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APPLICATA FOR CONSTRUCAN PERMIT <br />CITY OF E1F`.RETT F BUILDING DIVISION <br />3200 CEDAR STREET l EVERETT. WA 98201 F (425) 257.8810 <br />❑ DEMOLITION ❑ COMBINATION /❑ BUILDING CI -MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: <br />/ fR YYl Avolli <br />VV (u I ii M J 7! alr nr vnoNE <br />E-, e �i <br />S ,�Z <br />1f NNN1 YYI 55 an PER E,A,A,f <br />ARCARTGI OR DESIGNER .1 ADDRESS CRY R, r.", <br />"WERE. CON1NClnR YYI ADDRESS City )Ir ri-M SEALE.1114f1 <br />MECMYAC4 CONfPACIW YI AIAPESS ary hl' pyg r ".IF IKENSEI <br />eN c zi I ticLonlP`i10E CFt! i/� .% G(a 2e2 4--Ajo Mi11 � <br />%I 1pMO COIRRA7.1ll W YAp ARESS an l'A rNONF StA1f IKEN51 <br />coNIRACI mKEa woPll /F_. <br />-? <br />HEATING SYSTEM: CAS ❑ELECTRIC ❑ <br />Lf YMBF YNRM ANOSWFPi F(ptAYf MVa D <br />CWIACI PI P50N AMI rIInNi N <br />1� <br />��� <br />CZcxp 214Z4-ICCCJ//% C] <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS AND I COMPLY WITH THE STATE <br />CONTRACTO A AN 200 WAC <br />/ <br />PPOPOsfD USE OE eunwwf: /yM <br />C-;j�� <br />LEGAL DESLRPTIw of PROPEpTY 6NOwLN e KIM ORAnAMO COPES, <br />Lot !tool OF <br />7E9 0 wUAl"k. �— 1Xl Jam,/ I <br />CC K R. ADDRESS l(lEEAONE AtUANFI RADDRESS I(lEEYAOlE AtUANFIR <br />K/AMEE <br />Pnllu.RESSIKEwst w0 <br />PLUMBING <br />MECHANICAL _ <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />MC—AMNOLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />' <br />_ <br />KITCHEN SINK 8 DISP <br />_ <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />_ <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WAS <br />WOOD STOVE <br />r— <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />_ <br />EXHAUSTFAN <br />+— <br />SUB TOTAL S <br />SUB TOTAL S <br />PERMIT $ <br />PERMIT f <br />TOTAL FEE S <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />FRONT WRACK <br />PEAR SFIBACK <br />SIOESEIMCK <br />PIANCMD, NVM11P <br />LrIU�w <br />fff <br />Rffflrl NO <br />_ <br />USE IONF <br />101 AREA " <br />VACANT WE <br />DYES O NU <br />FEES <br />VALUATION <br />FE E <br />YIII Rw. <br />MIONI 1 MtATK1N <br />OCPIapANCY Y1M�Ii WIf <br />nor OvfELUNG <br />uwn5 <br />Sin OF MCLRI <br />PWYNRn <br />YFI:IIANICAI <br />' <br />_ <br />OCCUPARLOAD <br />LASIYEN) <br />DIES OM <br />ApplKnAl M1Aw ap[K <br />FIRESR KLEP REPO <br />of ASnN <br />— <br />ONHP <br />FEEL . PLO 'D <br />RHFOV <br />tA1 IIXIDNI'� SIRCIIAR�fnPE <br />aCONSI <br />nANSArrvgYrner <br />CRY OF EVERETTAT[♦)),LiHAR(ifLOCAL SALESOAIL TAXCODEIS3105OTAL <br />