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APPLICATIO�FOR CONSTRUCTI� PERMIT <br /> CIN OF EVERETT•BUILDING DNISION � <br /> 3200 CEDAR STREET•F.VEREIT,WA 98201 •(425)257•BB10 <br /> �. <br /> ❑ DEMOLRION ❑ COMBINATON ��BUILDIN6 ❑ MECHANICAI ❑ PLUMBINfi ❑ SION <br /> PROJECTADDRESS: �-PjS= GCF,✓�✓ fII1'J A.� <br /> �An.iY �.h'r�,�cc�/ y-�'3c-G�E�4mn n�6 e,.f.eCrT�••� �Au3 �+z i- zs -/P'�9 <br /> OvnFn wut�Op�FSs qn br <br /> ��VR <br /> 1[�'�MI �//�� YYI�b0�1E5$ (JiY jIV AU4E <br /> �.ti�R- _ <br /> �nn•+raonoevcrrtn ueiu�xmess �nr nr np.,r <br /> ('i,i:ir� <br /> r.re�n.icovm¢�rn uut�orness urv —r�r riqvc s�uiiKresE. <br /> �,�,'i W� <br /> 4FC11A4�p4COYIlUf.iq1 41���LdipSS Llry PO Olq�if SI��FlKENSI� � <br /> 'c�r.� �Z <br /> v�vuewccoH�n.r.�pn yu�e[qncss ❑rv rio nw.r 5u � J <br /> �Uf �� "' <br /> Cp111UC1 PIKL O�WGIR ' <br /> HEATIN(i SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> �FSCuiBfNOnK�Yo50U�nE�00r�cFNVIXVFo COvi�Crvfp5p4�Mr�p� � <br /> � G � <br /> �' Q� <br /> t HEREBY CERTIFY TNA 1 MAVE RD �NO EXAMINED THIS <br /> niprpsfoux or eundun APPLICATION�ND NNOW TNE S�ME TO BE TRUE AND CORRECT ALL <br /> i5-� L� ��,����, z,�,q_� � �`�' PROVISIONS OF��WS AND OROIN�NCES GOVERNING TXIS TVPE OF <br /> WORN WI�� BE COMP�IEO WITH VMETNER SPECIFIED HEHEIN OR <br /> tFG�tMSCnm�qnprnqpEnrv�vqrmeEiowpq�n�CMrWDtar[51 NpT, THE GR�NTINCa OF A PERMIT DOES NOT PRESUME Tp GIVE <br /> io� eioce or AUTHORITY 70 VIOUTE OR C�NCEL TME PROVIS�pN OF �NY <br /> OTIIER STATE OR LOCK UW REGULATINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.TNAi I�M AUT/qPIZED BY TME <br /> �-'�' OWNER OF THIS PROPERTY TO PERFORM iME WORI( FOR WNICM <br /> _��•S�"i�n�'1- G'�S'" PS�'S �PFLICATION I$ MADE AND 1 COMPLY WITN THE STATE <br /> nw[n uiio Miue[n CONTRACTORS LAW 1827 RCW ANO296200 W�C. <br /> CONSIa1Ki10111O�N1[NfIFR�fN�1R5.IREAMYIEMMPfR � L' '1 <br /> x �.2.Gfsx'Jl� �f '/��' r b <br /> sicwium,� u+rt— <br /> CIiY W9NESS ICFMC NO <br /> PLUMBIN6 MECN�NIC�I <br /> NO. 7YPE OF FlKTURE OR REM FEE NO. TYi!OF EpUIPMp{ FFE <br /> / WATERClOSETQOILET) �_MR,�p�Q�M� — <br /> BATHTUB FORCE�AIR SVSTEMS <br /> LAVATORY(WASH B�SIN) NEAT PUMP <br /> SHOWER 11NlT 11EATERS <br /> NITCHEN SINK A DISP CLOTNES DRYERS <br /> OISH WASNER RANGE NOPD <br /> LAUNDRY TRAY WA7ER MEFTER <br /> CIOTHES WASNER WOOD STOVE �— <br /> VRINIIL MEtAL FIREPLACE(WOO�BUFNING) <br /> DRINKING FOUNT�IN FIREPUCE INSERT�9000 Bl1RNING) <br /> FLOOR�RAIN GA$FIREPLACE <br /> BACKFIOW PREVENTERS GAS RANGE <br /> SINN(SERVILE-BAF.ETC.) GAS PIPINCa <br /> ExHAUSTFAN <br /> SU�TOTA; f SUB TOTAI f <br /> PERMIT S PERMIT S <br /> TOTALFEE S 70T�� EE S <br /> FOR OFFICE USE ONLY: �� ��� � �7D.�,S <br /> 111f)NIVi11�fR 11(�P<F1��LN 51{KSf111KM 1'l�NC11[�yA114PfP fff 1���11��N0 <br /> ro ' ' S' - - -7�= <br /> usr rovr � �o��nre �) .a�.i s+rt FEES VAIU�TION FEE <br /> R�I / ❑vk[ �NU RV�IMw � �� 95 <br /> I�f1.:11�liVlj/.Ii�Y� NOprl`WIIIING $IIfMlI I /�' <br /> 'f� 1'4iI[ ry114fl:NCr <br /> � __ _ __ ____ <br /> OU:111`/.�I:Y N�f�51.w.15 U'.f11��N110�U R�YMEN� � <br /> f.�pllt. 4!1'N�NR'LL <br /> V�� _Z___ OY[5 �No �� . <br /> nuism,�uurnroo nr.snv .oaimwin.vaxc. <br /> _' —_;—' <br /> O�vE11 <br /> IiPE�UPMREO'0 RHTOV <br /> [I�If BIIi1U�N1:511nCb�M:t L^, 's <br /> . _L�v�O <br /> �rrr�xra��� nnvc�rrnovtnov CRYOFEVERETT nmiv.won.s ,�:� <br /> LOCALSALES -- — �^. - <br /> -� u.�E !O f TAX CODE IS J105 TOT�L ��� ' <br />