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APPLICATI� FOR CONSTRUC�N PERMIT <br /> qTV OF EVERETT•BUILDING DIVISION � � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257-BB10 <br /> ❑ OEMOLITION O COMBINATION ❑ BUILDING ❑ MECHANICRL ❑ PLUMBIN� ❑ SIGN <br /> PROJECTAODRESS: '�C,�L, (�GU�U <br /> �(:N_.�t;��;�1Ztnk�_ .2"7.�,1 w� r�� 4_,zc.aio Cu_ei;s__yJA 9�4L��c� �154 3aco <br /> bm�rn � ���umr5s L'�rv im ew(•4� <br /> I��L��J111t�C115 <br /> 1fN�M1 V1111�lIpIf55 f1lY )IV pi�ry�� <br /> _��rtir ,�5 Cnn,t�La�zctiz SFN[SIISIv3 � <br /> ��11'IM1tfGICPllf51(.NN 4�ry�MMF55 Cif� )rr <br /> 1'M:M / <br /> `" � rNC 3cos r-w�v�N 9�s+r� (3�0) y59�3aou <br /> _I ,� �w��, t2v NE. e�v��rvL wA <br /> eta�nur.a�en�urn �.�uw+rtst t'�t. nr �xnr suquernv. <br /> Mffll/,MCIIC(141��!'I�n 4W�fY`R$$ f.�lV Si h�04f (t�tflrCl4${• �I <br /> PIu48NOfp11PK�p1 4�1�qN[55 Piv j�p � pupyf SLflIKHCf� <br /> (.ONt11K1�YnCf U�NM4 �-- <br /> a(� HEATING SYSTEM: ❑GAS ❑EIECiRIC ❑_ <br /> M SCwpi wJnK�yrlSWraf�001�.[MVJIKD cOr,t�c�n n5��y�nx».sy� � �� � /�� -- <br /> (�CI�IA KU�I,�S�L�_�C� 5 -�3G_O <br /> C=�:ec'r Fs ' x8'�`Y) CANOPY <br /> .��y_�7l�VE 7}-��V SpE.�KER 5tAn10 qpp�C4 ON ANp kNOW TIIE SRMEETO DE�TRUE�NO CO RELTTAIL <br /> �+ro��oclOuxt m m,x��xc PROVISIONS OF�pWS AND OnOtNANGES GOVERNING TIIIS 1YPE OF <br /> WORK WII� UE COMPLIED Wltl/WHE7H[R SPECIFlCp N[qEiN OR <br /> ur.uo[sr,n�nnpynrr�pn�srrnw'euoww�nccafvACOorcsi qp7. 7��E GRANTWG OF A PERMIi pp[5 NOT PAESUM[ TO f.N[ <br /> mi eiaca a AUiHOpITY TO VIOLAi[ OR CRNCft TH� PROVISION OF qNY <br /> OT11ER STATE OP LOCAL LpW qEGUL�TING CON51RUC/ION OH TNE <br /> �ERFORMRNGE Of CONSTRUCliOY Tf1AT I AM 1l1tNORIZHO OV iNE <br /> OWNER OF Tr115 PqOPERiY TU PERfORM TNC WORN FOR WNICN <br /> APPLICqT10N i5 MAOE 4ND I GOMV�Y WIiN i1�E St47E <br /> penu i un a�mm��� CONTq�GiOPS 1 F1V t R/p;/RCW AND ao6 200 WAC <br /> I�f1Y[���Kli(}�IO.WIfM1F11Y1ML5itlIfA10NEMl4Rf11 xi�// $ (��J.'jL / �� 9Q — <br /> f{��. .. _L_ <br /> __— e•crr,�u�E ae�ov ��.� � <br /> CIt1 MIWRS[11[.f�1`.L�i0 <br /> PLUMBING MECNANICAL �" <br /> NO. TYPEOFFIXTUREONITEM FEE NO. TYPEOFEOUIPMENT FEE <br /> W RT[F GLOS_T�TOIIET) NC—M/NDIG UNITS <br /> P/•IHil/0 PORCED AIR SYSTEMS <br /> IAVATORY(WASH BASIN) HEqT%1MP <br /> SHOWER UN17 HEAiERS � <br /> NIILHCN SINN 8 DISP CLOT11E5 Uf1YEHS <br /> 015111yA511ER PAIJGE N000 <br /> L�VNORY TPRY WAIER HEAitR <br /> LLOTHES W/SNER 17000 STOV[ <br /> URINRI flLlAIFiREPLACEpY0000URNINGI � <br /> pRINNING FOUNTAM FlFLPLACE INSERi h'�OOD BUFNING� <br /> flOOR DRRIN GFS f IIiEPLACE <br /> OALkFIOYlPREVENiERS GASRA4GE � <br /> SINR�SCPVICE—BAR,ETC� GAS PIPING �— <br /> EXHRUSTFAN <br /> __' _—._- —�— <br /> _ _ SUO TOTAL S SUB TOiAI f <br /> PERMIT S P[f1�9i f <br /> TOTAI FEE S 70TALFEE f <br /> FOR OFFICE USE ONLY: <br /> IPLN1VIpvv al�p[flplf.v SRlSFIBK\ P�WO�I[F/NUMN,In fff .�fl Mf1u9N0 <br /> --- - �!/ /�_ ��n ��• <br /> u��t�y� im�m� vu:��.i-.nr FEES V�LU�TION FEE <br /> ❑vts �r�r n�riinoi—"— — _�� _ _' _ <br /> �S �._ —.�.� ; 5� <br /> WIONII�Vi�I.11U\ 40IT(M111MG CIjFOfplGi'II <br /> �M�l fyii4PMf� <br /> (\liil`1\'r �.. ��i IXI�i1:�N11(IV� P�[fVl�� .. . .. . � � -j � <br /> �.np�.n' VII����n��1�11 <br /> o.rv ❑4a '-- -----. .... __.__� <br /> ro:c�:�1,3ui,}1i5�. -- i�erH — �ooq�nsunwaru _ <br /> __ OLHn <br /> �T.:�..ur.�iuiuc m.�oa _ —/'� <br /> ao,n nu�iunr.��moancr �:5� <br /> �rrtn�.ta�ci rinuau �orno. m�� wr,��.� —_ ' " — — <br /> CITY OF EVERETT �� �� <br /> � LOCALSALES <br /> �,.�, f 2- i� ,q rnx cooe�s a�os rou�----I__— — — ;�c) <br />