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APPLICATI� FOR CONSTRUCT�N PERMIT� <br /> CITV OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201•259-8810 <br /> ❑ DEMOLlT10N ❑ COMBINATION ❑ BUILDNI6 ❑ MECM�NICAL ❑ PLUMBNIG ❑ SIfiN <br /> PROJECTAODRESS: /�5D � CnI� . AiJQ <br /> flnn �ae.z� .I Sso� l��h u Nve G�eJlQI" wA <br /> ��pAMC \ 4ul ��5 Q1Y lm q�y( <br /> 1CN/.M 4nI1NIMf55 G1Y )IV MKM{ <br /> ♦rCMiCCIONOFS�GMN 4�h/�Gq�[55 CIT' )h' 1'Iq�rt 1 L� <br /> � A i �7,� c/7o6 �og�.c-sE d3oila1l q_�3j��2s=4�a-va�g <br /> c[rrtnucaxtn�ctm uu�uK�mss c��r lm �+�prt x��t[�Ctxs[• <br /> Y(f.111M1�/ACON1P1ClOR 4M�IXM1f55 Ott ]T %�yq <1�tIl1C[NSf� <br /> RUUBMCON1RK10N Y�0.MIXK55 titY tu' RqMF SI�iCIiL[xY� <br /> COMiMC� Of MpA � <br /> HEIITING SYSTEM; ❑GAS ❑ELECTRIC ❑ � <br /> auwx waw��.o sw�uE romw[ivvaaveo can�n nasa..�w n�art rro , <br /> � n <br /> 1 HEREBY CERTIFY THAT I HAVE RE�D �ND EX�MINEO TMIS <br /> �PPLICATION ANO NNOW THE SAME TO BE TRUE ANO CARRECT 11LL <br /> P"a�� �� �"�� PROVISIONS OF LRWS AND ORDINANCES GOVEBNING TNIS TYPE OF <br /> WORK WILL BE COMPLIED WITN WHETHER SPECIRED HEREIN OR <br /> lEG/�l�ESCart'IqxIXIYq14MY�4qMxlFIOwON�1l�C111YNCOAES� NOT. TH[ GRANTING OF A PERMIT DDES NOT PRESUAIE TO 61VE <br /> im e�aa ar AUTHORITY TO VIOUTE OR C�NCEL TME PROVISION OP ANV <br /> OTREF ST�TE OR LOGQ UW REOULATINO CANSTRUGTION Oli THE <br /> PERFORMANCE OF CONSTRUGTION.TH�T I 11M 11UT110RIZEU BY THE <br /> OWN[fl OF THIS PROP[RiY TO PERFORM TNE WORK FOH WM�CH <br /> APPLICRTION IS MADE �ND Y COMPLY WITN THE ST�TE <br /> ��ii��pM�q CONT CTORS WIB2 RCW f1D284200WAC. . <br /> •03/-c�o <br /> ca1smucno.�iw�i[r1aEn.uimcss.rtier+w�[� ✓�+—�� _ //— 9 i <br /> r n[ wi <br /> QrvBU5nE55 [ I <br /> PLUYlM� MECXIINICIIL i <br /> NO. TYPE OF Fl%TUHE OR ITEN FEE NO. 7YPE OF EOUIPMENT FfE <br /> WATER CLOSET(TOILET� NC—MINDLO UNfiS �� <br /> BATHTUB FORCED�IF SYSTEMS I 'i <br /> IAVATORY�WASH�ASIN) N[AT PUMP � , <br /> Sf10 WER UNIT MEAlERS . <br /> NITCNEN SINK 8 DISP CLOTNES DRYCRS <br /> DISHWASHER HANG[HOOD <br /> LAVNORY TRAY WAT[R HGT[R <br /> CIOTNES WASHER WOOD STOVE ! <br /> URINRL MEiAL FlR[PLACE�VO00 BURNING) � <br /> DRINNING FOUNT�IN FlREPUCE INSERT�WO00 BURNIN6) � <br /> FLOOR DRAIN GM1S FIREPV.CE <br /> OAGKFIOW PPEVENTERS GAS MNGE <br /> SINK(SERVICE—pAR,ETC.) GAS PIPING <br /> [I(HAUST FAN <br /> SUBTOTAL f SUPTOT�I f '� <br /> PERMIT S PERMIT f i <br /> TOTALFEE S TOTALFEE S I <br /> FOR OFFICE USE ONLY: � <br /> 1'RON�ViP4R WRISIiNCK S�D[SCID4M A�MCufC�MAqif11 fI! �ff.fM�MO � <br /> S <br /> us[:oue wimu vruxtvtE FEES V111U11T10N FEE <br /> ❑res ❑uo ouinm� 49 ;�.� <br /> NFIGNIlI4ill��qN MIIRUW[LIIMG SIIFO�Bl00/11 <br /> u�m� ninemm� <br /> b_'cVnulcr rU(Ms�mts IX:CVrAM�lo�o B�Sfu[Mt 4[f��uM.0 <br /> GUWi' <br /> ❑Yf5 ❑NO --- <br /> !Il1ESIAINLERREO'O P[�SQ`I �Ib'IN1M411�NL�RLM <br /> O�IR11 <br /> i1vENMMRE00 M��Lx ' / <br /> 5�/.ICOU�Ipr��51111Q4�f �. �:)(J� <br /> �1�- <br /> �rr[am��st nnxs�nmovcner CITYOFEVEREi'f MM�mw��� <br /> LOCAL 511LES — -- — <br /> o•�E TA%CODE IS 7105 TO7AL �i, <br />