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APPLICATI� FOR CONSTRUCT�N PERMIT� <br /> CITV OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STAEET•EVERETT.WA 98201 •259-8810 <br /> ❑ DEMOLITION ❑ COMiBINA710N �U14DIN4 � MECHANICAL ❑ PLUMBINfi ❑ SKiN <br /> PR0.IECTA6DAESS• Ia� � C:�•�.� <br /> ��.5 ,O.�icr�s� L:.�� �vso3-�s/r�srsF S,in�yar�sa/r.9 �2rG<zud�3s-�s� <br /> r,wi ss arv nv nq.rt <br /> t¢wwi �uui�mucss air xio v�ar�c <br /> uc��•[ctono[s�crrtn �.uu�oouess cm rm rHw.e <br /> .(7�sro /'_mt-vr z"r. �C.� <br /> GEMnutOxrP�t�OH MuIMMFs blv 1�r r�qN[ St�1ElKFNSE� <br /> YELN�NiC.LLCONM�CTOP AWIMd�E55 drv IM1` P�qNE til.fEIKENSE• <br /> PI�NG,COnNIN�CIOR YYlIi0q�E55 G�V tiV VIqNE S��tEtiCEMSF� <br /> l�ry <br /> rqHrwcrwrc�awpa ��� <br /> ��Q _ �7pp�� HEATING SVSTEM: J�AS ❑EIECTRIC 0 <br /> CESLplE NCV�(NO SqYRE f0(�T.�GE MVOIYED LW1K'T PFIISONAM�PIIpE Iq <br /> ic �0 33ff- <br /> S! .lvF1Yi�G`/ /��/.OEhc'c � HEREBY CERTIFV THAT I HAVE vE�D AND E%A1wINEU TNIS <br /> 'Y, APPLICATION AND KNOW TME SAME TO ei TRUE AND CORRECT ALL <br /> °�PaE��O°�p1MO PPOVISIONS OF LAWS M7D ORDINANCES GOVERNING Ti9S T'PE OF <br /> WORN WILL BE COMPLIED WITH N7IETHER SPECIFIED HEREIN OR <br /> �auocscpvrpr�ormovrnn�vam�e[�axw�n�cHiwocw¢si rypT.THE�RAMIN(i OF 11 PERMIT DOES NOT PRESUME TO OIVE <br /> im Z µQq pp T AUTHORITY TO VIOLATE OR C�NCEL THE PiiOVISION OP ANY <br /> OTNEN ST�TE OR LOGU.UW REGUUTNO CONSTHIICTION OR THE <br /> PERFORIMNCE OF CONSTRUCTION.THAT I AM AUTIqR�ZED BV THE <br /> — ONMER OF TMIS PROPEflTV TO PERFORM THE WORI(FOP WI/M71 <br /> So3-�oom- 2 ooc 3 11PPLICATIQ�f��5 MADE �ND I COMPLV WITH THE ST�TE <br /> wwce�rwvio.Mw+[n CONT Cf �)(fL'�W1B27RCWAND2%.200WAC. <br /> CONS11111CTION lON!IEMEH..N011E5].IEIFRqNE MIYlFN .S/�/�� <br /> RE y WfE <br /> GtYBUJNE55lCEN5EN0 <br /> K� ��A�µ <br /> NO. TYPE OF FlXNRE Oli REM FEE NO. TYPE OF EOIIIPIEN� FEE <br /> WATER CLOSET(TOIL i// A/C—AMNDLO UNfIS <br /> Z g���Jg FORCEDRIRSVSTEMS <br /> UVATORY(WASH B�RIN) HE�T PUMP <br /> .'� g/qWEp UNITXEATERS <br /> KITCHEN SINK 6 DISP / CLOTHES ORVERS <br /> OISHWASHER MNGE MOOD <br /> LAUNDRY TRI1V WATEfl HEATER <br /> CL07NES WASHER WOODSTOVE <br /> pq�ry� MEfAL NREPUCE(WOOD BURNING) <br /> DRINNING FWNTAMI FlREPIACE INSEfiT(WOOD BUNNING) <br /> FLOORDRAIN / GASFlflEPLACE <br /> &1p(ROW PNEVENTERS GAS flANGE <br /> SINK�SERVICE—BAR.ETC.) GASPIPING // <br /> IXHAUST FAN <br /> SUBTOTAL S SUBTOTAL f <br /> PERMIT f PERMIT f <br /> TOTAL FEE f iOTAL FEE f <br /> FOR OFFICE USE ONLY: <br /> iHONTSETBMSt � I1EMSfiB/LK SIOESF� MANLI�EC1lMIMRFII I[F Aff.F�0IN0 <br /> � ZO ' �,�aa� sis o 1� — <br /> use:w¢�„/ �or� � v�e�w�sre FEEs vALullnoN F_ E�_ <br /> ar¢s ❑rw euiowt: 6 �Z; S� <br /> Hc�t urnru�ou r+No a ow[ww s�or xoa^r�i �,�� <br /> �O�Q �[ S.F. PIVM&NG ��r <br /> OLCWN{Y ItlMS�M(5 IXLUfMNilO.W 4EN1 YFCNµ�L4 <br /> G �� ' ._ <br /> 3 u• Z ❑rts t7rlo � <br /> FIPESPi11KKlFfl11E0'� RF�SCN �Op110N1lMANCIIFGK �i' _ <br /> O1VEP <br /> RIIFL:MMflEO'0 Af�Spl -� � <br /> $IAIEBI11tpNf AIIILNMIfE i� <br /> rrveorcoNs* MnNS�PPIbVFDBY CtTYOFEVENEIT nueir.wou.s � ' � <br /> LOCALSALES — � <br /> — oere �7 2�47 TA%CODE159105 707�L <br />