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APPLICATI� FOR CONSTRUC�N PERMIT <br /> CITY 7F EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR�TREET•EVERETT,WA 98201 •(425)257•8810 <br /> ❑ DEMOLIf10N ❑ COMBINATON ❑ SUIlDIN6 ❑ MECH�NICAL J�,PLUMSINO ❑ SION <br /> VROJECT ADDRESS:_���__� 07 <br /> C�C[� ;n�4.s.i�sn�:, � �G 1 3Sq- c 9�7 `� <br /> dwlrn ��amccs �/ / �� �UL"/n+ola <br /> ('']1 r� �.� c�. l-�M.,lo�c�� <br /> 1f�JMl 41�tq�f55 f.11� !N PIO4F <br /> �nCM�fC1O4MY:INn u�ry 4NTrt5t (.ilv )� � P�K+4f <br /> _�„,.� CG.,,he� <br /> MM�1�lCOM1�I��Cf9! 4YI�MMFSS C�Iv !�� �•�M�'�f t11�11�CENcl• <br /> Mifruru��t (nlNr�pp yb�qYy�f55 f.�n >n' NqN( if�qUGfv[t• <br /> �Q.,Ske y�i l�a�o\,4�cs ���m.�o;r <br /> nuueirccana.r,��n ��mncss . ar� � w�art s�+rt�r.rrar. <br /> covrn.n�+�crur.�cm. MEIITINGSYSTEM: �iGAS ❑ELECTRIC ❑ <br /> M SCRiPf WJnh�Y�SOV�a(�OO��Gf NVOIVfO �Ov��Ct A Ir51n�NI:N�Yn�p <br /> I HEAEOY CEHTIFY TH�T I IUVE READ AND EX�MINED THIS <br /> . APPLICATION..ND RNOW TME S�ME TO BE TRVE�ND CORRECT �Ll <br /> �r�prosr o ose or nm:mr: PROVISIONS OF UWS AND ORDINANCES GOVERNING THIS 7YPE OF <br /> WORK W�1L BE COMPLIEO WITH V/NETHEH SPECIFIED HERE�N OF <br /> irwi Mxmmrwa r�nrviSuowNel�rnvOn�n¢etwoea+es� NOT. THE G��NTING OF A PERMIT DOES NOT PRESVME TO CNE <br /> iot B�a:x p �U7NORITv TO VIOUiE OR CAHCEL TME PROVISION OF ANY <br /> OTHER STqE OP LOCQ LAW REGUUTING GONSIRVCTION OH THE <br /> pERFORM�NCE O�CONSTRULTIOM i11AT I�M�UiN011REU BY THE <br /> OWNER OF TMIS PROPENiY TO PIiRfORM TME WORN FOR WMICH <br /> qPPUf.ATION IS MRDE �ND i GOMPLV WITM THE STATE <br /> raacn� �� rux n � GONTq�GTORS UW I CW�NU 296200 W�C <br /> �t71�-a�s- z� L1 ��A , ^ <br /> cwsrmKrxNio.+irwn u�mEss rtir�+�mrwwnrn x_ � �'d � � -1 9 R <br /> srcv.um. o��i <br /> OlY PV4uLR5lifl rv5L NO <br /> PLVMe1MG MECH�NIGAL -'-- <br /> NO. TYPE OF Fl%TURE 011 REM FEE NO. TYPE OF EM11rMEMT FEE <br /> WIITER CLOSET(TOILET) NC-MINDIG UNR$ <br /> BATHTUP FpRCED�IR SVSTEMS <br /> LpVATORY(WASH BASIN� HEAT Pl/MP _ <br /> SHOWER UNIT HEFTERS <br /> KITCHEN SINN 6 DISP CL0T11ES ORYEAS <br /> DISHWASHER RkNGE MOOD <br /> L�UNDRY TRAV WATER HEATER ' <br /> ��— <br /> CLOTMES WASNER V.'00�STOVE _ <br /> URINAL METAL FIREPIACE(WOOC BURNINGI <br /> ORINKING FOUNT�IN FIREPLACE INSERT(WDOD BURNING� <br /> FLOOF DRIIIN GAS FIREPLACE <br /> ��CkFLOW PREVENTERS GAS RANGE � <br /> —�_ <br /> SINK(SERVICE-BAR.ETC� GA$PIPING _ _ <br /> -- --- --— "� = L E%IIAU51 FAN _�_ <br /> SUO TOTAL f SUB TOTAL S ---- <br /> _ ----r— <br /> PERIAIT S PEAMIT 5 <br /> TOT�IFI'E f 10TRLfEE 5 <br /> FOR QfFICE USE ONLY: _ <br /> In04iRip�f• PfM5f14�"S S�IXSfIB4� %�MOILCSMN�f� �If �TfIP�NO <br /> anrorr im�n�. v.c.r�vn IEES V�lU�T10M FE_E_T__ <br /> ❑�6 ❑Ml NqOiW. <br /> numa nviuno+ Mo a�mrww sn a xocm ._ _ _-'. � <br /> orqc runun�vr, <br /> "'_ '__— __ _ .'"_"—;-- <br /> ocam.rcr r,n.�.,,is ocnm.wn��.o e.siwri u�i�wn:n _ — _ <br /> cnwr _____ ._ <br /> O•rs O�al - -�-- <br /> nvEsw-�atnn[ov-- M.sar .oaunvun�wora '__ - <br /> IJI��FP <br /> �ry[�V.PMPl00 Ni��(IV � ' <br /> ull R�n�phGc�InpUOG! <br /> �mrorcova nnwg�rmovrnar CITYOFEVERETT rrr��cwn�.c _ __ ._ __-__' ___ <br /> LOLALS�LES -- ---� —' -- - - -- <br /> �.�t TA%COOEI57105 TOT11L____'___ ._._._.. . __ <br />