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^ ,�, <br /> APPLICATIa.� FOR CONSTRUCT►.!N PERMIT <br /> CITY OF EVEFETT•BUILDING UIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259•8810 <br /> ❑ OEMOLITION ❑ COMBINATION ^ � BUILDING L I MECIIANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS: ��iDoZ C�uJ�f /��c�C� L'L� <br /> C�I�I �'r" /��f�P.. `'� J cirv ---- iii'. _ -- riror+E�J �j <br /> OMNER � Mni 1AOfME55 }I IO/I/ YIV� ST SC C�/V F C /T � �OAa/" �/ ��'l..J..v/ <br /> K:ti���; <br /> TENNlT — M�II NNNIESS CIIY /IP -� "— PIIONE <br /> Aqp111TECTpiDE516HE� M�ilMpn[$5 CIIY /m �-�--�� P1IpNF <br /> Coanl. �e5� IZro3� ut QS's' IG��k�a� --�17-��34' <br /> SX E� �la�. ��sa9-�y��J �—'- !N. `��_I_li�.iir�-- _.. ... ;m rnoHe SI�tELICENSE� <br /> IMW �-)37 .._1y1�� �TX ENT��CoyyBC <br /> ME�icu1 YU�c�GC�UIIGA`n�17"�P!L1_. fn'.'n/ �L�ITMM�1� �llf�C I�AY �(1�'8L 7 ri�`(JnYI M-'�rMPko� <br /> 4Xd� 98J� <br /> PIUMBMIGLONTR1Gf M�IL�I E55 CIIY li�• PIIONE SiAIElICF45E� <br /> CONf1UC1 PRICE Oi VIORN /� --'------- <br /> 4�' K •7/ ��"��i:- HEATING SYSTEM: �GAS O ELEC7RIC ❑ <br /> UI.SCRIlEMqRN�MISW�11EfOp1�1pEINVOIVE� f11Nu1qPffI501U QIIONf <br /> • �aV-S,�f i�r�r[>P_ �(.� <br /> 'asr��T,tIEtJ SFR oF l�cb S.F. �,�Z�6� 7,d�-7y L-�ZZ -- <br /> � 1 HEf1EDY CERTIFY THAf I HAVE READ AND EXAMINEO THIS <br /> P��OFOSFDUSE OF BNlDINO p APPLICAl10N AND NNOW'l1E SAME TU 8E TRUE AND CORRECT ALL <br /> S�I�, PROVISIONS OF LAWS A��D ORDINANCES GOVERNING THIS TYPE OF <br /> LE��l0E5LqIPTIONpFP(10PEOTY�51qWNBElOWp1�T1�C11TWOCOMES) WORK WILL �E COMPVED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. 7f1E ORANTINO UF A PERMIT DOES NOT PRESUME TO OIVE <br /> �oT a` o�oc� or AUTIIORI7Y TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> L� - ' i OTHE�I SIAfE OR LOCAL LAW REOULATINO CONSTHUCTION OR THE <br /> Sl+��l'� 5�A1i�I1SIC�. �� �9 �YI'F{� � I PERFORMANCE OF CONSTqUCTION.THAT I AMAUTHORIZED BV THE <br /> �p I- OWNER OF THIS PP�OPERTY TO PERFORM THE WORK FOR WHICH <br /> I � 5E � � V M�R APPLICATION IS MADE ANO I COMPLY WITH THE STATE <br /> PAIILEL LU.NUMBER aJ3• CONT CTqRS LM'V 1B.P7 RC AND 296.200 WAC. <br /> a# 3p�`�O"0�7�0 D ; <br /> GONSTRlICT1pILO�NLENDER,IIDD�IIE�SS".TEIFPNfr1€MIMBEf1 .�I 1� 3�8�97 <br /> �cXMlYS'�1Q. �N12 e1x.Y�/♦ �'�`�(s�cYcv /�pGr r0 r o��e <br /> d�90-9f�'��90ln t�A,al�ld✓ 6iH iB� <br /> � CIIY N1SMf 55l I(;f NSE NO <br /> PLUMBINO � MECIIANICAL <br /> NO. TYPE OF flIfTURE OR ITEM FEE N0. T'pE OF EOU�PMENT FEE <br /> WATER CLOSET(TOILET) // —;— �—� �--"'-"" -"—' r-- <br /> NC—M1NDL0 UNITS i <br /> BATHTUB �i � - - <br /> � fORCEDAIRSYSTEMS � <br /> UVATORY(WASH BASIN) i i/ IIEAT PUMP � <br /> SHOWER � UNIT IIEATERS � <br /> � KITCHEN SINN 6 DISP ; CLOTHES DRYERS ' <br /> � DISHWASHER r � -F7�N6E H00� � <br /> � <br /> UUNDRY THAY ; WATEfI I IFATER � <br /> � <br /> CIOTHES WASHER �� � WOOO STOVE � <br /> URINAI � Mf:ITI.FIRL'PLACE(N/OOD BURNINO) � <br /> DRINKINO FOUNTAIN ; FIf7FPLACE INSERT(VJOOD BURNIN6) �— <br /> FLOOq DRAIN ; � GAS flf�[PLACE i <br /> BACKFLOW PREVENTERS ; �CAS f1AN6E � <br /> SINK(SERVICE—BAR,ETC.) —� �AS PIPINO � — <br /> � 3 _E%NAUSTFAN � <br /> � � <br /> � -- � <br /> � — --- � <br /> � <br /> �� . _..�.... 1 <br /> 1 � <br /> SUB TOTAL f ' SUB TOTAL S ' <br /> PERMIT f � PERMIT S r <br /> TOTAL FEE f � TOTAL FEE S � <br /> FOR OFFICE USE ONLY: <br /> iRONTSETPAC� / PE�fi$flP�f.1c / SIDESFIP�CI{ PIAqCII[CMN�IIM/f)fT f[F , ) 11FCEIPiNO <br /> 5 �7 J����� � J, i ,J <br /> ___-__ �— L <br /> usEzor�E �J iounce vecearsn[ FEES VALUATION FEE <br /> /G" OrEs ❑ rw nununin __ - C <br /> NE�ONT UMITATION / NN"pF DWEIIINp 51lE Oi BIIXIRI ---- - -- ��� � <br /> 1 I 114pIHfi � <br /> �13 SS Sf_ .'.__ - _ __---- 7-ZI— <br /> OCCVPANCY Iq M$IMu(S OCCUPANflU�O B�SEMF.NI )1 <br /> ORWP � � M(CII�Hif.q <br /> '� U-/ Z ❑YES L9'MO _—.—_"_--- -- � _'_ <br /> i <br /> iINE6PPINKLERpEO'D �F�Spry �OUIIIOHM PI�NI]IffM i) � � �j <br /> L —.J <br /> _ omui ; <br /> � <br /> qRE AIMM REO'0 11F�SON _ ' <br /> I'anqnuqUinrl�unCnulaF / _i �y✓ <br /> fYPEOif.ONSf P��NS�PPIWVEDDY `/ <br /> ....'__'___ _ _�_ �"_ <br /> CITY OF EVERETT runnr.wnnnc /7/1� _ <br /> LOCAL SAIES ----- - � ------- ....--. —�V I—_' <br /> �_� _ n.ir ��1,�/'f TAX CODE IS 31q5 707aL ' <br />