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APPLICATIO� FOR CONSTRUCT�N PERMIT///��� <br /> CIN OF EVERETT•BUILDING DIVISION �/ <br /> 3200 CEDAR STREET•EVEREfT,WA 98201 •(425)257-8810 <br /> ❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBIN6 ❑ SIGN <br /> PROJECTADDRESS:_ BN.CE ��`' A+� 4/ <br /> r,:_,�,�-,,�,,,,.,, �� z�ci �ib. q u E�„�l ��Zoi 47s-759-9Gbv <br /> rnwrn uu��oa�[Ss r �tn rm rrqvE <br /> 1FN�Nl �IYI�IIMf55 CIIY )Ip p11Q�F <br /> R1CII�1f..lOn0E5�f.NU1 YUI�MM�E55 G��v l�P ' prq/.p — � <br /> f.f�ILMLf,O �1/�I.LIry1 � N��t�W�ES$ CIIY )i� pIN)K (f1�LIIC(NSF� <br /> �I ���/ r,.� / �//- 1 <br /> � . /. . .� ";`/)/1�.,� <br /> MFCIIINIGI(O4f�1LC10R p U��IAM!�F55 CIiY �il` p1^1.�M1� $1�1(UCF4GF� <br /> i'IuuBwGCO��IP41M MnUDpBE55 Llrv b� �WnF Su�FIiCF�+SF• <br /> covm¢tnnic[orvmn. �- - <br /> A f� 7i' . <br /> wscaisr v.oaK�r�u so�.nc roor�cE vrvavco cwucr v�nsoN•rm r�rovr rp <br /> �3�J,1 ,1,1'.r.,/ `.�,,,. ..r P.�C�. . I t - '.t w �u75 '4 -`iCc 7 <br /> T <br /> �! D � /D 4Z� � :'-y/4C, <br /> I HEREBY CERTIFY THAT I HAVE PEAD AND E%AMINED THIS <br /> r�� APPLICATION AND NNOW THE SAME TO BE TRl1E ANO WRRECT pC� <br /> nnorosvqase or nnnown pqOVI510N5 OF�AWS AND ORDINANCES GOVERNING iH15 TYPE OF <br /> WORN WILL BE COMPLIED WI7H WHETHER SPECIfIED HEREIN OR <br /> t[cetotscmrnp�o�virorenn�srqvmxuowpneneunvrotontsi NOT. THE GRANTING OF A AERMIi �OES NOT PqESUME Tp GIVE <br /> � � �-I� AUTHORITY TO VIOLATE OR CANCEL TME PROVISION OF ANY <br /> ioi_ �eiocM or .� <br /> �� , � /� I� ' � OTHER$TATE OR LOCAL LAW AEGUUTING CONSiRUCTION OR THE <br /> /��� W. PEPFORMANCE OF CONSTRUCTION.THAT I AM AUTHOFIZED BY THE <br /> OWNER OF TMIS PROPEFTY TO PERFORM TME WORN FOR WHICH <br /> FPPLICATIOtI IS MAOE ANU 1 COMPLV WITH TME STATE <br /> r.wcu u�io Mmntn GONTRACTORS LAW 1827 FGW AND 296100 WAC. <br /> i� i - y - � J _Q=��/ _I l �/�i/ <br /> CON51111KfIfM'IO�HICNpFI1,N1[MESSifI[RqNEMV4PEN X / / l �� /Z�"`� Z��?'�p <br /> _Il/��_ sar.wm� o.ir <br /> , r�J/A LI�YPUSNESSl2EN5CNp <br /> PLUMBING MECNIINIC�L <br /> • HO. TYPE OF FI7(TUNE OR REM FEE NO. iViE OF EOUIPMENT FEE <br /> WATER CLOSET(TOiLET) P/C—P/HNDLG UNITS <br /> BATH7UA FORCE�AIR SVSTEMS <br /> LAVATOFY(WASH BASI�i) HEAT PUMP <br /> SMOWER UNIT HEAiERS <br /> KITCII[N SINK 8�ISP CLOTHES ORY[RS <br /> OISHWASHER RANGE H000 <br /> LAUNURY TRAY 14ATER HEATER <br /> CLOTNES WASHER WOODSTOVE <br /> URINAL METAL FIREGLALE�WCOD BURNING) <br /> ' DRINkINGfOUNTAM � FIREPLACEINSEBT(JJOOOBURNING) <br /> FLOOR ORAIN GA$FIREPIACE <br /> UACNFLOW PREVENTERS GASRANGE <br /> SINN(SERVICE—BAR,El Q) GAS PIPING <br /> EXHAUSTFAN <br /> � <br /> SUB TOTAL S SUB TOTAL 5 <br /> 7EPMIT S PERMIT S <br /> TOTALFEE 5 TO�qLFEE f <br /> FOH OFFICE USE ONLY: <br /> (flllNtSlillC✓. f�(�115f!'J�(.M S�p�S[IB�FM f'(ANCIi[�RNV4Pf11 lff�' IlFffll`1N0 <br /> �a ---� s ���., � ,�;�? <br /> u.Ftnvr,., _ I _ �oum. v��ewsue FEES V��U�iION _ FEE <br /> —L / 3,23a ❑.cs � wirimw. QJ�17�0 ��:J <br /> ncmrn nwuuou .�o a nw[iuwe sae or eioe�i -- <br /> Z � w�c <br /> 4 S.F �,,,uA,. — -- -- ---- <br /> OLCUP�r.f,v M niSnwH OCf.V�uNIlO�D P�Sf4fA1 <br /> (CII VI` 4f(.I��ViC�I <br /> ��� I— ❑Vfi �N7 <br /> il4[$I'1iI1:XlE(�PEO'� �f�Cry! �Dbll(IY�Iry�NC1�fLt <br /> au¢n — ' — -- <br /> necnwimncoo � nf•sm� <br /> a.n m��mwc s�mnu�:c (�'�-b <br /> rn•rairo•rs� rinNs�nrnovfnF�� CRYOFEVERETT runnrwona`' — "'""�' __ <br /> �� LOSAL S11LES �-- <br /> �-I,� n•�c ��J�p��j TA%COOEIS9105 Tou� ` y E�:�J <br /> .L <br />