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APPLICATIO� FOR CONSTRUCTION PERMIT <br /> CITV OF EVEHETT•BUILDING DIVISION � <br /> 3200 CE�AR STREET•EVERETT,WA 98201•259-BB10 <br /> ❑ DEMOLITION � COMBINAT�ON O BUILDING ❑ MECHANICAL O PLUMBIN6 ❑ SION <br /> PROJECT ADDRESS:_ Z Y 1-f C-�G� _ <br /> 1�-��ii {__N/i:Cf � 2 Y i'i �c(''te`N,v [�ra�ir �f, ilt •3990 <br /> p'� � l�ppnF55 piry <br /> !m �p�q <br /> 1lN�Ml Y�R4101N55 CII� lip p�y�y( <br /> �M��rf[IC�IlfltiflifP xnf55 Ci�� ..—...-/in- �r�� <br /> C �ti/' <br /> LIMf�14LMll��(I['/� Vu1�INM1l55 Cil♦ Jil' h�N/ [I�IIIKfNSf• <br /> ��4l.�2�i� �_,.3T. 1 � 3t /rq,�u,.���_Flt'r�s'1y�_.9�E�I �sc-7rsa nK�,bf�#�Z3o�H <br /> Y[CN�NiC4CON10Cip1 4IX�UOnf55 UM1 liP hqNf VnflK[x5f• <br /> bi� P��h?�..L. Po /!�L /9Yi Irolro-.��. ygL95�4� 36e�s6l�Kv Otl�c�i Noo /?e <br /> qV411rvGCp11R41pr1 WiI�OME55 OIv li� MqMf S�LI[IKfNT[• <br /> coNm�a raa n wonr �!�O� � -- <br /> � HEATING SYSTEM: (SGAS ❑ELECTRIC ❑ <br /> axmer Mom.rn�ar.m roor.n��xravro ccwuc�rrnscri.nn nwwr wo <br /> lo�no,is.r r � tRii�aRE/'u�f —.f�l�ttiv�,,,.�-is�f�.. ts� �YSa <br /> _ �'vF'� l.i JJ / /�-E)� �-�eoa+.-j u°e <br /> .�� II�I�NI�,r (i�� , ��0���f - 1 IIEf1E0Y GERTIFY TH�T I H4VE RE11D �ND ENAMINEO TNIS <br /> rmrououu a eaau.n �� APPIIGiION AND KNOW iHf. S�ME TO OE TNl1E�ND CORRECT �LL <br /> R/,j��� ✓ PIIDVISIONS OF UWS�ND OROIN�NCES GOVERN�NG TNIS TYPE O� <br /> WORN WILI �[ COMPLIEO WITN WHEiM[fl SPECIIIED H[11EIN On <br /> i[midscu�onwdmp4nn}vawunuowon•rucwrvq� rv[si NOf TME OR�NTINO OF � PERMIT DOES NOT PRESUME TO 61VE <br /> im�'� � uuc��J�pr M l� �UTHONIY TO VIOUTF OR C�NCE� THE PqOVI510N OF ANY <br /> -�I�"S! CL �t��ER Si17E OR LOC�I UW qEGULATINO CONSTPUf,TION OR TNE <br /> � � �EflfOfiM�HCE OF CONSTRUCTION.TN�T 1�M�Ui110qIZE0 BY THE <br /> OWNFR O( iN15 Pf10PE11TY TO PEIIFORAI TME WOHN FON WNICH <br /> APPIICATION IS M�DE AND I COMPLY WITM TNE STQE <br /> vuKF�+umxuue�n p —' CONiMCt011SLAWtpppq�WANDP96200W�G <br /> S�F. O'.fS�-Q L�f�OOp Y' <br /> erws�m�e�iaw�txnfn�mnrss�ri�nrove MHnrn x_�f��J Z�� 7 W�'1 ,l�� _y Q <br /> �II/F sr,um�r - our <br /> Ci�YI1VVNFSfIC[NN NJ <br /> PLUYBINO MECNINICIIL <br /> NO. TYPE OF f11ITURE Oq ITEM iEE N0. 7YPE OF EOUIPMEM FEE <br /> / WMEA CLOSET(TOILET� IVC-M1NDL4 UNffS <br /> / OAINTUB ' �Oflf.fO�INSYSTEMS , <br /> _L UV�TD(IY�WASNO�SIN� � H[�JPUMP �-�— <br /> SIpWEfI UNII�I[�TE115 <br /> �1 NIICNEN SRlN 8 pISP <br /> �4- _ CIDpIES�RVEfiS <br /> __' p�SHWl15RER - --' -II\NGCIIOOD <br /> L�UNORY 1PAY Wrli f p HFA7Fli <br /> -- -CIOTHESW�$IIER - - -WfX1DSTOVG -- T— <br /> _ UOIN�L Mh1ALRN[PIACEnY00D0URNING) <br /> _ O�iNNU1G fOUNT�IN I IRf:PUCF.INS[RT�WOOO BUqNINa) <br /> f1007 Uf1�IN GAS f Illf PLAC( <br /> f1�Ckfl OW PREVPNTEqS fA5 qANGF. <br /> SINK�SClIVICF.-B�R,ETC� GAS PIPING <br /> . _ ____ F.%H�USTFAN <br /> _ _ _ SUB TO7�L f ' SUP�UT�L f <br /> _ __ _ __ __ PERMIi i --�—� PEfiMR f <br /> __ _ __ ___ TOTALFEE f y_ __ __ _ TOT�IFEE S <br /> FOR OFFICE USE ONLY: <br /> Inrv`•f�P4x � f�(��VIN[v S�MSfIbfM n1�M�u1�vHUW1O 41 Mfl�IqMfl <br /> - --- — (f/0/!o <br /> �'.'•"^r -..- .._- ����•^�. v�c.msur FEES V�LU�TION FEE <br /> n.rx ❑r� ---- -- —�— <br /> mm r wr. <br /> ��n.:���i�wr.u�.^. ��a nwiu�..c .�n or�uMiar __— �Q�%CK� <br /> �tin� — <br /> r�nunw,� �- ' � <br /> �i �. �� .�o�.r��u.0 n rvrv� — �-'�-�-�-_ <br /> . [ VIl���Mf11 —�� <br /> ���'�y:r Y ' i ii �[ <br /> •.� ❑�IS Il 4�l - <br /> i,��l ii. ...l�� . nf�ci�� � ' — �fNM�iM11M11NCINi� <br /> � pIHFl1 <br /> r�„�u.6i�ian" _ _ .n�nF�ri--_'— ---- <br /> c���t euiow�srmnunra ��l <br /> nrftvr�v u�smrnu��ne. -- 9SC <br /> �' CITY OF EVERETT <br /> r��.�M.�.n�.� � <br /> LOCALS�lES --. .- - -------- -- =�1_�J <br /> :,.�� TA%CODEISJ105 TOuI ' <br />