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APPLICATIOR FOR CON8TRUCT�N PERMIT <br /> CITY OF EVERETf•BUILDING DNISION � <br /> 32 W CEDAR STREET•EVERETT,WA 98201 •(425)257-8810 <br /> ❑ DEMOLITION � COMIBINATION �J BUILDINf1 fi] MECHANICAL jFl PLUMBINfi ❑ SION <br /> PROJECTADDRESS� SZ��O S'�'`' � lr6ti CNwR�.w �2J� �'.,.�vtr->'T <br /> i� P Fr-.•cc-.-Co,c�r Eqes s+1�Av .J �Ny/c.�o 9➢Zzs' fzs- �9j- -�sve <br /> OM�F11 MML�0011E55 �ar� ��E <br /> tENMA YM1pqlE55 Gtt N P���F <br /> �,,s.� (Q.rs.,�}«.ni Pe �.� ���t cf�k �� 9a��s' �95`-�s6 � <br /> •pLN1CGipRLEyGNER 4/JIMMESS f CIfY Im 1'HONF <br /> �.�, ¢y}[�'Y /n.utl- ,Fr J9.EN! <br /> cENEnucaim.c�rn uuiww�ss' att r�r ri�mE s��iciKE�sE. <br /> MFLN�MiGLLQ41R�CtOF �A�it��F55 GN I�P PIIONF ii�1FU^.ENSE� <br /> PIUYBMGCONIP�f,iOP M�I�/.COPf55 Ciry SIP FNOME $fREICEM$f• <br /> cw�wavmceorwow� HEATINGSYSTEM: GAS ❑EIECTRIC � <br /> eao <br /> IlF$CWBENVRIt�NOSWAPE�00lMEHlIXVE� � �����A�'�P�F� <br /> FR - L / _ �feoo <br /> �3G 3 I t. /3 3 X _ <br /> I HEREBY CERTIFV TH�T I HAVE READ AND F:XAMINEO THIS <br /> S F�• APPLICATION AND KNOW THE SAME TO BE TRUE��:D CORRECT AlL <br /> OIqPOSFO�SE Oi BWLpNG pROVI510N5 OF UY/5 AND OROINANCES GOVERNING THIS TYPE OF <br /> WORN Wlll BE COMPLIED MATM NWETHER SPECIFIED HEREIN OR <br /> ieeuoesr.mm�or�wrnoo[nn�vovmxiowwr.necN*xoconcs qpT. THE GRANTINO OF�PERMIT OOES NO7 PRESUME TO �IVE <br /> ior L eioc� or ��I AUTHORITY TO VIOLATE OR CANCEL THE PHOVISION OF ANY <br /> OTHER STATE OR LOCI�L l.�W REOULATiN6 CONSTPUCTION OR TME <br /> PERFORMANCE OF fONSTRUCTION.THAT I IM AUTXORIZED BY THE <br /> OWNER OF THIS R PERTY i0 PE9 DRM THE WORK FOR WHICH <br /> RFPLICATIO�ADE AND ,Y OMP�Y WITH TME STATE <br /> PA11LEl ilJl l�MIMBER CONTRACTO U 1827 PCW �7 96200 WAC. <br /> CrTY�3A✓LC ..n+�d Z S-S�J3 �,9/� <br /> cw�''�io��Ei��w+�n�iE�E_ a ��,ur¢ <br /> rz <br /> �G—_' <br /> C�TYW4�E ' iCFxS[ <br /> PLUMBING MECN�NICAL <br /> NO. TYPE OF FI%TURE OR ITEY FEE N0. rPE 0f EMnPMFNT FEE <br /> —r- <br /> ,3 WATEfiCLOSET(TOILEn A/C—MQALUUNITS <br /> BATNTGB FOFCED AIR S�STEMS <br /> I.AVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> I NITCHEN SINN 6 DISP / CLOTHES ORVENS <br /> ( OISMWASHER / RANGEHOOD <br /> 1 LAUNDRYTRAY Wp�R���R <br /> CIOTHES WASHER W000 STOVE <br /> URINAI METAL FIREPLACE(WOOD BURNING) _ <br /> DRINKING FOUNTAIN FIREPIACE INSEfiT�W OOD BURNING� <br /> FLOONDRnIN � GASFIREPUCE <br /> BACKFLOW PREVENTERS GASRAN�E �. <br /> SINK�SERVICE—BAR,ETC.) a GASPIPING ' <br /> — E%HAUSTFAN _ <br /> SUBTOTAL E SUBTOTAL f <br /> PERMIT S _ PEPMIT f <br /> TOTAIFEE S TOTALFEE S <br /> FOR OFFi.^.E USE ONLY: — <br /> IppNiSflfl�G PI4115f1B�CN 9CESFflKl PIµC��fLM�[P� �EF � Pff.E���NO <br /> ZJ � � 1/l <br /> 7J <br /> uscmw��—/ tmeu[e �{ v�ceH�s�� FEES _ V�lUAT1UN FEE <br /> U 06R r s ❑r+u Rlalp� (�� 0.�1' _ 83 208 �-�:�' <br /> ucic�nuuuu� r.oauw.�wrre s�zeaxaerti � _ __— <br /> ��"n` 'L052 S3 S�f v�uwnar. ;aJ <br /> q;pm.�.r.r mrvsirn��u a:cuneratao e�sfu[x� ufcM�wu� ���� 1Qa <br /> .IIOVP <br /> � I ? D�fS (xN(] �Dp1iM1�1.1'l/JIC��lCM • <br /> fIPE51'PiNnl[11PFOU �F�SMI � '�— <br /> \y Y^—� OII�FP <br /> �IPCP H• O'I�L � M�t(jV `�� <br /> f��ll BIIIIU�NC.5�II1C11/.(1f.E <br /> � �� . <br /> nrearr.avv rinHs�rrnovmnv CRYOFEVEREIT ruxiir.wa�+< �'/ ' p� <br /> LOCIILSALES py �OG <br /> i���E'3 �3 $ TAX CODE IS 7105 TO7�L <br />