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APPLICATIO�FOR CONSTRUCTI�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 'i200 CEDAR STREET+EVERETT,WA 98201 •(425)257-BB7!1 <br /> ;7 DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANIC�L O OLUMBING �SIGN <br /> PROJECT ADDflESS: ��� 20/iD��'! _ <br /> nqNic-� �� a�i /��;oAnu�i9'��;1�JL9b�/ ° <br /> �,:,���mo-r�-t�n%�°""�ss) �,. „� � ---- <br /> 1fN���1 4M�1I10[SS fllv )P plpl{ -' <br /> �nc�a+rtronrrts�ven u�n,wfiness — un n� ' r.rt�a RmER�NI(X>zDB <br /> Rr�F21Ui�V IJfDN i,vc. Po/30� y3/ �rc�m-9 kl� 9�ya/ .2�s-b z - 74yG <br /> /'qqtnqroMrMLRT vu1�IX�1(55 c�ir !�r rvxM ct�q�4fMsi. -- <br /> Yibrq�RllCfYI�NCIJR YW�OOIIE55 GIY lrt' P�1yp 4tRf1�CEN5f• <br /> �'���4BM�uCONIF�f.lP1 41M1101AEi5 GlY }T IMry�f 51/.!(IILfqG� �--�_--� <br /> CUYII.�1 VfXCI p MV�11}� - � <br /> `Y I C�D�d HEATING SYSTEM: ❑GI15 ❑ELECTRIC O <br /> tNSC�11iWlFMINpSpV�PFipJ��O[MvqVfD LONI/.C1Of1150N�1111' Mp <br /> RErr�v sx�sr 4n 8 siG/� A a�' /�vsE �l[L_��s�- Na�-7N4b __ <br /> � Po�e � INS�. 9'x ' F <br /> �IEG,V S/�YN �fl��� I NEREOY Gl:tiilFY iHqi 1 NAVF RFAG ANO E%AMINEO TMIS <br /> AFnUCATION ANp NnOW TIIE SAME TO DE THVE R!D COFREGT ALL <br /> �+ro�rouo uSE ar n�MUwn�Or4 PROVIS�ONS OF I�WS AND OAUINANGES GOVERNING T IUS TVPC C�� <br /> � �— WORK W�IL �F COMPLIED WITN WHETH[R SP[CIFl[D MFFEIN OR <br /> RnqntScmv�qr1prnqrtpryiyqwr10now0a/.n�cerwo[OrrtSi NOT. TII[ GA�NTING OF A PERMI7 WES NOT Pii[SVM[ 70 GIVf. <br /> io� � 2 �ioce�pr -� "V 'T AUiNGA1TV TO VIOUTE OH CRNCEI TNE PROVISIpN OF ANY <br /> OTIIER STATE 09�OC4L LAW RECULAiING CONSTPVCTION OR TNE <br /> �ERFORMqNCE OF GONSTRUCTION TIIAT I�M AUTMONIZEU BY THE <br /> OWNEq OP THI$ PqOP[RTY 10 PER�ORM THE WORN FOH WNICH <br /> APPLICATION IS MAOE RND I GOMPLY WITH TNE STAI[ <br /> r�m;nu�io�nn.�mn C TqqGT RSUWIP[IRCWAN029G200WAC <br /> AI3U - 4�9l- -_ _ l�� �� <br /> [t)xsrmFrRri�o�MlrMrtR.MIn[Ss*[l[AbMMNlFn x � <br /> SI 11116. U�11 <br /> C�fYBVYl11��511f.IN:1�I(1 <br /> PLUMBING MECN�NIC�L <br /> NO. TYPE OF Fl%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET� A/C—MINDLG UNI75 <br /> BATHTUB fORCED FIR SYST[MS <br /> LOVRTOHV(WASH BASIN) HEAT PUMP <br /> SHpWFR UNIT IiEAlERS <br /> NITCNEN SINN 6 DISP ClpT11E5 DRYEFS <br /> DISNWASHFR RAi1GE HOOD <br /> �AU�lDR:TRAY WAIERMEFT[R <br /> CIOiHES W�SHEN WOD�STOVE <br /> VH�N�1L MEIDL PIliEP V.GE IW000 BURNING) <br /> ORINKING FOUNT�M FlRGPLFCE INS[fti pYp00 BURNINCa� <br /> FIOOR DRFIN GAS FIH[PLAGE <br /> BI.CNFLOW PREVENTERS GASRhNGE <br /> S�NK(SERVICE—BRH,ETC.) GAS PIPING �— <br /> E%HAUSTFAN <br /> _ —i— <br /> SUBTOTq� f SUBTOTnI S <br /> PERMIT f PEAMIT f <br /> 10TALFEE f TOTaLFEE f <br /> FOq OFFICE USE ONLY: <br /> �n(1NiY1P�!'.4 1VII15(ts�[k {p[C(fB.�LY. M�NC�1fC�MUEMf fFf AFffll'�NO <br /> S -�3 /I , �l <br /> u:iiovt� imeuf� va.�xtsnF FE6 V�IU�TION FEE <br /> �_ I OrEs ❑wu —T <br /> nuuimr. <br /> uUrut Vui�n(n �ro a UwillVq S�SEd M00rt1 _"_'_ _ <br /> IM��i ry1N11M(I <br /> .. _ ._.. �{ . <br /> U:l11fYV:� MIM�In1.15 IX'.CIIW.NIIO�D B\y4[N� 4f(.H�M(\I <br /> �JVI• <br /> QYf3 ❑MI " - � ' <br /> �ui-+'.��nnunnmu-- m.,,�r. �oo-ucw•inwcrwcx <br /> o��[n — —_ <br /> nur•umuma�o m.sov — — <br /> 511.If Pllil U�MIi 511fp11111(t� <br /> ��IY(1lf.p�IGI ry�MiU'r I�pBV • <br /> I �� CITY OF EVERETT ��im¢wrn+s __ ____ _ ___ ___ <br /> / LOCAl511LE5 <br /> ru�t J $-� rnx�ouE is aios rors� _ y <br />