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APPLICATI� FOR CONSTRUCT�N PERMIT <br /> CfTY OF EVERETT•BUILDING DNISION � <br /> 3200 CEDAR STREET•EVEFETT,WA 98201 •(425)257-8870 �A��/� <br /> ❑ DEMOLI'ION ❑ COM8IN�TON ❑ sUILDRI6 ❑ MECH�NICAL O VLUMSIN6 O S�6N <br /> VROJECTADDRESS� ���� CDLBY fIl/�. <br /> Ed���r�,��� �on ��,4�: GG�E�_�!�-� yB2o� <br /> E7/L�-&zT 7X�f�TX��tJ�"7"V �M� <br /> .�,.w, �� .,s 7�.. .�P ��E <br /> �:,�,1�'"-�;1.:�/� .,��;,� �l�rrr� �r5-f./�i�rzr�l�1�-1���-?�Z��. <br /> wM�Fuc�d.m����.wc�,� cnr —'— nr nm�rt c�ui�irr�v. � <br /> 4FCN�MCMcw�n��rOn u��l�ppm55 t�Y l/' abN ct��il�C[uit� � <br /> MtNlMGCWIR�f.IOP W0.�OfRk55 C�iv jT plqd 6iRFICEY51• � <br /> LONfRK11�11iC(p WIMw y� <br /> , w HE�TIN6 SYSTEM: ❑G�S ❑ELECTRIC ❑ � <br /> pscmptw-rw.vn;ou�m�oor� �uvuvcn cou+�crnusor��+nmv� .q <br /> _�,1��-G,�/-� sr-�rs o,v�6�ri�� _����ll�✓ 25;f= �/ I <br /> i <br /> f�'�ir�starr �' •i� r,�r�rT _ I ' <br /> ��.�i� �— !/`__� ///� 1 HEREBY CENTIFY 1HOT 1 N4VE RE�D AND E%AMINEO TNIS <br /> �������r�i nfaimn�i��O APPUCATION PND NNOW 7HE SAME 70 BE iRUE 11ND CORPFQ QL <br /> -�y� PROVISIONS O�LAWS�N7 ORDIN�NCES GOVEFNING TNIS TYPE P� <br /> �//�__ WORK WI�� BE COMPlIEO WIiH WMETMER SPEQFlED HEREIN OR <br /> IfG��rn��nirnp�a nnr,�n�rv��s�«n�wrvPnrnxrn��ur,n�vmrmrs rypT. tNE GR�NTMG Of q PERMIT �OES NOT PRESVM[ TO GNE <br /> m�_? nioc��lLq AUTMpRITY TO VIpL�TL pq CRN�EL 1HE PROVISION OF ANY <br /> OTRER STATE OR IOGAL UW REGUL�tING CONSTAVCiION OR THE <br /> 1��Q'�( /�/p�I.Y�'!�G' �ERFOPMANCE Of GONSTPUGTION.T1UT I�M AUTNORIZED BY THE <br /> �,�1�� OWNER OF THIS PROPERTY TO PEPFOPM iME WORK fOR WHICM <br /> �- 3 4PPLICATION IS MADE ANU I GOMFLV WITH TNE STATE <br /> P�i w m Mnw CONTqRCTORS L�W 1B P]qCW ANU Y%.700 W�G <br /> loD/Zf �, <br /> ��,�,�.,�,�o.�,,.,,��.��ss.�,����Ea � i��-���y� i�19-9� i �, <br /> ��.� o..� <br /> Cif�pVGM551 K:1 NS(NO I <br /> PLUMBING MECX�NICIIL I <br /> NO. TY�E Oi FIRTURE OR ITEM FEE MO. 7YGE OFEOUIPMENf fEE <br /> WATER CLOSET(TDILET) MC—MINDLQ UNRS <br /> BATHTl1A fORCED FIF SYSiEMS <br /> LAVATORV(WASN BASIN) HEAT PUAIP i <br /> SHOWER UNIi HE�iERS I <br /> KITCHEN SIIJK 6 DISP CLOTNES DPV[PS <br /> DISNWFSNER RANGE MO00 <br /> LAUNDPVTR�V WATER NEATER <br /> LIOTNES WASHER W00�ATOVE ' <br /> UAINAL METAL F�REPIACE(WOO�BURNINGI � <br /> ORINKING POUNTAIN FIREPLAGE INSERT pNOOD BVFNING� i <br /> FL001i DR�IN GAS FIREPLAGE I <br /> ��L1cfLOW PREVENTERS GASPANGE 'I I <br /> SINN�FERVICC—OAR.ETC� GAS PIPING �— I <br /> E%HAUSTFAN � 'i <br /> _ � <br /> SUB TOTAL f SUBTOTRI f ' I <br /> GENMIi f �EAMiT S —T <br /> iOtpLFEE f TOTALiEE f �' <br /> FOR OFFICE USE ONLY: ' <br /> �nmavrwcx mmsne+ca soEene�c� r�evoncxrnr�mrn r�r q� inrrm.uo <br /> 7 d�� �Q��.pJ <br /> unc>a.v iu�•me v¢.msnr FEES V1ILWTION FEE <br /> ❑�IS ❑Ml T— I <br /> a,.,,.w �ct� _/�5; — � <br /> NFI(IN111MI�Alq4 NO(F IMY:IIM sli[p Rlp'll I <br />� iwne FPPd�6, TJ63�- ruivmm� -- -- - -----�— I <br /> ��Klim,4cv xnn�uw�.: fN'Grcqx��/r,.n ) R�NMMi urfM�nx'.�� + <br /> ��_ � __ ��ID I �S�TL/t O�[S AY�I � <br /> IIIIfIITII`IK11�111t�'f1 I1l�<<Y! � �WII(1NI.1�'I�NCNf.t <br /> /VJ ouKn — _—_ j <br /> rinTu�nuy.l�uiuu - m�snv — � �. <br /> yt�(1/� [l/.II��MIVMf.51NICH�n.! ' . /�.�0 <br /> / Y • _Z. <br /> rtrrrnrtrv�� nerys /�v�nnr qTYOFEVERETT rnnur,�mrs <br /> // n LOC�LSALES -� -- ---- -- <br /> � •�� • i,ur - /' .y °'� TR%CO�E I$J105 TOTAL <br />