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APPLICATION FOR CONSTRUCTIQN PERMIT <br /> � CI7Y OF EVERETT•BWLDING DI41510N � <br /> � � 3200 CEDAR STREET•EVEFETT,WA 98201 •(425)257-8810 <br /> �� � � ❑ DEMOLITION p.] COM�INATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SION <br /> �� P�ROJECT ADDRESS: (�1 O 1•{.L,n, t 1� �_��•�� <br /> . . \\�ov�- tl-e �t,y.v.�{r �;Q,���--�,Y{� �lY7a(_ 2S'1-4i(�( . <br /> " OVO/EII Wi�E55 OM1 DP V�qME • <br /> _ M17W.Q. <br /> - �ubWss ftrv �iv vrqu[ . .. <br /> . . . � .nc�r�c�onni ��Scnk e� �ui.arnes1�"7`d�(/1`J!d`442•.r J Rr .c y,.*y=�_qYZ01_..3r ..�`i-�IL 1 _ <br /> �„{,...,.,�,�� <br /> - ' GMFMICONiNCIIXI unpl00nEfi5 blv — )ir p�qNE 51MItrC(MSf• <br /> I( <br /> � MFUUNKtI[Ov�n�C10� uul�fNJnE55 Grv jm Flqu[ S1nFLICENSE• <br /> � <br /> � PIU48NGCOi��P�f,fp1 MUUCqIf55 CIIY ]iV VNp.! S��IFIIC(NSf� <br /> �1 <br /> , ' cwrmnre¢E or wonn _ . . <br /> - � NEATING SYSTEM: �1 GAS O ELECTRIC ❑_. . <br /> � . DEscwoFwJan�un50u�n[oppup[xvavfo cp�l�clvrnSWeMr�qMl�p � <br /> � t,cr�_o .L'c�,L 2>,.����, - u.�, rP..,,. _ R�.r_�Z <br /> '. I HEREOY CERTIFY THAT 1 HAVE READ AND E%AMINED THIS <br /> auorosfousE ov emtmw APPUCATION AND HNOW THE SO.ME TO BE TRUE AND CORRECT ALL <br /> . PROVISIONS OF�AWS AI�D ORDINANCES GOVERNING TMIS TYPE OF <br /> WORK WI�L BE COMPLIED WITH WHETHER SPECIFIED NEpE1N OR <br /> �EG��DEScnivnprvorrnprEntt6rawxBuowonen�cNrnoconEsl NOT. THE GRqN71NG OF A PERMIT p0E5 h01 PqESVME TO GIVE <br /> . �, tm oiacs or AUiHOHITY TO VIOIATE OR CfY�:EL TME PROVISION OF ANY <br /> OTHER STATE Oq LOCAL LAW REGVI �fING CONSTRVCTION OR THE <br /> � PEi1FORMANCE OF GONSTRUGTION.THAT I AM AUTHORIZEO BY TME <br /> � . OWNER OF THIS PROPERiY TO PERFORM TME WORK FOR WNICM <br /> � APPLICATION IS MAD[ AN� I COMPLV WITH TME SiATE <br /> ' r�n[E�ieno mrvBEn CONTRqCTORSIAW 1837 RCW AND 296200 WAC. <br /> .... consrauci�aiio�Hi�uorn.wmcss.rc«Mwr�sHuua[n % —��-9V <br /> , � $IGNI.IUiiE p��[ <br /> " � �IIYpIlylll, $IICENe�HO <br /> � . PLUMflINC MECMANiCAL <br /> � . NO. TYPE OF Fl%TUqE OP ITEM FEE N0. TVPE OF EOUIPMENT FcE <br /> . WATER C'.OSET(TOILET) A/C-MiNULG UNRS <br /> . BATNTUB FORCEDAIRSYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> , . SMOWER UNITHEATERS <br /> " . KITCNEN SINK d DISP CLOiHESORVERS <br /> IlISHWASNER RANGE H00� <br /> � � LA�NOHV TPAV WATER HEATER <br /> . CLOTHES WASHER WOODSTOVE <br /> � _ URINAL METALFIREPIACE(WOODBURYING) <br /> . �RINNINGFOUN7AM iIREPLACEINSERr�WOOD6URNING) <br /> , FLOOR�RAIN GhS FIqEPtACE <br /> - ���'� OnCRFLOWPf1EVENTERS GaSPANGE <br /> � . SINK(SERVICE-BAR.ETC.) GAS PIPING <br /> �•���� EXHAUST FAN <br /> — � <br /> � � SUB TOTAL f SUB TOTAL S �I <br /> � ' - PENMIT S PERMIT S <br /> . � 10TALFEE 5 TOTALFEE f <br /> � �� � - FOR OFFICE USF ONLY: <br /> � � . fM'IISfiI1�f.Y. 11(�115FIB�[Y $Ip(SEIB�CK lIIMCIIECRNU4PN !FF I�Ff.flf'iN0 <br /> , J IG <br /> uscroer ioi•nce v¢unsnc FE 5 � V�W�TION FEE <br /> • ❑vF5 ❑x0 �� <br /> RUIMMf. <br /> , NbG�ItllvidlpN MOOrpw[IIIW SREO�llIXlfl '— <br /> . Il�li�[ %UYRINfi <br /> ��� �. OCCII��K� �pM51ia15 U^.f.VV�NIIU�D O�SF4[NI �— <br /> � � (IqVP 4i(:II�Mif�l <br /> ' ��[5 ❑NIl ' <br /> .. ... fIPE'1'11111NLfRPE�'0 �1i�[fIN �Opll(W�IM1WCI?C✓. <br /> � ' . Ov�f� <br /> � � ' lIREAUIIMII[O'p f�f�[nY . <br /> � . illll IIIxILw(:S�IM11�11(I( � <br /> � ' trr�nrcovs� rinvs�rranvrnor CRYOFEVERETT ninur.wa�+s . <br />� � � � LOCALSALES -- — -- -- <br /> ��_ ont TA%CODEIS7f05 707AL <br />