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APPLICATI� FOR CONSTRUC�N PERMIT <br /> CITY OF EVEqETT•gUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425�257-BB70 <br /> ❑ DEMOLITION ❑ COMBINATION �BUILD�NG �y❑ MECHANICAL ❑ PLUMBINO ❑ SIGN <br /> PROJECTADDRESS:_��7_c�'��� A,� -VPX' 11 <br /> ��P���M� R'�jZt � � r �5 tii�Q��e ���39 2CYn 7(^�'�2(0 <br /> 4�� CYF 1i1� �__p�y+yl'.��" <br /> 55 <br /> 11fM�Nl IMbnf�5�5 1,�^y�y� 1I( {�ry��{ry,/ 1)�p /��i ` <br /> • i�ffGl�ql! f0�1fM)n�55�Y' V. �YV4"L1e�V1 ���/� �Vl � �I�J.Q�Qf�_1.14�- 1L�����A � <br /> q4i <br /> CfMfANC041 C/I(//1 ,// /44��p�N1[55 CIIY /iF 1`iYrvf {��l[I�C(MSV� <br /> JhJ/-J ( /�.�CL <br /> urcumc�� , in cruu o �uoonrss on �m n�iovr sun ucrHs[. <br /> MVMBMGCONIP�f.iM V��1qpI5S OlY I�V In�ONF 9�1lIKlM1Sf� <br /> cw�m.n rr�[w wo�x — <br /> HEATING SYSTEM: ❑CAS O ELF.C7RIC ❑ <br /> �rv scm r w�n� .,o sou.nr�oo+we�uvoivto covi.c.rt nsm.xr�r���.u�uo <br /> �_�YVC"�l(1 T,�'ZS� _�J 1- ��_ Pll=���ZS ' 2�� - ���0� <br /> _�nr� .�l thv� . �1��czyti L��c�-� <br /> I HEREAY CENTIFY TMAT I IIqyE RERD AND EXAMINED TMIS <br /> ix..�µo vsr or nin prn APPIICafION AND NNOW TNE S�ME TO BE TRUE AN�CORRF.CT�« <br /> QC:�,--t� � PROVIS�JNS OF L�Wu AND ORDINRNCES GOVERNING TNIS TYPE OF <br /> tm�iascn�nupuqn�qrEnry�ypwr�qi��.q����������yi �RK W���BE COMPLIED WITH WNETHER SPEpFIEO HEREIN OR <br /> NOT THE GR�Ni1NG OF A PERMIT DOES NOi PRESVME TO GNE <br /> im �O"'�Z B�acv 3L'-i p �I/II' C�(-_��/�N>'H' AUTNORITY TO VIOUTE OR CANCEI TNE PROVISION OF �NY <br /> }� � I r ry � 0711EP ST4TF OF LOCAL UW REb'JI.�TING CONSTRULTION OR THE <br /> V I O ISl(�� ��I U YjQ�' "� ^"''('� P�RFORM4NCE OF CONSTRUCTION THA71�M�U7HORRED BY THE <br /> T OW4EN OF THIS PfiDPERiY TO PERFORM T E WORN iOR WHICH <br /> �PPI.IC�TION 5 M qND 1 CO WITN THE 5T11TE <br /> rn�nwioMMptn CONTR>G70 UW ]RCW W�C <br /> ' '04' — � � <br /> LMV IIIKii(W 1 O�N I fMli11.LIIfN�f 55.iCl(Aq4F MNpfll /O,�/'2—no <br /> �)A ��GRA1� q —� <br /> G//� � — �- <br /> 9-033 ���.—�,�Mss„��„� ,� <br /> PWMB�NG MECM�NICAL - — <br /> NO. TYPEOFFl%TUREONITEM FEE NO. 7ypEpF[W�pyp�{ --- <br /> WATERCLOSETITOILET) �— <br /> — NC-PMNDLGVNITS �C S•�w <br /> BATNTUB fORCED AIR SVSTEMS <br /> LAVATORY(WASH BASIN) NEAT PU�P �«'F'� <br /> SNOWER UHIT HEATERS <br /> _ NITCHEN SINK 8 DISP GlOT11ES ORYERS ���2 � F6` <br /> DISHWASHER PANGEHOOD � � :7757� <br /> _ LAUNDRYIRAV WAIEPHEATFR /' � <br /> GLOTNES WASHER IYOODS70VE (79�L�r�Slz't� L J�G3zz� <br /> URINAL MEIALFlREPLACE(WOODBURNING-I��--� <br /> DRINNING fOUNTFM FlREPLACE INSEPT(yJppD BUPNINGi � <br /> FLOOR URRIN GAS FIREPLAGE <br /> OACNFLOW PREVENTERS GASRANGE <br /> $INI(�SERVICE-BAR.ETC.) GAS PIPING �— <br /> E%NAUSTfAN <br /> "_ �— <br /> __ SUB TOtAI S SUB TOTPI f <br /> PERA7IT f PERMIT S <br /> TOiALFEE S TOTRLFE f <br /> FOR OFFICE USE ONLY: ���J �� <br /> �1HIMlvrn�fj� nr�n5F1e,4M 5�0[SCIn�CF 11 Mc�i cxvUunrn r�( �J ���rir�No <br /> Iltt tOYf � O O O'O �� � <br /> ���+"�" v"c.r�wt FEES V�lU�T10N FEE <br /> 8-a— o.�, oM� n /j(J � / -- <br /> I�fiCilfl��I.1�Y� NOryI`Milll�q SII[t"Rla�l RIMIMWCL /I/), I���� � � .� <br /> � 114i1G �� (� ��� ry114PiM r <br /> ] <br /> - ...... �+___ <br /> G/C��/�IM�\'.:Y 4�fv�..a1� UI:CITINIIU R1t-41h1 4{II��NN'�1 � <br /> ,f�f__ __ __I S I.�YlS N�I " - __ __ <br /> IlntcnNi�.v�I111Pf'jp 11f�iry� Ipq1iAN�IM�NC��fLM —y <br /> y�5 U(�U I�ot . e t - ---� -- <br /> 11�l�IA1�v PIOD —. �1i[� � <br /> �/� m+snv -�— <br /> I �-�� �R� �S[D Z.' 4 Z sun nioirnnusonnunr.� _.L.'�V <br /> �rrrnrr.o• r�nnsu �Vrnnr CRYOFE�'ERETT rnnucmin.e <br /> /// ,� ��� LOCALSAIES '� - --.- .--__ � <br /> _ ___.___ __ on, 1/���h y iAI(CODE IS J105 TOTAL .� ,- � <br />