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APPLICATIO�FOR CONSTRUCTI� PERMIT//��� <br /> CIN OF EVERETT•BUILDING DIVISION r/�/1 <br /> 3200 CEDAR STREET•EVEREl7,WA 98201 •(425)257-8810 �����T <br /> ❑ DEMOLITION �-COMBINATION ❑ BUILDING ❑ MECHANICAL O PLUMB�N6 ❑ SIGN <br /> PROJECTADDRESS: S� ).�I �(�Il�1A��.J/H� <br /> �r� r�ru� �c>,�,��,�0�7 r,���,-n��,1, ��,—/si- ��72 <br /> ow fn vu�euonEss drt m <br /> �%ffc�Eu� <br /> tfv�vt q umuw�css urr nv nrouc <br /> `/ �1� !�J����� <br /> •x�MlrctOnpES�G M�n E5� ��Iv )�r rvKwrt � <br /> ,� �r c� �ou��rn��� ,�� �'.oO�x���i� 1�.��r.T ,r�4,rro2 �'��y�t <br /> cfrvrnµcOn*NdOn vMepqiEss cOr Ar Rqr[ tut�KrMX. <br /> Yfb1111i[µGpYD11�1pP 46t�CONE55 db /F RqVf SGqIKINSF• <br /> P111MlMG�ON1R�Rp� N�CAIXMESS Llry !IP PI✓JHF SIqf1�C[NSi• <br /> coMrnK�rncc a wm+ <br /> ___C,��� �,�q/_ HEATING SYSTEM: �AS ❑ELECTRIC ❑ <br /> uEscme�wan.•�.nsou.ncr I�6ENVJlVED cox..c�rxn��.w)l�' �B1 (r�C ' < <br /> �� � `�' - �i•-/��l�(f <br /> � `�'F/L <br /> / '��� � 1 HEREOY CERTIFY THAi I N4VE REAO AN� Ex�MICED TNIS <br /> iv�aosfouu ar mnd�q �PP��CATION AND NNOW TNE S�ME TO OE iRUE AND CORRECT ALL <br /> c F-� PROVISIONS OF LAIYS AND OROINANGES GOVERNING 7HI5 T'OE OF <br /> � WORN Wil�BE COMPLIEO Wlill WHETHER SPECIFIED HEREIN OR <br /> IfGKpESCMPfqNOfIYqRP�I'19qM18RbMpIMIDLNMOCOA[51 ppT. THE GRANTING OF p PERMIT DOES NOT VRESUME TO GIVE <br /> io� � eiDca W AUTHORITY t0 VIOUTE OR CANCEL THE PROVIS�ON OF ANY <br /> OTHER ST�TE OR LOCAL L�W REGVLATINO CONSTRVCTION OR THE <br /> �• S .� PERFORMANCE OF CONSTRUGTION TMAT I�M AUTNORIZED�Y THE <br /> OWNER OF TMIS PROPERTY TO PERFORM TME WORK FOR WHI(;M <br /> RPPUCATION IS MAOE AND I COMPLY WIiH TNE ST�TE <br /> ru�cR uno mlw�n WNTRRCiORS UW IB 07 RC ANO P96 Y00 W�C. <br /> r;',J ;c- ..l- 47 " ODG� � �� � L CJ <br /> COV9TriitWlWM�[M�fl1�C��[SS.RI[NqAENWPFN q )C � ! ��-�l""�l <br /> _ �f�Sl� sx¢✓u�uu ���`' ouc <br /> � <br /> Grveuyw[ssic�Hs[rro <br /> PLUNBIN6 MECXANIC�L <br /> NO. TYPE OF fl1RURE OR REM FEE NO. iYiE OF EOUIPMOIi FEE <br /> `� WATER CLOS[T(TOILET) A�C-MINDLG UNITS <br /> ( B�THTUO FORCEDAIRSYSTEMS <br /> .1 LAYATOFY(WASH BFSIN) HEAT PUMP <br /> � SHOWER UNITHEAiERS <br /> I NITCHEN SINR 6 DISP CL0711E5 DRVERS <br /> OISHWASHER � RANGEHOpD <br /> LAUNDRV TRAY / WAiER HEATER <br /> r LI.OTHESW�SNER � WOODSTOVE <br /> URIN/.� METAL FIREPLACE(WOOD BURNING) <br /> �RINKINGFOUNTAIN �- FIREPLACEINSERT�WOODBURNINGI <br /> FLOOR ORAIN GAS RREPLACE <br /> OA�NFLOW PREVENTERS GAS9ANGE <br /> SINK(SERVICE-�AR.ETC.) GA$P�PING <br /> E%HAUSTFAN <br /> SUBi07AL S SUBTOTAL S <br /> �� _ 7ERMIT S i PERM�T f � <br /> TOTALFEE S J TOTAL FEE S l{� <br /> FOR OFFICE USE ONLY: <br /> IPONIYlp�C[ 11f�115fiB�C� SIp�SlIBI�CM ry.WC4[CR^'��i1,, f[f WffIPINO <br /> `�-p� 2.0 � �7 � 565��0 <br /> o:rv �ouuEe /� v.c NtgrE PEES VALUIITION FEE <br /> ) —T7�^ <br /> �L � �9� � 1 rts �ru nwdvr. 7 bJs /�.!/� - <br /> nnc�nnmu��v nwnuw saca ncrti <br /> Ilvil[ q1ryRMR <br /> �- , �z,� y�o sF — ---- -- -1��-- <br /> CC1:111'�4f.Y M)MSIMfi OCCI�N.NIl01{1 B�S(\�[hl 4ff.N�Nlf.4 <br /> �„o� � —��-- <br /> � ❑,Es .� <br /> nnes�ne�zur�aru'o-- nr�vrm �op�rcrou.n�wcrceK - -_ <br /> ourcn -_ ____ '_'__ __ <br /> riacNemunmo m.�rn - � <br /> s���tnmiuwcsunnunc[ .[, Ja <br /> nrr:orcoas rtecse�rnovcoqr CITYOFEVERE7T nmir.wonas �j_ <br /> -�.J. LOCALS�LES - - — - <br /> ,�L-N o��t /5 'I� TAX CODE IS 0105 TOTAL <br />