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�,, _ <br /> APPLICATIO.� F�DR COI�ISTRUCT�JN PERIIAIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 80201 •259-8810 <br /> ❑ DEMOLITION ❑ COM8INATION ❑ BUILDING I_I MECHANICAL ❑ PLUMBIN(; ❑ SIGN <br /> PR�OJ'�E�CT ADDRESS: �Q p � � c��h L S�7���-�,j� <br /> !�J�J � �� uu���� cin _IIL�/�,bl�-���^�/-f--f-=--- <br /> --�'— <br /> TEN�HT M�ILMIM�F55 f.I1Y '-- ""'-/��: '"'-"-- ���ONE <br /> �RGMTCCTqipESIGNEO M1111 �0011E55 CIfY Jn' P110NF <br /> a��,n�� <br /> OENE/UICONt Lif'1 M��1�IX10F55 GIY /il' � � P�IONf FI�IELiLENSE� <br /> IIELM�MWL GONiMCTOR M�IL�D�f1E55 f.liY 711' PIIONE STATE I�CENSE� <br /> PLUMBIN6CONiB�Ct011 MMlA1H)11E55 CPY fll' PIqNE STRELICENSEi <br /> Cp1TMCT PRiCE Oi WO�If <br /> � G�7d IIEATING 5YSTEM: O GAS [�LECTRIC ❑ <br /> OESCPIlE�Mi1N�NO5dl�PEi00l�OEINVOLVED f.(IN��I'.11'ffLSIN1�N111`II� �. /�� �� �� <br /> �Qc�IK ��' �._GJY'� (�L_ <br /> I NEf1E0Y CEHTIFV iHAT I N'VE READ AND EXAMINED TNIS <br /> APPLICATION AND HNOW THE SAME TO BE TRUE AND CORRECT ALl <br /> vaowseo�sE a euaar+o PROVISIONS OF LAWS AND ORDINANCES OOVEqNIN6 THIS TYPE OF <br /> WORI! WILI. DE COMPLIEO WITH WHETHER SPECIFIED IiEREIN OH <br /> lE6�l0E5CRIPf10NOFP110PEf11Y15110WNEElOWON�TIACNTWOLOPIES� NOT. THE Of1ANi1N0 Or A PERMIT DOES NOT PRESUME TO OIVE <br /> AUTIIORITV TO VIOUTE OR CANCEL iHE PqOVISION OF ANV <br /> � L� 'h C�4�VT5�G�W �' r•'���r PERFORMANCE OF CONSTRU T ON.`THA a AM AUTHORIZED BY TI E <br /> OWNER OF THI9 PROPEfiTY TO PERFORM THE WORK FOH WHICH <br /> ��.�� i���Q.� .(.�/�.. � APPLICATION IS MAOE AND I COMPLV WITH THE STATE <br /> PMGEL T/JI I.D.MIMBER CONTFACT��RS LAW 1827 RCW AND 296.200 WAC. <br /> ,7 a/ iJ00 D/D 000 nl <br /> CONSTRIICi�(�lON1 LENOEII,/iWRESS.iFIEMqNE NUMeE X__�`-�(_ � <br /> 516N�IIIfIF D�l�/�_ <br /> fIIY(11151NF F51 N:(NS[NU <br /> PLUMBINO ME Lf1Attt---NIC---AL �� <br /> NO. TYPEOFFIICTUREORIIEM FEE NO. � '.rEOFEOUIPMENT PEE <br /> WATER CLOSET(TOILET) � _I_ NC-MiN�LO UNR$ �— <br /> � <br /> BATHTUB ' fO110EDAIRSVSTEMS ' _ <br /> UVATORY(WASH DASIN) � 11EAT PUMP � <br /> SHOWER � UNIT HEIITERS ; <br /> KIiCHEN SINK 6 DISP � _ CLOTNES DRVERS �_ <br /> DISHWASHER <br /> � f1ANOE HOOD ' <br /> UUNDRY TRAY � WA7Efi HEATER _�_ <br /> CLOTHES WASHEA � WOOI7STOVE � <br /> --'— ---- <br /> URINAL ' Mf:�AL FIREPLACE(WOOD 9URNINO) ' <br /> ORINNINO FOUNTAIN � FIREPIACE INSEPT(WOOD BURNINO) � <br /> FLOOR DRAIN <br /> � OASfIRFPLACE ! <br /> BACKFLOW PREVENTERS ' OASRANOE � <br /> SINK(SEHVICE-BAR,ETC.) —r- OAS PIPINO ! <br /> � EXI IAUS7 FAN i — <br /> -- --T- <br /> � <br /> � <br /> � <br /> - � <br /> --— � <br /> � , <br /> � __ T <br /> �_ — � <br /> 1 p ♦ e <br /> I JUOTQIAL i ' <br /> u11B TOTAL S <br /> PERMIT f � PERMIT f � <br /> TOTAIFEE f ' TOTALFEE f ' _ <br /> FOR OFFICE USE ONLY: <br /> i1WNTSETR�LK AE��SFiR�CF S�fHSETB�CN �I�qtlIfCM1111MI1T fEF AFf.EIPTNO <br /> _�y�'�_ <br /> USE IONE io�eu¢e V�UN/SII( FEES VALUATION FEE <br /> s�- <br /> OrEs ❑ rx� m�nrnqa �-- c� <br /> NEIOHTIIMIT�t10N NOOiOWElLIN6 lqEOfElU6Rl �' ,� <br /> IINIfC PIIIYOWfI —_-- <br /> OCCUP�NGY Iq(%$�MfS OCW��NIl0�0 B�SEMFNI Mf01UNif.�1 _� _ <br /> ORWP ❑vE5 ❑NO — ----- i <br /> •UDIIIONeI �I�N Cllf f.1t <br /> FIRESPRINNLERREO'0 Rf�$ON __,______ _ -- <br /> i <br /> O�11f11 � <br /> ".. ._..._ '�_ <br /> FiRE�IAHM REO'0 �F��� � ` <br /> .. St�lf OIIII Wrrtl!:IInIIInIIOF ,J� <br /> --_ _i.__ <br /> rvve ov r,onsr r�nNs��nnovEn or CITV OF EVERETT ^��p�'���"'"'' <br /> LOCALSALES - -- -�-'----- �" ` C'� �� <br /> ����E TAIfCODEIS91o5 tOT�L - - ---- _�_�/_,__ <br />