) P/C—AMNDLGUNfTS ! <br /> , 'J BATHTl18 FOFCED AIR SYSTEMS ' <br /> LAVATORY(WASH�ASIN� HEAT PUMP �� <br /> I� SHOWER UNITHEATERS <br /> / KITCHEN SINK 8 OISP CLOTNES DRYERS <br /> --� UISHWASNER FiANGEHOOD <br /> � LAUNDRYTRAY WATERNEATER <br /> / CLOTNFS WASHER WOOOSTOVE T— <br /> URINAL MEfAL FIREPLACE(VJOOD BURNING) <br /> URINNING FOUNTAIN FIREPLACE INSERT hNOOD Bl1PNING) <br /> FIOOR DRAIN GAS FIREPIACE <br /> BACKFLOW PREVENTERS GA$MNGE <br /> SINK(SERVICE—�AR,ETC.) � 6A5 PIPING <br /> '� E%HAUSTFAN // <br /> SUB TOTAL f SUB TOTAL S <br /> PLRMIT 5 PERMIT f <br /> TOTAIFEE S TOTPLFEE S <br /> FOR OFFICE USE ONLY: <br /> rnOMtSr�Nc� nE���5Ft0Ecx s�uESFlo.�tx rUvcn6xMuunrn rFF 1�(Ci�rtNo <br /> . � "J <br /> usea��[ m��nE�. vecunsne �FEES VRLURTION FEE <br /> �_ <br /> ❑ves ❑uo nunnwr. V . ��'j ;�V <br /> I�CO��1 tiMIG110v ��0 b�w[IIMG S�IE O!OIIK.�II <br /> � ovns �sbo S,F c�v.�v4 �l- ru�4ni�+r. d�' '�:� <br /> 9 Gs+RnGc <br /> q:�Vi'�HCY x01ti$I�m(5 ULCU�MNIIU�D 9ASCM[NI y��11�MiLAt <br /> GnW� U(�i 7:� <br /> R 3 ✓n I o.�s �o - <br /> nnesvn.vn�rnamo nresor� �owunNun.uc�rta <br /> omrn <br /> rmeuwnMnro'o np.c�H — — <br /> i . � tilntfnl�rtl�irvr5l�nf.�unf.[ � ;/.., <br /> nveorr.timsr rinvicenvnnvrnnv CITYOFEVERETT runur.wnn.s hJ� <br /> ����� LOCAL SAIES --- ,rr-�— <br /> �._� . .. .i,,,i �T1..1{eC TA%CODE I$3105 TOTnL ____" _ v�.)_��,7 <br /> _��'Y+— <br />