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APP�ICATI�� FOR CONSTRUCTION PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257-8810 <br /> O DEMOLITION ❑ COMBINATION ❑ BVILDING ❑ MECMANICAI ❑ PLVAASIN6 O SION <br /> �P O.IECT�RESS:_�C� �f�IC+I.� <br /> �`t,��.�^a ���— C� , —C-va��282o�n Lq25��c3-1�22 <br /> _g'ME <br /> 1fY�41 4�IIYpllf55 flf� )1! In�(M1f <br /> � `�'1z�__ at�r 7 9L 7 <br /> ecy���,a5s�x 21t+�. n' �ijfl.�— ' � -- <br /> .ric�en��onr v:. unn�murvs c��r n rwa.r <br /> � -��?r�� -���alo�/_.�-e1.� <br /> ��wn.���nn�., o.��wcaii.s a�. - n nu�ac au�i�crr.v. <br /> - �a/,o_9�'370 �3�0 »9i�oo <br /> u�r�uMruicmm.00n �oiuumss nr. ar nros� nuri2crc�. <br /> C' "v�zZ�O_L217�f} <br /> PI�I4qMGCON�B�Clp4 4��.�pIFl(55 C��l' Ii> �� SI�IfIK(45f• <br /> cowm�c�moct ur vmnn <br /> HEATING SYSTEM: U GAS ❑EIECTRIC ❑ I <br /> IXSCf11PfW�11M�M fN�nf�(p1�Gf VqVt� CWI�C�APS(M�Mf1M1�(MfMp <br /> �k+xv�i�k•.w' l�i�rfor Ft,� a7� nx��s'L>xer� (zxo)9t�7�d'z't7 � <br /> J1.j/�qN '�vl � � I <br /> � NEREOV CEFTIfY TH�T I NAVE AE�D AN� EX�IUINEO TNIS <br /> AP%ICAiION ANO KNOW iNE SAME t0 BE TRUE AND CORRECT ALL <br /> i+vxosr o ua nr nunra� PROVISIONS OF LAWS�ND ORDINRNCES GOVERNING TI/IS TYPE OF . <br /> Ewshr�)-��G WOAK Will BE COMPUEO WITH WNETHER SPECIFlED HEaEIN OR <br /> iFeuMScmmrcMarr.u�[nrv�s�qKveuawonenecwtwo[onai, rypT. THE GR�NiING OF A PERMIT OOES NOT PRESVME TO GNE <br /> im���mor.e�a "i nUTNORITY TO VIOLATE OH C�NCEL TME PROVIS�ON OF �NY <br /> OTHER STATE OR LOCAL lAW REGULATMQ CONSTRUCTION OR THE <br /> PERFORMANLE Of GONSTRVCTION TMAT I 11M AUTNOF2EU flY TME <br /> OWNEq Of TIIIS PqOPERTV TO PERfOFM TME WORK FOR WNICH <br /> APPL�UTION IS M�DE AND I GOMPLV WITN TNE ST�TE <br /> pencR�u i o Innrw n CONTqRGTORS 1 AW/IB 27 RG W AND Y96 200 WAG <br /> c�ws�m�c��w�w��r.c.rnwncssrti[nantrnn�xrn % ����J�+.7/L ��/ �/ <br /> sicr�r.�um -T �— u+�c � <br /> tn.euunrss�K��at rro <br /> PLUMBING MECNIINIC�I <br /> NO. TYPCOFFl%TUREORITEM FEE N0. NVEOFEOUIPMENT FEE <br /> W�TER CtOSFi�TOILET) /y�-MINDLG UNITS <br /> NAIMTU� FORCED�IR SYSTEMS <br /> �AVATORV�WASN OASIN) NERT PUMP �- <br /> SNOWER UNIT NEATERS <br /> NIiCHEN SINK 8 DISP LLO7RE5 URVCRS <br /> DISNWASNER RAN3E NOOG <br /> �AUNDRY TRAY \1'ATER HEATER <br /> LLOTNES WASNER �^100D STOVE <br /> UNNAL METAL FlREPLqGE pVOOD BURNIN61 <br /> DRINkING FOUNTA W FlREPIACE INSEPT pNOOD BURNING) <br /> FIOOR ORAIN GAS FlFEPIACE I <br /> OACRFLOW PREVENiEFS GASRANGE � <br /> SINe�SERVICE-UAR,ETC� G0.5 PIPING <br /> EXNAVST FAN � <br /> SUU TOUL S SUB TOTpL f �-- I <br /> PERMiT f PEpMIT S I <br /> tOTALFEE S iDTALFEE f � <br /> FOR OFFICE USE ONLY: —� � <br /> IMNLViPu.M OIUISfiP4K YMNIl4M \�NO(UINMUP 'ff I 1�.���' , MfFMflq <br /> �� _�Q �J�. ` <br /> uxrrnr �o�r.u[• v.c�a�s�[ FEES Y�IU�TION fEE . <br /> ❑H5 ) —T— <br /> �,.,� _ �(�� —Z�3�Z2 <br /> reinnnvnu.w aontwvuireo s�z[w ni �hL - <br /> �m,�t 3 _ ���.�M� __ ___—+� <br /> a:aM.w:. x�n.r,n�is w:mm+e��o.n e+sircN� rniiu«r�� <br /> r.nan• <br /> � 3 0.« �, --- -- -- <br /> f�SE.`.A�v�elfPP(p' �f11Sp11 �[KHIHp4AWONf.� <br /> NO � a� �v �,�,Ka "— -- <br /> nrs,4waMntcn .F•�m —' �j� <br /> ✓ill � 5�6 d�8✓ si��rn�o�arns���unr.� ._-. �'.�!V- <br /> �.nrn��o+�� ruvs�rmwronr CIiYOFEVERETT n,nrnwn�.c <br /> V �Z c LOLALS�LES -------- <br /> � �r1� ��.�E ' (O IG� (� TA%COOE157105 ioUL _____ _ —__— -- <br />