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APPLICATI� FOR CONSTRUC�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVtRETT.WA 98201 •(A25)257-BB70 <br /> ❑ OEMOLITION ❑ COMSINATION I ❑ lUM.OMO ❑ MECM�NIC�L ❑ iLUMI�MO �NOM <br /> pROJECT ADDRE35:_�,�(c�O Ib-�i /?✓C - <br /> �,r1 �y{ rl� Zypi i✓efs.n,u r r=�4ar+I w9 9Bz.v� Yz- -x.�-J7�y <br /> ow.w�P �J�1— rut�AfRss ott l/ r'� <br /> zg (, ✓e �/ iA 95wi �vzrl ts5- rsu— <br /> 1�N11M YY141pY5$ LI'Y lA a�K <br /> �T.MrtfG�O�Uf4b�[A 4�X��11q55 C�IY lT VMPR <br /> �" / S,��ne xE1?no <br /> ��,✓-9'�A� A lu/Z/ L��rz&rs-.✓Kste ZV L:i/4rtA. R,I i"BtoY l�/z5- 3S3"Y173 <br /> m iaucwm.nw� cn. �m n,.re cuqirruw. <br /> %lJ//� 3.�/�� <br /> urc+uxcur.wm.crw �nieoomss c+rv n� n�erx auqiKtrs[. <br /> 1'I�MEMGCPI1N�f,1T N�1L�OP[69 f.RY )�� �M 61�1(�K�MS(• <br /> 101�����`>'�� HEATING SYSTEM; O G�S ❑ELECTqIC ❑ <br /> orscmnrvw>w:�rnsau.�rt�muar�xvavro coxr�nrtnmrunrrKrnw Vzs <br /> — � �. ic _f S .� e G ..i w �n,�. 3 3-Y/9 7 _ <br /> ��.,��.��_. 5„ -- <br /> � , I NERE6Y CEATIFY TH�T I Y.�VE AE�D �ND EM�MINEO TM�S <br /> _i� � � � 11PPl.IC�TION�NO MNOW'HE S�ME TO BE TRUE�NO CORPECT�Ll <br /> �+.�osroun n�na+n /� PROVISIONS 01"L�WS AND OAOiNSNCES GOVERNIN6 iH15 TYPE OF <br /> - �7'.GO I ev �/��R-fi"'9 (L'n� WORN WIL1 BE CA�LIEO WITH WNETHER SFECIPIED MEAEIN OR <br /> i a�ims���m�rtn��imortnrvlbqwwnEiOwOnr.MrcHTMocd+tsi rypT TN[ GR�NTIHG OF A PEFMIT pOES NOT P1IESUME TO OIVE <br /> �o+ mz.. p_ _ �UTNORITY TO VIOUTE OR C�NCEL TME PPOVIS�ON OF 11NY <br /> OTMER St�TE OR IOCAI L�W i1E(3ULATMI(i CONSTPl/CT10N OR THE <br /> �EP�ONMANCE OF CONSTPUGiION.THAT I 11M�UTNOHIZEO BY TIIE <br /> OWNER OF iM15 VPOPERT� TO PERiORM TM[ WOiM FOfI WMCM <br /> r39r — Gc.sr - v zv-ovo � APPLIG�TION IS M�DE AND I COMPLY WITH TME STATE <br /> Mcf:�o i D Mn/Mn COMTR�/G/TOHS UW 1B 27 HGW AND 796200 W�C <br /> f,Mt1,ryIL��(MI(��Mi[�KFR11(.lY�C5511�:1[AVIEMU4M(P � G/I% AIi JCC^+/1-f��'— �/�Z/� <br /> �., i c,C- Z �';y �,�� <br /> ��' �� ---- <br /> SKN T , 6f�M144551iCFNSCMO <br /> y��ysryp MECM�INCIIL <br /> NO. TPPE OF FlRTIME 01117EM FEE NO. �Y�E Of EdXrMBIT FEE <br /> W�TER C105[T(TOIIET) IVG—M1MDL0 UNlf6 <br /> A�TNTUB fORCEO�iA SYSTEMS <br /> L�VATORY(WASH B�SIN) NEAT PU�M' _ <br /> SNOWE7 UNIT NE�iERS <br /> MITCNEN SMk 6 DISP CLOTHES URVERS <br /> pI5HWA511ER RANGE HO00 <br /> I�VNDRY TR�V WATER HERTER <br /> CIOTHES WASHER W�OD 570VE <br /> UA�N�I METAL flREPLACE M'OOD BVRNING) <br /> pRINkING�OUNiAM FlREPLAGE INSENT h'lDO�BUFNING) <br /> f1.00R DA��N GAS FlREPLACE <br /> [iPCKi'LOw�REV[NTERS G0.5 RANGE � <br /> SiNK�SEA'/�CE—BAA.ETC.) GAS PIPING <br /> —�— <br /> -- - . E%HAUSTFAN �_ <br /> SUB TOTAL f 5118 TOUL f � <br /> PEFMIT f PEAMIT f <br /> T0T11L FEE 2 TOTRI FEE f <br /> FOR OFFICE USE ONLV: <br /> IM141QfP�('�t TY15f111�Ct LC<5[IBKR ('1�MCI�fv P ff( / MfFM�MO <br /> ;2 2 z 25 , - <br /> uu earr� .� i m��u v4�vr Snr FEES _ .V411111I1ON FEE <br /> ❑rF5 O r� n�wMn'. � / �' <br /> N1�bN\11MI!/.�IpN NO R LMIft11I10 iISF d EI�G�II � <br />� �mi15 hnr�nv[I <br /> —_._ _ —___—{_ _ <br /> IX:I�mY(V Y�!YaI:A'!5 I.YCII✓�NII0��1 l�VOEHI Mff1��M('/.I <br /> O�fS O� — <br /> rm[�rnrn�mmo�o rna�w .iNx��wun�row<« .' <br /> OLS� <br /> lMR�UNurtOL M�clY� /� <br /> al/Il 11�1110�M151111[�1�M'{ �.�// <br /> q __ _ Y <br /> rvrcaca�� n�•is�mnpv{Lm CRYOFEVFNETT r��e.ir—vrtnes __'_ _____ _" <br /> �� /q LOC�LSl1LES <br /> n�iE 6 ��� / � T�II W�F.153105 T0TI1L __ _ <br /> I <br />