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APPLICATIA FOR CONSTRUCAN PERMIT <br /> CITY OF STREET <br /> • DIVISION <br /> 3200 CEDAR BTREET•EVERETRET T.WA wA BDZGI •z99BGlo <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING I4MECHA CAL ] PLUMBING ElSIGN <br /> PPRROJJJECTADDORES 1Z0�'M71')/.Qi✓ 9.�/)/J` <br /> rtNANt Aw ADmass all "Mf <br /> "W"ECtonmi p'" YM ADAKt1 OM T MKAf <br /> D(MtIW COn1Y[Ip1 YM M(R!! DIY /II' MR" IIMI[IKTN![I <br /> !1[pIAMCy gMInWIfR YY AInRlS OM1 N' <br /> Maw fl1ARmw, <br /> anM ..— _ MUNI SPIE FNSt f <br /> i�I or� �r»C_®PQr� �ibS/ 9fli�rr ' o <br /> IlEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> Dt MYYIF n'n1Y Wn�D�E IYR IyIdY[D (. 'AcIff—,Y11 n9M yo-17..1 - <br /> /L.x_°.11__/IL_ lE WSJ /]r1y r/,,• �S <br /> S / I HE DY CERTIFY THAI I HAVE READ AND EXAMINED 71119 <br /> APPI 'AVON AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> t4j SIGNS OF LAWS AND ORDINANCES GOVERNING TMS TYPE OF <br /> l[ Dt TSXIR nn lyORI TION DIAIIAp sNOCOn[R WORK WILL BE COMPLIED WITH WHETHER SPECITIED HLnEIN OR <br /> NOT TIIE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> tot RW Dr AUTHORITY TO VIOLATE OR CANCEL THE PROVISION Of ANY <br /> Down STATE On IOCAL LAW REGULATING CONSTRUCTION ON THE <br /> PERFORMANCE Of CONSTRUCTION.THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF 11119 PROPERTY TO PEnronM THE WORK fort W11K,.H <br /> APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> ffRCFI TY ID.MMMn CON1MC10RSLA IB 2?�nCCWWAND 29696200 WAC <br /> IXeK1IIlUCTIDNIfMYI[AYXK.ADDIIfsl.Rl[nUNF MARK Y ./C�S/%_- 7j <br /> Dfll <br /> qIY n11Vllflfl IA,TMR Mq <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITFM E NO, TYPF OF EOVIyK1ENT FEE <br /> WATER fAOSET(TORET) D—AAME)UNRS —�— <br /> BATHTUB NfOnCEDNn SYSTEMS <br /> LAVATORY(WASH BASIN) l HEAT PUMP 1 <br /> BHOWER ' UNIT HEATERS <br /> _ <br /> KITCHEN BINK 8 DISP CLOTHES DRYERS <br /> DISNWAsHEn l —' IIANOE 11006 <br /> LAUNDnY TMY ' WA—En IIEAT­En <br /> CLOTHES WASHEn WOOD STOVE — I <br /> URINAL ' MCININ HIIEPLAZE 0DBUnNING) l <br /> DRINKING FOUNTAINrLOOn l FIIIEPACE INSERT SNOOD BURNING) �— <br /> DACKFOWP l UAB I IREPIACE <br /> DACKiIOW PREVENTERS ' <br /> GAS RANGE <br /> SINK(SERVICE—BAR,ETO DAR PIPING <br /> EXHAUST FAN <br /> I <br /> l <br /> I <br /> l <br /> STUB TOTAL { ' BUB TOTAL f ' <br /> PERMIT { I PERMIT It <br /> TOTAL FEE { ' TATALFEE 3 <br /> FOR OFFICE USE ONLY: <br /> nWl"WACA WW[TISWS wills" MWu[f.AYAAun fit RfJ•'I MD <br /> m IMF to, A rACWI DIf FEE V L ATION FEE <br /> ons ONO sIKIma <br /> WWI~Al" NUIS 1offI M0 mmmoonl <br /> IRWolAWf —� <br /> RYIRAMCf WMtMN1 lKX1MNI IOW sAMA[NI -- <br /> OOINgW/f W g1w1:M <br /> Grtb ONO <br /> IR efRN4[n ROp nINION <br /> ...,MAI 27 <br /> ItAll <br /> fR HNW MOP g111UN <br /> sMll Yw YmIAIOK <br /> IffE orfpMl MWf AfMOMR�1 CITY OFEVERETT nMIr NDrA <br /> t14 /,t7LOCAL SALES <br /> uut ZTAX CODE IS 3IGS TOTAL IVL—O <br />