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APPLICATI� FOR CONSTRUC�bN PERMIT <br /> C�7'Y OF EVERETT•BUILDING DNISION � <br /> 3200 CEDAR STAEET•EVEREIT,WA 98201 •(425)257-8810 <br /> ❑ DEMOLRION O COMlINATION ❑ MNLDINfi �MECHANICAL ❑ PIUAMINO ❑ fION <br /> PROJECT ADORE88: o�D•Z �or r+� 1�t � �.^���- <br /> a �. w�,.. a� - . <., , ..�' o� - v> > <br /> OMER Wtt SS dtt Ib <br /> 1EM�Mi uM Y1011E55 f.liv lro p�qNF <br /> �p�Ni�L{ppClyGNlN MN.�WAF$$ CIfY lll` �M(INF <br /> H1S-ac9-45iS <br /> GFMn4 tONlMctpn Mu1�DfMESs Otr lir r�xnf c4R 1�CIxA• <br /> � �✓ {��,J/1 %b'Q03 D6PFNI7Ao141CIC <br /> -�� �a N W5 4L• o f�n�/.�n 4y S+.VC� KC _ <br /> uECNux[1LGON1nq1CR7 Mul�U0aE5S Litt )rt• �n0uf SI�ifUCExSE� <br /> PIUMlMGCONIP41p1 WM1.UMHF55 O�Y 1�0 �N�F Si��F11CfM5F• <br /> cwra.cr w«cc a wowi _ 8 3�� MEATING SYSTEM: �GAS ❑ELECTRIC ❑__ <br /> ` RSCpOFWMY.�MD /.PEfOOiWENVOIVFO CON�1Li%NSOM11 IUNfNO — /�/� > 5 - YSib' <br /> I[c � / Ll,er� J'} •r <br /> u'Yt. .6p/�W 1f�✓ owY n <br /> � I HEREBY CERlli�v iH�T I H�VE RE�D AND EX�MINED THIS <br /> q� APPLIC�TION AND KNOW THE S�ME TO 8E TRUE ANO CORRECT ALL <br /> �.anppgpu vs¢or emiwn PROVISIONS OF LAWS�NO ORDtN�NCES GOVERNING THIS TYPE OF <br /> - WORI(NnIL BE COMPLIED WITH WHETHER SPECIFIEO MEREIN OR <br /> IFWLOE5C1nP1iONKVIid'ENiV13rq'M1lEl�'Nd��rt/rt:M1NVC0AE51 NpT. THE GR�NTING OF A PERMIT OOES NOT PRESUME TO OIVE <br /> tm pocK w �UTNOi11TY TO VIOLATE OR CANCEL TME PROVISION OF ANY <br /> OTNER ST�TE OR LOCM.LAW REGUL�TINO CONSTRUCTION OR TNE <br /> PERFORM/�NCE OF LONSTNUCTION THAT I MA AUT/qRIZED BY THE <br /> - OWNER OF THIS PROPERTY TO PERFORM THE WORK Fpq WHICH <br /> APPUC�TION IS M�DE �NO i COMPLY WITM THE STATE <br /> CONTqACTORS LAW IB 27 RCW�ND 196200 W�C. <br /> MIICEI 1M 1 D MMFN �/ <br /> Cd5TM1C11W IOW IFMOFP/�pL11E55 iEIEPIqME M�1Mlfl� � /Y /� -�j_�� <br /> :i� �o�rt <br /> CifYM14ME55lCENSf MO y�b S�y I <br /> /LUIeIMO IEClUINCAL <br /> NO. 7MEOFFlIRIMEORREM FEE NO. TYPEOFEGUIVMOIT FEE <br /> WATER CLOSET(TOILET) MC—MMDL�UNRS <br /> BATHTUB FORCED NR SYSTEMS <br /> LAVATOqV(W�.^+H B�SIN) HE�T WMP <br /> S��R UNIT HEIITERS <br /> NITCMEN SIM(8 DISP CLOTNES ORVERS <br /> DISHW�SNER RANGE MO00 <br /> UUNDRV TfUY WATER HEATER <br /> CLOTMES W�SMER WO�D STOVE <br /> URIN�L METAL FIREPLACE(wOOD BURNING� <br /> DRHJ1(ING FOUNfAM FIREPUCE INSERT�YJOOD BURNING� <br /> FLOOR ORAM � GAS FIREPULE <br /> &1CKFLOW�/�EVENTERS GASFiANGE <br /> 51NK(SERVICE-BI1R.ETC.) GFS PIPING , <br /> EXHAUST FAN ,�_ <br /> SUB70TAL f SUBTOTAL S <br /> ' • PERMIT f _ PERMIT f <br /> TOTALiEE f TOT�LFEE f � <br /> FOR OFflCE USE ONLV: <br /> (M1NTSfiP�:.R P(NSfilAC� y0F5Ftl�CR �I�MC�I RNIIMfP !ff PFf.FW�1b <br /> usErors . �o�.ur� v�c�N�v�[ FEES V�LUIITION fE�_ <br /> ❑vf5 O� PU�M� <br /> MF�GMI��Nt11pv NO'O/DWFII�xG 512EWllWrt� �— � <br /> O111Y11iNC _____�� <br /> OCI;IF��CY �VM1�IM.If (ICLUV1Nll0�� B�Sf4EN� Vif.H4aN:�1 <br /> f.RWv — -" <br /> ❑vF5 ❑HO <br /> •Oqll(IM11 IYAN C�NLS <br /> fIPE$PRINRIfAAE�]'O ��� -- - <br /> 01XFM <br /> i1PEI.UPMNF0�0 Af��(IV <br /> ,f�Al[EIIIIOM<{5�111L111rv:[ <br /> �mcarr,ouc� nuwsumaovvna+ CRYOFEVENETT ^^u'r`�'""` <br /> LOCALSALES — - —� <br /> o��E TA%CODE IS 7105 TO7I1L <br />