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APPLICA41� FOR CQNSTRUC'i�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISIOId <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257-8810 <br /> ❑ DEMOLITION i i CO�dBINATION ❑ BUILDING LI MECHANICAL �7 PLUMBING C SIGN <br /> PROJECT ADDRESS �1 t?� (Ji l, '�LS.G C�C�� `�� Cj g"p3 <br /> anern ueiuooacss cnr z'° r"w.e <br /> �� ��n 3�.nNn-�— sgi�, 5�w i� �J�-�i— w.� 98zo <br /> rcnerit uuuocaEss crtr ziv vrror�E <br /> •acnnEttoi�icsavcn uuuoon[ss tirr nn r��or�E <br /> GCNERI.LCONIP�]IOP lUiL�U0PE55 GIv Z�P F��GR SGiEL4CN5E• <br /> A ANK/�I.LON RIL�ON M�iL�D PC55 CRY IIV N1011( Si11E11[�t!$C� <br /> �-ea��,ac�K-� ��c.�,. Z46i� Z�r,,� �,� 'l�al',uy�a �, a�z.�.— <br /> rwnmxwcor�mnaon uniuo�u[.s cirv zin 3��°9-4,sSst-�m634 _ <br /> �o�.,n.�<<:.�E o,�,�H. � <br /> J�4{�O i HEATING SYSTEM: '. i GAS ❑ELECTHIC C <br /> ocscaiee norK er.o mueu[raa*�ce iuvo�veo wrn�cr rcnsori exo�rrori[�a <br /> 7c��'F"�'_ ��eC��'wi�. � �cd _ <br /> I HEREDY CERTIFY THAT I HAVE READ AND EXAMINED TMI,^� <br /> APPLICA710N AND NNOW THE SAME TO BE TPUE AND CORHECT ALL I <br /> rnorosco us¢av ammn+c pqOVI510N5 OF LAWS AND ORDINANCES GOVEi1NING THIS NPE OF <br /> WORK WILL OE GOh7PLIE0 WITM WHETNEfl SPECIFIED HERLIN OR i <br /> ucuo[scn:anona'vrrovtarv�suowimeionon�n�o�rwoGa�i[sl ��OT. THE GRANTING OF A PERMIT DOES NOT PRESU6IE TO GI'/E <br /> �or o�an o� AUTHORRV TO VIOLATE OR CANCEL THE PHOVISION OF AN� <br /> OTMER STFTE OR�OCAL LAW REGULATING CONSTRUCTION OR TME <br /> PEPFORKANCE OF CONSTP�CTION.TMAT I AM AUTHORIZED LY TNE <br /> OWNEF S PROPERTY TO�ERFORM THE WONK FOR WMICH j <br /> APPLIC I N IS MADC�D I COMPLV W�1'H THE STATE <br /> n�nc[�*�uo�muece LONTR RSLpW,'82 A I 29b200 WAC. I <br /> (I�Elh � <br /> cor+swcriou�oerncrrocn eooaess.re�er��w¢Nuueca / '�w� � � 3�' �I �� <br /> s�au�ane onu <br /> arrousn+essu-.er+scrvo � ' <br /> —_— � <br /> PWMBING MECHANICAL ___ �.. <br /> NO. TYPE OF FIXTUFiE OR ITEM FEE NO. TYiE OF E�UIPMENT FEE �i <br /> VIATER CIOSET ITOILET� A�C—AMNDLG UNITS ,i <br /> BATHI'U6 FORCED AIR SYSTE�LS ' <br /> LAVATORV�\YASH BASIN� HEAT PIRAP '� <br /> SHOWER UNIT HEATERS <br /> NITGHEN SINK 8 DISP C�OTMES DRYERS ' <br /> DISMYJASHER RAhGE HOOD i <br /> LAUNURY TRAY WATEFl HEATER � <br /> CLOTHES WASMER WOOD STOVE <br /> UflINAL METAL FIREPLACE�WGOD BUHNING) <br /> � DRINKING FOl1NTAIN FIREPLACE INSERT(H'OOD�UFNING� <br /> FLOOR DRAIN GA$FIREPLACE <br /> BACNFLOW PREVENTERS GAS RANGE � <br /> --i— <br /> SI4K(SERVICE—DAR.ETC.1 CAS PIPING <br /> E%MAUSTFAN <br /> �v MJ�Lc <br /> SUBTOTAL S SUOTOTAL 5 <br /> PERId❑ c PEPMIT S _ <br /> TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: M. ^02 <br /> fR09f5CIL4CM P[PRSR�PCn >�UESElO�CK GLMILM6rtIN1A0CR fEE AECE�Pi40 <br /> vct zcr.� �u*�nu v�wru SnE FEES VALUPTION FEE� <br /> nvcs ❑�� owm�r+c <br /> I�EIGNiL�4i1JqN V�I1B CN[lliL�i :IZCOiBIWii ' <br /> Pl1iYBIHi <br /> CCCI1PqILv 6pCF9'vP;6 CCCVPPNitO/.� D�SCMp1I 4ECIUNIUL � <br /> G110V1' <br /> ❑vE5 ❑NO I <br /> irt1[S��'•NRIE�REOD PEL5011 AOOIIIOfIqpUNCNECR <br /> � <br /> OiRER � <br /> FINE�LI.HI.IPfGD �EASON <br /> ii4E BO:LOiNG Sl1�LNANGC <br /> i}�¢evm�s� rin�vserrawcnor CITYOFEVERETT wei✓:wor.ns <br /> LOCALSALES I <br /> p,�� TAX CO�E IS 9105 707�L <br />