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APPLICATi� FOR CONSTRUC�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•�10EREIT,W 4 98201 •(425)257•8810 <br /> ❑ DEMOLITION ❑ COMBINATION Q"BUILDING 0 MECHANICAL ❑ PLUMBING p SIGN <br /> PROJECTADDRESS:�'JoZY G�A/[�NGr Q//C Eot.,i{��'��do.I <br /> ".��F ,C�pC'!� y��y (-,�sRr/.��� �jV�vc-e{� a.-c��' 9C%xo3 �olfJ 3Y7-7.(9ot <br /> Ovnf� �q ��OnE�s piv r�r rrqM[ <br /> W 2� <br /> IfM�M1�I Y�II�!)pfl(55 C.IlV � I�P M10NF <br /> oeA,'cc��—rta£�svd.�.l_Jr � t .2S/9 �[s'y A✓e .fE C��.k.{J 7P.zoS /ydS�.?S�L./7/�' <br /> ��raircrO�ocsi.etn uuier�iroi�s un nr r.ro..r <br /> C� ' Y/.ZY GRa,oSa.e� Ru� EG�� �rd' A'.i�J t�GbCoN.I�XCbZZIC.' <br /> f.rNinnlCOH 1U�.CIY�. 'J, 'VL'.��I�Unt[S tlir !�r rvv�m 51q11�CfM$. <br /> �W �`L✓ <br /> Y{bUNiGlfb111LCIp11 4Yl�f�E55 Clh I�P 1vbN V�IfUCfMG[• <br /> 1'1114NI^CONIIUf.�p1 M��1 WYIDC55 Clry I�� P�IOYF Sltlf 16[NSf• <br /> mmn�a m¢t w wona ' <br /> �J� "�� (� HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> MscNnrwJnv�ht�5/l��nt��O��cEwvqvFo c0ul�t��'In50N�v1�hHFKrro <br /> /�{�RC�i�/ f�0 <br /> �lvxa� r �- <br /> � - C�...�0 i I HEREDY CERiIFY TNAT I /IAVE READ AND E%AMINED THIS <br /> �`-d' APPLICATION AND I(NOW TME SAME TO OE TRUE ANO CORRECT ALL <br /> i�irorro�ro asi ewinsz: PROViSIONS OF lAWS AND ORDIN:�NLES GOVERNING THIS TYPE OF <br /> K���� �' /Sr�� 'r`N� WpqK WqL �E COMPlIEO WI7H WHEiMER SPECIFIEO HEREIN OR <br /> itr,untscnmuonornr�mcnrv�srqm�euawa+r.nr.cu�oca+ts NOT. THE GRANTING OF A PERMIT DOES NOi PPESUME TO CwE <br /> �o�_ e�ocK w AUTHOAITV TO VIOLATE OR CANCEL THE PROVISION OF qNV <br /> OTIIEN STATE OR LOC�L LAW PEGUUTING CONSTRUCTION OR THE <br /> PERFORMqNCE O�CONSTFULiION TI/AT I AM AUTMORIZED BV TME <br /> OWNER OF THIS PROPE�TY TO PERFORM iHE WORN FOR WHICM <br /> APPLICATION IS MADE ANO I COMPIV WITM THE S7�TE <br /> rencn��n o wrwn�n CONTRACTORS lAW 18 27 RCW AND Y96 t00 WAG <br /> �/17'/ Eb0 D�- o� �/ �7 p/ <br /> crnsmuc�irn�o�r.irunrnux�css�[�u+aNemiux[n x /�✓J S/ <br /> � ¢ �jf��t <br /> cnr puvrrccs iK[v¢r�o <br /> PLUMBING MECHIINIC�L <br /> NO. TYPE OF FI%TURE Ofl I7EM FEE NO. iVPE OF EOUIMAENT FEE <br /> WATER LLOSET ITOI�ET) A�-qMNDIG UNITS <br /> BATHTU� FORCEO AIR SVSTEMS <br /> LAVATORY(WASH BAf IN) MEAT PUMP <br /> SIIOWER UNI7 HEATERS <br /> NITLNEN SINK b DISP GLOiRES ORVERS <br /> DISNWASHER F�NGE HOOD <br /> LAUN�RY TRAY IVAI ER N[ATEP <br /> CLOiHES WASNER NOOD STOVE <br /> UR�NAL METAL FIREGLACE(WOOD BURNINGI <br /> Df11NKING FOUNTAM FIREPLACE INSERT�VO00 BURNING� <br /> FLOOR DRAIN GAS FIREPLACE <br /> OACNFLOW PREVENTERS GASHANGE <br /> SINK(SERVICE-DAR.ETCJ GA$PIPING <br /> EXNAUSTFAN <br /> SU�TOTAL E SUBTOTPI S ' <br /> PEHAUT S PERMIT S —T_ <br /> iOTALFEE 5 TOTA�FEE S <br /> FOR OFFICE USE ONLY: c%�`���I <br /> innHiaiwrR nr�nsnp.c. sasne¢a n�Hartc+ew�grn rtr nrrrmrHo <br /> oL�' � 7,5 �OG- D -3�� <br /> ��si ro.r �o�+ur• vuv�w[ fEES V11W�TION FEE_ri <br /> eS • Q ❑�f5 eU Rv�Mwf. <br /> PH(8�11^/iGlro% MOO . fIIING SilfdllW91 '—�O <br /> 11111� � � 1'111VR� ... � <br /> -�� <br /> U:lu1'�V.:v 4�t��ew.�f IX.fu��N11O�0 P�SF4[NI 4fILMKe1 <br /> f.1�011�` � <br /> � � �[5 ONn —. . . . <br /> �,'tfq���•..tU�t:[O"0 ni�[ON I�qINMYih�HO�IC� <br /> OM1pO <br /> II::ITIA�i\II�lGO PFI.[nY <br /> <I�lf flINlO�M1(i SIKKII/.11I:! <br /> nr�or��nv<r nnNs�rrnrnrnnr CITYOFEVERETT n�nucwn��.c "' _�-" -'_ <br /> _ � I n, �, LOCALSALES - --�- -- <br /> _ /d �,.�i � „ �l5 TA%COOE IS 7105 TOT�L _ <br />