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APPLICATIO�FdR CONSTRUCT�N PERMIT� <br /> CITY OF EVEREff•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257-88!0 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ,�J MECHANICAL ❑ PLUNlBIN6 ❑ s��N <br /> //V�RO�JEC�TADDRESS: . ^ �� //�� �ry �.� �.r�,5� ���/,�j <br /> \A lJ—.—IJr Y a.. ��n � �y�..VYJ ryTM I�v 8 <br /> . <br /> OWNF 4Ml��MF55 i <br /> M110NF <br /> 1CN14f YYI�IIM�f55 G\Y !IV � <br /> •nc�.�rc+ouoe9cncn ur+uo�mtss <br /> — cnr �m r�qrr I <br /> a�r ��r r�xnc s�uiucrMsr. . <br /> WM[114CON�ML1011 MMl/�W�C55 �� � � <br /> 1 � � I <br /> NFCIU iULf.ON1PLC�OP 4��1�W��E55 <br /> f.irv Im P�q,f ,u�F U ENS � � <br /> Lltt l�� ✓�F $4�FLSENSi• <br /> PlvuOn�GCON�R�f.101� 4��1�00uf55 , <br /> cwrn.ci r�ac�w wa�a �//� — MEATING SYSTEM: ❑GAS ❑EIECTRIC ❑ <br /> oEu�orvpuK•m .nEroo��c[ �av[o <br /> cwuc�ri nst»1�rm nKwr vo <br /> � � i 1 HEREBV CER7IFY THAT I HAVE READ �ND E%AMINEO TMIS ' <br /> � APPUCATION AND KNOW THE SRME TO BE TRUE�N�CORRECT �LL <br /> �noros sr or'xmin.m PROVIS�ONS OF UWS AND ORDINANCES GOVERNING THIS n'PE OF <br /> 5 WORK WILL BE COMPLIED WITH YMETHER SPECIFIEO HEREIN OF � <br /> iccuocscmm�w�r�rortnn�vwM+iecioaw�r�kM^"oca+csi NOT. THE GRANTING OF A PERMIT OOES 40T F9ESVME TO aIVE <br /> or AUTNORITY i0 VIOLATE OR CANCEL THE CROVISION OF ANY <br /> �o� A�a� OTNER STATE OR IOCAL UW RECUUTINO CONSTRUCTION OR THE <br /> PEP�ORMANCE OF CONSTRULTION.TI/AT�AM�UTNORIZEO BV iHE <br /> APPLIC:OfIONHI SP MRDET AND PEpCOMPLYHEM��TOM T Ep 5T TE <br /> CONTRRCTORS lAW IB 27 RCW RNU 296?00 WpC. <br /> ryNG[l1�viD M�uB[n <br /> x ���IC1� <br /> CONS�f111Ll1ryllO�NICNfK11.N�MC55.i[I[AqNEM1MPf11 �� ^ <br /> 5 �1� <br /> �( <br /> CIIYlU4ICSSlC[NSC NO <br /> PLUMBING MECHIINICIIL FEE <br /> NO. TVPEOFFlXTUREORREM FEE NO. r��E��� �-r <br /> WATER LLOSET�TOILEn NC—NMNOLO UNIiS <br /> FORLFD AIR SYSTEMS <br /> BATHTUB <br /> LAVATORY(WASH BASIN) HEAT PUMP �- <br /> SNOWER UNIT HEATERS <br /> _ CLOTHESDRYERS <br /> _ NITCHEN SINK h DISP qpNGE NOO� <br /> U�SNWASMER \VATER HEATER <br /> LAUNORY TRAY WOOD STOVE <br /> CLOTNES WASIIER METAL FIREPLAGE(WO00 BUPNING� <br /> URINAL FIREPIACE INSEFT(WOOD BURNING) <br /> DR�NNING FOUNTAIN '—" Gpg FIREPLACE <br /> FLOOR ORAIN Gqg pqpGE <br /> OACRFLOW PREVENTERS Gps p�plNCa <br /> SINN(SERVICE—BAR.ETC.) E%HAUST FAN <br /> SUOTOTAL S SUBTOTAL S <br /> PERMR f <br /> PERMIT S ' TOTALFEE S <br /> — TOTAIFEE 5 <br /> FOR OFFICE USE ONLY: rEF nvrnrrra <br /> rnowizrtn.re nr�nsne.a s�asr�e.cx nexurtcKNu�rn <br /> FEES VIILU�TION F__ EET__ <br /> ll5f IO4f IOINICA V�C�4ISIIC — <br /> ❑V[5 O� RUIIMvf. <br /> IRI1:1111�41�I.1104 NOC�UWfIIING c�IfMBIDG�iI M114PY(1 ' <br /> 11411i ' ----+ <br /> OCl1iM�Cv NOf�S�PalS G'.CV��NIIO�D P.1Gf4[NI Mf(14NR'4 _ ______ <br /> Cllput' �\f5 p NO <br /> •pp11044.M1�NC��(CM _ __ i <br /> Ii�iCM1P11:YnLCHl1[O'� �I�[pN <br /> On�tn <br /> II�:I.�UPNP[0'f� Ilfl.cnv �111fRI11lU�NC511f1C11�11ff <br /> �m�nrco•�a rin�.s�rrnovrnm CRYOFEVERETT ninucwcm+s ____ _______ _ <br /> LOCALSRLES '- <br /> ����t TA%CODEISJ105 ioTnL ___ <br />