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APPLICATIOI�OR CONSTRUCTI�1 PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 C[DAR STREET•EVERE7T,WA 88207 •257-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDINO ❑ MECHANICAL ❑ PWMBINO 16N <br /> PROJECTADDRESS <br /> Hzs E. cAs�nro Rp. l✓�r.�f <br /> vn�n 4�a• ss cnr to n�aa <br /> ,� c� �66�,,. n._y.: <br /> ,� c 5� i�o �.,,�, i.�. ,+.� ,v �'c�� <br /> 1[Hµf YnR�pp1F59 CItY iV MME <br /> 11u/.N Lu�nSer Nz5 F CAs.'+�o ?D Fv•-•If ZL�[i� z7o .- $GC7 <br /> •11CMi1FC1Ca�(69NER V1L�OOM$! C111 !V Ctu1E <br /> 0[MPµLWtPM;iCa Y�11�%MF55 Clf� !b �, P�Y1F 61�1flIGEMf• <br /> 3- <br /> � N<Qti_ I�O Btf 52 69 L.i,v✓�c�ril SPo76 �_[• 915� L{......✓�o `l7Ge� <br /> ufCueM LCCMtuO.M� WlLpp11f5S L�11 IV 19q�R illlFlqET15E� <br /> PWuliNOC(W�P4iOP Y4UOp1fb1 Ol� !4 M1�pS SGI[LKLM51� <br /> CCM�P�CI POFf p N^!w <br /> f c� I��o o HEATINO SYSTEM: f7 OAS ❑ELECTqIC ❑ <br /> as<�ro[ auaswuiEroo*•c[a+va�[u con��c�vcnso�uunqx[w <br /> ..51ett C/) �„��___ S .v A <br /> 7y (�___ __ Hzs 7�6- 8fi3s <br /> I HEREDY CERTIFY THAT I HAVE READ �ND E%�MINED THIS <br /> - �PPLIC�TION ANO NNOW iHE SAME TO BE TRUE AND CORRECT ALL <br /> vmn•os�o usE a nanrnm PROVIS�JNS OF UWS�NO ORDINANCES GOVERNINQ TMIS TVPE OF <br /> WORN WILI PE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> u,un[srnviqwor�npvEn.r�s�nwne[ioxou�n¢nmvc�vem qp7. iNE GRRNTINQ OF �PERMIT DOES NOT PRESUME TO �N[ <br /> ior e�ae__o� __ AUTIIORITY TO VIOUTE OR GANCEL TME PAOVISION Of �NV <br /> OTIIER STATE OR LOLAL UW REdUUTINd CONSiPUCiION OR TNE <br /> _ S�� 5�.�� /r N __ f•ERFOPMIANCE OF CONSTPUCTION.THRT 1�M RUTMORIZEU OV THE <br /> � ONNER OF iH15 PROPERTY TO PERFOAM TNE\VORN FpR WHICH <br /> APPLICATION IS MADE AN� I COAIPLV WITM TMF SiATE <br /> r.ncn u.�o ruunw — ' CONTORCTORS LAW 1B Y7 RCW�iNO Y3fi 200 WAC. <br /> i _ 1 l� <br /> �A.. � F. .,,� .';:J z�5_3�'� rr^ --� i <br /> lIlNS�PVCtqNIO�NIfNCEf11IXME551LLFRq14MIYIfR � �/� /�/�/pp <br /> 6qMe1pOF D�fE <br /> OL47S'(, <br /> C111lUSMESSlCENSEIq <br /> PLUMBINO MECNANIC11l <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE f1F EOUIPMENT FEE <br /> WATER CLOSET(TOILET) NC—MINOLO UNII' <br /> B�THTUA ! FOALED AIR SYSTEMS <br /> UVATORY�W�SN BASIN� HEAi PUMP <br /> SMOWER I UNIiHEAiEPS <br /> KRCMEN SINN 8 D�SP �_ CLOTMES ORYERO <br /> DISIIWASHEP RANGE HOOD <br /> i <br /> LAUNORViRFY WATER HEATIq <br /> _�_ <br /> CLOTHES Wr15HER WOOD STOVE ! <br /> URINRL I METALFIREPIACE�WO00BU0NIN4) �— <br /> DRINRINOFOUNTRIN � FIREi'UCEINSERT�WOODOURNINQ) � <br /> F100R�RFIN OAS fIREPLACE <br /> ��CNfLOW PREVENTERS OAS PeNOE <br /> SINN�SERVICE—O�R,ETC� ANS PIPINQ I <br /> � EYN�l1STFAN i <br /> — ' _ 1= i <br /> � <br /> i i <br /> i <br /> —�— <br /> SUB TOTAL f SUP TOTAL f <br /> PEHMIT f ! PEItM1T f <br /> TOT�LFEE f 101�LFEE f <br /> FOR OFFICE USE ONLV: <br /> [IM�IISF�P�C� PF�I15E1B�lF SiCESFIlKM RNICq[CSMMlFP ![F PECE�1 <br /> �� lD-cr.3 �d <br /> �<r+.vrt iorm[� vruxtan[ FEE9 V11LO�ilON fEE <br /> _�— nrEr n ra e�nouu <br /> ��I�ii�11i4i111qN NJOfpW[11M 6�l[MMd1'!I <br /> UM115 OIUYlMI <br /> �.�IA�)i�nnrw.• OS�CMl3 OCCVG1NIl0�� BASIY[MI y[CNANLAI <br /> nr[s ❑r.o <br /> ImF5�1 LlP�f00 �E�SCN I.WIISINLRµCN[CII <br /> OINfN � <br /> �n�i u.�u nmo nus�n <br /> SI�IEbM1WqfU11LMYY#I � /TJ� <br /> rvri u��.�vs n�r��novmer CITYOF EVERETT ���wa+Ks <br /> � LOCAL SRLES <br /> ____ �,,,�� / -i �_ TAX CODE IS JI05 TOT�L �D S <br /> — -- L 1D ��°� <br />