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AP�LICATI� FOR CONSTRUCTION PERMIT <br /> CIiV OF EVEaETf•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257-8810 <br /> � DEMOUTION ❑ COMBINATION ❑ BUILDING ❑ MECH��"N�ICIIL ❑ PWMBIN6 ❑ BKiN <br /> PROJECT AD�HESS:�C�i/G'4 AGZ°/>!/G �l�EXe l�Uq �� <br /> —� <br /> �!/{!�—� �O y/,N�5 .�1f0/ �p/�i� �slrE/f / �'F.'y/ �oT�S�lo?.'S'S� <br /> �/q .6 rm r.Knt <br /> �!!'/Y� <br /> 1(N14� YM�llp�ll55 fJ�V �11' <br /> �n�Ml <br /> I.fILMi(CIOAOf51�yIfX 4���ry[11N55 �ifV )m ryK}�� <br /> f{NI�14CR1��liV1 � �� 155 C:1Y j <br /> /J,L�r��ia .L-�cor�lUqrF6Ti�c 9///!//.fL/,Q/,¢�.¢W� 98/�3 ��•�� ��•�- ��c <br /> Wl- �G o//� � <br /> u�a��w..urrwr .tron u�d�onnss nrv su�n�a.r-� �r.�rikrrct� <br /> AUYBNGCOMINV:itYi V�K�MM[65 [itY S�� nw,rh SI�IiIKINtf• <br /> CONIMCI Ax�p v,pw <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC O <br /> tKYmR w.Yw nwi Wu�PI�OOr�cf�NYpKo carrt�cr n n5(Y,�V�n��!)rl vp — <br /> //?�fw/.1rrr� , �Q� MGIRY L NltFtBERT� u.r,0.v.w Ya5�a58•��55� <br /> _ // 2foi� <br /> 1 NEREB� CER7IFV TNl1T I NAVE REA� 11ND E%�MINED TMIS <br /> 7rqrp«p��.,��y�a�-��i p.M APPIICAT�ON AND NNOW TNE SAME 10 BE TRUE�NO WARECT QL <br /> L IFl!/!Oy(f �ROVISIONS OF��WS�ND OADINANCES GOV=flNING TNI$TYPE OF <br /> uc�i M_rmr i �p mxwtprv� M�ow n¢nmo �Si �� ��� 8[ COMPLIEO WIiN WNEiHER SPECIFlEO HEREM OF <br /> y �mnl ,�tv+��N 3 a� NOT. TNE G�i�NTiNG OF A VERMIT DOES NOT FRESVMF TO G�VE <br /> �o+_ eioa�G,�' p AUtHORITv TO wOLATE OR CANCEL THE PROV�S�ON OF I1NY <br /> � �� �( �/ / OTHER SiAiE OR IOGQ LAW REOVUTING CONSTPUCTION ON THE <br /> -�f+- U/ C�1[�T��Gf�-'Y-�% PERFORMANCE OF CONSTRUCTION TM�T I�M AUiHONRED BV THE <br /> OWNER Of TMIS PROPERTY TO PENPOPM THE WORR FOR WNICH <br /> RPPIICATION IS MRDE �NO I COMP�V µRN THE STATE <br /> reM.'rt w i o Mtiw n CONLR�G10R5 UN'�B 2]RCW AND d96 Y00 WAC <br /> -y//��00.'Z- 00.�J -OCO� <br /> i <br /> corsin�rcrrm�mwir.mFny+M�ssiu[nrorF�nrvnfn Kj�� �;'�., I� , {�.L9.���tCJ� ����i�9 <br /> —/i.�.9 z�,u � !A'IlR —� �.¢ <br /> u.reuarassik� s�vo <br /> PLUM91N6 YECN�NIC�L "— <br /> NO. TYPE OF FlKTUIIE OR rtEM FEE NO. 7YPE Oi Eq)qMF1R FEE <br /> _ WnTEFCLOSET�TOI�ET� NC-MMDLGUNIT$ <br /> BRTNTUO iORCED AIR SVSTEMS <br /> LOV�TORY(W�SHB�SIN� HE�T PUMP <br /> SNOWER UMT HEQE(i5 <br /> NITQIEN SINK 8 DISP GL0T11E5 URVENS <br /> DISHW�SMER RqNGE M000 <br /> L�UNDRY TRAV WATER HEAiEF <br /> CLOTNESWASHER 1VOO�STOVE -- <br /> URINM METAL FIREPLACE(W OOD BURNING� <br /> DfuNqNG fDUNT�M fIREPLACF INSEP'�V/ppD BURNIN a) <br /> FLOOR bR�IN GAS FIqEPLAGE — <br /> BACkFIOW PREVENTEHS GASRANGE <br /> SINK�SERVICG-B�R.ETC� GAS PIPING —�— <br /> ___ __�'_ E%HAUSTFAN <br /> --�— <br /> !.'C'4C4 <br /> SVBTOTAL 5 SUBTOTAL f <br /> PERMIi f PERMii f <br /> TOTaI.FEE S TOtAL fEE f <br /> FOR OFFICE USE OHLY: <br /> �nnMVfp�4 M�u5t1pL�R SrtICSffl4t %�nCiµf�MlWfp fff MffT�MO <br /> m.rrorr imun• v.c�ais��c fEES WIU�TION fEE <br /> ❑RS ❑M� —T <br /> �UtIN4f: <br /> IIFI(1r�11rM��r�i:�y Np b I�WIIIIMG iljf P IµUG�I <br /> r �V <br /> t1114RM(1 <br /> CC�'M�n'.r ��..�qif'. Iuf11V�YIlOV� P�V"NVI - - �{— <br /> 4f1:M�Nll�1 <br /> Ory5 ❑NO <br /> flNf�.l'le'.��.Ill�l�fJ� M�\fN �Ilpli!1Y�11'I�NCIHC� <br /> 01�1�11 <br /> naiu.�n,.ntao - m�snv <br /> St��f RIIi�Unc SuOO���f.! <br /> nrr n�.:a�c� Mu�c�rnn�vrnn. --'� -"'� -- <br /> CRY OF EYERE7T niei M w.•„s , <br /> LOCAIS�LES -- -- - � --- <br /> __ _ _ n•�� TIU(CODE IS J105 Toi�L r <br />