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APPLICATI� FOR CONSTRiiCT�N PERMIT <br /> CITY OF EVEREff•BUILDING DIVISIQN � <br /> 3200 CEDAR STREET•EVEREfi.WA 98207 •(425)257-8810 <br /> ❑ DEMOLITION ❑//COMBINATION� ❑ BUILDING �MECXANICAL ❑ PLUMBINO O SION <br /> PROJECTADDRESS:HC/� �Uw�',✓�� G✓u.r� <br /> i <br /> O.wEn MUL�Od�E55 � Pn � b� �I PMNC <br /> u/,,,��.` �r.�.�-- 170� �3c, v/sG r]¢,.�.-- r�sm y�szz��i�7 <br /> IENAaI u �LMRF55 G�v !IV �MiMF <br /> APA /�`'l y/�-�H yS �/�l3 �u�.c m�F�� t✓�a�-j <br /> N�Lwqci(N�tlEvcvp� u�n♦ F55 Grv tir �vg�l <br /> GfNF1UlCON1p�C�C�1 N�iI�IXMf55 CII` l�� P�N)YE :4�1��s1:�:- � <br /> f�fl��til�/'�l✓�ranr �,Ur�,2tewJ ' <br /> ue0u �UlcovID�r�On yuleoouE55 un im n2'•r � :u�Ft¢EXSE. <br /> �/�/C,45aN <iirrM. �FKi�,�r�T�o� �/3z/ �u��.�Y�/ �,�/c,�cKa�86L <br /> %yyplY6iiQMRK1p1 4��1�'SWF55 dry lIV PMONE Si�IF110EN5F• <br /> Za;.7ky -�17LZ s��!�cE G�l9-s"N 9�i�7 — � <br /> coHm�nrn�aorwo ./��,� � HEATINGSVSTEM: ❑GAS ❑ELECTHIC ❑ <br /> � <br /> orsrnmFvrJn��r�uSW�nr�oor�cfnnavfD cdn�c*v�nsw+�wr��rn.•rrro��G� c�/GkS,��{ <br /> f� <br /> _'l.vS�q�c (%) G�i°� -ini C'�cfi� Zdl�-7�''3 �l7 ZZ <br /> � � x p/ A�� I HEREBV CERTIFV THAT I MAVE READ RND EX�MINED THIS <br /> 6 APPLICATION AND NNOW TNE SAME TO BE TR�1E�ND CORRECT ALL <br /> i%�w�osroupse or eana�c PROVISIONS OF LAWS AND URDINANCE6 GOVERNING THIS TYPE Of <br /> %�p� '' /Z7 U " ��� WORK WIIL BE COMFI.IEO WIiH WMETHEFl SPEQFIED HEHEIN OR <br /> icw�oescmmiworvuorpnn�srnrNeciowa+��cx*wucon[5� NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> io� ai�F a AUTHO�ITV TO VIOLATE OR CANCEL TME PROVISION OF ANY <br /> OTHER STATE OR IOCAI LAW REGUUTING CONSTRUCTION OR THE <br /> PERFOPNANCE OP CONSTRUGTION.THAT I AM AUTHOfl2E0 BY THE <br /> - OWNER OF THIS PROPERTY TO PERFORM THE WORN FOR WNICM <br /> qPPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> ru�tR�u i U rrianf n 7 CO�CTOPS LAW 1 B 27 RCW AND 296 20U WAC. <br /> Lfjad �o O/ Oa00 ���� %//�///,�1ny/j/�/ /��/ <br /> CONii11VL11(MI��NI(NOEM1..�;IM�C55.1[IFAIOMENU4RF11 X r/'�"� �'� /„"L�� �I S-�" <br /> S•G e1UPE ���[ <br /> CIIY 0119NE55 UCFx$C NO <br /> PLUMBINu MECHIINIC�L <br /> NO. TYPE OP FI%TURE OR ITEM FEE NO. ME OF FAUMMENT FEE <br /> WATER CLOSET(TOILET) fJC—AMNDLG UNRS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORV(WASH BASIN) HEAT PUMP <br /> SNOWER UNI7 HEATERS <br /> KITCHEN SINK d DISP CLOTHE$�RYEflS <br /> DISHWASMER RPNGEHOOD . <br /> �AUNDHY TRAY WPTER HEATEF <br /> CLOTHES W�SHEH WOOD STOVE <br /> URINAL METAL FIREPLACE�WOOD BURNING� <br /> DRINNING FOUNTAIN FIREPLACE INSERT(WO00 BURNING) <br /> FIOOR�RAIN GAS FIREPLACE <br /> BACNFLOW PPEVENTERS GASPANGE <br /> SINK�SERVICE—BAR.ETC.) GAS PIPING <br /> E%HAUSTF <br /> n � �C . F�3"a <br /> SUBTOTPL S SUBTOTAL S O : <br /> PERMIT 5 PERMIT f S� <br /> TOTALFEE E TOTALFEE S <br /> FOR OFFICE USE ONLY: U� <br /> rnnHrsrtn�cx nr�nsneeca S�oesrte.cx ri�Hca¢..r�uwrn rep nrrnr�r�o <br /> QOFEES V�LU�TION FEE <br /> USE lOYF IOl�nf� V4�VI SIIE -��— <br /> DY[$ 0� RNI��� <br /> 1�FIG��I1�41�/.1104 M1OO�OW[IIING SIIEOlpIOG�II <br /> IIMIIC M1�4111Nfi ______ I <br /> OCU11��Kr VIOiNnati IX:CIinI,NIlU�O B�SFVLNt NFf.NnhiL�l <br /> CIIOUI� <br /> OYfS ❑N�I <br /> •Dq1�Oryei M1eHORCa <br /> flllf[�IPr:�I[NPE7'� �f�V(� <br /> OluF11 <br /> �IP[PlqnN�k0�0 AFA�pV <br /> 51�11'p1111U�M1'1�51111L11R11(.! <br /> Trrrnr,ovvr r�nvs�rraovrnm CITYOFEVERETT �+�ai¢wa�e< <br /> LOCALSALES —--�— <br /> u��E TAX CODE IS 0105 Tu7AL <br />