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APPLICATI� FOR CONSTRUC�ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STAEET•EVEREIT,WA 98201 •(425)257-8810 ����'� <br /> ❑ DEMOLITION G COMBINATION ❑ BUILDING ❑ MECM�NICAL ❑ PIUMBIN6 ❑ SIdN <br /> xPROJECTADpRESS: Z22Z Ir.9� f�L <br /> �,���Z� T� rfroHi'sn�� �ui�r�-7 992os r�{zr>�'I-763o <br /> Fn 4ui�orncs5 an rm nMor.� <br /> 1(N�N\ YYIMII111F55 fA�v )W %IpMF <br /> �IICNritC�OPM4G41n u�NMN1uI55 QIV lif �•rRYR <br /> G(MC11µC04111�f:1(YI V41I3MNHS5 CIIY i�f lM1N14[ ilI.�1110ENSf• <br /> MiCN�NK�ICWif1�CIU� V��I�t�GY$5 f.lry ji� MIOVf �1�IflICEN�t� <br /> PP�40Mf.CONIN�Cip� yu��pMR55 C�Iv }i� PN04f SI�IfIKlMSf• <br /> Cb+fn�CiMxc[q wrnn <br /> /��/UOVIi Y T/N/i- � `� JI .TN/'�L HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> �aFCRiPf WJNeL4115W��t�00�� [rvVdVfp CplitLirypSfN�M1N�(Wf MO <br /> p�- RDo,: (.- i�46 fH/.{.�[7 ,��T <br /> �r'rz�� <br /> I HEaEBY CERiIFY TNni I M�VE AE�D �NO EXAMINED TMIS <br /> norosroua �+nvnpw: �7?�ICATION�NO NNOW THE S�ME TO BE TRUE�ND CORRECT ALL <br /> k,,S r� PFOVISIONS OF LAWS AND OADIN�NCES GOVERNING TNIS TVPE OF <br /> WORK wll L BE COMP�IED WITM WHETHER SPEGFIE� MERE�N OR <br /> teeua5auruonwnrortnrv�vax+�nuavou�meM�waca+[5� NOT THE G�ANTING OF � PERMIT DOES NOT PRESUME TOOIVE <br /> io� q�p�R p AUTHORITY TO VIOLATE OR CANCEL THE PPOVIS�ON OF I1NY <br /> OTHER ST�TE OR LOCQ L�W REGUTATING CONSTRUCTION Oq THE <br /> PERFORMANCE OF GONSTRUCTION TNAT I AM AUTNONIZEO BY THE <br /> OWNER OF TMIS ROPERTY TO PERFORM TME WORN FOR WHICH <br /> APPLICATION MADE ANO � LOMPLY WITN TME STATE <br /> �enttt un D�ni�wn CONTR�CTO AW IB 2l RGW AND 2962CJ W <br /> �(i/w —�JOD-l�7 G Z � � 9� <br /> corsm�Krrc»��a�xir.mFn�nm�s�rtit�+�mrmnrnrn <br /> 9LN�IVIY �1 <br /> Crtv W4NE55 tC[t�51 NO <br /> FLUMBIN6 MECM�NICIIL <br /> NO. TYPE OF FlIITURE OR ITEM FEE NO. ME OF EOUIPMEMT FEE <br /> WATER CLOSET�TOILET) NL—MINDLG UNRS <br /> B�TMTUB FORLED AIR SVSTEMS <br /> UVATORV(WASN BASIN) MEAT PUMP <br /> SMOWER UNIT HE�iERS <br /> NITCMEN SINN 6 DISP CLOTIIES DRYEFS <br /> D�SH W�SHFH RANGE HOOU <br /> L�UNDRY TRAY WATER MEATER <br /> GLOTHES WASNER WOOD STOVE <br /> VRINAL METAL FIREPLACE(W000 BURNING) <br /> DAMNING FOUNUM FIREPUCE INSERT(WOOD BURNING) <br /> FLOOR�RI11N Gf5 FIREPLACE <br /> O�CKFLOW PREVENSERS GASRANGE <br /> SINN(SERVIGE—BAR,ETC.) GAS PIPING <br /> E%HAUSTFAN �_ <br /> SUB TOTAL f SUBTOTAL S <br /> PERMIT 5 PERMIT S <br /> TOTAIFEE S TOTA�FEE S <br /> FOR OFFICE USE ONLY: <br /> II�f1NIViP�(R 11��fi[(1RK4 $iCE$(IB�CR ry�NC1iLCSNVWfP IfF nlfill'�NO <br /> 9 67 f�SO <br /> osr�o�r imu�c. v.c�vivi[ fEES V�W�TION FEE <br /> _ _—T-- <br /> OrEs ❑� xuilHnr. <br /> ��t�n�n�vnenov aonnwiwre s�naeia:�i "— <br /> av�. mv�m�nr. <br /> m <br /> __'.__ '__ '. _____y_'_ <br /> a;a�r�x. wni.�n.0 urain.eiio.n e.srw�� 4rcu.nwn — __ — <br /> mrovr _"_ <br /> ❑\(S ❑N7 <br /> liPf[rviqxL[NPfSO �f�5fn �OdlRn�iry�NC��fd _ <br /> OLM11 <br /> li�C�UNNPL00 �f�SOV <br /> 5411 Pu��l•wi..nn..runc. <br /> �rr�nrco��<r ruus�rrnovroo� CRYOFEVENE7'T M�mmwn�.c � <br /> LOCALSALES -- — -- -- <br /> �„�t TI1X CODE IS 7105 TO7�L <br />