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APPLICATIO� FOR CONSTRUCT�N PERMIT <br /> CITV OF EVCRETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257-8010 <br /> ❑ DEMOLITION ❑ COMB�NATION �BUILDINd ❑ MECNANICIIL ❑ CLUMBINO O 810N <br /> PROJECTADDRESS:___�p]�_C,,#��8�, EJt�.�£ u-+A <br /> ��.1T1\—�-�e�rA�—�,tr��0�08 �-����—E�cve� <br /> rn r����mxss nn tm e�cr�t <br /> �i.��N� ��n+mntss rnr )o rrqrr <br /> �AT!-S A,NsEX�.-.�7'�1-Go\��r5+_�¢.��Ev ww�_W P�__�91SIaQ—_. <br /> �.U�ru—�v�+S�s�•er•�{�.y. Eu�vt�_1A1��]�'.).4_SQ-_-�8'3b/e7 LeBAo.t.[_1'Ine2 <br /> llfM[Al(fYi�1��1.11Fl 4YI�IX�l55 C��� )T I`IMWI t1�111KfM51• <br /> N[H�MGICfnI��"IfM 41pR�fMNSS OM1 )N' MRfYf q�qlK(M5f• <br /> �!1 MM�r�ff}IIII�I.�T 4��1�IIIY�[Si f��1 I�0 1'INMf Sl�lf ISfMSf• <br /> "-�a�o� — – <br /> ior�� c�rmciuir.Ma <br /> �p����__r���:� Q;4a�_ HEATINOSYSTEM; OG116 �ELECTRIC ❑ <br /> (plu:mn�wnn.�rn srn���n rmr�nr r�n`�vro� cnx�v�rtn�m un rrn�w.q <br /> ZYiBfan�}4�1r..� vnu� "_ rt�ta��5�31G1o� <br /> V <br /> ' ' I HEREBY CERTIFY TN�T 1 N�VE RE�D I1ND E%IIMINEO THIS <br /> _���—_-__ �1+PlIG�TION�ND kNOW TNE S�ME TO OE TRI/E�NO CORRECT QL <br /> PROVISIONS OF lAWS�NU OADINANCE6 60VERNINO TNIS TVPE OF <br /> WOPIc WILI �E COMPLIEO WI7N YMETHER SPEGFlEU HEHEIN OR <br /> �ro���xmrnwni+qrEnni4qwneurrxrn�n¢Hroocmni rypT. THE �RANTINa OF A PERAIII DOES NOT PPESUME TO ONE <br /> �o��� a� e�or.� ����or 4� �uTMORIiV TO VIOUTE OR C�NCEL TNE PFOVISION OF �NY <br /> 'o���T p(A-O-pp CAD 3�D-j0 OTIIER St�i[OR LOCNI.UW REOVIATINO CONSTRUCTION OR TNE <br /> PERFOFMANCE Of CONSTRULTION TMAT I AM�UTNORRED BV THE <br /> — ' OWNER OF TNIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> ��I'b�e�i �ISQ(G �P�LICIITION IS MAOE 11ND 1 COMPLY WITM TME STATE <br /> r+�ncnt�uoMswn CONTR�C RSI�WtlYiRCW�ND796IWW�C <br /> t�� � oac� cx� <br /> cawv�mt�nn�wwir.twnwtnrssrt��n«wEw�ww�n N (�1-1'47 <br /> 5 U�4 <br /> G�1lV4Mi51Ff . <br /> PLUMBINO MECNIIMIC11l <br /> NO. TYPE Of FlIRUPE OR REM fEE N0. TYiC Of EOUIPMLNT iEE <br /> W�TER CLOSEi(TOILET) /yC-MINp�p UNR$ <br /> BATNTUB iORGED AIR SYSTEMS <br /> �AVATOOV(WASNBA5111� NGT PUMP <br /> SNOWER UNIT NE�IEf15 <br /> NITCNEN SINK 6 DISP CLOTIIES ORYERS <br /> OISNW�SNER AANGE N00� <br /> LAUN�RY TRI1Y WATEN HEQEN <br /> GL0T11E5 W�SMER WOOD STOVE <br /> U�IN�L METnL FlPEPUCE�WOOD BURNING� <br /> Df1INKING�OUNT�IN FIqEGUCE INSERT(WOOD 6lIRNING) <br /> lLOOR DA��N G�5 FIREPUCE <br /> O�CkiLOW PIiEVENTERS OASRANGE <br /> SINN�SC�VILE-BAR,ETC� GAS PIPIN6 <br /> E%NAUSTFAN <br /> SVBTOTAI f SUBTOTQ f <br /> PERMIT S PERMIT f <br /> TOi�IFEE t TOTAL iEE ! <br /> FOR OFFICE USE ONLY: <br /> IMH11Vlp�f• M�IISflll�f.11 LMSf�lK� M�NC�Ilf�M11�1111R fFf MffI1�IM <br /> _�j3as <br /> nnrvw� �o�ux• v�uv�vrt �FEB WLU�TION FEE <br /> ❑Yft O M) 4 T <br /> II��iMW: — �4—� �OC� <br /> �n�u,an��uinw "°irnwrw.0 ur�ax n� N�i --- - - '-- --- - - - - - <br /> „ n�A ,��„��� n,�w _ <br /> �x�TJ� .�., . .,,.,,W� �.����..w���,.�, ..ww�,� —+--- <br /> Lln�.- -__ __ — wiHwnn __— __ _-._-_ ".' __-� .._ <br /> � /`J� prr• ❑rn <br /> 1`.•��•i�lllrl�l0(1 IX�[f11 �M�II(1N11 ry1YCIMf� <br /> ____ _ __ _�+ <br /> /� l <br /> O��XP <br /> I�I�I��A1141111]!� �l��nV �� <br /> N J .un n,n,omc sncwnr.� <br /> ._ _ _ - '."___ <br /> �ma�w�a vievv� �m�vrnn. CITYOFEVERETT nini��'.vnw�.a ; <br /> �, � LOC�L511LES .----' ---�- - <br /> - ti"� �,.,,��2-5-9 r�K cooe is oios ror�� _ / <br />