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APPLICATI� FOR CONSTRUC1�iN PERMIT� <br /> CITY OF EVER6TT•BUILDINO DIVISION <br /> 3200 CEDAR SYREET•EVERETT,WA 98201•259-8810 <br /> ❑ DEMOLITION ❑ COMIBINATION �BUf_DINa ❑ MECXANICAL ❑ PLUMBINO ❑ SNiN <br /> PROJECTADDRESS: � �'� (J� V✓ �U �T �i4' <br /> ��Af/e cc���fr,rE— �'iII �� ` [.� • IF'7PFir �71-� Q�'7R ? <br /> �D F-�-So -4�/-�3 <br /> lENM11 IwL�LIWESS fJ�v t�v F�qxE <br /> M1LN1CLf ON CESIONER �1 MP�F55 CIIY ll� P��M1F <br /> 6FMMlGOMIMClp1 uuII.OM�E55 C��v P� ✓��Mrt t1�IEl�CFMSf• <br /> �Wv� � <br /> uEcetbCutdnucl0n uulMOnEss L�rv )ir w�W2 St�iFlREBSF <br /> RII�lMGCOMIRY,�On YYIY]LRE55 Cln !IP P1tlMf SI�fEIICFNSE• <br /> co��wc�vwceorwaa HEATINGSYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> p[5Lp![NOpRA1q50UAPEi00iKE V0.V[pi LWi�CfPC N101'�41FN0 <br /> �! i:�J <br /> � ���•.� /�X� Z.iO— 53 <br /> ' I MEREBY CERtIFV THAT I H�VE RE�O AND E%�M�NEO THIS <br /> APPLIC�TION AN�NNOW THE SAME TO BE TRUE dND CARNECT ALL <br /> a w�u.�o PROVISIONS OF LAWS AND ORDINANCES GO�ERNiNO THIS TYPE OF <br /> yR-pA('-�.r � /Ci I� WOPK WILL BE COMPLIEU WITH WMETHEF SPEC�FIEO HEREIN OR <br /> ����ipHarr�nn,y.vm�eci �n�cHmocori[si NOT. THE ORAMINO DF A PERMIT DOES NOT PRESUYE TO GIVE <br /> ipi 3 µaK a / /�U2 AUTMORITY TO VIOLATE OR CANCEL THE PROVISION OF I1NY <br /> OTHER STATE OR LOCU.LAW REODUTIN(i CONSTRUCTION ON TME <br /> PERFORMANCE OF CONSTRUCTION.TH�T I AM AUTI/ONIZED BY THE <br /> OWNER OF TMIS PROFERTV TO PERFORM 7ME WORK FOiI WH�CM <br /> APPLICATION IS MAOE �ND I COMPLY WITH TME STATE <br /> wxEtriuio.N�ecu �CTOR WiB27RCWAND %200WAC. /0'�J� <br /> .S���� � �. <br /> CONSLM1G1101110.W1E�SIEN.MM�E55.�FlFPICIIEMMlEN /fl � �� <br /> ��T WIE <br /> LIIY&ISInF55 UCFNX NO <br /> PLUMBINO MECHIINIC�L <br /> NO. TYPE OF Fl%TUNE OII ITEM FEE NO. TYPEOf EOUIPAAENT FEE <br /> WATER CLOSET R�ILET� �—��4�� <br /> BAIHTUB FORCED�IR SYSTEMS <br /> UVATORY(WASN BASIN) HE�T PUMP <br /> SHOWEfl UNIT HEATERS <br /> NITCHEN SINN 6 DISP CLOTMES DRYERS <br /> DISHW�SHEH R4NGE 1100D <br /> LAUNDRV TNAV WPTFR HfATER <br /> .. CLOTHESW�SHER WOODSTOVE <br /> UHINAL MEfAL FIREPIACE(WOOD BUNNING) <br /> DRINNING FOUMAIN FIFEPIACE INSEflT(WOOD BURNING) <br /> ROOR OPAIN GfwS FIREPIACE <br /> BACI(FLOW PREVENTERS ���E <br /> SINK(SEflVICE—B�0.ETC.) �'P�P��'' <br /> IXFNUST FAN <br /> SUBTOTAL f SUBTOTK f <br /> PERMIT f PERMIT i <br /> TOTA�FEE S TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> f11OMISfifl�LM P[�fISF�&tY. LCfSkIMCM RYICIIECtMIMP�11�/ fff�� /f� ��M1M0 <br /> � 5" ? 'j/Y���� 6 <br /> usExari[ �or�nrn VIC�N�'J1E F6ES V11LU�TON �E <br /> —I � oU�M�� ioJ <br /> NEIWItlIWlAllpl W O��'Mllllq SilEKBLOdfI i <br /> UNII[ 1 ^ tt11MB�Hy F_ <br /> O•� <br /> pCC11pN1LY 1qf(SIMIS OLCIII`NI�IOI.0 l�SFMEMI MFCIIu11C4 <br /> �I�' p OvFS <br /> N / I.ppIHMl.IMu�C1YGX <br /> FiPES%bMREMMC09 �f�5� <br /> ouen <br /> �ucwnwn[av nr+wv <br /> S�qEBUIM��MKI��E � _iSO <br />� rvv[arr,avsr w�x �rrirov[ner CRVOFEVEflE7T M�^�K�^"� _ <br /> r"/ / LOCAL SALES <br /> �j(�/Y� o��E �0/S/j�b TA%CODE IS 0f05 70T�L <br />