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APPLICATIO� FOR CONSTRUCTAN PERMIT� <br /> CITV OF EVERETT•BUILDING DIVISION <br /> 320J CEDAR STREET•EVERETT,WA 98201 •(425)257-8810 � <br /> ❑ DEMOLITION ❑ COMBINATION ❑C�BUILDING I/��, MECHANICAL ❑ PLUMBIN6 ❑ SION <br /> VR0.IECTA�q RESS�'X�( L-177�/2 )l CU`"GY�`�Tf � <br /> �� i'���a Ar r� � F�I"9Y�o2Z.�E C�IZ`S) �X -O ll � <br /> ����� <br /> �Fyy�� ,�V �y)pp55� tiiv li✓ VMONF <br /> �xw�fc�cw�rtvcwen u�nwoness cnv im v�orif <br /> � 7X�Z�'-k�o� <br /> �rytnucunnucion uui�ww�ss a�v nr riw [ .r�rcuccrvs[• <br /> 1 1 �� 1 ,r��N^w i'�,e Z�C'� �17iae1 >Jl�� a 1�����ln.�7�-�tti;N 1 Q�E'r <br /> r.ac�wK�ir:ox�unc.an •n.aouess r.m nr� e E n.+vucer+sE• <br /> PWWMGCOH�wf,•JF MMl�Cp1E55 CIIY EiG VNJMF STRElKENSF• <br /> c�����E��F l L ��� � MEATING SYSTEM:�GAS ❑ELECTRIC ❑ <br /> nscneewwuu�os �aEsoo*�e[wvwveo <axucrvensw+�HovxonF�:o <br /> �� ' ' � <br /> ( � � �� 1� z � - �G <br /> I HEREBV CERTIFY TNAT I Hr1VE RE�D AND E%�MINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE ANO fAHFEGT qLL <br /> vaovosFousc os emiqwc PROVISIONS OF UWS FND OADINANCES GOVERIYNG THIS TVPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED NEREIN OR <br /> i[cuo[scmvnouorvuov[n*visrrowne[�axau�rt�cNrvmConEs �.qT. THE GRRNTING OF F PERMIT DOES NOT PRESUME TO GIVE <br /> w� eiac._—a rIUTHORITV TO `/IOLATE OP CANCEL THE PROVISION OF ANV <br /> OTNER STFTE OR LOCAL LpW REGUL�TIN6 CONSTRVCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.TMAT I�M AUTNOfiIZED BY TME <br /> OWNER OF TMIS PROPERTY �p PERFORM?ME WORK FOR WHICM <br /> APPLICATION IS 11C� D 1 COMPLV WITH THE STATE <br /> �Ei��i o M�q Z CONTRAGtORS �D 296200 WFC. /� <br /> . �i�J �.0 , Ci� �i ( / <br /> �q15�p11CiICNlOW1E�lOEP.�pIX1E55.1FLFVM011E1NNlFP x <br /> � yy(pyi� L�iE <br /> CiiV&151NE55 LiLENS[NO <br /> PLUMBING MECH�NIGIL <br /> Iq. TYVEOFFl1IiUREOf1REM fEE NO. 7YPEOF�INPMENf �EE <br /> W�TER CLOSET(TOILEn NC—AMNDLG UNII$ <br /> BATHTUB FORCEDPIPSVSTEMS � <br /> LAVRTOPY(Vlr15H BASIN) HEAT PUMP <br /> SNOWER UNIT HEpTE.�S <br /> KITCHEN SINI(8 pISP CLOTHES ORYERS <br /> DISH WASHER RANGE HOOD <br /> L�UNDRY TRFV W/TER HEATER <br /> GIOTHES WASHER W000 STOVE <br /> URINAL METAL FlREPIACE(VJOOD BURNING) <br /> DRINKING FOUNTAIN FIqEPLACE INSERT(VJOOD BURNING) <br /> FLOOR DRFIN GAS FIREPIACE <br /> BACNFLOW PREVEMERS GAS RANGE <br /> SINN(SERVICE—B11R.ETC.) GAS PIPING <br /> EXHAUST FAN <br /> $UBTOTAL E SUBTOTRL E <br /> VERMIt E PEHMIT S <br /> TOTAIFEE E TOTALFEE f <br /> FOR OFFICE USE ONLY: <br /> [pIMiGFiR�CM PF�PSFiB�CN $ICESFIB�LM �l�HC11FCRNUMBFR �FF NFfFIViNO <br /> usezo�ur �o�enee veceNis*[ _ FEES V�LU�TION FFE <br /> ❑rE5 ❑rv0 eonoiHr i <br /> NEIGMl11MIin1Nrv NO�C���'�EIIIMG SIEEClBIWRI � � <br /> viouewc <br /> — — I <br /> GCCIIC.�Nf,Y NJ^i5'�PofS IX:CIIC�N�IO�O B�SFMFNI MFf.NI.Nlf51 <br /> GROVV _____. -- <br /> DYES Q NO —� - <br /> i1PE SCPINFLEP PE00 11F1iON �Od�ION/I.!'IYi CII!(.Y — <br /> OiNEP <br /> FlPENUPMPEOO FF��(JV <br /> 4I�lF BIIIIOINC 511NC1�<I10E <br /> _ � <br /> rmeorcovs* ruxs�veaovcne+ CRYOFEVERETT rvnncvmnks <br /> IOCALSALES �— —--- -- <br /> � ��p�E _ TAX CODE IS 3105 tOTAL <br />