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APPLICATIO� FOR CONSTRUCT�N PERMIT <br /> CITY OF EVERETT•BUILDING DNISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257•BB70 <br /> �DEMOLITION ❑ COMBINATION O BUILOING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS: � " /3 -fOL�! <br /> a���1��,/P✓ _ �'vn.ce� ur�r 9�?�/ �39-�3� <br /> a wnww[ nn ��� <br /> i/,or.o.�r ��oa ��.(�ct_, C"oc��. �s�� <br /> �fN� � V�M 41MR55 f.I�Y 8� �'��t <br /> �11btlfC�O�CEAGq(n uullfqu155 Cilv �l•r. -h�rv.t - �" <br /> M1I n COYtM/f'9" 4K�MM�[55 �y�/ Ol♦ �y�— Tr I'�pvf �t�q 4fv<{• <br /> r CQYSf�CSZGLG�� C�HR�C'1�f5 �/�/ffL� !1�//.JZ���_�5'�GCscd �Y/.C�.ea87.tIL'� <br /> cM��+�[Hr,py�Nc�(M v�4R+p�E55 brv >ir ruohr aoru<rMc[. <br /> ��-�3y��s _ <br /> PIII4PMGfON1P�fICV1 M��l�IXT1f55 C.1tY I�� �'MT�f SI��FIK[NSf• <br /> caan�cn+��ct ur�m+ HEATING SYSTEM: ❑GAS ❑ELECTqIC � <br /> oF�rn�nrw�aK�vnso�.n�sppr�ct r�vavrn cc»n�cr�tnsowumrwrvr w <br /> ,�lnn°n- �9�� ��t�a�t } _ <br /> �r �,� ' NOV 1 4 I NEREBY CER7IFY 7HAT 1 MAVE PEAD 11ND E'�MINED 7HI5 <br /> APPLIGTION AND NNOW TIIE SRME 70 BE TRUE�NL ORREGT ALL <br /> i+rorosrovsr�u Panur� PROVISIONS OF��WS AND ORDINANCES GOVERNMG 115 TYPE OF <br /> WpqK WiIL OE W�7PlIED WITH WMETHER SPELIfIED HEREIN OR <br /> �m�io[semrnpr�prmortnrv�sw�mPaowa�+n.euewoeon[si qpT. TNE G�ANTING O�A f'ERMIT DOCS NOT PRESVM[ TO GIVE <br /> im Bioce__a �UTHORITV TO VIOlATB OP CANCEL THE PNOVISION OF �NY <br /> OTNER STATE OR LOI:pL LAW RECULATING CONSTPUCTION OF TME <br /> PERFORMANCE Of CONSTRUCTION TMRt I�M�UTNOR12E0�Y THE <br /> OWNER OF TMIS FqOPERiV TO PERFORM THE WORK FOR WHICH <br /> APALIUTION IS iaADE RND I COMPLV WITH TNE SiAiE <br /> renc uR�omiuWn — COYTqA/CTORSLAWIP27/RC�W�ND296200WAC <br /> � 3(0 �3 c�/ Ooo x�6UUL'8D /� ��/'��/—� // /�(�' <br /> CO451MIC1NNlp1ilfMIFP.HNM�[SSiCI[A10NENW�f11 ��jLGv� ��� i�7/ <br /> �•GI�IUIIL �(i f���f y <br /> UIY BV VIASS IIC[NS[Np <br /> PLUMBINO MECXIINIC�L <br /> NO. TYPE OF FlXTURE OR REM FEE NO. iYPE OF EOUIPMENT FEE <br /> W�TER CLOSET�101LET) IVC-M1NOlG UNIB <br /> BATMTUA �OACED AIR SVSTEMS <br /> LAV�tOA�M'AtiH BASIN� HEAT PUMP <br /> SNOWER UNIT HEATERS <br /> KITCHEN SINK d�ISP ClOT11E5 URYERS <br /> DISHWASNER RANGE HOOD <br /> LAUNORY TRAV WATER HEATER <br /> CLOTMES W45MCR WOO�STOVE <br /> URINAL METAL PIREPLACE pY00D BURN�VG! <br /> ORIN1(ING fOUNTAIN FlREPLACE INSERf(WOOD BURNING� <br /> FIOOR ORAIN GAS FIREPLACE <br /> OACNFLOW PREVENTER$ GASRANGE <br /> SINK�SERVICE-DAR.ETC.) GAS PIPING ' <br /> E%NAUST FAN _�_ <br /> SUB TOTAL S SVO TOTAI S , <br /> PERA91 f PENMIi S � <br /> TOTALFEE S 70TRLfEE f � <br /> FOR OFPICE USE ONLY: � <br /> �PONfViPvn �1'WSflp�f.K SMSf�R4K R�NfVlC�NUVnf� !(f �lff���NO <br /> --���-�p03 -- <br /> �nFrorr -'— ioimt� �v�cnv�r+rt _FElS"___ V�lU11TION "__FEE __ <br /> ❑Yf5 ❑Mf P�qM4�. <br /> ��Uf.u�l'V14�N\ NO d lMtlllw [qFp B�IX��� �- .. <br /> �IVI1t M1114P�N(. � � <br /> _ . .__.__._ _. ._____ . ...___j . ,. <br /> ucum��.. r�..�..,��, �s�����e�io.n n�..w�� vrn.�w <br /> � <br /> L4W� �� <br /> . <br /> ❑�IS ❑h� �__ ___ _ . . . ....__� . <br /> ��uisrv^�,io�rrtov_-' m..iri — �noronv.�n.rr�xr. __ "_ _ . <br /> —Mn __ _ — . <br /> nr,Eeum•uD�o �' M��nv --- —' '—'.. —_._ --- . <br /> �1�11 Pi1�111�11i�IHIl���14F �. <br /> nrvorra+��—'— nnaau�n�rnrnm pTYOFEVERETT n•a.'�:��—' —"----I-� �- � � --_- . • .._ , <br /> LOCAL 511LES -- '-----` ! �—--. — .. . . — - '- � <br /> c,.�t T1IXCODE157105 TOT�I________1_____ _.y___'___i__ <br />