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APPLICATI�1 FOR CONSTRUC�ON PERMIT <br /> CITY OF EVERETT•BUILDING DIV!SION G�� <br /> 3200 CEDAR STREET•EVERETT,WA 98207•257-8810 <br /> ❑ DEMOLITION : OMBINATION ❑ BUILDING ❑ MECMANICAL ❑ PLUMBING � SIGN <br /> PROJECTADDRESS L71� �y ,�uT. . L-1�cL�i <br /> ormcn u.n�wncss c�*r zm �oH[ <br /> SA�f�an�r�v t-i-C Uco� AJA-sau� ak-rr�7t ssza �zs•zc9-Y�+�3 <br /> TLN�YI Y/.LLLD'.111C55 C11V pR IYqy[ <br /> :yr4o� ��c, 1u�. 29z� C�+nv �-1�1-rrEY 78zn, 7zr.zsg-93�a <br /> �PCNRECiOn !"��sq F�uUiW�L55� G1Y lP Pop1E <br /> �Tzu+�i�w¢«sxs�<,�� .6ss�c . f 2c .zs9• �1[1 <br /> .CNlnµfpNlBt{lpn Y9t�L1�P65 PtY Si1` AId4 Sia!CI�LCNS[� G,�NQ,� <br /> Q .,� ce.rsircua,� Y-Z�' 33F•Zr��l ro`�1� <br /> IACCMN '4 �NIIULICP I.WL����CiS GiY jV MC11E $IAiLIY[I�Sf• <br /> 5,✓i�urzssJ �st luAt` • <br /> hVM0��1Y3C.04�Ph;iq1 M�M1ApJ9C65 pT� IV PI�GVR S1�iC4CU6l• <br /> �u Z r, � <br /> ca��ZS-c�� HEATING SYSTEM: ❑GAS ❑ELECTRIC !i <br /> r.cscam�v:�r++u:o:au�ac r�r�r.c mrav�o co���.ci rcaswu,pnunc�q <br /> 1JJ6h1T LM <br /> I NERE�Y CEFTIFY TNAT 1 HhVE READ AND E%AMINE� THIS <br /> APPLICAiION AND NNOW TNE SAME TO OE TRUE ANO CORPECT ALL <br /> rwowsmuse a euwea PROVISIONS OF LAWS AND ORDINANCES GOVERNING TNIS TVPE Of <br /> WORK WILL G[ GOMPUEO WITH WHETHER SPEGIFlED MEfiEIN Ofl <br /> imuoe,caw�v�vorrnor¢arvlSwrmBFtowp+enewnvoeariE51 NOT. THE GNANTING OF A PERMIT DOES NOT PRESUMC TO GIVE <br /> i�� pia� a AUTMORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTNER STATE OR LOCAL LAW REGl1UTING CONSTRUCTION OR THE <br /> PERFpRMANCE OF CONSTPUCTION.TMAi 1 f.M AUTHORIZED BY THE <br /> ON'NER OF THIS PPOPERTY TO PERFORIA THE WOPK FOR WMICN <br /> APPLIGATION IS IdADE AND 1 COMPLY WITM TME SUTE <br /> r.n_¢vvinu nin CON ACTORSLAW1B27RCWAND296200WAC. <br /> .tit 4�/-1n29 �23-�D �] <br /> [C`NSlf� iKNIIO�NI[NpCv10CIQ55.iC1E14✓JNEMIMBEP x � �� ✓(� <br /> $KN/.iVPi O/.i <br /> CItY BOSiMS.VCU6l�O <br /> FLUMBING MECHANICAL <br /> NO. TVPE OF FI%TURE Ofl ITEM FEE NO. TYOE OF EOUIPMENT FEE <br /> WNTER CLOSET�TOILET� A C—A MNOLG UNITS <br /> BATNTU� fORCEO AIR$YSTEMS <br /> LAVFTORV(YJASH OASIN) HEAT PUMP <br /> SNOtYER UNIT NEATERS � <br /> NIiLMEN SINK&DISP CLOfHES DRYEfiS i <br /> DISMIYASMER RAnGE HOOD <br /> LAUNDRV TRAV WFT[R�1ERTEH <br /> � CLOTHES WASHER 1YCpD STOVE � <br /> URiNAL I METAIF.REPLACEIWOODBURNING� j <br /> CRINKING FOUNTAM FIREPLACE INSERT fWOOD BURNING� <br /> FLOOR DRAIN GAS FIREPLACE <br /> BAGKFLOW PPEVENTEPS ! GAS RANGE <br /> SINK(SERVICE—BAR,ETC) ! GPSPIPING <br /> EtMAUSTFAN <br /> SUD TOTPI 5 SUD TOTAL 5 <br /> PEflMiT S PERMIf 5 <br /> TOTALFEE S TOTALFEE 5 <br /> FOR OfFICE USE ONLY: <br /> lPGN1G0061 PGPLCIB.�Cn SIXSEiB�CX fMll CLCIYJIABCP F[[ P[C[��iq� <br /> 3�i <br /> us[.uve tornn�e v�CmrsnE FEES V�LUATION FEE <br /> ;lV[5 '!NO BUILDIMl �— <br /> Mf�GNiL�410��1OX M10f UWELL1Mi SiZE W OIIXiT � (.l <br /> 1IM15 �U b a r`�.�T. RUMB�Nu <br /> J <br /> p;��vukr r� �Sro5�5 OCCW�it iOb 6�SE�[� M[C���NiC4 <br /> flqUP • I <br /> �'V 1(:: �f."J <br /> fIP C1111M��lLRPCG❑ P[I'iGl �WIlIJN1LR�MCNECY. <br /> �'� OMCP I <br /> fWE�LA4NRE0U 11E�5011� —�}— <br /> �� SiPIE�Uil�iM.SV�fu��GE � <br /> 4 <br />� rmEorm�c* rw�s q;g:coer CITYOFEVEPETT rvn��cv�onns <br /> � ��� LOCALSALES <br /> � �N �,n�� .Z�• J� TAX CODE IS 3105 TOTAL <br />