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APPLICATI� FOR CONSTRUCT�N PERMIT� <br /> CITV OF EVERETT•BUILDING DIVISION <br /> 7200 CEDAR STREET•EVERETT,WA 98201 •259�8810 <br /> ❑ DEMOUTION ❑ COMBIN�TION ❑ BUILDINO ❑ MECMANICAL ❑ VLUMBINO ❑ SION <br /> PROJECT�ODRESS: z20f] Bakei Avenur <br /> aa� Baker Ave. F..e.ott WA <br /> nwrn. (,, w..)pJ +��t�ss �n rr ry� (3II6�303 34�� <br /> �)'�a. )�,^�S p7//[ � )//1� J <br /> r .h u�x unrss cm tw nroru <br /> �R.�nrc�rnuucrrta u�xwnwcss cin im nv.r <br /> Grxt�wcow�mOrn pm�qDryss up lir nev�{ fuR�CrMSF• <br /> 11� \ <br /> Vi[MWK4Cf]MIN�C'tM Y1R�[1011F55 f/M1 l�� M1�ONI t���fIICFNSF� <br /> 411NG[CNIP�f.IOR Y�XNM1E55 <IIY IN MqN( (1�(� S��IFIK(M$f� <br /> f�C <br /> ��-Re�v�.i 1����Q��9.�� -n �f�rf n.�/ 9ti.1�'f,' Sve 1�c R1flt&�S D.fs cnr <br /> CIWIP�G�Pryf�d WfMM <br /> ��('��"'-� HEATING SYStEM: O GAS ❑ELECTRIC ❑ <br /> n^�atin2 _ <br /> C(SCRIIF Mpl��M Y114RF�Op�bF NYQVf U CM��C�RRSON 1MI FUIR�q <br /> _ - }S,.�Sn-cm J �Edw1n Woodlev <br /> � /^/;';,�! :)�,. .e"�_ ��t��T�,�Y�Z6' �.�y t�i _ 'n ^ �; �'a <br /> r � <br /> J �'��r -�,�' �J(Cat(�Qtl � I HEREBV CERTIFY TNAT I M�VE RE�D AND E%�MINEO THIS <br /> r,wovouu a sKo-wa Y I — �PPLICATION AND NNOW THE SAME 7O BE TRUE AND CORRECT All <br /> �['�I TUE DdYCdi2 Crenter �(i( � '�fz PpOV1510NSOFUWSANUOR0IN�NCES(lOVERNINGTNISTVPEOF <br /> G-.L S WORK N"lL BE COMPLIEU WITN WNETHER SPECIFIED HEIIEIN OH <br /> lf6�lL{SLNP�1pIM V�101'fRIY1V�OM�IStIOWCN�f1/LFINOC�IPIF51 Np7. TNE OH�MINO OF A PERMIT DOES NOT PRESUYE TO ONE <br /> �m__nioca p �UTHORIiY 10 VIOUTE OR C�NCEL TNE PROVISION OF ANY <br /> OTMER STATE OR IOCAL L�W REOUTATINO CANSIRUC110N OR TNE <br /> PERFORMANCE OF GONSTPUCTION.iHAT I�M AUTHORIZEO BY TNE <br /> OWNEP OF TNIS PROPERTY TO PEFFORM THE MIORK FOR WHICN <br /> APPkIC�T10N UE �N� 1 LOMPL(� W11 THE STATE <br /> wr.0�u�o Mr�n CdNTRACT Y7 RC NO Y%20 %�C <br /> cws�nucrar��ou1�[�n�orn S ritr.ar<r�wef' M '/k/� <br /> •� � <br /> arv eumurss�c[�u w <br /> PLUYBINO MECM�NIC�L <br /> NO. TYPE OF Fl7[TURE OH ITEY fEE � TYP[pF EWIPMEqT iEE <br /> � WATEflCLOSET�TOIIGT) A/C-MINOLOUNIT9 <br /> B�TNiUO FURCED�III uY51EM5 <br /> � �' UVA70RY(WASH B�SIN� NE�T PUMP <br /> SIqWEfi UNIT HE�IERS <br /> i NITCNEN SINN 6 DISP ( CLOTNES ORVERS <br /> D1511W�SMER RANGE 11000 <br /> 1_ LAUN�RY TPAY WA7ER HEA7Ef1 <br /> CIOTNFS W�SNER WOOD STWE <br /> —L— <br /> URINQ MEfAL FIREPUCE(V100D BURNINC) <br /> I [1RINNMOFOUNT�IN FIflEPUCEINSEq�p400DBUHNIN(3� <br /> fLOOq�R�IN GAS(IRfiPUCf. <br /> B�CNiIOW PREVENTER$ GAS RANGE <br /> SINR�SERVICE-O�R E1C� GAS PIPINO <br /> _- ---'—__' —' E%HAUSTFAN <br /> sua ror�� s sun roui s <br /> __ _._ _ PERMR f _ PCRMII f �Cy <br /> TOTAL FEE f � IOT�L fEE f <br /> FOR OFFICE USE ONLY: <br /> IMn14\P�fM M�11[f�11�f• yf45f�l�L� hlNCll(C�MM(11 !11 MffMllq <br /> . ). ..i <br /> __"_.—__ =2T„� _ _ __�i�. ��) <br /> usrtrva m�ue• vu:.Nisnr FEE9 V�LUATION FEE <br /> � ��<' n.r� u w� —r- <br /> R�MMNf1 L�'GOCJ 7• � <br /> Wifi11�1�Yi��1�11N M)lY1�N111�Mi VlfdlllA'.tl �- <br /> h I�F,Ic tia , <br /> A�tiniwl /!�,'–{— <br /> �m Mi 1 [�1���w15 (�1�IiYH�1U41 !�V 4FN1 � �1 <br /> YIIN�1M'.�1 / <br /> � . . p6s ❑�.n —____ ' _ _ <br /> rwtsmnniinmon -- iv�ciw '—" —'� �nxirovunwnxn i�~— <br /> ' .... . . . � ___. ____�—_ <br /> �pyn <br /> IWI4APMIYI]1� Nl��in. ... ��- �� ... <br /> _ � .� Ir –I�III�n11Hxf.LM1f���IM1F . . _� ` <br /> ��n rc�ms� — n�1 s�rr�xw�o n. TAX COOE IS 7105 T�e�ir wm.a �—�, <br /> CIiYOFEVENE7T ��� /:, <br /> � r LOCAL SIILES —�------ -------�--�— <br /> OT�L � <br /> _ -- 14�fl�_ _. <br />