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APPLICATI�1 POR CONSTRUC"�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT.WA Be201•259-8810 <br /> ❑ DEMOLJTION p COMBINATION H SUIlDIN6 ❑ MECM�NICAL ❑ VIUlASMO O s10N <br /> PROJECT ADDRE85: � <br /> / ('i�7 (�r� �i/ <br /> (�I�'ni , � Itili ^M�:rnonss'S7 L.i a� �� 1��JG ��5�.�� 7��-SI��� <br /> afi".•.`r <br /> i[wvn .wwwrn arv to i.oc <br /> •TMRClOnO[SK.r+[N �wlbp455 Gf� tA M1P4 <br /> T. . �ri Nnr,ir,. <br /> a.[nu� rn•c�on «u.m�[as a+. ro ncne x�+n�cr.rsr. <br /> YECIIAYCNCpR111C1011 Y1R�pp1E55 ptY jp qlpN[ [141[LiGENS[� �� <br /> RUMMGLCNiN�Gip1 Y4l�pplC{! dM1 11> AId1F Sl�iC11LlMSf� I <br /> �����p� NE�TING SYSTEM: ❑GAS �ELECTRIC ❑ II <br /> OElr�F MVM N450UARE i00ibE MVOlVEO f.plfKi IT1190N 4O p�OM[tq I <br /> � �. �: / — 4 �.1��I`li �i�n �/ �/ J l l' � <br /> I h� � A ' � <br /> 1 HEREBY CERTIFY iNAT 1 N�VE RE�O AND E%�MMED THIS I <br /> �PVLICAiION AND NNOW THE S�ME TO BE TPUE ANO CORRECT ALl i <br /> w�0iouoosEa wnurq ppOV1510N$OF L�WS�NO ORDIN�NCES GOVERNING THIS TVPE OF �' <br /> :-��. .�� WORN wILL B[ COMPLIED WITN WHETIIER SPEC�f�E�HEREIN OR I <br /> �[nra ^ aAarcrm��qwrie¢owon�nr.Mtwotw[e� NpT. THE ORANi1N� OF�PERMIT OOES NOT PRcSUME TO OIVE I <br /> ip� � ypp� p AUTHORITY TO VIOUTE OR C�NCEL THE PROVI�ION Of �NY <br /> '�L ) OTHER ST�TE OR LOGJIL UW RE(sULATINO CONSTRUCiION OR THE <br /> ��� '� � �` � \\�C1i �I_ ��J\ „��I'�}� PENFORMANCE OF CONSTHUCTION.T1UT 1 AM 11UT110RREU BY T/IE <br /> OWNER OF TNIS PNOPERTY 10 PERFORM THE WORI(FON WHICN <br /> /��� .� APPLICATION IS MADE AND 1 COMPLY WITH THE ST1UE <br /> ��i Ty�p q�p CONTMGTORS LAW 18 27 RCW AND 296.t00 WAC. <br /> _,�, . _ . _ _0 3 c�,,n- � �� ' / <br /> CPKiqIKtqM10M1EN0EqbMER1ELFqYJIEMMlCN �� °iC. <br /> ��Y.___��- J����. <br /> SIOM IIR/ D��[ <br /> � <br /> Gh IIIISMf56lSCM5[�q <br /> �LUI�M6 MECN�MC�L <br /> NO. TYPE OF Fl7lTURE 0111TEY FEE NO. IYPE OF EOURIIqT FEE <br /> W�TER CLOSET(TOILET) �—/y�Mpld UMfB <br /> BATHTUB FORCED A�R SYSTEMS <br /> UVATORY(WASH B�SIN� HE�T PUMP <br /> SNOWER UNIT IIEAIERS <br /> NIIGNEN SINN 6 DISP CLOTNE$DRVERS <br /> OISiiWASNER RNNG[1100� <br /> LAUNpRY TR�Y WATEP HUTER <br /> CIOTNES W�SMEN WOOD STOVE <br /> UAM�L MCTAL FIREPUCE(NOO�9UflNING) <br /> DRINKI:iG FOUNUIN FIFGPUGC INSERf hYOD�BURNING) <br /> fLOOR DRI11N GAS FlREPLACE <br /> B�CNFlOW PPEVENTERS GAS RANGE <br /> SINIf(SERVICE—B�R.ETC.) CaAS PIPINO <br /> E%HAUSTFAN <br /> SUBTOTAL f SUOTOT�L f <br /> PERMIT f �ERMIT f <br /> TOTALFEE f - TOTALiEE f <br /> FOR OFFICE USE ONLY: � <br /> rrcn�vrn�.Lll RMYiM[N SbESF�lMw n�MC�[aMNYn�. rrr Kf:tX�lrq <br /> � <br /> us[rua �murt� v�cw�yrr FEES v�LU11T10N FEE <br /> ❑r[5 ❑no � <br /> nw�n <br /> r[ur�iimr�riw ..oarowcwxa su[awow� -- <br /> Na�R N�nMm(� i <br /> _Y_ <br /> O�pT�Mc� N][�6�AM5 OCCU'�N�10�0 B�5f14x� uFCM�rfJl � <br /> Ott5 pao <br /> i--�ESt91ixi4t111C0'D IIF�SON �OdiMMLtAAMt�Id <br /> 1 O�MF� <br /> iim,wnwrcc'o a�w� <br /> 5 t�i[lMMNI 511�C��Mt1F <br /> IM(pf,pl5t AAMS�NAOV(M1BY CRYOFEVEHEi7 M1M��KMXM4 � � <br /> M <br /> LOCIILS�LES �— - -------- -- <br /> �,.,t T�%CODE IS J105 70T11L _J_ <br />