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APPLICATI� FOR CONSTRUCT�N IPERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259•8810 <br /> ❑ DEMOLITION ❑ COMBIN�A/TI N ❑/BJUILDING`` ❑ MECHANICAL ❑ PLUM8ING ❑ SIGN <br /> PflOJECT ADDRESS: ��'�/��/7'rLc' ,�c� <br /> uui tss a :�� rHu.c <br /> ��.<�.�,�.Q (��-�-�r /ii�� ��� �� S� �,� ��P 33 - a5i� <br /> lEN/.Nl '� 44t�pM 5 CIIY ll� CIbNE <br /> NKIM1iLLTp1OlS�GMN Y�Il�0O11E55 OIY l�� PNONF <br /> GENEfIRCM11ML1M Y�M1Lpppt55 LIIY )�� 19qNE SIqF4CEN5E• <br /> NECN�INICACONIReG10f1 MUUWnF55 Clrv NP VIqNE ilA1EUCENSF� <br /> PlU4BWGLp1IFeGiOR YULADpP[55 Clh IIC flquE SIAIELKENSE• <br /> CW IMCI FPICE Of MOfUt <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> o[scnee xonx��.o sou�nt roouw[wvuivso mrn.c�rrnsav�nn nHor.E rq <br /> f/,,,fs� .�- G� <br /> I HEHEBY CEFTIFY TMAT I HAVE READ AND E%AMINED TMIS <br /> APPLICATION AND KYOW THE SAME TO BE TRUE AND CORREC7'�LL <br /> oaoroseo usc or nmm�ra PqpyISIONS OF LAWS ARO OROIN�NCES GOVEHNING THIS TVPE OF <br /> WORK WILL BE COMPLIED WITH WHETHEfl SPECiFIED HEREIN OR <br /> lEG4DE5LPiPiiW OFIYtWEOtt�Y'OwNBEIOwOq/.II�LxiWOCOviES� HOT. THE aRANTING OF A PEHMIT OOES NOT PPESUME TO GIVE <br /> im eiocK a AUTHOAITY TO VIOLATE OR CANCEL THE PqOVI510N OF ANY <br /> O1HER STAiE OR LOCAL LAW REGUUTINO CONSTf1UCTION OR THE <br /> PERF08MANCE OF CONSTRUCTION.THAT I AM AUTNURIZED BY THE <br /> OWNER OF TMIS PROPERTY TO PERFORM THE WORN FOR WMICM <br /> AP?LICATION IS MADE AND 1 COMPLV WITII THE STATE <br /> VANCF.LIARID.NU40EN CONTRACTORSLAW1837RCWnqND.�96200 AC. <br /> CCNSi11UC�lONIONIIENOEII.MCI1E55,fClEPNp1C11VYBE11 X�/'�,`J��// U��(�/���✓—// <br /> $1 IU OAIf <br /> CIIY dU5iHE55lILENSC NO <br /> PLUMBING MECHIINICIIL <br /> NO. TYPEOFFI%TUREOPITEM FEE N0. 7YPEOFEOUIPMENT FEE <br /> WATER CLOSET(TOILETJ ' p/�—/NINDLG I/NRS <br /> BATHTUB FORCED AIR SYSTEMS <br /> � <br /> �j� UVATORV(WASH BASIN)/j!/ MEAT PUMP <br /> SHOWEfl '/,// UNITHEATEPS <br /> NITCNEN SINK d DISP CLOTHES ORYERS <br /> � DISHWASHER Z RANGEHOOD <br /> UUNU�YTRAY / W�':E:1i1cATER <br /> � CLOTHES WASHER WOO�STOVE <br /> URINAL MEfqL FIREPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT(WOJD BUflNING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACNFLOW PREVENTERS GASRANGE ' <br /> SINK(SERVICE—B�R.ETC.) GAS PIPING --?— <br /> EXMAUST FAN J, <br /> SUB TO'AL S SUB TOTAL S <br /> PERMIT S PENMIT S <br /> TOTALFEE S U TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> rnwrts[in�cx ne�nsFia�cK sioesE�o�c+ ri�Hartc.Nvunrn r[e nrr.Em�Ho <br /> 5��7� - <br /> use ia�c mun[e veceH�sne FEES V11�U�TION �(!F,EE^l <br /> ❑rFs ❑No oui�oiNc: C�Z. /YJv iV�/ <br /> PFIGIIIOHIIAfION NOG<pWEll'MO $IjE0i0lIXYfl � — <br /> UNIIC 1'1114�11HC // � <br /> CCCVMNCV 1qOf51C/vI$ CCCUP�N�t0�0 N .L4EM16 S� 4ECIInNILLL //D � <br /> G11WP <br /> �'? J.� n.Es � - � <br /> Rf1L5FBItMI[PPE09 �E�SQY �UINIION�LPlNIC11fLM f /%G'�� <br /> � f2� <br /> on�cn <br /> rin¢.u,wuaco�o aF•sa.� <br /> surz nunowa sn�iunr.¢ <br /> �xvEa�WMst RnHssrnqnnor �� <br /> CITY OP EVERETT n�nnr,wanae <br /> i LOCALSALES �— — -- .– — <br /> ,�'Fl . . �Z/�f� t�v ..�ne.. ..�nc � �-� <br />