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4PPLICATI� FOR CONSTRUC�N PERMIT <br /> CIN Oh�EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STE'EET•EVERETT,WA 98201 •(425)257•BB10 <br /> ❑ DEMOLITION ❑ COMBINATON �./O�BUILDING �MECH�NICAL � U,M/B/INO ❑ SION <br /> PROJECT ADD�S: �'_/' (�( �L - � . W� , �,�y <br /> (�/� • S , 9 <br /> �i n� �u� onFs, rir r+ow[/j.l�� � % <br /> 7 � <br /> ,F�.�S���r uW/�.���ss� ` ��,. n ���� Ba�Z-s3oo <br /> .a�„«��s,�•,�„ `1--�.-�'.'S��:��,'.�Q„-z�1//—I — ytS „� <br /> ��,ss���.r-P �s G'<��i,��� �x,c� �'�.�y���.less��. <br /> C�{H[114.'.OMI Ll V��I�UMFSj C11V 1�.� IYMTIt <11111KfN5!• <br /> ' _���,l�Y—�5'.31�8 _C�G_1�.�/4f. <br /> MFO��ry^rt DVIn fl � 1f 55 f�lY T�' ���']hf �/.�5-iLliliC[H$!� <br /> ' s`` r!9 �e le,+/�I . �-ff'l�f/�[/�/�7DB <br /> PIU NGCONI .11� 4�R KES y��C'� � 1��• �'�f S��RIiC[M1SF• <br /> avi �,, � <br /> �o�.��.��M����.K,�, — <br /> ��6�isL����'/(��'R •�' 3�y9� HEATING SYSTEM: IFfGAS ❑ELECTRIC '_1 <br /> ocscanrw�w�wnsw•nt�yo�• tr.vavro can.c aov.rmnxmr.0 <br /> - �'Hre_ a d 7_�2•� �AR_� S� .)esSm <br /> �"'e `�, � I HEREBY CERTIFY 7NAT I MAVF. READ AND E%�MINEO TN�S <br /> �� RPPUCATION�ND flNOW TNE SRME TO BF.TRl1E�ND CORRpCT AL� <br /> nnpro5f 0 ua M m� �x: � PROVISIONS OF��WS AND ORDINANCES GOVERNING TNIS TYPE OF <br /> WORN WI��BE COMPUED WITH WHETMER SPEGFIEO HERE�N Oa <br /> iFGUD[ScmnnoNorr�nrv�5roxxeuow�rwota�+t�5i��� n� NOT. THE GP�NTING OF A PERMIT UpES NOT PRESVME TO GIVE <br /> io��B�oc.__a �^o'^!• •AUiHOqITY TO VIOUTE OR CANCEL THE PROVISiON OF �NY <br /> _� g9 OTNER SUTE OR LOCAL UW REGULQING CONSTPUCTION OR THE <br /> PERFORMANCE OP GONSTRUCTION TIIAT I AM AUiMORIZED BY iME <br /> OWNER OF THIS PqOPERTY TO PERFORM THE WORK FOq WHICM <br /> PPPLICATION IS M� � �ND I COMPLY WITM TNE STATE <br /> n•ncawmMwet�� CONTR�CiOR5lAW1B CWAN0296200WAC <br /> �oG` !' v � O _ l;' � ,n . <br /> ccr�e�mrrwn�o�r�irunrnuM+n[s��ci[iya�rluuxtn x _ 'L�_� <br /> eer�uana u� <br /> CII�W4MSS I�CI Ni[ti0 <br /> PLUIM Ni MECNIINIC�L <br /> NO. TYPEOFfl7tTUREOq17EM FEE NO. iYPEOFEWIPMENT FEE <br /> W�TEP GLOSET�TOI�ET) �-MINDLCa UNITS <br /> BATHTUO FORCED AIR SYSTEMS <br /> LAVATORV�WASNBASIN) J � MEATPUMP <br /> SHOWER UNIT NEATERS <br /> NITCNEN SINK 8 DISP CLOT11E5ORYERS <br /> DISNWASHER RANGE NO00 <br /> UUNORY TP�V IVATER HEATER <br /> CLOTHES WASHER 1YOOD STOVE <br /> URINRL M AL FlREPLACE pY00D BURNINGI <br /> DHINNING FOUNTAW FIRE�LACE�NSERT pSJ00 BURNING) <br /> FLOOR DRAIN GAS FIREPLALE <br /> 0/.C1cFLOW PREVENTERS f GnS RANGE <br /> SINN�5[RVICE-BAR.ETC.) GAS PIPING <br /> . E%MAUSTFAN _}_ <br /> SUD70TAL S SUA70TAt S ' <br /> PERMIT S PERMIT f —� <br /> iOTALFEE S fOTALFEE S <br /> FOR OFFICE USE ONLY: ����-- <br /> IIION1ViP,�y���.` Pf1RSf1�P/6�M ApCS[IlK� M�NO�1lnHVwMln/'j :1' �RfIMMO <br /> .10^�J __!G' , �'D��`� i�IJ�. �+' <br /> asttwrt �m+nu vc�a�v�c FEES V�LU�TION FEE <br /> � OrrS ❑M� �— <br /> w,.,���,: 29�� �ias ; o� <br /> NfIC���1�V11�11'W / NQp1M'[Ill� 51$FMHOG 1 � <br /> 7� Yllc M1IIYO�.Yf. �� Q� <br /> KJ 3 O l0 5 f. - --�— —��--- - - .....�_q,2j—_ <br /> «�or.�c. a,,..i„ou w'.ron�u�mm «.s w oicn.�cn ,{Q �OC7 <br /> "'�°'3"'�_, Z ---- -- <br /> .« o,� <br /> fi11LSMlr.vll P[7p f11�VM I��H1Y�Ih�NC1UfM <br /> � __a,�� :;=J <br /> OIMF <br /> iu,�.0 �uioo - m•snv - -- <br /> 41�1�AII.IUMli51H1[I��IIC.f � <br /> _ �t. � <br /> nr�rn�:o•ic� rinrs�rrnnvron. dTY OF EVERFT rv�nncxrv,.a —�- � ' O ; U <br /> LOCAI S�IES - — ' --- — ��`� <br /> _ •�J _ ,,.,, � g r�x cooe is ams Tor�� _ _ �UU ��� <br /> �- � � <br />