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APPLICATION FOR CONSTRUCTION PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201•257.8810 <br /> ❑ DEMOLITION ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ BION <br /> PROJECTADDRESS •/� u,. k1 S•W E!-c_ALE7[. 4J A <br /> —(IWM�E+ Y•L I.:.Or,Etf Cm' !r FrraR <br /> /GCSE �lmner. l✓�_ 1I40Ir i9i -Ai.,Le�D[ If0,/Ar 9F 07! --.-160 q/ <br /> nYw YAA.mKfu an - �wrOrR <br /> .acwrtcra awptK YyYnYtu <br /> � cmi0Z5n Mnw <br /> Go• o29- GoG�u11119Gr /4 <br /> Ot1FMl TDA/ Y•l N{Nttf , ci" to NAME &MM LCFM[• i <br /> /,D Ne",,?) jr Si)r•_ ROSE I/r D4 A7-7. <br /> MtCHWCKCOMRKTOR YAAAD ssCm tr RrOrt VAn LCfwftr <br /> 4/A/dS[Iu)VER"A .S�A mm/ M!"an .3Ge•%:a iSy <br /> .ruLlt'M' YDCOMM r011/I • ss at1' to olO er•namr <br /> r.^.u/ l?r•ne rAt7S l�/u,..,b.ai .e. a •/e7L <br /> cp,rvcr rn[t wnw <br /> HEATING SYSTEM: t!.OAE ❑ELECTRIC O <br /> Dffc+ef wa+wD eaVA+[rOorwo cDrny r r[nfOrr A•oHrort w• <br /> �tm9/F �A[nrla IKES10rEa'C.P_ /G.455F KEN Ftnh Cr 0• 1n5.7- 7591 <br /> I <br /> 995 � _ rr/•I r '• . , <br /> 11!'U SC G„�AC� I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW TI:.SAME TO BE TRUE AND CORRECT.ALL <br /> r+oroffo uff a fulaAl PROVISIONS OF LAWS AND ORDINANCES GOVEPNSIO THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> L�aL aso�/w�lXna Hart+ry O�oANfMDw DK•nApr Two ca+tH NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO ONE <br /> LOT t AUTHORITY TO VIOLATE Ce CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LCCAL LAW PEOULAT)q CONSTRUCTION OR THE <br /> 1.p, 28 L.r f[n✓ PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> t' APPLICATION 19 MADE AHD I COMPLY WITH THE STATE <br /> NKYL rM ID N1Mef11 CONTRACTORS LAW IB 27 RCW AND 2911200 WAC. <br /> on n o <br /> camnKTgKLow l[10EA.•DM[ mfwclt Mweu y� S/z q�ja7/ <br /> th <br /> end,1q D2 A75e, <br /> K 2 z A 9f.D" crtr wsAtsf LCfrftM <br /> PLUMOING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF ElUIPMENT FEE <br /> WATER CLOSET(TOILET) — MC—ANNDLG L t:ITS <br /> 'l. BATHTUB 1 FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PIMP <br /> SHO'NER UNIT HEATERS <br /> KITCHEN SINK S D15P_ CLOTHES DRYERS l <br /> OISHW,SHER RANCE HDOD <br /> LAUNDRY TRAY / WATER HEATER <br /> CLOTHES WASHER i -- WOOD STOVE <br /> .— URINAL —• METAL FIREPLACE(WOOD SURNIN31 <br /> DRINKING FOUNTAIN — FIREPLACE INSERT(WOOD BURMNO) <br /> FLOOR DRAIN ' GAS FIREPLACE <br /> BACKFLOW PREVLiNTERS I GAS RANGE <br /> _ SINK(SERVICE—SAM.ETC.) 4v OAS PIPING <br /> EXHAUSTFAN <br /> SUB TOTAL ff SUBTOTAL f <br /> PERMIT S PERMIT f <br /> TOTAL FEE f TOTAL FEE f <br /> FOR OFFICE USE ONLY: <br /> rwwr gTf•CA Pw RrtAC+ ftK urt.0 'r Crlr+MM[. It[ of Rail wD <br /> LlY rot Lm ArKA vALYrt Rn F V UATM I 6 2C-' m D ND MDrY 13, S8/ <br /> YtanLr�yr♦w �oartu.0 seta Nm'li RLMwO <br /> 1 S SF <br /> aArcr no Pati DccwwrLcw v M•rt � WaY+cAL <br /> J-I 'Z �rtf <br /> rPF VRIYQfAp[DD MABOr •Dar•IYAL RiN CrRCA <br /> 0D q <br /> rI1F IlNW MOD MASDr <br /> n•rt IIUlaO fuXw•KOt <br /> rvrf acoMT n.wf Arvrravtory CITY OF EVER9" ruts nau <br /> LOCAL SALES <br /> /✓ art TAX CODE 18 3109 TOTAL <br />