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APPLICATIA� FOR CONSTRUCT�N PERMIT <br /> CRY OF EVERETT•BUIlDIN6 DNISION � <br /> 3200 CEDAR STAEET•EVEFETT,WA 98201 •(025)257-8810 <br /> ❑ DEMOLrt10N f� COMBINATION �lUILDM�i H Mt':CHANICAL l3 FLUTASNNi ❑ EION <br /> �ECT ADDRE88: <br /> �,V~ 0 � (�an 7LxA'��. f._�B290 337-3SL8 <br /> pyA1[p Mul�W1[SS <br /> 1[Mwl YM�OUS55 tlN !r M1OxE <br /> 'l�C}OACELGVER WNbdRSS IIY p M' Iv1G�F <br /> ��a, �,,,� � 63ZZ 7la�d�,v. � � d�e `1gZ9U 337-352N LtIEl.cHi�470G <br /> oE.rtrvucw�n�c�an uu�wmcss cnv r�r wiwE ��n�[�iCrr�s[. <br /> YFCNu/CRf.WfPlCip1 4uLMJ�F55 tlN )P R�dL [l��FtKFNSF� <br /> %U�lNOCONIRN;I0f1 N�R�LME53 Clh 11V VHOMF Sl�fEIICE�I$f• <br /> cw�wcrsacE a xai. MEATINO SYSiEM: II�GAS ❑ELECTRIC ❑ <br /> aescwee wan�r.o sai�rt roouwc nuuivEo . .m nsa�ua '� 3 3 7- 3 S z <br /> ryew FR I SS SF <br /> E+a.,,�.�. 'k /Z 30 'G�+�+�-'� �„w^"+,.�' <br /> S F R A4PLICATION AND NNOW TNE SAMF TO BE TRUE MIO CORFECT�LL <br /> w�000sto usE or euwo-.x� PROVISIONS OF aW5 AND ONDINNILE6 60VERNNIO TNS TYPE OF <br /> WORN WILL BE COMPLIED W�TH WI/ETHER SPEpFlE�MEREIN OR <br /> iEa�intumntror�a��+�os[an'Is�uweFiowoA�nr�rvq E NOT. TNE 6R�NTING OF�PERMIi OOES NOT PRESIME TO UIVE <br /> io� � �aF a 3I-�� AUTHORITY TO VIOLATE ON C�NCEL THE PilOViS�ON OF IWY <br /> � .} OTHER STATE OR IOCAL lAW REOULATIN�i CONSTNUCT�ON OR T11E <br /> ��S B 2 �cl4U ...fiv�.n.<-L PERFORMANCE OF CONSTRUCTION.T1UT 1 NA I1UT110RIZED BY TME <br /> ,,} OWNER OF THIS PROPENTY TU PERFORM i11E WORI( FOP NMICM <br /> PD'u4� ILO'Q00-O��F-00 APPLICATION IS M�DE �ND I CCMIVLY WITH TME STATE <br /> CONTRACTORS UW IB 27 RCW ANO 29E_20U WAC. <br /> PARLEIIAY N11lFR /�,�/ \ <br /> C�ISI tqNlp1µy lENf40.�Od�E`55.R'1lfRqMFMt�11AFN % "���1 vv� //Z •/�" <br /> F' �V 11� l�T� 07 ! L SW�4iLNE � <br /> p!Y FISMESS lCFxS[1q <br /> r�uueuio recwuMc�� <br /> TYPEOFFlKTUIIEORROI FEE N6. TYROFEWAPMEM FEE <br /> WATER ClOSET ROILEn �-�4�� <br /> / BATHTUB / FORCEDAIPSYSTEMS <br /> '� IAVATORY(WASHBASIN� HEATPUMP <br /> SIqWEN UNIT HE�TERS <br /> / NITCHEN SINI(8 DISP CLOTHES DRVERS <br /> / DISHWRSNER iNNGEHOOO <br /> LAUNDRY 7R�V WA�R M��A <br /> / CLOTHESW�SNER W�OOSTOVE <br /> URIN�L MEfAL FIFEPIACE(WOOD BUFNING) <br /> DiiINNING FOUNTAIN FIREPUCE INSEFf(YVOOD BURNING) <br /> FLOOR DH��N GAS FIREPUCE _ <br /> BACKFLOW PNEVENTERS �+�GE � <br /> S�NN(SERViCE-BAR.ETC.) GAS PIPING <br /> E%HAUST FAN <br /> T <br /> T <br /> SUB TOTAL 2 SUB TUTAL f ' <br /> PERMIT f PEpM1T f � <br /> � � TOTALFEE S TOi�LFEE S y' _ <br /> FOR OFFICE l'SE ONLY: — <br /> f11M1tYlP�['.N y 11(MSf1P S��fSE1p�C �IN1C11[��tM11M1fP rE�il pif.FM1Np <br /> �a ' .S4�i � <br /> ?-o' — <br /> �rsctoMf Im.�� ��µ�s�E FEES _ VAIWTION FEE <br /> • �� o.E= o�, e,.�a�: 64&Sn �.7� <br /> ��Fi6N11�Mi���qN M�b DWEWM Siif MlIONI� <br /> i�" ��.,��� S 3 Y6 Sf. ���.�:.� -- -- ��—' <br /> ocume+n roMsi�w�s a'cun�w��o.o e�. uce� 4{CIIWK.1l <br /> r.nouv _ —' <br /> ,� 2 O�[5 M <br /> ' �Op11fW�1 ll W C�NCR <br /> IYI[SAnrInILPPfOU ��[� " <br /> O1P[0 <br /> ImE�IMMP[OU Af��'1� �l•/5 <br /> i1Llf II��I�M(15UIIC111Mt! \JL <br /> �win�rpr,a nees�rvnov��er CRYOFEVERETT ruMv.v.aius �..`_ <br /> � u LOCALS�LES -- <br /> o•�t TAX COOE IS J105 TOTAI <br />