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/T" - <br /> APPLICATIOI�FOR �ON�,TRUCTI�1 PERMIT���� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVEfiETf,WA 98201 •(425)257-0810 <br /> ❑ DEMOLITION �COMBINATION ❑ BUILDING ��MECHANICAL PLUMBING ❑ SIGN <br /> PHOJ�CT AODRESS: a7�3 la � .S�"' � ,� P�ti.9,r /4�tS-- <br /> i,vrrr'H Hnosi�+(. /��.*�MaiT•1 310-+ C:��f3/ EoereTf' ww. q�a.01 4�_5'SU3'��81 <br /> o�m.En M�n�cin T- rm , � rnox[ <br /> V q C A ti�T <br /> iFN�N� 4u14)pnE55 CIIY )iv PuOnF <br /> MCIx!(Cf0110ESIGNC�1 Y��IAOOai55 C�IY ll� PMONF � <br /> �F}(} — SRn�� AS Fl-qOVf <br /> G[NC[��lGON1111C1(NI N�ilA01WF5$ C�IY !�f I4N1Y( i4qli�(ry5f• <br /> L�� <br /> 4EC14�aiCRCON�P�C1Uu 4�i��fqPE55 f.i1Y A� �nONf S��RUCf.NSE� <br /> �,HR MA�-VTNqI/C£ �;A�'�£ R6 RNnJF _ <br /> �lUMOmGCONIF�ppf� 441�00NE55 CI�Y l�P �II:HIf SletElKfMSF• <br /> .sa.re- <br /> [GN�II�Cf>niCE O�KW�R <br /> rw�n . � TS HEATING SYSTEM: ❑GAS ❑ELECTRIC �1 <br /> OfSCwBFVqRKl.v1150u�PE�00rI,GEwvIXVfO COVVC*v1aSOxeMfrupr�frq • <br /> j2�lo( - (+v� «n n; nfede�l, ��u �iS �rnar�. I 111 I-au�ap�) 4:�5-303 '1�,ri9 <br /> lur+h��� ��x�t..MS � <br /> C' NANAF ,p_uT� �TH FAN I HEREBY CERTIFV THnT 1 MAVE READ AND E%AMINED TMIS <br /> APPLICA710N AND NNOW THE SAME TO OE TRUE ANO CORRELT RLL <br /> nrroroswuzE or emioien PROVISIONS OF LAWS AND ORDINANCES GOVEPNING THiS 7YPE OF <br /> I�Er\�uI HA���'����� � WORN W11L �E COMPUED WITH WMETHER SPECIFIED HEREIN OR <br /> IFG�L0E5CniPlip�O�PaOPEPtY1SWwNBEtOWON�114NiM'OCORESi NOT. TIiE GRANTING OF A PEBM17 OOES NOT PRESUME TO GIVE <br /> to� etan or AUTHORITY TO VIOLATE OF CANCEL THE PflOVI510N OP ANY <br /> OTHER STATE OR LOCAL LAW RECULATING CONSTRUCTION OF TNE <br /> PERFORMANCE OF CONSTRUCTION.TH�T I AM AUTHORIZED OV THE <br /> OWNER OF THIS PfiOPEHTV TO PERFOPM TME WOHN FOR WHICH <br /> APPLICATION IS MAUE AND I COMPLY WITH TME STATE <br /> PentFl ua i U rmuBFu — CONiRACTOPS LAW IB 27 RGI A'.!D Y96Y00 WAC. <br /> i�a4n5- �-o3J.-000 // ,J �(� <br /> LOM[�R1�C11PV10�M�ENOFP,�IXV�ESG.fElER10NENUM0fl1 x (/`� .7L0�(i� �/�T/� <br /> NCN£. _:c�.m�e � o,�c <br /> CIIYBLL SSl6[�rtfNO <br /> PLUMBING MECH�NICAL <br /> NO. TYPE OF FI%TUflE OR IiEM �EE NO. TVPE OF EOUIPMENT FEE <br /> WATEH CLOSET(TOILET) NC—NHNOLG UNITS <br /> BATHTUB FORCED AIR SVSTEMS <br /> LAVATOR�(WASH BASIN) HEAT Pl1MP <br /> SHOWER UNIT HEATERS <br /> NITCHEN SINN 6 DISP CLO7HES DRYEPS <br /> OiSHWAShiER RANGE H000 <br /> IAUNDRY Tf aY WATER HEAIEfi_ � <br /> ••T <br /> CLOTHES WASHEP YlOODSTOVE _ <br /> UFINAL h�ETAL FIREPLACE�WOOD BURNIWG� <br /> DFINNINGFOUNTAW FIREPLACEINSERf�Vl00DBURNiNG) _ <br /> F100R DFAIN GAS FIREPLACE _ <br /> OACHFLO'"PqEVENTERS GASPnNGE __� <br /> SINN�SEtilll,� —BAR.ETC.) GAS PIPiNG <br /> EX1 iAUST FAN y_ <br /> SUO TOTAL 5 SUB TOTAI S _�_ <br /> PERMIT S _ PERM!T S <br /> TOTALFEE f _ 707nLFEE S <br /> FOR OFFICE USE ONLY: �� <br /> ffi(1N�SfiP�f.X f1f�115F10�CK SI�SF���CY. �I�NCIIkLSN114pfP / �FF ��«������ <br /> / <br /> us6ta�v �oi�ne• v¢ern�a�c ,FEE_7__ _ V1ILUATION "_FEE_ _" <br /> ❑rE5 n uo numixr. <br /> ncimm�wunoa �aaow[uien sittweioan ____-_"_—__""_ --'_" _'. __ <br /> IIN�1\ p1114Pwfi <br /> � . . _..��.� .._...__ . � <br /> v��.i.li�9.lf UI�.C����Illl(1�[� ��f(4fMt <br /> a0u11Y:� 4{I I��hll:�l i <br /> .____ . . -... ....._��+� ' <br /> DY[1 O4� ••.� <br /> IDb11114�1 1'1�4�'��f fv � <br /> r�uESFPwxtFNIRO'�-- nfufw .......___--` —.. <br /> � nmfn _ __... _ . .. �— �i <br /> •Iqf�UAMR(U� N{��(IV <br /> RI�11 fl11�IP�Af.91�fu�I1G� <br /> . . . .. .�... <br /> � r <br /> rvvrnr,p���i—" rinvcu.rnnv�nnr CITVOFEVERETT mnucw�m.c : <br /> LOCALSALES `—"� — �� � � <br /> ____....--_'.. <br /> ..,. TAX CODE IS�105 10TAL ' <br /> � <br />