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APPLICATIffif FOR CONSTRUCOON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 02DO CEDAR STREET A EVERETT,WA 98201 •259.0810 <br /> I U:VOLITION COMBINATION I I BUILDING I I MECHANICAL D' fIvPLUMBING I I SIGN <br /> PROGJ.EC.T;2�ESS - "� -T-- —c'.yi ow�q A/71n <br /> _ s <br /> ovmrn w+n ss M ruoNF <br /> OIz &W 316-07-41 <br /> IFNANT um fMfKSs d1Y "w n4vR <br /> NC FCT m n MN NfN1F an <br /> b w 6 SFilezoz I55At�uA{�QgGY� <br /> OF f,O 7T ,1 YM M1.N.s an m �— fMrf llCf Nsef <br /> MQaJm <br /> uFdNMCN GWTPACIM m"AnAN9! FIR m mKm SINFIKENfff <br /> vFIkFLe�R <br /> RUpeNLn CGNIPN;IM MM NAKtE81 an N RIGrA fMR IKFNf[I <br /> VIVILFtELflFI. <br /> 60 <br /> GMftRAGfrtFcgnL� <br /> JJ [� HEATING SYSTEM: I t OAS AELECTRIC I I <br /> GFfMN ANo10, MOF fVvnl o ' cm, rrt Aro No <br /> VAli S 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> nnonoffnulEo�NN PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS T YPE OF <br /> RR.a.AeYOw WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> tFo,MSd IMM ISIGINRR g191Mf KLMOR A; NrKo m NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> tot Ram n AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL TAW REGUTION THAT I AM AUTHORIZED T I OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AMSRUCTION BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> 0) iJ ,A APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PNICFI to I o MAwrR—� CON4TRRAC�TORRS LAW t8 227 RCW AND 255 200 WAC <br /> CdlIMICIIdl1GW IFM�FR NNIR.f.RIFAFIM MARK X /�jf/[ /� iy0+^ �Z���S <br /> fgNNUR[ ONF <br /> dR B15RFBF ISFNSC NO <br /> PLUMBING MECHANICAL _ <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) NC—AALtFDLO UNI18—H.P. <br /> BATHTUB FORCEDAIR SYSTEMS—B.T.U. M EA. ' <br /> LAVATORY(WASH BASIN) HEAT RUMP I <br /> ROWER IIINIT HEATERS—BTU. M <br /> CHLN SINK A DISP CtVYHES DRYERS <br /> DI .,SHEA VENT TION FAN <br /> LAUNORYTRAY ANGEHbQD <br /> CLOTHE HER I WATER NEAT <br /> URINAL WOOD STOVE <br /> DRINKING FO AIN METAL FIREPLACE(D,BURNING) <br /> FLOOR DRAIN I FIREPLACE INSERT ffm BURNING) <br /> BACKFLOW PREY ERS OAS FIREPLACE i <br /> SINK ISERVICE—B ETC.) GAS RANGE <br /> OAS PIPING <br /> EXHAUSTFAN <br /> SUD TOTAL E BUB TOTAL F <br /> PERMIT f PERMIT i <br /> TOTAL FEE S Y TOTAL F E t <br /> FOR OFFICE USE ONLY: 119'e', 3 <br /> lRMI MTMFA PCM N'tltN:l lKIF 8fI11N'IL RANGtPM n try, RIF", <br /> W m,3 <br /> My2fnC IoIARA VACNIIRN FEES VALUATION <br /> �. . I I W MNIIMfI 379 IW O J D <br /> IKNIIIKAIAIpN N y, uto Imorywomy, <br /> �•J. IRIro 71 17781 mtro _ <br /> no IRM%. Nnd stl#ff OCdIMM GNI eAsf 4ENr wc"tWA <br /> 1 nm ir� <br /> .INNN nFGn PrANYI Al1GI1SW4 RN1 GKCl1 2 <br /> T�5 01IOY OIIfR <br /> INnyVYfMIfPROn <br /> OI`V�/1 <br /> S . SIAM MNGNf{511R[MNFIf --(.3A— <br /> Ir RFdISI RAMS nIn CITY OF EVERETf RFKK wgNs �� <br /> LOCAL IAL E8 <br /> i M1- tuft ZS''L TAILCODEJ10S TOTAL <br />