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APPLICATI� FOR CONSTRUC�N PERMIT <br /> CITY OF EVERETT•6UILDING OIVISION � <br /> 3200 CEDAR STAEET•EVERETT.'.NA 98201 • 425)257•8810 ����� <br /> ❑ DEMOLITION ❑ COMBINATI N �❑� B�U/JLDING MECMANICAL p❑�CLUMBINO ❑ SIGN <br /> PROJ jFCT ADDRESS: 8O� � • GL7"JV DR• �E_��_�fI,_._ldZOj <br /> LharleS mnqP 802 !� GGFrJ7�4&�RA7'' l�k��3 «Zs) 3S3 'f�27k <br /> ovnrn �ui�oours� �rv nr o.�:t <br /> �rv.vt w�n.row5s nn )in n�d�f <br /> 1M1(,IX�IC�0�1IIE51Gr111 41i1�M11�1[S CIIY li1` Ch! <br /> ���ua�Y s�� /9'72/ �11� Au� rJ�.�,�oo_d'WA 9�s3� /l�a�Eso�GJN• <br /> erMu�u mrmecion u.n�wm�as rn. t�r mxnr sun i�crwu. <br /> uipupr�µC[w�mCi(M 4u1�0t%�t55 O*r }ir r�q4r £raql2[MS[. <br /> P1114pMGCONIRa�IM Vu1�qX1E55 CIIY IIP PM4F 51�If1iL[h5f• <br /> covrn.cr; cr a � A\ HEATING SYSTEM: GAS ❑ELECTRIC ❑ <br /> V(/ <br /> ULSC11i W'J(1M�411 M1�f�(1!`p� F NVq\TO CCNI�C IRS.. �MIry�MI MO <br /> �do 6 +r _ A�7cr3[fL 42 7T��/6 <br /> — 50 6a��c /�o�rab✓e.y �lcr.,,� . _ <br /> I HEREBY CERiIFY THqT I NAVE REAO ANO E%AMINER TMIS <br /> APPIICATION�NU MNOW THE SAME TO BE TRUE AND CORRECT 11�� <br /> °�"OS�°°Gi3�{7-"^S�Y° PROVISIONS OF LAWS�ND OROINANCES GOVERNING THIS TYVE OF <br /> JT"/� WORN W9 L BE COMPLIED WITH WNETHER SPECIFIEO HEREIN OR <br /> uw�nrsam�uorvorvnortnnmqwunrtowa+�nee��wo[a+esi NOT. THE GR�NTM6 OF q PERMIT DOES NOT PRESUME TO GIVE <br /> m� moc• a AUTNJRi7Y TO wOLATE OR CANCEL TME PROVIS�ON OF I1NY <br /> OTNEN S7ATE OR LOC�L LAW{7ECULATIN6 CONSTRUG110N OR TNE <br /> PERFORMANCE OF LONSTRUCTION TH�i 111M AUTHORIIED BY THE <br /> OWNER OF TMIS PROPERTY TO PERFORM TME WORK FOR WHICM <br /> APPLICAiION IS MAOE 4ND I GOM7lY WITH T//E ST�iE <br /> r.ncrt�e�ior.wn�� CONTRICTOR W182�RCWAND296700W/C <br /> corc�ai�cr�r».io.Hirrrcrnwmisn.intr�w�.cNwnrn x � /� ��5 I <br /> s�c+•� wrt <br /> Cilv IW/.�NESS lKl H[[tb <br /> PLUMB�NG MECMIINICIIL <br /> NO. TYPE OF Fl7ITURE OR REM FEE NO. T'iE OF EGURMENT FEE <br /> W�TER CLOSET(TOILET) /yp-M/NpL�UNITS <br /> BATNTUB FOACEO AIR SYSTEMS <br /> L�Y�TORV(WASH BASIN) ME�T PUMP T- <br /> SHOWER UNIT MEATERS <br /> KIi�4EN SINN d DISP GLOTHES Uf1�ER5 <br /> DISH�VASNER R�NGE MOOD <br /> LAUNURY TRPv WAIEP HEATER <br /> f,LOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE(W000 BURNINGI <br /> DRINNING FOVNTAIN FIREPLACE INSERT hY00D BURNING) <br /> fLOOR Dt7111N GAS FIREPLACE <br /> OACNFIOW PqEVENTERS GASRANGE <br /> $INK(SERVICE-BAR,ETC) GAS PIPING <br /> EXHAUSTFAN �_ <br /> � .L S SU�TOTAI S <br /> PEHMIT S PERMIT S <br /> TOTALFEE S iOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> �nrnrtu*n+r. nnncnwcR s�ocrt�n•c+ n•e�`nc wrno�� rtr mam��o <br /> f� <br /> i�s�twr im.u�. vuv�snr FEES ��W�TION FEE <br /> ---�— <br /> ❑YES ❑M) P�mMNf. <br /> 1�(IC.�1�1�4���1i(�Y 4p(Y�W(111NG Sljfp�lDG�I " <br /> uws riv.mmn <br /> __"-'_ - _ _ _"'_"__y— <br /> tcu^m�r a��.i,,nr� anmw�m�o ¢�not�i wrrn�sini — - —_ <br /> ou^ <br /> O�[5 Ovo ' <br /> nu�v.n•.vu±N�vr..-_ nr�cm ��+o�urn.in�vuac. <br /> puHn -- — -- <br /> IIIIL/.UPMRIO�� �if�[�IV �- <br /> VO11 P�nIO�Hf S�OlOunqF <br /> •__ <br /> �rr.or��ovc� qnvs�rrnpvtnnr CITYOFEVEREiT n!n�rcww�rc <br /> LOCAL 511LE5 -- - -------- — <br /> �„�i TA%CODE IS�105 Toi�l <br />