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APPLICAT�N FOR CONSTRUC�ON PERMIT <br /> cm oF e�RErr•eun.an�a onnsior� � <br /> 3200 CEDAR STREET•EVEAETT.WA 98207 •(42�257-8810 <br /> ❑ DEMOLRION ❑ COMeMAiION �' �INLOWO J@'�IECXAINCAL .�VLUMlN10 O iION <br /> PpOJECT ADDRE88: I OZ�iD �✓l/Je/L/,✓ v✓� <br /> l� A.LMJ�.� z�4v .✓ .✓vi1/,Garo.,./� <br /> n wn�oa[R an tr vroc <br /> ,1�,� UL- Se�rr�� 9$z.� y�-�i3 <br /> tEwur wa�oo�ss un rn n�ohr <br /> Dd.✓.E� ,t3��� szo-y�' srs✓r.� a�rK��✓�d ��s-ez�- 4a7Z <br /> �� Co.•%�STiv�>;a�!�s lG'y/a�S' �`� �.Esrt�ev.�a.� v-��3s--aG� NPCD.�Sl03� <br /> pFHEPN COMiluCtpl MYI�Op�F55 CI1Y l�� MMM [f��f lK[NSF• <br /> YECNYMC4Cpi1P�LIW 4��l�OME55 C�IY h� p�bMf ii1�fLICFMSE• <br /> !L '✓ �J.✓Sr/dG�a✓ <br /> mwpMccOxtn�r,rOn vut�WAFss cnr bo vHOHF SrFlFt�CEbR. <br /> LOMIML�PM10E Oi NCM <br /> /ydd � �4 HEATING SYSTEM: ❑GAS ❑EIECTRIC ❑ <br /> oescaee wona�wo sou.�000rwc rvav[o cwi�cr vrnsa+um^•rorrt.a <br /> I HEREBY CERTIFY TNAT i H�VE READ ANO E%AMINED T/11S <br /> �PPLICATION MID 0.NOW THE S�ME TO BE TNUE I1ND CORRECT��l <br /> ^���� �Ka"� PROVISIONS OF UWS/J!D ORDINANCES GOVERNING THIS TYPE OF <br /> M�n� ViOM WIIL BE COMPLIED WITH WHETHER SPECIFIEO NEREIN OR <br /> lee�ioexmrrror,aviar[nn�sw�we[io+�w�**rc nw�on[5i p�pT. THE 6RIINTIIIG OF A PERMIT UOES NOi PRESUME TO OIVE <br /> io* eiau or AUTMOFITV TO VIOUTE OR CANCEL THE PqOVISION OF 11NY <br /> OTHER SiATE OR LOCAL L�W REGUUTIN(i CONSTRVCTqN OR TME <br /> PERFORMANCE OF CONSTRUCTION.TH�T I MA AUT110PIZEO BV TME <br /> OWNER F 7H15 VNOPERiY TO PERFORM THE WORN FOR WI/ICH <br /> �PPLIC ION IS M�OE ANO I MPLV WITH THE ST11TE <br /> �E����p�p CO 10RSLAWIB27RCWM 6.Y AC. -/ <br /> CONSIMIGTIONlWN1ENOFP.IIXYIE$$.1flfPIp1EMUL�lFN D�/` !/ <br /> \URE 0�1C <br /> Ciiv WSI�ESSl6FN5[iq <br /> PLUIMINO 11ECl4MC�L <br /> NO. TYPE OF R%TU11E OR REM FEE NO. 7YK OF LOIIRMENf FEE <br /> WATEN CLOSEi(TOILET) Z ArC—MMDLa UNIT3 <br /> BI1THTl�B FOpCED NR SYSTEMS <br /> Z UWITORV(W�SH BASIN) MEAT PUMP - <br /> SMOWEq UNIT HEATERS <br /> NITCHEN SINK 6 DISP CLOTMES ORYERS <br /> DISHWASHER FiANGE HO00 <br /> LAUNDRV TMY / WATER MEATER <br /> CLOTHES WASHEH WOOD STOVE <br /> URINQ METK FIREPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN FIREPLAGE INSEIiT(WOOD BURNING) <br /> FLOOR DRAIN GAS FIREPUCE <br /> B�CNFLOWPREVENTEFS G0.SfWNGE � <br /> SMIK(SEFVICE—BAR.ETC.) GAS PIPING <br /> � 9 E%11AUSTFAN <br /> Z .Z �✓ <br /> SUB TOTAL f SUB iOTIIL f <br /> PEMNi f PENMIT f <br /> tOTAL FEE f ipTl1L FEE f <br /> Fon o�ce use orar: <br /> ip011T5FTllli(x WMi5F1MC� SH.FYtM[� M�x[��ECKNUMiR fFF AffFM'�NO <br /> usetoMr �o��u�• v�tunvr[ FEE6 V�WI1ilON LE�_ <br /> ❑�5 ❑� BIIIIMM: <br /> MfIGNII�41��fpM NOVDWfIIING SllEd%ONII ' � <br /> ����� %IIMMf � <br /> � —�— <br /> p���p1NCY vJ f.'ciry4lS R.CVMHI lOW l�3FYFN� M{I:nWKN _ . ^ <br /> pvf5 []�M -- <br /> f�RESGPIMtIEPFE7'O fK�iON �IXYII(n�l(Y1NC�qL� _ <br /> O1MFP <br /> fIXE�UPMPf00 AF�SOV <br /> SI�I[&�IONt:5i1RCM�11(I( <br /> nvcnrr.a�ct nnhc.nrrwv�nev CRYOFEVERETT �+mir.v�a«�c _-" '— — <br /> LOCALSAlE3 — --" — <br /> o•�E TA%CODE IS 7105 TOT�L <br />