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APPLICATI� FOR CONSTRUC�M PERMIT <br /> CITY OF EVERETT•BUILD�NG DIVISION � <br /> 3200 CEDAH STREET�EVERETT.WA 88201•257•8810 <br /> I-1 DEMOLRION �-, COMBINATiON fl BUILClNO MECMANICAL ;r PLUMBINO fi SION <br /> PHOJECT ADDAESS <br /> �7 i/01'r/ I�� SE <br /> GNNEP Y�KI.COPF55 C�t� to MY,1MF <br /> u5• 9ui�Dt'd2s <br /> tfwxr u�t�0pnE6t Un rv Pr�OMF <br /> M(,rn1fCIMCh51(IMF Yµ�CClE6] CILV fv Nql( <br /> hfMf1U1CCN�RN:10p Y�II�RV(�8 CII� jP �11GE !l�lfl4Mf• .. <br /> u(6��Mv.:µ(ONin�[tpn Y�L�OP'f43 Ciiv IP Fq1E S�.•tFlKFNSI• <br /> ��taer���3o iZOrNAve� ��n�«.�v-�. 9I�123 /716u)Ya/7Vbz .�AB/NPl�27Lct <br /> IYVIM�MICONIR�C�Cu YML�DLP[55 GtV 1V PMp1E 6L\ElK[NSf� <br /> CIININ/.11�I�[l(K 1YpiR <br /> ��p REATINO SYSTEM: fl OAS fl EI ECTRIC ❑ <br /> M SCn.M Vrtf�n Ilb Sp�.AF�M��fiF WrIXV[0 CONI.�[:�V[PSN YO Mq[M <br /> _ /�vtrAc� FiRE cPR�....rc <br /> �N ,�..�E�. S K _ . <br /> I HEREBV CERTIFY THAT I H�VE READ ANO E%AMINED iHIS <br /> APPLICATION�ND NNOW THE SAME TO BE TRUE AN�GONREGT.ALL <br /> rnoruu o use a rxpro PROVISIONS OF UWS AND ORDINMlCES OOVERNINO THIS TYPE OF <br /> WORN WIIL BE COMPLIED WITH WHETMER SPECIF�ED NEREIN OR <br /> iin4nxariqHprnv[nn�6runweciaww�n�c�macori[ei rypT. 7ME OPANTING OF A PERMIi DOES NOT PRESUME TO ONE <br /> i�� �a�__ _a AUTNORITY TO VIOLATE OR CANCEL TME PROVISION OP RNY <br /> OTHER STATE OR 10CAL UW REOUTATINO CONSiRUCiION OR TNE <br /> PEPFORMANCE OF CONSTPUCTION TH�T I AM�UTHORIZED B\'TME <br /> O`NNER OF TMIS PPOPERTY TO PERFORM TNE WORI{FOR WHICH <br /> APPLICATION IS N�OE AND 1 COMVLY WIiM THE STATE <br /> r.m n u.�o mnm•n CONTq�CTORS UW t0 21 PCW�ND 796 200 W�C <br /> CCNS�n�N;Ixp�ipu�lf:IL(P WU1f8f.�ElFM011FMMMER D Z/Q //�� <br /> x <br /> _ 6� � �/ <br /> OPpuS�ML55lx;lNy Iq <br /> PLUMlINO MECM1NICl1l <br /> NO. TYPE OF FlkTURE OR ITEM FEE NO. 1YPE OF EOUIPMENT FEE <br /> W�TER CLOSET�TOILET� IJC—0.MN�LO 1/N175 <br /> BATHTUB ' FORCEJ�IR SVSTEMS <br /> UWiOPV�WASN BASIN� ' HE�I PV��P � <br /> SNOW ER UNIT NF.���kRS <br /> NITCHEN SINK 6 UISP CLOTHCS[)nVERS <br /> DI511WRSNER R�NGE HOOD <br /> LAUNORYTR�Y W�TER NEATER � <br /> CLOTMES WASNER � WOOD STOVE <br /> URIN�I METAI FIREPI�CE�WOOD BURNINO� <br /> �RINNING FOUNTAIN FIREPI.FCE INfiERT�WOOD BURNINO) i <br /> fIOOR DPAIN G�5 FIRF.PUCE <br /> BACNFLOW PREVENTERS O�S Po�NGE i <br /> SIN1c ISERVICE—O�R.ETC I i QAS PIPMG I <br /> i EI(H�UST F�N <br /> Qµ _ <br /> — _ i_ <br /> SUB TOTAL f SUB TOTAL 5 � <br /> PERMIT S PERMIT f <br /> TOTAIFEE f TOT�LFEE f <br /> FOR OFFICE USE ONLY: <br /> fPp115[1111�11 PLIAS[��KI SID[YIlI{II PI.VIf.MC11NUbFN !E[ RLfFNtll(1 <br /> - p/v <br /> vsvxn+r im�n�. v¢�x�sde FEE9 V�LW1t10N FEf <br /> ,.vEs �'rro . nnwn —. <br /> �n�n���iiu��.�+w rnaowi�inn siieae�aii� - <br /> uru•s nuuerx� <br /> uriu���:. ru�ssnwts a;cw�H�io.0 e.uu�v� w[cMuoc.0 <br /> GM1W <br /> O�FS fl NO <br /> fn{Sn���r1nIfNPEO� uE�50M .bqiqru�hYlf.KC1 <br /> pM(p <br /> 10�l���YP[0� PL�XNi <br /> 9111F NMOWIi BURCXUqf <br /> r.n.ric�ws� v��r�s�� vFoor � CITYOFEVERETT ouxcwdas <br /> LOCRLSALE9 <br /> �.,.� _.L,I.� °� � TA%CODE IS 0105 TOTAL . <br />