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APPLICATI� FOR CONSTRUC�ON PERMIT <br /> CITV OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAfl STREET�EVERETT,WA 98207 •(42:i�257•8870 <br /> ❑ DEMOLIT�ON ❑ COMBINATION ❑ BUILDING �MECHANICAL ❑ VLUMBING O SIGN <br /> PROJECTAODRESS: Arce__�iy�pM 1f1Q6 Bre��{,�� <br /> f Y Sn�1� Y3�.lb•r <br /> �� �'n��_.Aliet�J$01_�SR63C_BII��� �/ n l?5'�sf,(F <br /> �a � nwFss v ��� r��a� <br /> /�rro A /P��ap(. �roaawa . JLCC�: S'8'101 _ J1Mrysv�l�p <br /> �rw�w� �E i w�+rss rm � nqyt ��'-�j0 <br /> 34�0-GS <br /> .��,.a��o�ffs��r.,�,r—.—,.—�.�ss �„ — ,�--- ,•.1�„ a-Go�,� <br /> � <br /> rn.���_����-. <br /> r.rH�m�un�mriv uui mi�u,r�s nn ---- �x;�r A �un urr«sr� H � <br /> �Vti'c.�mam�u�n y���i W 5 t�Ul:r� n_�(��9(� Ar �nrl�� �'�'�1AEC 3'�[�(: � <br /> C110M1� t11�f IICINiL i <br /> 1`I�IUP'�NG[J111u�f,IM 4�M11[M„1(55 Cltv I�� 1`Np4! 51/.IfIK[AS{• <br /> —0.��COMtMC I fint(tH'Mlnl _� <br /> HEATING SYSTEM: ❑GAS ❑EIECTRIC ❑ <br /> MSCP�PF w'IDe 1LO SW�nI�OOI�Gf MVqKD CON11Ci A RSOY�NO hrt)YI NV <br /> -1_+a�S1Lw a�1c_�n �Qd LtC�� <br /> . � I HEPEUV CERTIFY INAT I IIqVE READ ANO EkAMINEO THIS <br /> v�o�r ou•t nr aw� APPUCATION AND KNOW TIIE SAME TO DE TRUE ANU COPRECT 4LL <br /> ` Co.��QnIFr1(.p Srvfe,Wl [��� �` PPOVISI�NSOFLAWSANDORpINqNCESGOVERNING11U5iYPEOF <br /> WORK WqL OE COMPLIED WITH WHETHER SPECIFlEO HBPEiN OA <br /> �rc.a n[5cn�nuonorimp2nnicrqw+�enowOnenr,cnrwpcprmsi NOT. TNE GRANSiNG OF A PEfiMli pOES N0T PRESVME TO GWE <br /> �o� e�ata d AUTHORITV TO VIOIATE OR CANCEL THE PROVIS�ON OF ANY <br /> OTMER STA1E OR LOUI.LAW REGULATING CONSTRUCiION OR TNE <br /> �'ERFORMANCE Of CONS'i RUCTION TNqT I AM AUTNOfi17E0 OY TNE <br /> OWNER OF TI/IS PqOPERLY TO PERFORM iH[ WORN fOR WNICM <br /> APPLICATI011 IS MqDE �NU 1 COMP�Y WITI/ THE STATE <br /> r•Mn���iomwn�n L���� GON1R�Gt011S1AWIP2]RCWANDY96t00WAC <br /> �E� 0 OCO <br /> CflYS11111LtNX1(I1NIfMIFH.yN1I1LSt1[l[Apll[NU4RFf1 �, \ 1���'-I��— <br /> � '.'GN111H1f U��1 ( <br /> QiYlU4MSS lGf M4 Hp <br /> P�UMBINC MECN�NICAL � <br /> NO. TYPE OF fl%TURE OR ITEM FEE N0. tYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILET) NC-MINDLGUMB --� <br /> BA�H7U0 FORLED AIR SYSTEMS <br /> lA'lRTORY�WASN OASIN� HEAT PUMP <br /> 51`OWER UNIT NEAiERS <br /> _ NI'CMEN SINN 6�ISP ClOT11E5 URVFRS <br /> pf3M WASNER RANGE HOOD — <br /> _ VUNORYTRAV 1VA7ERHEATER <br /> LLOTNE$WASHEF WOOD STOVE �— <br /> UIIINAL MEIAL FIREPLACE�N'OOD BURNING� <br /> . ppINKINGFOUNTAM FlFEPLAGEMSERTpYOpDBURNING� <br /> _ FIODR�RAIN GAS FIREPIACE <br /> OACNFLOW PREVENTERS GASRANGE <br /> SINK�SERVICE-BAR.ETC� GAS PIPING �— <br /> EXMAUSTFAN <br /> i <br /> ___ $UO TOTAL S SUD TOTAL f �.CL;C�G <br /> PERMIT S PERMIT y �— <br /> - .�00 <br /> TOTAI FEE f ipTA�FEE f ^yi 'A p <br /> FOR OFFICE USE ONLY: <br /> rnaw�vin�n nr.nsnn+r.� sasr�e�a ruManam�onrn itr mrrmir,o <br /> ___ �'���d <br /> unlrnr �o��m• v�uv�sut FEES VALU�TION FEE <br /> ❑�FS ❑M) ._. -_�_ <br /> Ri��MM. <br /> Ilflf.�lll'ViII,�IJY 4pIv1�W11lING SIIFOfpIWll - � <br /> �iV�ly <br /> %�i1MMf. <br /> q <br /> _ 1 _ <br /> �OUI•,l'♦ Y ��i�o� �y�fl�l�/.HII(IW 6ISFW41 411M\4M:4 .. � +_�� <br />. O�FS ❑MO __—. _ '—__ __.__' "_. _ <br /> lil:(\f'N..r,lll�l�[]0 M�\M \�1�(14�11yWC�NCY <br /> !)1��1� <br /> IiP(��/I�V1�(OU Nf�[r)V <br /> •I�11 Bii�tUM1lM1ciln(I��M.r � <br /> nnrnoovai rin.,�.rmov�nn. CITYOFEVERETT naucvmn.s --�- '-'�'- - - "— <br /> LOCAL SALES -� — --� — . <br /> ovi 7A%CODE IS 7105 7oUL <br />