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APPLICATI�+1 FOR CONSTRUC'1�N PERMIT� <br /> CITY OF EVERETT•BUIIDING DIVISION <br /> 3200 CEDAR:iTREET•EVERER.WA 98201 •(425)257-8810 <br /> ❑ DEMOLITION ❑ COMBINATIO Y1�/ BUILDING �I17 MECHANICAL ❑ PIUMBING ❑ SIGN <br /> V� <br /> PROJECT ADDR S: <br /> II1,n/r� �r�n;r� 6��� a� /�'1 l�/1��i,Fir-s�f A v�Po2Y3 <br /> � <br /> OWNfR 4u1��f55 [IM1 t �[ <br /> n' e rz � Cd��a-�. ����� <br /> � n��J , �, <br /> �EN�N��ul�f%1�f55 <br /> CIIY l�� ��L <br /> •RLMifL1011M5�LNE�� �MtInE55 - � '� /_\ '/y/ �, i, �.��y/-y/� <br /> II.a�=f f� ��'"�"Y�UILc=/tUl�� S'- �.�g�.�., G�b L 'I���/���/ <br /> ` J 1y�y y( 441L V (H$f• <br /> ENE��lCON1111Cipl� 4u1/�M1E55 <br /> MECIII.FiC�ICOVINICIUR Y4l�I%WE55 fA1V l�l' 1'��O�if [I�tFlKfN5f1 I <br /> V��WrvGCONIP�p�M 4ul�OtAE55 <br /> qin bV PrqNF SI�Rl6Fn5f• <br /> °C^'""0'°"i0L0""O"" � �cro HEATINGSYSTEM: GAS ❑ELECTP.IC ❑ <br /> � <br /> tfSINBFWJAK�M�'+�J�al� GFw�IXVEO CM CtvfPS �Mf�l` � /� �(� �/-y�� <br /> � .-/�/Jr/TY�VlL('1 <br /> / /���iN - � <br /> I NEpEBV CERTIFY THAT I HFVE �1EAD AND EXRMINED THIS <br /> APPLICATION ANO NNOW THE SAME TO BE Tfil1E ANC CORRECT ALL <br /> ruoeosf ous[or ewm���rt: PROVISIONS OF LAWS AND OPUINANCES GOVERNING THIS TYPE O� <br /> WORK WII L BE COMPLIED WITH WMETHER SPECIFIED HERE�N OR <br /> tre•ioescwviro+wP"artnrc�sr�ovmeuowoa•n¢nM'ocoMcs� NOT. TIIE G�7ANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTMORITY TC VIOIATE OR CANCEI TNE PFOVISiON OF ANY <br /> iOt a�a� a- OTMEF STATE OR IOCAL LAW RECaUUTING CONSTPUCTION OR THE <br /> ' PEPFORMANCE OF CONSTRUCTION TNAT I AM AUiNOFIZEO BY THE <br /> OWNER OF TNIS PROPERTY TO PERFORM THE WOFK FOR WHICH <br /> APPLICATION IS MAOE AND � COMPLY WITN TME $TATE <br /> - CONTRPC10R5 LAW IB P7 RCW ANO[96200 WAC <br /> PMCfI��t� �wBF <br /> CWSIM�GIKKIlO�v1EM�in.M(x�E55.i[IEMONFMUVBF�� X U��[ <br /> �IGNI.tV11F. <br /> CIiY pVyNES$lIC[NSI NO <br /> PLUMBING MECN�NICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE HO. TYPE Of EOUIPMENT <br /> FEE <br /> WATER CLOSET(TOILET) P/C—MINOLG UNITS <br /> BRTHTUB FORCED AIR SYSTEM$ <br /> �AVATORY(WASM OASIN) HEAT PUMP <br /> SHOWER L'NIT HEATENS <br /> NITCHEN SINK d DISP � CLOTHES ORYERS <br /> D�SHWASHER / RANGEHOOD <br /> UUNOHY TFNY ) WATER HEATER I <br /> CLOTHESWASHER � WOODSTJVE <br /> METALFIREPIACE�W00D0URNING) , <br /> URINAL FIREPLqCE INSERT(W 00�BURNING� <br /> OA�NKINGFOUNTAIN -- GASFIREPIAGE <br /> FLODR DR�IN <br /> BACKFLOW PREVENTERS GASRANGE _ <br /> 51NK(SERVICE—BAR.ETG) GAS P�PING � <br /> _i E%HAUST FAN _+_ <br /> SUB TOTAt f <br /> SUPTOTAL S pERMIT f <br /> PERMIT S -�— TOTAL FEE 5 <br /> TOTALFEF S <br /> FOR OFFICE USE ONLY: nrcrm��a <br /> pJ1� '//� rEF <br /> .•nOe15F1R¢K nf�PS/�Y�La S�OES[�B�C� MexFuE K�OAA 0/O <br /> N� %. <br /> IISC 1MF IOI�P(A VK�MI SI�F � <br /> fEES V�IU�TION FE� <br /> ❑YES ❑� flI��M� <br /> NfIGH111V1l1110N ;OI'O�OM'fIIIMG $IIf W GIDG�fI p111YRiHfi _ .... , <br /> _ ��' <br /> OCLIIVINC� MJfI>IIWIf UfCUP�NIlO�U fl�${MIMI 4LI.II�N�f11 � � ____ <br /> C'�W� OYf< ❑N� � I <br /> __ I�111(IN�I�'1�NC�1(C� --1 _ __ <br /> liRESVNi�xIEHPF9D �ln50N — L��- <br /> Olu[� <br /> fIPEI�UAMPfOD Af���� <br /> SIAII RIIi1MM(:5�111[I�nfl(i! __ __ <br /> nv[nrr.a��� r�nes•rrnovrnor QRYOFEVERETT runnr.wn��•� _� <br /> LOCALSALES —"' — <br /> a��E TA%CODE IS J105 TOi�L ___ <br />