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- --- <br /> APPLICATIO�FOR CONSTRUCTI�1 P�RMIT <br /> CITY OF EVERETT•BUILDING DIVISIDN � <br /> 3200 CEDAR STREET•EVEREI'T.WA 98201 •(425)257•8810 <br /> ❑ DEMOLITION �COMBINATION ❑ BUILDING �MECHANICAL PLUMBING ❑ SIGN <br /> PROJECT AODRESS: .�7-O.� I��y 5�' �a P�;..� N-o t3 i <br /> f,vrrr-tF HnosiaG Aurd�a��y 310� C�� '/ Euerelf'� ww. MK2�ol N9_$'3U3-��11 <br /> mwen u�¢�oonEss c�n t� , o�wr�[ <br /> V!d C.Aa�r' <br /> 1FN�r�� uu��E55 Grv liv vrqqf <br /> •RCHiLC10Nf1ELGNE� YI'I�ODnF55 CIfY )m prgy�p . ' <br /> �µ./} — S/F111F H6 R'�30VL <br /> aEr�Fnucannec*rn NAiI��01�f55 �nr t�r rirrv[ si�nutresv. <br /> _�N�- <br /> VECI?�IGlCb11P1QUF 44lAfpPf55 CIlY ➢P p�qN( i1�q�KEMSE• <br /> f:NA MAiNThl4UCF �.SAm& q6 fl�POJF � <br /> PIUMBmGCONIRY:IM M��1�W11F55 CIIY jiV pu91F $t�1ElICENSFi <br /> S.-�i-.L <br /> COu1��C�VOiCE O[wpnX -- <br /> rm�n0-eucuw�TS HEATING SYSTEM: U GAS ❑ELECTRIC �I <br /> �ESCW BF WJFN�r�U SW�aF�00«OE N.IXVFD CONI�C�vl aSCN/.Nfl P�f Np • <br /> lo n n5 nrcded ho �ii pmar� I ���_Lp�i�;�i_5 �I?S-'iO3 -llr�j <br /> n�urn�'Jint t�:t'��..MS � _ <br /> l <br /> I HEREOV CERTIFY THqT I HAVE READ AND E%AMINEO 7H15 <br /> {' N�}1(•�' ��1._]' !1 T M �A N ppp��CAiION ANO NNOW THE SAME TO�E TqUE AND COARECT A�� <br /> �•irorosro ust or emmiun <br /> Ij f r1�u� a�ai�'INC����� PPOVISIONS OF LqWS AND ORDINANCES GOVEflNING THI�TYPE OF <br /> WORN WII L BE COMPLIED WITH WHETNER SPECIFIED HERE�N OR <br /> iEeaoescrnrnpiorruorennlswvmeuowqunepi�wocon[si NOT. iHE G�iANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> io� oias a AUTHORITY TO VIOLATE OR CANCEL THE PROVISiON OF ANV <br /> OTIIER STATE Ofl IOCAL LAW RECULATING CONSTRUCTION Ofl THE <br /> PERFORMANCE Of CONSTRUCTION.TMAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM TME WOIiK FOR WMICN <br /> APPUCA710N IS MAOE ANO I LOMPIY WITH THE STATE <br /> PMCEI�AC 10 NVMBFP CONTRACTORS LAW 19 i7 RCW AND 296200 WAC. <br /> i�aqn,5- �-o3a-eoo3 / �/ �} <br /> CONS1fl11GIqNlO�NIfuOFR.WIMIESF.fCIFA1pNF1NULE�1 x (�/L .�J .� "/��-/C.L� <br /> NONf�. ..crv.im� i wrt <br /> CIIYBUS SSl2UR[HO <br /> PLUMBING MECNIINICAL <br /> NO. TYPE OF Fi%TUFE OR ITEM FEE NO. NPE OF EOUIPMENi FEE <br /> WATERCLOSET�TCILET) P/C—AMNOIGUNIiS —�— <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORV(WASH B0.51N) HEAT PUMP <br /> SHOWER UNIT MEAlERS <br /> NITCMEN SINN d DISP CIOi��ES omERS <br /> DISHWASHER RANGE NOOD <br /> LAUNDRY iPAY N'ATEP HEATEfl <br /> CLOTHES WASNE(7 WO00 STOVE <br /> UBINA: MhTAL F'9EPL4CE(WOOD BUFNING) <br /> DRINNING FOUNTAIN FIREPLACE INSEH(h'�OOD BURNING� <br /> FLOOR�PAIN GAS FIREPLACE <br /> OACI(FLOW PREVENTERS GAS RANGE <br /> SRIK�SERVICE—BAp.ETC.) GAS PIPING <br /> E%HAUSTFAN �_ <br /> SUD TOTAL 5 SU�TOTAL f <br /> PERMIT S PERMIT f <br /> TOTAI FEE 5 TOtAL FEE S <br /> FOR OFFICE USE ONLY: <br /> mnmcnn¢x nrmsoto�t� sioFsne�a �I�xN(Ill(MNU4Pf4 rfv mrrm�xo <br /> j`��G�f1� _ <br />� nsF+oer ioi�aH v4�v�s¢ FEES_ VALUATION _FEE <br /> "_" ___ _' " _�_'__ <br /> ❑vF5 ❑u�� PmiOnti. <br /> IIFIf1111iV�1�tIQV 4nC(IlWfIIING S�ffMEIUG�II �- � <br /> IINrI\ p�iIUP�Nf: <br /> .. .�..��.� ._...______.� . ..___ .�_...� � <br /> OCl11NY'.:♦ M��.��I��41f U�(IiMN�IU\{I p15i4(MI Vil.l�/.�il'�I , <br /> cnou� � <br /> O�ES ❑MI .. .__ _ . . ._. ....._� ... <br /> Ipp:INM1�IM114r'�Nl4 . � <br /> nnesr-nu�n�[xn[o'o nr�s�w ' <br /> _'__—"_._ .. __' .__.._'"--_` —_ <br /> r�i��m <br /> rme.unMruao � av.sm �--- —. .. _—. <br /> sl�ll fliYlUin1:•���fWnpr� ••. <br /> . . . � � <br /> irr�nrco����—� rinug.i�rnpyrnn+ CITYOFEVERETT r�'ni":��"'"< <br /> LOCALSALES --�_ ...---'. —.—_. —�_--" '_ �_ ." <br /> ... T�X COOE IS 7105 7oTnL I � <br />� ..___._�'_' <br />