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APPLICATI� FOR CONSTRUC7�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVER[TT,WA 98201 •257-BB10 <br /> I-1 DEMOUTION fl COMBINIITION N BUILDINO I; MECHANICAL 7Z PLUMBIN6 -1 SION <br /> PROJECTADDRESS <br /> � o C 5rN0 d �.,,�� �«�� 9 0 <br /> rnwa uu�uonEsa arv t�� r�a< <br /> ya�eb lJoo�s SusOchr4as ad� �••I� a�3 .sE'�15�/ U/A �do6��G8333o <br /> rfwx� u•a.00ncss cnr r. ww.e <br /> ��/�D ,��GO PO ,(f O�C . <br /> • :�«i[cra�ocsr.ran u�au�w[ss c�rv ++' A� <br /> NViCCN1R.1Lt011 Y�LApM1f68 CIf1 !V R1CME {i11[LSfME• <br /> M[[aMR:µC0111P�Llq1 M�Y�Dq�F59 UiY !V MM/l 9�1ElCFMSE• <br /> It CfMtP�LI 4�I1• E55 L�Iv IP %KY[ Si�f[I�LlMSC• <br /> �.K -�rsss r q���p �'�°K1yP_Qa�o �,�s- �so s-i ys <br /> C(IN1P�Ct'Y1CF lY KIMM <br /> cATINO SVSTEM: ' �OAS fIELECTRIC I <br /> a:Cnie[xcmi uo swu�F roo��nr'.r�vav[o vr�r.�rtns�ri uo r�r.a ro <br /> ��— ����d ����`� <br /> I 5 j HEREBV GERTIFY TH�T I N�VE READ �ND E%AMWED TNIS <br /> �J(/� PIICATION 1ND KNOW TNE SAME TO BE TRUE�ND CORREGT.nLL <br /> vixmuo os[a evtcwi OVISIONS OF UW S AND ORDiNANCES C.OVERNING THIS 1�PE Of <br /> ���.1����_� qK WILL �E GOMPUEO WIiN WHETMER fiPECIFIEO HEREIN OR <br /> uoaocscpv�qxarrit�v[nrvis�owNeE�a _ , i THE OR�NTINf3 OF � PERMIT DOES NOT PPESUME TO GIVE <br /> io� e�.ae�_a �UTHORITV TO VIOLATE OR CANCEL TNE PROVISION OF �NV <br /> OTNER STATE OR IOCAL UW AEODUTINO CONSTRUC110N OR THE <br /> PEPFORMANCE OF CONSTRUCTION fM�T I AM�UTHONREO 6V TME <br /> — OWNER Of TNIS PROPERiV TO PERFORM TME WORN FOR WNICM <br /> APPIIC�iION IS M�DE AND I COMPLY WITN TNE SUTE <br /> nucu u�i o�uun[n CONTR�CTORS UW 18 7^7 RLW�ND 796 200 W�C <br /> CCNSIRUC�qNIO�NIFNC£N�pqR59 ifl[%AMKMX![P /�(.{�L�Q �[�{�/ <br /> Sfl�onE D��F <br /> CIlvBV5�Il55lIrfN51 Np <br /> PLUMBINO NECNANIC�I. <br /> 110. T'PE OF Fl7ITURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER ClOSET(TO'LET) h'C—AHN�LO UNITS <br /> BATHTUB FORCED�IR SYSTEMS <br /> LAVATORY�WASN B�SIN) ME4�PIIMP <br /> SHOWER UNIT HE�iEAS _ <br /> NITLMEN SINK 6 DISP ClO1HES D�YFRS <br /> GSHW�SNER R�NGE NO00 � <br /> �— <br /> LAUNDRV TRAY W�TER NEATF.N ' <br /> —i— <br /> CLOTNESW�SNEN � WOO�S70VE <br /> URIN�L MET�L FIRFPUCE pVOOD BURNIN6) <br /> ORINNINO FOUNT�IN FIREPL�CE MSERT IW000 BUHNINO� <br /> / r FLOOR DP�IN 4�5 FIREPLACc <br /> � ��CNFLOW PREVENTERS O�S RRIOE <br /> SINM�SERVICE—0�0.ETC 1 GAS PiPINf _ <br /> E%�1FU4 F�N � <br /> SUBTOiAL S SU�TOTAL f <br /> PERMIT S PERMIT 3 <br /> TOTAL FEE f TOT�LFEE S <br /> FOR OFFICE USE ONLY: <br /> �PCr1151�N��� �UaSLIPv+ SM1RSfI!¢F RCaMdV�EP rt[ —T��(CF�.MO <br /> O��O/ <br /> iivn��.r �o�.ne• ���uH�v�e FEEB V1ILUATION FEE <br /> ..,ns "�r«� eux�+a <br /> .iqHriiu�r�rqx nnaa.turvn svenxiwii <br /> UNi15 V1114BM1 <br /> tAfiiNM.r MICVSIpnlf CLCVP�J1110�0 l�SE4EN' Y�LN/ML4 <br /> f1�0U> <br /> 1vF5 O M(1 <br /> Ixif.[PniM{tkNP101� 11E�4W IppllqHµRNIMCN <br /> 1)11�fP <br /> rm�u.uuucno nr.uw <br /> s�•rt euto+u suc�wni <br /> r.ri�xcor�s n�xvrrnovroe. CITYOFEVERETT ��t�� <br /> LOCALB�LE6 <br /> �,,,� __ T11%COOEf87103 70711L <br />