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APFLICATIO� FOR CO�lSTRUCT�N PERMIT <br /> CITY OF EVEHETT•BUILDING DIVISION � <br /> 3200 CEDAR STqEET•EVERETT,WA D8201•259•8810 <br /> ❑ DEMOLITION � COMBINATION`�, ❑ BUILDINp ❑ YECHANICAL ❑ PWMBINO ❑ SpN <br /> PROJECTADDRESS: Ill9S 11�"`-5��-pp--Cyer}} �c— ///� Ej/�,S/uP1ti <br /> r r <br /> wmEn wia�oa�as arv <br /> r�� rwrrt <br /> GN,S $oa.s�n;s i560- 14o��'hve N E *ieo B I�evue�wA 98005 C4d5)tiba-0$$a. <br /> TEIUNT Yut�ppl[SS q1� <br /> !IP plqN( <br /> Gr;ent- Droqon,2nc, d05d0-E3rdP1 vJ lynn�+ood wR qsosb (Na5)�7µ-id9�} <br /> MCMrtCTdIRSqN[ 4M�pp1(ss UT' )m y�pE <br /> R. D. S. 18313- 130�hRveNE�adD $e��cv��WqQ8G05 L4d5�8$1- 1010 <br /> c.rrt�wcwnucran wn.owass un nr wroxe �r�tai�ret. <br /> Behr �4ns��uc��on 704-J,�SN'AreNE �aO� Qnamcr� wA98053 �4a5�4�-µp1� OEHR 5 061Ok <br /> YECN�MLKCON1MLTp1 4/ul�0pRF55 tltY Iil' PNONE SMiEIICEl4F� <br /> No��mnrd Co�:h�uel�en 1560- INO�'Ave �1 E�IDO $e��vue WA 96005 �4d5)56a 088d NOefH oa 5�N <br /> RU1lMGC011111I�LTp1 1AW11F55 Grv t�v PIqM( Si�iEULFMSE� <br /> Samc as abo�e <br /> canrww*mcE as r.oni <br /> ���.1�361.00 HEATING SYSTEM: �GAS ❑ELECTRIC ❑ <br /> OESLAEE MOIIY�W SOUMF i00ibE NYOtVED r 1 CWf1Li PCPSd1 Yq PIqME NO <br /> c IO M1 ��r�c5 TPSr F�C p a -� 94, � <br /> r rn,n oro ' F i un�c et. (aos 63 -a o5 (w <br /> I HEflEBY CERTIFY TH�T 1 HAVE RE�D AND E%AMINEO TMIS <br /> vwroos[o us[as euKpw APPLICATqN AND KNOW THE SM1E TO BE TRUE I1N0 CORRECT AlL <br /> PROVISIONS OF UWS AND OR�INANCES 60VERNMq THIS TVPE OF <br /> WORK WIIL BE COMPLIED WIiH WHETHER SPECIFlED HEREIN OR <br /> �[auoEscnrna�amro¢ntt�swvme[�owon�n�cnrv.owv�si �pT. TnE �RAMING OF A PERMIT DOES NOT PRESUME TO OIVE <br /> �oT 7-la, ei0a 3 a FalY on 0.5 AUTMOfl1iY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> � OTHER STATc OR LOCN.LAW pEOULATiryp CpHSTRUCTqN OR THE <br /> reea�ae � VD O oF 0. '�5 PERFORMANCE OF CONSTRUCTION,TH�T 1 AM AUTIqRIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM 7FIE WppK Fpq WNlpr <br /> 0. e 9� YCCoft�S S I� y� APPIICATION IS MADE AND I COMPLY WITN THE STATE <br /> � i i o.r�e[n . CONTMCTORS LAW 18.27 HCW AND 2DE.pp W�C. <br /> COMSIMICTOIIIQWlENOEN.�Op1E58.IElEh��MEW4lEP %� �.� $/ap/97 <br /> SiON�tUZ WTE <br /> 03J.4d3 UBL If601 '799 ('•-7 <br /> arr wsnEu uc[wsE ra. <br /> P��M�� MECN..NICAL <br /> NO. TYPE OF Fl%iURE OR ITEM FEE NO. TYiE Of EOUIP61FIf► FEE <br /> WATEq CLOSET(TOILET) �-�Q U� <br /> ��� FORCED NR SYSTEMS <br /> UVAft1RY(WASN BASIN) HEAT PUMP <br /> SFqWER UNIT NE�TERS <br /> NRCHEN SINK 6 DISP CLOTHES URYERS <br /> DI6HWASHER HANGE HOpD <br /> UUNURY TRAV WATER HEA7ER <br /> CLOTHES WASHER W000 STOVE <br /> URINAL MEfAL FIqEPIACE�WOOD BURNINf3) <br /> �RINNINO FOUNTAIN FIHEPUCE�NSERT(WOOD BURNING) <br /> ROOR DRAIN fi45 FlREPUCE <br /> BACKROW PREVENTERS 60.S MN6E � <br /> SINK(SERVICE-BAR,ETC.) �p�opp �— <br /> IXHAUST FAN <br /> a� � � I <br /> � e e� <br /> SUB TOTAL f SUB TOTAI t <br /> PERMIT S PERMIT f <br /> 70TALFEE S TOTALFEE S <br /> FOR OFflCE USE ONLY: <br /> iI1CM�5ETS�1G( RMSFTEALN $Ip[SEfMCM CIYICIIECRMIYB�fJ� {[/��� pE ��/� <br /> S�� O <br /> � USEZONF tONJIEA V1GN�SfE FEES VALUATION FEE <br /> ❑YES O MO BUIOw(i <br /> MfIGNiUMl�ibN u00�pWEW4G S�iEpf I <br /> Ur1�I< �� V111411n�G i <br /> OGCCIAAIIGY Iq[i51Mf5 OCCW.WIl0�0 l�SEN[XI MFCNYaC4 —� <br /> 3 7/ o.es ��.o <br /> FlPESOMNAEqIiEOD REASON �ObIiOMI.Ltt.WCKCX <br /> U� ou�cn <br /> RHFMAPMPFO'D RF��SrM� �" <br /> �J Nc���Lr,� SiAIFlNIDM[t51TCl�f �T^ <br /> pL.C.( <br /> nreor� ruHSMrgovEoer CRYOPEVERETT n�r.v.omic <br /> o.re JM C 7 TA%CO�E S 7105 TOTAL m <br />