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APPLICATI� FOR CONSTRUCT�ON PERMIT <br /> CIN OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257-9810 <br /> ❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTAD�RE55: �/,C[= 57A77�'l �t7 3 - �'� I3%! x�r�F( <br /> a nt��� Mui� .s� �iC��N'P �>7Pl'�T �.gN.�OQi .2rJ7- Qi�f'l�7 <br /> Af�f{ <br /> 1fN/.NI' V/.II.IIC�f55 Ll�v )ip V��ONF <br /> -.f/,�A <br /> ��PnifLIO��E4C�E� 4E•I�DOPF55 C�IY li� fr104f <br /> GfM[���1C/0�'���ACIIXt M�iI�IXM�f55 PIY )il' Piq4C 511�11'i[fNSF• <br /> Nfj� �� �/I� <br /> YFb�UUlfO4fMC�U� Nut�DC��ESi f.irv )iP �pON( $GIFl2[NSE• <br /> ,(//R --- <br /> riuuen+.,cornwr,.rn u.n�mnEss rnr r�r w�n•�r siun�cc�+sr. <br /> �C//.i <br /> �artn��r rmcc ar wanK <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> �orsca:nv w�e..�,u snu•��r roouc[wvorvco mrn•cr i��nsov erm ruovv uu <br /> ��� - �f�f'��� <br /> n � S�:u/.I t�t• � C` l�an, /. C 1�5 Z2tPT ��J�-��'�7 <br /> I NEREGY CERTIFY TIIAT I HAVE READ AND E%AMINED THIS <br /> APPLICATION AND KNOW THE SAME TO�E TFUE AN�CORRECT ALL <br /> �maroxf o us ar nnnowc pqOV1510N5 OF�qWS ANO OPDINANCES GOVERNING THIS TVPE OF <br /> WORK Wil L BE GOMPLIED YlITH WNETHER SPECIFIED H[REIN OR <br /> i[cuo65cr�irup�orvnor6nnisqwvpciawaun�n�iwocop[s NOT. TlIE GRANTING OF A PEPM1VT OOES NOT PRESUME TO GNE <br /> im eia:+ 0� AUTHORITV TO VIOLATE OR CPNCEL THE PFOVIS�ON OF ANV <br /> OTI/ER SiATE OR LOC�L LAW REGULATING CONSTRUCTION OR iNE <br /> ,�/�H PERFORMANCE OF GONSTRUCTION THAT I AM aUiNOR12E0 BY iHE <br /> �1 OWYEF OF TMIS PqOPEFTY TO PERFORM iME WORK FOR WNIGM <br /> APPI.ICATION IS MADE AND I COMPLV WITH THE STATE <br /> reacriu.iura�uaen C04TRnGTO SlAW102]PC AND29fi200WAC <br /> cm�sm���w�NirNnFnux�asrzienroxeuuuatn X ��� �� �f_- �AL� �� �� <br /> __[�� _ s,3a�wrv . ` ' ou � <br /> A(/1: <br /> Cirv pU50ilS5liLLNS[HD <br /> PLUMBING MECNANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE N0. T'PE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) P/C-A/HNOLG UNRS <br /> 9ATNTUO FORCED AIR SVSTEMS <br /> LAVATOfiY(WASH BASW) HEAT PUMP <br /> SHOWER UNIT HCATEf15 �_ <br /> KITCNEN SINK 8�ISP CLOTIIES ORV[RS <br /> DISHWASNER RANGE H00� <br /> LAUNDPY TRAV WAIER HEATBA <br /> CLOTHES Y:nSHER WOOD STpVE <br /> URINq� METAL FIREPLAGE�V✓000 BURNING� <br /> ORINKING FOUNTAW PiREPLACE INSERT�VJOOD 9URNING) <br /> FLPOR�qAIN GAS FIREPLAGE <br /> OACNFLOW PREVENTERS GASFANGE <br /> SIIiK�SERVICE-BAfi,ETC.� GAS PIPING —T <br /> __ EXHAUSTFAN y_ <br /> SUB TOTAL 5 SUBTOTAL S <br /> PERMIT S 7ERAfIT E <br /> TOTAIFEE S TOiAt.FEE S <br /> FOR OFFICE USE ONLY: <br /> rnnHlsnn.u� nr.nsne¢K siocsne4x r��rva¢aMo4xrn r�r �rcprnio <br /> �7�5 <br /> ns�rorr imui[• veu�urair FEES VALUATION FEE <br /> _ �_ <br /> ❑.ts mnin�vc Z� IOJ <br /> ��e�r a ovnenov Mo a nw�mne vze o,e�oea Oy] �{ --—'_ — <br /> uvil[ 7 �I vtV4Pi'�f. _ .___ ___ _.__._ r <br /> GCL11�1:�.♦ �r�.itn!♦ q.f11��N1�(1�l1 f1l V(kl �_ � <br /> (.I1�UI`� Vfl'Il�hil'11 <br /> —� �` __ �t/� o.Fs ��� ----- --- - <br /> nuEsrn.•�nevnEa'o nr.snv .owuov.inewo.rc. <br /> n� � oi�.rn _- _--" _ ' <br /> �u:r<iau�•�:m�o nr.�nv ----- <br /> N/.b �ini m�nm�icsnnouncr ._'_ �� I S__ <br /> �werr���vo ninus�r�noovnnr CITYOFEVF.RETT rne�.mwnn.c <br /> �L LOCAL SAlES -"---- --- --- - -- `—' <br /> _.__v � N i�.�t v TAXCODEISJ105 TOTAL ._ '__' _ _ <br />