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APPLICATI� FOR CONSTRUC�ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVEREff,WA 98201 •(425)257-BB70 <br /> ❑ DEMOLITION ❑ COM8IMATIOH �BUILDING O MECH�NICIIL ❑ PLUMBIN(i ❑ 516N <br /> PRL�IECTAD�RESS:_�Z�O Ralv4YLY�y <br /> o��N?t��S OF ��� �(��Y S Z6Yf 3/ <br /> crttcr � � <br /> Owvfu wui�OMrss � cnv iin v�t � <br /> ��� <br /> I(Y1M1 N $5 CI�Y JW R�ON <br /> N�e�u�-'I���n"P�"w, w�eiuF v�Ru <br /> �.�E� � qa���s�54�� <br /> • r« ro�r�[vmrtn yy��rcwt.ss � urv r•K+�.� <br /> i�� �Y_'.f� <br /> Htnucoven�r�rn' �""'"" /�� GG /—�-- nxnr �ir.i�iKr.�sr. <br /> C '� ��34-/9/� <br /> uFw.�.�uicomn�ncn uuiu�uwss urv nr r�Kr:r vur�K[ws[. <br /> PI�IYlNGCON1P�CfM M�rt�R{u[55 C��v l�n �M?�f 51�610EM1SF� <br /> �nwm�crn+u u�v.ma HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> orsrn�n�.r�a.�rn sw.ur�oo�.cr�va�Ec ca1�.c+n nso�...n rwwn.0 <br /> ���u� oEt YJie�� 42�_?� 314( <br /> �007 S�F DS��� <br /> �d .� . � I HEREOV CERTIFV TVUT I HAVE AEAD ANO EXAMINED THIS <br /> /� APPlICF710N AND I(kOW INE SAME TO BE TRUE AND COHPECT ALL <br /> wKNqS�p vc�p�pimpiw PROVISION$OF LRW$AND OAOINANLES GOVERN�NG TIII$TYPE OF <br /> ��J�Q �G �S� WpRN W�I L OE COMPLIEO W�TM WHETHER SPECIFIE�NEHEIN OR <br /> � r,u m�psc_mqm��ouw rronnrvlvorn+Mio w�n.C���wocqvts� NOT. TNE G��NTING OF A PERMIT OOES NOi PRESVME TO G�VE <br /> �otSSS/�—A�a���� /UTHORITY TO VIOUTE OR C�NCEL THE PPOVISION OF �NY <br /> ' ♦ OTHEF STRTG OR LOCAL lAW REOIILATING CONSTRUCTION OR TNE <br /> ���µ��/J`J�( �l�Sy�DO/'ROA�Y'� PE(1FO�MANCE Of GONSTFUCTION THAT I�M�UTNORI2ED Bv TME <br /> OWYER OF THIS PNOGGRTY TO PEfiFORM 1HE WORN fOR WMICN <br /> '?��._23�I—GI}q'I��M L�L � C'm2 •• 'CC� qPP���AT�ON i5 MADE NO I COMGLY WITN iNE STATE <br /> r.ucn en0 um+nt�— CON�.I�CTOR5lA1'I LW ANO Ya6200 WAC <br /> COVi�nVPNM1oMII4bfllMn[SSIR[AqNFNWO[II I H <br /> xY I.1 • U�11 <br /> C SMSSlCIH4fHO <br /> PLUMBING MECN�NICAL <br /> NO. TYPEOFFI%TUREORI7EM FEE NO. T'VEOFEWIPMEM FEE <br /> WATER CLOSET�TOILET) NC—NMNDLG UNITS <br /> cATNiU� FORCEU AIR SYSTEMS <br /> LAVA'�RV(WASH BRSIN) MERT PUMP <br /> SHOWER UNIT IIEATERS <br /> NITCNEN SINN 6 DISP ClOT1lES ORVENS _ <br /> DISHWASHER RANGEM000 _ <br /> LAUNDRY TfiRY NATEP MEAT[ii __ <br /> CIOTHES W�SNE�7 4VOOD STOVE <br /> UFIN�L METAL FIPEPIACE(WOOD BURNING� �__ <br /> OR�NRINGPOUNTAW FIREPLACEIfJ5ER1�V00JBl1RNING� _ <br /> FLOO�iDRAIN GASfIREPLACE _ _ <br /> OACNFLOW PREVENTERS GASPANGE _ � <br /> GA$PIPING —T <br /> SINK�SERVICE—�AF,ETC.) ._ <br /> — EXHAUST FAN <br /> SUB TOTAL S SUB TOTAL f <br /> PEPMIT S PERMIT S <br /> TOTAI('EE S 70TRLFEE f <br /> FOR OFFICE USE ONLY: 2 U �7� <br /> ��nnMrvr nMnSnp¢• SCfSFIn¢y-, qWp�[R�+�rM Rf �J nfCrim _ <br /> U C/ _�D ��S .�0/.e�J <br /> ovr �m.n�� wurimi FEES V�LU�TION fE� <br /> "�'�J, � 2. .rs �M, �u�nw. � 77d,.t�fN �JUI:7 �ZS <br /> �K— <br /> ,,,.��, ,�.r�, .�a ,� =,rE� a„p �'` � <br /> 3� ovn�� �O ! ri��vnm. "'_ "___ __'___ _ "'___ — <br /> ocom.�rr ,�.r..o,ou �.run.r� w.o n �w�ni vrr...mc.� -. . T <br /> b`"rAmS_I � _ I-�°/ ❑,l, �, _ .___ _ /���7Q� .. <br /> rvcsmr: m� r�o rn..o. � — �ronnvu n�rorr.. _ _��Q ; _'_ <br /> naTy� ry�yE���� ��,,.� __. <br /> •v.uvnwo m�s/ —' '_'."— — 41�r.�o <br /> � sun nu�m�ar,snn[u�nr.t <br /> ��ff rova r�eac�rrnovrner CITYOFEVERETT r��eimwro�+� <br /> —1T( —N �� � LOC�LSALES _—__—___._ --._ � Z '� <br /> (/L — ������ / q TA%LOUE IS 0105 IOTAL _ __ <br /> ��� <br />