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APPLICATI� FQR CONSTRUC�N PERMIT <br /> CITY OF EVERETT•BUILDING DNISION � <br /> 3200 CEDAF STAEET•EVERETf,WA 98201 •(425)257-8810 ������ <br /> �/ <br /> O DEMOLITION ❑ COMBINATON O BUILDING �MECM�NICAL ❑ PLUMBING ❑ 516N <br /> VROJECT ADDRESS��O� I�IIll4�JG69Y <br /> OWVF4 4MI.YYN{5 biY IT VMJY[ <br /> F_7�`�-.�'�ip.✓� �$01. B�GFQ�►iY� <br /> 1�N1V1 V�N4%/1f55 f.IfY !IV 11q4f <br /> I��11LIX�IGfO�M51!iv{(� 1��'I��IX�lSS C�fY )i� 1'N(Yf <br /> ('.IN[11�lf.fY�llla(t(}I u��1�MM�(SS CIl♦ !rf' NxM [11�IIR'fNi{� <br /> 6BZfw�Er lars7,v�+-<.—�o.d <br /> vroumuimvrn.cion o.�i�rYwrss arv :m r��ovr or.�rucrrst. <br /> EYG�fj�e�ri ST.Sr�i's'/1��L°c /l�/�:/J)f/v,.�"U/G�✓/AP. ¢d�iL�'�/ _�S_A�L <br /> CI114P�1G�'P11f11r;��11 y����ppf5$ CII� jl0 pN'J4! 51�II IIC1451� <br /> ow.m�cimnct a wnnn -" - <br /> ,2.7op a MEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> wttnmr.wm..rn cruni'i��.cr mvano ca.r�t+n nta.�r.n rHan.�o <br /> �l�S1i9L� n�U7-!l�GYL�E d1�'!L � �i9r✓ /��__ <br /> s!%+�G _ <br /> I NEREPY CERiIFY TN�T I M4VE READ AND E%AM'NED THIS <br /> APPLIC�iION�ND KNOW THE SI1ME 70 DE TqUE MNO CORRECT �LL <br /> ���arosrn us��nunaen PROVISIONS OF UWS�ND ORDINANCES GOVERNING TRIS TYVE OF <br /> �F��« WOPK WIIL BE COMPl1E0 WITN WHETH[R SPEL�FIEO NEHEIN OR <br /> ucu msr.n�nna�ar�or[mrrsrrow.�eaowou•n+cwrwocon[si rypT. TIIE GRAN➢NG OF A PERMR DOES NOi PRESVME TO GIVE <br /> �o�. _o�a:.__a AUTHORITV TO VIOLATE OH CANCEL iME PROVIS�ON OF 11NV <br /> OTIIER STATC OR LOCAL LAW REf.UUTING CONSTRVGTION OR TNE <br /> PEFfOqM�4CE Of CONSTRUGTION T4A71�M�UTNORI2W BY iME <br /> OWNEN Of THIS PqOPERTY TO PERfORM TME WORK FOR WNICH <br /> APPLIG�TIDN IS M�UE ANO I COMPLY WITH TNE ST�TE <br /> r�MruenoMn�ntn CONiR�CiO W182�RGW�N0296200W?C <br /> C0451MIL1NMlO�NItMtF11.NT1�[St.l[IiAqYFMTM1En �_��� �` l/�OQ <br /> ,LS� <br /> r•LN�I�pIL �� 1»tl <br /> �IfYBl14!([$1����1!1 NO <br /> PLUMBIN6 MECI:aNIC�L � <br /> NO. TYVE OF FlKTURE OR REM FEE NO. T'PE OF EOUI/MENT FEE <br /> W�TER CLDSET(TOILET) NC-AMNDIG UNITS <br /> BRTHiUA FORCkD AIR SV5 i EMS <br /> LAVqTOPY(WASN BASIN) ME�T PUMP T- <br /> SHOWER UNIT IIEAlERS <br /> KITCNEN SINR 6 DISP CI.OTHES DRYERS <br /> DISHWASHER FANGE HOUC <br /> LAUNOFY TRAV WAIER NEATER <br /> CLOTHES WASNEfi WOOC STCVE <br /> VR W AL METAL FlREPLACE hY000 BURNiNG) <br /> �RINRING FOUNTRM FlREFUCE INSEItT(W000 BURNING) <br /> FLOOR DR�IN 7A5 PiqE�IACE <br /> O�CNFLOW PREVENTERS GAS RANGE <br /> SINN�SEFVICE-9AR,ETC.) GAS PI?ING <br /> E%HAVSTFAN <br /> _ �_� <br /> _ SUBTOTAL E SUB10iPL f <br /> PERMIT S PEHMIT f <br /> iOiRLPEE f TOiALFEE f -'— <br /> FOR OFFICE USE ONLY: <br /> in�qtvl��'v nr.ncnp.cr 5�IX5[IR�Ct rUMORtnwow�a Rr �rrrm�rA <br /> �tmrr io��n�• �µ.asnt FEES VIIW�TION FEE <br /> ❑.ts nru ni.:na: — ---- -- - -- <br /> �•uc��i��ue,io. wavwiu�w ciaeae�or.�i '_ —_'_ _— _'_ <br /> urnc ru�niv�. <br /> � <br /> '__ _.._-_ _ ' _..__'_{'. _ <br /> ucaur�.. . w.�...„,.0 a.rm.�r���mn n�crV[v wrr�.�tix.� <br /> . om <br /> � <br /> ❑tfi ❑M --. . _ _ . __._. .. .__.�_ _... <br /> f�u1.�1'I�•�.IFIIN[G� �I�V(W �IlO�lilW�iryWC�Mf� <br /> fll��l� ' <br /> 1itPIPIA�NLV� 1ry�[nV � � .. . <br /> cl�ll!ii!..IiNI'.��Iflf�l/.11::� <br /> ____ _ ________ _ . . . .�____ <br /> nr�o� ���., nnrc.rmor�.im- CITYOrEVERETT oi�n.i,:w�.�,i,.c ' <br /> LOGAL 511LE5 -- - -- -- - � - - <br /> nat TA%COOE IS 7105 TOT�L <br />� <br />