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APPLICATIO� F�R CONSTRUCT�N PERMIT <br /> CIN O�EVEREff•BUILDING DIVISION � <br /> 3200 CEDAR STAEET•EVERETT,WA 9@201 •(425)257-BB70 '���" <br /> ❑ DEMOLITION ❑ /C,OMn8INATION ❑ BUILUING\ �Q MECHAN�I l�� - p�l,I PLUMBINfi ❑ SKiN <br /> PROJECT ADDR S� �7 90�� �fI C'Y_R 41�CC�''N O \ �1L�LC�6J� <br /> � �i�r° �6;,�� � I I .,� � � ��p.�- 9'�731 ' <br /> u� Fss arc SM vWnE <br /> $✓��� () ) l�fA�A` <br /> 1EM�Ni MIII�C55 t Gf\ 11V YIqNF <br /> �nm.� CbC rC�J '�a.� n,J{-Yn�`O � , � t � � <br /> �uL1N*�C1oabE5�Ori[n uu��f�aE55 c�rc 1ir rr�WF 7��=7 �� �/ <br /> A)•1t1. (�nmmPUC��b.��Q13�1c'�e��-s I,u�°. I�ds3035'`-i��S��. �'urrc�T�`• <br /> GFNF1��lCOMIML�C/1 M41�D[MF55 CIIY )If f'�q4( [IA�[lIC[NSF� <br /> Nf.LH.VMIGlC04�1�I.C1011 N4l�UCPE$5 )R' V� f , 5 � <br /> �t in� �'rc �r�s���e r.� � �a,�X S`�� <br /> 1114&M1GCON�P�f,lpi Mnl�qMf55 C1fY !1 PHp�F SIAfElFENS i <br /> CONIMCI PIIiCf O�WORR I'I <br /> '"i � HEATING SYSTEM: �GAS BY ELECTRIC ❑ <br /> OFS@�BF W'JRN�NU SOOU4.� �GE MVO D C �Cf VlRS R O f NO <br /> � P • � - r - <br /> /�/ I HEREBY CERTIFY 7411T I HAVE READ AND EXAMINEO THIS <br /> RPPLICATION AND KNOW THE SAME TO BE TRUE�NO CORRECT ALL <br /> nnorosrouse or nmmien PqOVI510N5 OF LAWS AND OR�INANLES GOVERNING TMIS TYPE OF <br /> WORN WILL 8E COMPLIED WITM WHETHEH SPECIFIED NEREIN OR <br /> ice��oesc ruoriarrnor[erc�swwseuaww�n.er*waroncs� qpT. TNE GRANTING OF A PEPMIT OOES NOT PpESUA1E 70 ONE <br /> im aixs or AUTNORITY TO VIOLATE OR CANCEL THE PROVISION OP �NY <br /> OTMER STATE OR LOCAL LAW REGULATING CONSTPUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.TN4T I�M AUTHORIZEO BY TME <br /> OWNER OF THIS PAOP RTY TO PERFORM TME W FOF WNICH <br /> pPP ATION IS E AND I COMP THE ST�TE <br /> PMCEl4l10 MMBFfl TR TORS 8?]RC D <br /> /0� GLro ol7 OOoU � <br /> L 11 ,OpIlWNIFNCFP.�IXM�E55.1E1fA10NEMUYBE�1 <br /> 51GN1� <br /> CIiY pUSNE55 LiCFNSC NO <br /> PLUMBING wECH�NICAL <br /> NO. TYPE OF Fl%TUHE OR REM FEE NO. 7YiEOF FAUIPMENT FEE <br /> WATER CLOSET(TOIIET) A/C—NHND�G UNRS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORV(WASH BASIN) HEAT PUMP <br /> SHOWEfl UNIT HEATEPS <br /> NITCHEN SINK 8 DISP CLOTHES ORYERS <br /> OISNWASHER RNJGE H00� <br /> LAUNDHY TPAV R'ATER HEATER <br /> CLOTHES WASHER �VOOD STOVE <br /> URINAL 1dETAL FIREPLACE(WOOD BURNINCa� <br /> DRINKINCa FOUNTAIN FIREPLACE INSEi7T hVW D BURNING) <br /> FLOOR DFAIN GnS FIFtEPLACE <br /> BRCKFLOW PREVENTERS GAS RANGE <br /> SINK(SERVICE—BAR,ETC.) GAS PIPING <br /> E%HAUST FAN <br /> SUBTOTAL S SU9TOTAl S <br /> VERMIT f -�— PERMIT S <br /> TOTAI FEE S TOTAL FEE S 'y_ <br /> FOR OFFICE USE ONLY: <br /> f00NiNi0�CM Pl�OSF1P�CR $I�(SFIR�d PI�NpiECKk04PfP RF IIFfF���NO <br /> useraar �o�.��u vuN�vre FE 5� VALU11ilON FEE <br /> ❑vE5 ❑w . PixinMt: <br /> 4e1Gu11Nlin�lOv uOVOw[IIING SREOIEION�I — � <br /> IINII< 1'1114fl�M( <br /> � <br /> C10V�,lf.Y MJM!IIK;$ (%:LUMYIIO�D BASFVLNI Mff.11�N1f.11 <br /> mcs o�o -- <br /> r:ncsvnna.�eanco�o nres<w �nwunv�i.ruea¢c. _ _ <br /> on�cn <br /> fir[nuaUnm'o uF�sm <br /> 5�ur x�nmu�n Siinbunr.t <br /> �rreorr.o�i�+ ruwserraw�oo� CRYOFEVERETT n�nur.xnn.c <br /> LOCALSALES --" -- <br /> u.�E TA%CODE IS 3105 7oT�L <br />