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_!" <br /> APPLICATIO�FOR CONSTRUCTI�1 PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETi,WA 98201 •(425)257-8810 <br /> ❑ pEMOLITION � GOMBINATION ❑ BUILDINC� ,0 MECHANICAL PLUMBING ❑ SIGN <br /> PpHOJECTAODRESS: �}p} i'�+�' S1' i,�, Pv.-d8, µpta— <br /> ( �PMtFH»U' IJC. (luTtlPPlt'1 31n'f Q.n�� Futralf' wa. o:K.?OI 4�5'303'�111 <br /> ovw+[n u+n�mu[ss Y tin nr . � wqH[ <br /> Vq C /..�'1'"' <br /> 1CYAN� 4M1�CWE55 CIIY !tP ��qMF <br /> ��m4G10nDE5�G��En uu1�00nf55 L��Y liv hqr6 � • <br /> �' 1-F!} — , �m� Rs r� nv G <br /> GENE��tCONtpeC1M NUI�D1IDFSi C�h �� l�� i'uUv[ S4�[�i[fNSF• <br /> G Nr� <br /> NFCIUMiC0.COY�R�QUP 4�R�f%WE55 f.�rv !�� >��( ����fUCFNSE• <br /> f;NR MAiNTN{.VC£ SA�'�£_ R6 RU.[iJ�� <br /> PtUuOmGCOxIR�Cipn Mul�00aF55 C��v !�� ���r�F Sle�ftICEMSF• <br /> Sa^__ _ __ <br /> coum¢t vmce o�won+ <br /> rw.n�qULv.�✓r5 HEATING SYS7EM: G GAS ❑ELEC7RIC }�I . <br /> .JESCPiOf WOAK�NU 5(NY�E�OOPGf�NVIXVFO COM��C��I nSON��T MRnf NO <br /> f�(�I (t� � nn a; n�edt� loo �i5i�nrnarn( �� II� �--ar�aLi.� 4�S'30�i -I�r9 <br /> �-- <br /> �1u�.h�n� ��x�vreS '�' _ <br /> �' �1 T AT N FA N I HEREOV CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> c• "n u(,, p__�_ APPLICAiION AND NNOW T11E SAME TO OE iRUE ANO CORRECT ALL <br /> nrrorououst ar owmroo PPOVISIONS OF LAWS AND OROINANCES GDVERNING THIS TYPE OF <br /> I�E�1�I«I F����������� � WORN WI��. UE COMPLIED WITH WHETHEFi SPEGIFIED NEREIN OR <br /> tcc.i.ncsa��rna�ororrorEnttisrawi+e[iowa�.nern�wor-�cs NOT. TNE G�ANTING OF q PERMIT OOES NOT PRESUM[ TO GIVE <br /> �p� BiaK_—m AU7HORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTNER SiATE OP LOCAL LAW NEGULATING CONSTRUCTION OR THE <br /> PERFORMANCE Of CONSTRULTION.TIIAT I AM AUiNORIZED OV TNE <br /> OWNER OF TNIS PfiOPEAiV TO PERFORM THE WORN FOR WHICN <br /> APPIICATION IS IdFDE RND I COMPLY WITN TNE STATE <br /> CONTRpCTORS LAW IB 27 RLW AND 296200 WAC. <br /> pARCEI 1.1Y I p�NMBF 11 <br /> i'7ac�5- �-o3��eoo x��L� �z.: /J <br /> �wcmiK��q��o�nirxnrn.�qmEsSrciErHON[NuuoEn _/ n�� <br /> NCN£. _.mumnc nui <br /> CIIYBU$ SSUCf�15[n0 <br /> PLUMBING MECHANICAL <br /> NO. TYPEOFFI%TUREOi11TEM FEE N0. TYPEOFEOUIPMENT FEE <br /> WATER CLOSET�TOILET) A/C—P/HNOLG UNITS <br /> BATHTUO FO�CEDAIFSYSTEMS _ �_ <br /> �AVATORY(WASH OASIN) HEAT PUMP <br /> SHOWER UNITHEAIF.RS _ <br /> KITCHEN SINK 8 DISP CLOIV�ES DR�EfiS <br /> L DISHWASHER RANGEHOOD --- � <br /> �.T WAl'ER HEAT[R <br /> LAUNURY TRAY �— <br /> CIOTHES WASHER YlOOD STOVE <br /> URINAL METAL FIREPLACE�WOOD BURNINGI <br /> DRINNINGFOUNTAW FIREPLACEINSERf�VlOODBURNING) _ <br /> FLOORDRA'N GASFIFEPLACE _ _ <br /> UACKFLOW PREVENTERS GASRANGE _T_ <br /> SINN�SEiiVICE—8��1.ETC.) GAS PIPING <br /> E%HAVSTFAN _�_ <br /> SUB 70TAL S SUO TOTAL S �_� <br /> PERMIT S PEAMii S <br /> TOTAIFEE 5 _ TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> ru�n�e<.Houxrn rrv nrrnr�no <br /> Tni��sriNca nr�ns�ln4[ S�OFSf104t ./.� <br /> — FEES L �A�URiION FEE <br /> uSEfOer lolug• vqutl5�i[ �._, .._._�. �- ""-� —�-"_ <br /> ❑vFi ❑NO Nn�lIIq6 —___ �.._�_ � <br /> ____ � <br /> ___ i <br /> nFIC.��1lmiun04 MpOr[�WtU���G S�IFOfBIW'll • <br /> iAiy PInMP�xf � <br /> � ' . __ ._ .._.. <br /> _�� . . ...__ _.�� ..� <br /> � <br /> IX:111f�4'.:� M'�.��1i�91) (MCI�1`Ilill(l�f� p1[f4{\I Mf11�nM1'�1 • ,� <br /> C.I�OUI. _ . _. . ... ..__� . <br /> ❑�!5 OY� '..• � � <br /> _ ♦I10�11(W�I 1'I�Y����1��� � <br /> llfif5�11'11M1lFH1V[00 �����M� �-"'"� � � <br /> _ ni���n —__._. _ _ _ __. _ __. <br /> rmceunrenwo ' nvnsnv -- <br /> a.q mmnnG.ymrunnor� _' <br /> .___ . ._ ��_.. . .:.. <br /> _�__'_._._ _' . <br /> rt�rnrrom�—' nnrsu�mpvrnnr CI7YOFEVERETT r�'"�":w.'""c ' <br /> — __. _ . . . -' :_ "' <br /> LOCAL SALES '---' ...--�--""" I <br /> . TA%COD'e15J105 ioTnL .�.. ...__._...__�-- <br />