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APPLICATI�I FOR CONSTRUCT�N PERMIT� <br /> CIN OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 9820t•257-0870 <br /> ❑ DEMOLITION O COMBINATION BUILDING ❑ MECHANICAL O PLUMBING ❑ SIGN <br /> PROJECTADDRESS� ^ � // <br /> a� OI b C G <br /> ��"'V 1 (�6 I 1ML�OMEb9 CIfT IV R1ph <br /> �if N} , N�R E59 GiY ZV AqNE <br /> r „ ,a� Ba,�"°� ���� 5'is. s,a -r.��y <br /> MCNiIEGi SGiRP MAM1 OpPE65 tli� 21P RpGE <br /> _�'L��e�_ Co t� ss . Sno �.,���. 98�su 3GD-S 6�-3/71" <br /> GEx[M't i OR u�M1�DIX�E54 I S J t• � I US�G .a{�V�.IWG�tj �EF 2 F <br /> 1` � • �T <br /> YECIUNiCµCCM �iy11 Y �W11F55/ ��1�J LIIY Z Rq11E 6i/.iELIL[N$[• <br /> ��.�2�i T! .S��e'F /vle �✓P✓e� <br /> Iw��u�n00ncss pir Iw qqNE b14ELKExSE� <br /> ���p��T ��� HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> MSCRiOEW N SOII�PEf00i ERNQKU C LIL PEHSO NO <br /> �, � v t ss- �s - 26 <br /> c <br /> 1 NERE�V LERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> nnoaoscnusea euaneq PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL�E COMPLILD WITM WNETNER SPECIFIEO NEREIN OR <br /> i¢auceuemrqnacnarEanlsw+me[�onaann�CHtxocov¢s� NOL 7ME GRANTINO OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ior &p� p� AU7HORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR LOCAL IALY REGUTATINO WNSTRUCTION OR THE <br /> PERFOPMANCE OF CONSTPULTION.TMAT I AM AUTHORIZED 0Y THE <br /> OWNER OF THIS PROPEqTV TO PERFOflM THE WOFK FOR WHICH <br /> APPLICATI N IS MAD COMPLY WITH THE STATE <br /> mxcuezio v fANTRA OR �RCWAN0296200WAC. <br /> ��'�`.�r'i� !�3-o v <br /> CONSIPUCLqNIOIJlIfNDE0.�W11E59.tElFRIpEMM�BE11 X <br /> 6qINNRE OAIE <br /> un eusrrtss i��rp. <br /> PLUMBING MECNANICAL <br /> NO. TYPE OF FI%TUPE OH ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILEn I NC—NHND�G UNITS <br /> �ATHiUB FORCEO AIR SYSTEMS ; <br /> LAVATORY(WASM BASIN� MEAT PUMP i <br /> SNOVJER UNIT IiEATERS i <br /> KITCHEN 9t�K 8 DISP CLOTNES DRYERS � <br /> DISNWASHER RANGE HO00 I <br /> LAUNDRYTRAY WATERHEATER <br /> I:LOTH[S WASHER WOOU SiOVE <br /> URINHL METALFIREPLACE�WOOD6URNIN4) j <br /> ORINKINGFOUNTAIN FIREPLACEINSERT(WOODOUFNING) I <br /> FLOOR DRAIN GAS FIREPLACE ! <br /> BACKFLOW PREVENTERS GAS RANGE i <br /> SINK�SERVICE—DAR.ETC.) GAS PIPING <br /> � EkHAUSTFAN � <br /> �— <br /> SUBTOTAL $ � SUDTOTAL E � <br /> PERMIT S PERMIT 5 <br /> TOTALFEE S TOTALFEE E ! <br /> FOR OFFICE USE OP!LY: <br /> lPpNiSEtB�CN pEAqSEtBIiCR E�OE6ETBACN PWICNECRNUMB P FEE RCCEIPTNO. <br /> uSESor�E lotu�u VecexiS�tE FEES VALUAiION FEE <br /> ❑YES Ll1q ��� <br /> I�EIGNiI�NIf�1qN IqOibNELLV10 812EOiBLOdf1. <br /> umt8 r�. z�OO PlVu8m6 <br /> IX'CVPAMLv tp�i610Rf6 OGCUPNRLO.W BASEUENT ���µ <br /> � A 'L S <br /> o�: o <br /> iiPESPNiMttERREOD PE�SdI �R�u��E�K <br /> �'k5 ��5 �'(�, oTMcn <br /> fKE�Ui1MHE09 HEASON ,/" <br /> ;�5 ����µ , SiA1EBU0.rnNO5URLYUaGE <br /> imcorcons*. vurvs�rnov[oer qTVOFEVEFEI"f we�cwonKs <br /> i I I I n � LOCAL SALES <br /> {/�- o�re . 'S- 0 0 TAX COUE IS J105 TOTAL <br />