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• � APPLICATI� FOR CONSTRUC�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257•BB70 <br /> ❑ UEMOIITiON ❑ COMBINATION ❑ BUILDING ❑ MECHANqCl1l ❑ PLUMBINC ❑ 516M <br /> PROJECTADDRESS: � ��Ij,'� Cy .Z7-9S� <br /> 1� � r�1d s�r�y �ii�M 5 3ii8 �. �o��E_�A��l��y�ao� <br /> ��.,�' ,.� „ yrt :,� �� <br /> ��, . ., _ i,.. , ^ _ �nCQda ��ri.� ��YJI�.Q/ <br /> 1�N�Nf 441�l1p1'($5 f.11Y )M Aq41 <br /> ♦�rxifC101�pE51WRn 4���q1nt55 C�fv J��` 1'�Kryf <br /> LINM1I4CONipK.l(11 Y�pqNM�FiS Ci�♦ !if rv.•N[ t1�111�CfH51� <br /> MrCN�N�UICOYPUf.lUi1 4�R1fRMR55 pb Tp ryqlp $��li1KCN5E� <br /> 1`I114pMG^p11P1C\O!1 4��l�IXN[55 Clh bl' h✓J�Q $�qF11C[MSF� <br /> C IMCI VMC[p1 YrtMO <br /> HEATING SYSTEM: �GI1S O ELECTRIC ❑ <br /> qar nrwJnv�rtr5 �nlv RCFnO� D OxuOrins eM)n�rnrq <br /> /�Zpan�� �L__cr��Nq d����ru� l.l��IIIAMs <br /> ��^ � I HEREOY LERTIFv iHRT I HqVE PEAD AND EX�MMED THIS <br /> 4' APPUCATION AND kNOW THE SAME TO BE TRUE�ND COARECt A�� <br /> i%norosro� ninmivo pqOVISI0N50FLpW5AN00PDtNANGESGOVERNINGTNISTYPEOF <br /> WORN WqL �E COMP.IEO WI7H WHEINER SPECIFIED MEFEIN OR <br /> trcurvIQsu+inua�ariror4n 5 enowanenecNiwocp+c5� NpL THE GRANTING OF A PERMIT DOES NOT PR[SVME TO GIVE <br /> ion�1'}'.�/_� e�oced o-r/-' � AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> ( ,!l�S /-/.ES/ �� C , OTIIEF SiqTE ON LOCAL L�W REGULATING CONSTRUGTION OR TNE <br /> PERFORMANGE OP CONSTRUCTION TII��I�61 AUTNORIZED AY iNE <br /> ���" /��' D�� OOO] OWNER OP TNIS PqOPE1iiY TO PERFORM THE WDRR FOR W111CM <br /> APPLICRTION IS MRDE AND I COMPLY WITM TME ST�TE <br /> r�m;n u.i o�nnen�n CONTPACTORS UW 1 B 27 RGW AND Y96 200 WAC. <br /> CWtfnll[fttM110�v1(NMP qllN�I551LI[M1�ONEMWPFO <br /> . N�Iu�F. U�tl <br /> Of�BUPbl551K(N4 NO <br /> PLUMBING MECH�NIC�I <br /> NO. TYPE OF Fll(TURE OR ITEM FEE NO. TVVE Of EOUIPMEM FEE <br /> WPTER CLOSET�TOILET) NC-P/NN�LG UNITS <br /> BATHTU� i'OPCEO AIH SYS7EMS <br /> LAVAiONY(WASH BRSIN) 11EAT PUMP —�— <br /> SNOWER UNIT HEAIERS <br /> KITCNEN SINN 8 DISP CLOTHES DRYERS <br /> DISMWR51/ER RaNGE 1100� <br /> UUNDNY TRAY V:41ER NEATl.R <br /> GLOTNES W�SHER WOCO STOVE <br /> VRINnL METAL�iREPLACE(WOOD BURNINC+) <br /> DRINKING FOUNTAM FIREPIAGF INSEPT(WO00 BUI7NING) <br /> fLOOR DRRIN GAS FIREPLl.CE <br /> OACNFLOW PFEVENTERS GASRANGE <br /> SINK(SERVICE-B�A,ETC.) GAS PIPING <br /> E%NAUSTFAN <br /> SUB TOTAL S SUB TOTAL S <br /> PERMIT S PERMIT f —T <br /> TOU�FEE S TOinLPEE S <br /> FOR OFFICE USE ONLY: <br /> irme+vrwr� nnncnn¢� Srocsne�ca r��rcn¢xnuunrn in mrnr�.�o <br /> / ���1'� <br /> nvtovr � � �u�urt� �K�s�vrz FEES V11LU�TION FEE <br /> � ❑vF5 ❑NU —QQT— <br /> iu�Mvf. �� _] <br /> ��tif.���I�vi4�NY WpOwIl1�NG SREpNOG91 '—�� —��� <br /> I�Y�II �1�� <br /> __ __ �+ <br /> p�(ill`�4'�.v 4��v.�.iq1] (X'fi�f.�N:lV�I) B�CFM[NI 4{I.n�M1�f�l <br /> (��OVt' <br /> ❑v[5 ONO � ' '. ... <br /> 1t[.•..�li•�n'.'ll(f'l0 �f�e(Iry �Dpll(IN�I.M1INCIIfCM <br /> Tnfll <br /> �In[y/.pM PLQ O 11F��l1V �- ( \ <br /> c�eqPonfLAUSnnC�unf.[ � __...— �.:U(/ <br /> nrrnrr;o�Rr n�wv�mpvtnnr CITYOFEVERETT runncwn�.c <br /> LOCAL511LE5 -� � --- - <br /> u.�E TI1X CODE IS J105 To7nL �1 �� <br />