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APPLICATI� FOR CONSTRUCT�ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STAEET•EVERETT,WA 98201 •(425)257•BB70 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL i�PLUMBIN6 O SIGN <br /> PROJECTADDRESS: <br /> �0� 1t330�$�oabwu�. Et.v�r¢k{ '��'kd0� <br /> uu��omess I on !m r�r[ <br /> 1CN�Nl uu11I1q1�55 fJ1V ]IP M1qMF r <br /> 11KPifC�O�MSG'rtn 4N�qfu155 biv ].� hM�'+f <br /> f.fN[�14GON1111CIfT1 M�XWIMR55 C�IY • MMYrt Gl�tlll(fN4� <br /> 4lCN�NK�ICtYIIN�CIUP U��I�fXNT55 (LY Si� P�AT:f cuqVCENS[• <br /> �„�Qr 169io�q +FI S�- /..� t�sl��ss�e 9u-rAa-eagz. �ia.z�r�cfl_3aKC. <br /> 1114q�1OCW11P�f,IQ1 41M1I.[IITL$$ CIfY ll� 1•�I!YII 5111f11CIM15f• <br /> coMmat rm�cc a wrn. HEATING SVSTEM: ❑GAS ❑ELECTRIC ❑ � <br /> orS�mPr w,�nx��n soun�.t�o0rrct MvaKo cox��tr q n5or�!n rutrx rq '" <br /> �J ' � p --' <br /> � I HEREBY CERTIFY iNAT 1 HAVE READ 0.N0 E%AMINED THIS <br /> I1PPlICATION ANp KNOW TIIF SAME 10 OE TRUE AND CORRECT �LL <br /> mroro5rovs!a umiq�a PROVISIONS OF UWS AND OADINANGES GOVERNING i'65 TVPE OF <br /> WORN WII'. B[ COMPLIED\NITN WHETHER SPEGIFlED HERE�N Op <br /> �fcuo[scn�mroria r'qrtnn�sr�owxeuawa�����c�rwocattsi NGT. TME G��NTiNG OF q PERMit DO[5 NOT PRESUME TO GiVE <br /> �ot e�oca p Al1TNORITV TO VIOUTE OR C�NCEL iHE PROVISiON OF ANY <br /> OTNER S7�TE OR LOCnL UW RE6VLAiING CONSTRI�CiION OR THE <br /> PERFORMAIJCE Of CONSTRUGTION i114T I�M�UTHORIZEO�Y TME <br /> OWNER OF TNIS PROPERTY TO PERFORM TNE WORN FOR WMICM <br /> APPLIUTION IS MADE AND I GOMPLV WITM iHE SiATE <br /> n�nc¢uv i o uim�n�� CONTqPCTpRSI A1Y IP 2)HGW AND 296200 W�C <br /> C(Y1G11111CtKnIWMIfM1FRIA��[551[IIM1qYEMMPFII % _ <br /> :L�i��U�LL I���I <br /> GlY BV V14551ICI NSf Np <br /> PLUMBING MECN�NIC�L <br /> NO. 7YPEOFFlKTUIIEORITEM FEE NO. 7VPEOFEWIPMEMT FEE <br /> WATEF CLOSEi(TOILET) NC-NMNDLG UNITS <br /> BRTHTUB �ORCfDAIR5V57EM5 � <br /> IAVATOHV(WASM B�SIN) NEAT PUMP <br /> SIIOWER UNIT HEAlF.f1S <br /> IUT:,NEN SINN A DISP CIOTHES DRVFRS <br /> p15NWA5NER RANGE H000 <br /> LAUN�RY TRAV 1VATER MEATER <br /> CIOTNES WASHER 1YOOD STOVE <br /> URIN4L METAL FlREPl4CE(W OOD BURNINGI <br /> DRINNINGFOUNiPM FIREPLAGEINSEN�hN00D8URNING� _ <br /> FLOOR DFPIN GAS FIREPLACE <br /> OAC1(FLOW PREVENTEPS GAS FANGE - _-^ _ <br /> SINK�SERVICE-OAR.ETC.) GAS PIPING ��d� <br /> EXHnVST FAN _j_ <br /> SUOTOTAL S __ SU�TOTAL f <br /> PERMIT S PERMIT S <br /> TOTAL�EE S TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> inourvrn�r. nr.ncnn.c+ s�orsnn.c+ n�aonc+.�vvma nr nrrar.vn <br /> iicptmr io��n�• wuvtw[ FEES V11LU�TION FEE <br /> __ _- _ T___ <br /> ❑rR ❑rq nuirvw. - _ <br /> vticn i��iunua �a o nmunm saE m xwai '-' --_'- — � '- <br /> vns rvuun�r <br /> u . <br /> '_ .. ."__'- _'. _'__"._ " __.__�__.. <br /> OCIIT�\'.:� M`�v�:ic!] U�CIM�NIIU1�1 B1NN�1 4fIM�\X'�I <br /> f�ROVC , <br /> OYf} ❑H� .._ . . . __ ____ __. _._.._i_ .- <br /> t�RlS�'un�xl(H1�(OV �f�Vn � �I196(14�iR�MM1MM1 i <br /> uKp <br /> iIPC�UPV111liO NI�t�V � � � <br /> �11�'.I�If�11'.��Inl��In::� <br /> rtnor:P��* nnrs.rmovrnnr GTYOFEVERETT �^^,� ,•—_'� -"' -�-- � �- ---'-��� ��' <br /> LOCRLSALES - ----- � � -- - -- <br /> nu[ TA%CO�E S J10� -..�_'__-L-_ _'.. <br /> r.. <br />