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APPLICATIO� FOR COMSTRUCT�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STAEET•EVERETT�,WA 90201 •(425)257•8810 <br /> ❑ DEMOLITION ❑ COMBINATON ❑ BUILDING ❑ MECMANICAL ❑ PLUMBING � SION I <br /> PROJECTADDRESS: 3yv� ��o.�di.-la.l <br /> �c /C�n� qo I w•f�'la n :A: �Q.�b..,.n 94 cx�l-6�.?0 <br /> L41GY�3 r4JCMc .3yU1��otlWaa/ry �G�Yr<'�rm r�aw[ —' <br /> I[�uwt u��flMEss �r �n i�qy <br /> �ALMRL�piMSICMEP YN��GR55 CI�Y /T ry�(}�f <br /> A+ne.r:�cn Neo.�.Zn� Pcl�dov 431 T�to+tic �JQ- 98Vo1�3-C]7-74�10 I�11lER��l11��8 <br /> GFNEMlCON11UClp1 vulAppll[55 OIY I�P Ivqvf 5111L1KfNN• <br /> MECM�MCI�ILbrtB�CtOn 4�K��OaE55 Urv SM' P�qvf 61etFlKFNA• <br /> AU4lNGCW�RvtOR v��l�OpIF55 Giv =iv nqN[ SI��FIKENSf� <br /> cwrn�c�rmct w r.on1 <br /> 2., yQO �� MEAT�NG SVS7EM: ❑GAS ❑ELEC7RIC ❑ <br /> oEscaecww+..M;sou.n�ooi.ccs vco DiiX //�S�i cwi.crrcnsw•wrvavrw <br /> .3�� <br /> � I HEREBY CERTIFY TNAT I HAVE RE�D AND EXAMINED THIS <br /> APPUCATION NID 1(NOW THE SRME TO BE TRUE AND CONRECT ALL <br /> r• seo usc or emipnn PROVISIONS OF��WS�ND ORDINANCES GOVERNING TNIS TYP�Of <br /> a' WOpK Wql BE COMPLIED WITH WHETHER SPECIFIED HEREI� OR <br /> icc��n[umrnwarimor[nrv�sr.awxeuowa+enecMrvmcon[m ppT. iHE GR�NTING OF A PERMIT OOES NOT PRESUME TO 1.IVE <br /> im xwe pr AUTMORITY TO VIOLATE OR CANCEI.TME PROVIS�ON OF ANY <br /> OTHER STATE OR LOCAL�AW REGVLATING CONSTRUCTIUN OR THE <br /> PERFORMANCE OF CONSTRUCTION.TN�T I�M AUTMORI2ED BY TME <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORR POR WHICN <br /> APPLICATION IS MAOE AND I COMPIY WITM THE Si�iE <br /> renc[uuio u�[n CONT ACTOpSUW 1 CW RND�296.i00 WRC. /! <br /> LONS�1R1[iICMIWIIlM�FP.MIP65.�[l[1'1qNfMNOEO ��`�� � �I/ Df <br /> x <br /> s�Giui�lBci D„/_ ' o+�t <br /> S7 O <br /> GI�pU51K551K(NS[Mp <br /> VLUMlINO MECN�NICAI <br /> NO. 'iYPE OF Fl%TURE Oq REM FEE NO. iYFE OF EOUIPMENT FEE <br /> WATER GLOSET(TOILEn NC—NIINDLG UNrtS <br /> B�THTUB FOPCED AIR SYSTEMS <br /> UVATORV(WASH BASM) NEAT PUMP <br /> SHOWER UNIT HEATEqS <br /> KITCHEN SINK 6 DISP CLOTNES DfiVERS <br /> DISHWASHER RANGE MOOD <br /> LAVNORYTRAY WATER NEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIFEPLACE(WOOD BURNING) <br /> DRINNING FOUNTAIN FINEPIACE INSERT(WOOD BURNING� <br /> FLOOR ORRIN GAS FIREPIALE <br /> BACKFLOW PREVENTERS GAS RANGE <br /> S�NK(SEHVICE—BAR,ETC.) GAS PIPING <br /> E%MAVST FAN <br /> i <br /> SUOTOTAI f SUBTOTRL S <br /> PERMIT f PEPMIT f <br /> TOTAIFEE S TOTRLfEE S <br /> FOR OFFICE USE ONLY: EO�O <br /> �wT,ruinu.ti nr�nstla�cR 9attre�tK n.Ml.yj«��n�� rtr ���� nrrrmtrp <br /> J v <br /> ustrovr ^ �ounce v.natv�[ FEES V�WIITION FEE <br /> �(/ ons ono - �— <br /> ewmvr. � � <br /> uuc.�o n�n•no.l uo a owuuw s�te a eiowi — <br /> IINii.G <br /> ryl/vPlNfi <br /> OCl:IT1N�Y NJM151(T15 OI:CUVI.M��O�O B�YY[NI �� <br /> f.110111` 4f1.11�NY�l <br /> OY[5 O NO . � —� <br /> {IP[SA11KKlENPCO'� 11i�GpY �C0�11()MI11 h�NC��fLM <br /> OII�F11 <br />, fiFE�UPMpfOD RMcqV � <br /> Sl�if BUY0roC.5�HC�uM[ _ .Q �� <br /> �(_ <br /> �rrcnrr,p��� r�nw��rrypvroar CRYOFEVERETT nnur.w�m.s _ _ _ <br /> 7G (�7 U TAX CODE SL]OS T0T11L <br /> Ln.�E — - --- — --� <br />