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AIPPLICATIA FOR CONSTRUCTION PERMIT <br /> CITY OF EVERETT r BUILDING DIVISION <br /> 7200 CEDAR STREET r EVERETT,WA 9820. r(425)257-8810 <br /> ❑ DEMOLITION /X COMBINATION CI BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS:-ZpL�-3 55T'/Yi��j,(✓ <br /> p' <br /> -�6 -jOf:2zZiZ <br /> all IY %Kr1 <br /> wgi.,•4,Yn Ldl{P YI•YMMNII aN !r' Aldi <br /> .y�.�i..� /YitiS7Xt.rT7iui iYrr .trir�c rrn4ios <br /> nF•IIPR Cw 1 Yfr rdM4S alr !R �%fM PI\:S IKFMY r <br /> MfwAIPC4 C[I1IRPCI(IR YY:Andl SS an !�' PNOIII \HIT IK[Nffr <br /> %IMAM CwIRIf.IaP M1\YAPIIf ary IP l'NdR e:A1r IKfNa. <br /> cwllMct%ecT°` HEATING SYSTEM: ;&GAS ❑ELECTRIC ❑ <br /> oFeulel w.Xel ANTI M rao:ADf%YdrTD cwt n Y ND <br /> HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> 7 APPLICATIGN AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> wKIMriD u\e d a%DM PROVISIONS OF LAWS AND ORDINANCES GOVERNING 711IS TYPE OF <br /> WORK WII L BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> 1FMIdxPi1'nwdirlfl PlY 1LVIrN efIw OP Pa1i[M TWO CdRSI NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> l01 elacA d�AIQ���S ��V AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCK LAW REGULATING CONSTRUCTION OR THE <br /> K-I rdI r[SY PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> wl 11".DIPPNKP ------ CONTRACTORS AW 1e 27A WAND 2"200 WAC <br /> CdI11PIK110N I WN I IIf/P NfIRSS 1fHlrldR MMfP <br /> –�J�a•.y.Li � fu�eA „rt�iPl � f n H <br /> aSr MIXNL4S IKfNS[NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR REM FEE NO. TIN OF EOUWM04T FEE <br /> �— <br /> WATER CLOSET(TOILET) A!C–MNOlO UMTS _ <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS _ <br /> KITCHEN SIM(A DISP CL NEE DRYERS <br /> DISHWASHER RANGE HODD <br /> LAUNDRY TRAY WAIVINEATER <br /> CLOTHES WASHER WOOD STS <br /> URINAL METAL FIREPLACE MOOD BURNING) <br /> DRYK[MO FOUNTAIN FIREPLACE INSERT(WOOD BURNING) <br /> O FLOOR DRAIN 619 FXIEPIACE <br /> BACKIFLOW PREVENTERS GAS RANGE <br /> SINK(5ERVIC —BAR.ETC) GAS PWM <br /> EMAUST FAN <br /> l <br /> SUBTOTAL f I SUBTOTAL f <br /> PERMIT 51 PERMIT f <br /> TOTAL FEE !I TOTAL FEE f <br /> FOR OFFICE USE ONLY: <br /> %w/-�} <br /> 1Pw1 YiPKP�/J' KM41 SOl NIeAA� L_ WOM_DI rf1 RfIP1M <br /> usf lwl IoIAAP r¢Px1 PR FEE* _ VALUA ION FEE <br /> W KII1IlMHIIw / wldv dKllM fVfdKDp\l �I�-icV <br /> 3 ?qo <br /> roe, <br /> -- <br /> IO1V.:Y NOM151,✓11f aT.1MN:1OW Fr MNl MI'NIMfM <br /> — <br /> INYVrNNfPP:9D - d\Sfr1 ADall(e1Y nWCNCPIt - <br /> D:NIP <br /> rIK AUIM P[Do �- IPeSRr <br /> S1P11 MNbMlBACNMXK _ �— <br /> I'm drone %PN\rnmrnfne• CRY OF EYERETT nw KP1eNP <br /> Y- (/ __ u•lL �9 TAx CODE 8L>fOS TOTAL _—� <br />