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APPLICATI� FOR CONSTRUC�N PERMIT <br /> CfTY OF EVERETf•BUILDING DIVISION � <br /> 3200 CEDAR STAEET•EVEREIT,WA 98201 •(425)257-8810 <br /> ❑ DEMOUTON ❑ COMlINA110N O lUILDMNi ❑ MECHANICAL ❑ PLUUSNIfi �lION <br /> PIIOJECT ADDRESS: /OSOO /f/4 NwR�4'9 So - �✓a'� � <br /> ri��r,r oirc4�.�l.se[� �,;3ErFXlr�xlui' crrzcrr 912.N ��zr)3s�G'. �,eli <br /> py��p wul ss C�rv nn v�qw[ <br /> �E�2Fv,Pinw.� /- /eslo N�},/99 t7atc7T 4'F�o� ��/zS� 3d'!-s'!G3 <br /> TENW� /Jf? 441�OdS55 G�v !�n F <br /> •TM�[GIOROESVKR Y�iIM�MF55 C�IY l�� <br /> M <br /> T�,--.•ms�sieS.�S �i� .f�wNrs v7�m►.vni 4frazl. ��s-qy33 /Dc,✓Ts/�IJc� <br /> .iFNlMI COX�Mc�On 4u�IiqM�ESs cilv l�r P�xHI[ c4q IICFNSF� <br /> s/'�jN <br /> NFCNWIC0.CWIH�C�UR 4uLM%Y�E55 f.�T: !�P P�b�:! SLiflKfNSf� <br /> VIUMpMGCIX1�P�Ppn 4ul�OtMF55 [itv !�� ���i Si�IFIKEMSf� <br /> fi s� _ <br /> `�����E�� HEATINGSVSTEM: ❑GAS OEIECTRIC ❑ <br /> CFSCWlF W.lnit�MO SOU�n[i00r�GE NVIXVFo c W��Cr ttnSW�M�rrxlMF MO <br /> � G S .J .Z/� <br /> � HEREBY CERTIFv THAT I H�VE READ �ND E%�MINEU THIS <br /> /��.7'L D /P APPLIC�TION AND NNOW THE SI1ME TO BE TRUE 11N0 CORRECT�LL <br /> usc ar eunduo pROV1510N5 OF LAWS AND ORDINANCES GOVERNING 7HIS TYPE OF <br /> WORK Wil�BE COMPLIED WITM WHETHEN SPECIFIEU HEREIN ON <br /> LEG�LOESCRiPlIp10fi'Iql'FPiYISMOWNlElOWpl�il�CNtNpCOM1f51 p�p7 THE GRANTING OF A PERMI7 DOES NOT PRESUME TO GIVE <br /> im atoc• o� �UTHONITV TO VIOIATE OR CANr,EL THE PROVIS�ON OF �NV <br /> OTNER STATE OR LOCAL LAW qEGVLATING CpNS7RUG�lON OR THE <br /> PERfORMANCE OF CONSTRUCTION.TN11T 1 AM�UTMORIZEO BY THE <br /> OWNER OF THIS PFOPERTY TO PERFORM THE WORK FOR WNICM <br /> �� — —O� ��O A7FL�CATION �5 MADE �ND I COMPLV WITN TME STATE <br /> M11LEL iAYi�M1uBEN C TRACTORS UW 1027 RCW�ND 296.IOO W�C. <br /> CONStR11Li1pNlMxlE R./UMESSiE�flYqnENUulFn '���� L <br /> l <br /> •IUPE 0�1t <br /> CItY WLNESSI�CFNSf HO <br /> p�UMlINO MECNIINICIIL <br /> Ip. TYPE OF flXTURE Ofl REM FEE NO. T'PE OF EOUIPMEN7 FEE <br /> WATER CLOSET(TOILET) NC—AMNDLG UNRS <br /> BAiHTUB FORCED AIR SYSTEMS <br /> IAVATORY(W�SH BASIN) MEAT PUMP ' <br /> gHpy/Eq UNIT HEATERS <br /> KITCHEN SINK 6�ISP LLOTNES DRYERS <br /> DISNWASHER RANGE HOOD <br /> L1IUNDRY TRAV WATER HEATER _ <br /> CLOTHES WASHER WOOD STOVE <br /> URINQ METAL FIREPLACE(WOOD BURNING� <br /> DRINKING FOUNTAIN FIREPfACE INSERT(WOOD BURNING) <br /> FLOOR DR�IN GA$FIPEPLACE <br /> B�CNFLOW GREVENTERS GA$RANGE <br /> SINK(SEPVICE—B�R.E1C.1 GAS PIPING <br /> EXHAUST FAN �_ <br /> $UB TOTAL S SUB TOT�L f <br /> FERMIT f PERMIT f <br /> TOTAIFEE f TOT/�LFEE f <br /> FOR OFFICE USE ONLY: <br /> IP[1NlSIiP�fK PfAP$f1pILK LOEYIbKR 1'I.WCIIC4NUWpfP ff wQ �ffIMNO <br /> o� N,� /o� O� �� <br /> us[tor�r L(1f�qE� �+c�v�v�c FEES V�LW1ilON �� <br /> C �/ S�bN �I.Z � OVES PI�IM� <br /> rrtic�����nunow �.oanwEiuwc sutnxocrt� -- _ � <br /> Z5� ovns A/I� riurnuwr. • <br /> __".__ ._ _"__—�.— <br /> acnwe.,cr +c,,�.��w�s wcuo�w�io�o e�sr+�[�� urc�+�+�ui — '-- _ <br /> r.now ._ <br /> OvFS �40 <br /> iME$VXINRI[R P[�]'0 11f�tiCN Ippll(YI�I IY1A CIIfC� <br /> OII�FP <br /> flPf�tAFMPfOV Af���V <br /> Auf NmtUMU q�M���nc{ <br /> �rvrtxr,pu<� n�Nc�rro (�ne� CRYOFEVEflE7f nnu'rv�'"� _ __ __ <br /> 4� LOCRL SALES <br /> o��E .ti� TAX CODIE IS 0105 707AL <br />