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APPLICATI� FOii CO.N,STRUCT•ION PERMIT <br />CIN OF EVERETT • BUILDIN6 DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 •(425) 25 i-8810 <br />❑ OEMC�LITION ❑ COMB�1INATION / I❑ BUILDING C] MECHANICAL XY PLUMBING ❑ SIGN <br />PROJECT ADDRESS� �� � /` �6 F`' f� ' � � �I;�S-, <br />ifeui� "��—uu� uwnr�; r.nr r�e r�roeF <br />�nOa�rcionnFv::.:rn --.innn��rss cnr i�r nrcwr <br />f.luPui CO•nn¢rtm wn �o1���F5s cnr Ar p�pvr cq¢ uCEN51 . <br />//!/ J. �_s_�/M�� �•7.�IS NE Rr'pMCNCI F6II' �P�M1fOULI �6V �a?�BOfI' �I3I� /J��PNr �T IOii%D <br />ca�rmu rn�rt or wnnx l� � '„I ��.� <br />� HEATING SYSTEM: LJ GAS ❑ ELECTRIC O <br />or sco.nr w inn e�,u =.rni�nt �mucc nrvorvm conucr ro�snn �xn nmvr mo <br />�IaS'I`!l� UUtlP�)IG� Qy��� �NC <br />y --y <br />l� �cv . <br />noorostnuVrnrnimn - — <br />uas°fr�fQ <br />lEf,.l IH=Cr:ivnar� or pNprEnrv �SroVn� PI law a1 �rlec�� 1W0 CaREs� <br />m� _ mocx __ or <br />r.ntn u� i o uuuntn <br />CA4511111CI1!)II IO�N 1 f�ll1F41 Ap(N1(55 1CliM1�O�IE MIl4Pf11 <br />rwMeiNc <br />NO. TYPE 9F:�I%TUNE Oq ITEM FEE <br />WATEP CLOSI' I' ��LET� <br />i3AT41U0 <br />IAVATOHV(WASN BASIN) <br />SNOWER _� <br />KITCNEN SINN d DISP <br />DISHWASHER <br />LAUNORY TRAY <br />CLOTNE$ WASHER <br />URINAL — <br />OfiINKING fOUN1AIN <br />FLOOR �FAtN <br />OACNFLOV/PRLVENTERS <br />SINH ISERViCE — BAR ETC.1 � <br />_l___ TOTAI <br />FOR OFFICE USE ONLY: <br />innu.v.n¢e nr.nsnp.r.. <br />n'.I luv--�— �pr�nu <br />��F�Gu�i�w�e�u� L06pwIl11NG <br />n��..��� . �.. n� w.rm�.�niwi� <br />�. � .nlfrai�["/� ni1VW <br />Ii��f �li.l!•4�p0 �f���V <br />SOC SF f04K <br />I HEREOY CERTIFY 1HAT I HAVE REAC ANO E%AMWED THIS <br />APPLICATION AllD NNOV! TIIE $AME TO �E TFUE ANO CORRFGT AlL <br />{'POVISIONS OF �AWS AND OROINANCES GOVEFNING THIS ?YPE OF <br />WO�N WI� � pE COMPLIED WITH WHETHER SPECIFIEO HERE14 OF <br />NOT. THE GAANTING OF A PERIdIT DO[5 NO7 PRESUME TO GNE <br />AUTNGRITY TO VIOLATE OR CANCEL THE PRGVISION OF ANV <br />OTHER STAiE OR LOG4L LAW REGULATING CONSTPUCTION OR THE <br />PERFORIdANGE O� CONSTPJCTION TIIqT I AM AUTNOPRED �Y iNE <br />OWNER OF THIS PqOPERTY TO PERFORM THE WORN FOfl WNICH <br />APPLICATION IS A1lDE AND I GOMPLY WITN TIIE STATE <br />CpHTRPGTOR�VI�W N029E200WFC <br />x _ ��� s _ <br />�•Glli.11lllf p 11 <br />b1Y BUSipLSc UfF �i`.I GO <br />fYPE OF EOUIPMENT <br />HEAT PUMP <br />H00� <br />ri nw arz �K aeuur n <br />❑Yf5 ❑ tiU PIInILN('. <br />[IZE O� Bla�l <br />1'111VPiNf .. <br />B�i[Vf,n�— NFIIUM[4 <br />❑ [S ❑ i�� <br />MD��i(!Y4 h�NC��if.v <br />(]li�(� <br />�.1�11 fli1�.111�.h1i5�1�1C1��f1:'if <br />CITY OF EVERETT rrnr: w�u.� <br />LOCALSALES -� -- <br />TA:( CODE IS 7105 ToraL <br />SUB TOTAL E <br />FEE <br />