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APPLICATIO� FOR CONSTRUCT�N PERMIT <br /> CITY OF EVERETT•BUILDING DNISION � <br /> 3200 CEDAF STREET•EVERETT,WA 98201 •(425)257-8810 �A✓��r <br /> �J� DEMOLITION ❑ COMBINATION ❑ BUILDINU ❑ MECHANICAL � PLUMBIN6 ❑ SION � <br /> PROJECTADDRESS: ��s �OGIJiYJ .t'3l� <br /> OWMFR M4I�Cd1E55 pi� l�l' PlqllE � /p <br /> o%c� a[.AN/C�-�=.NS//i7� /�7✓2 Z3o�SS:r. �'.�lvNoir��sM �ZS� N�7S 7i�-g752 <br /> ICN�NI YM RIpIF55 LI�Y To FqMF <br /> �nCMilC�Ou0f51GN[� Mule0OUE55 Clrv !m vrqFf <br /> GfN(MICONIt4Llp1 4ut�CqIF55 C�1Y )�P IFNV[ 51�fLUCENSF• <br /> WCIUN�GIf,ON(n410� 4ul�WUESS Lih IiP MqNf Si�1FUCEMSE� <br /> Cl11MBMGCONIR�Up1 4�ilA['q11f55 Clry IIP PIqNF $IMFIICENA• <br /> covrn�c�nmc[ar wan <br /> HEATIN6 SYSTEM: ❑GAS O ELECTRIC ❑ <br /> scu�ac�wux�r�nsau•�[rppr cwvpv[o cw�•crnnsor�•rarravF.ro <br /> N,ouSff d�Sa 3ow1�LA1�11��iJ�+liP w 4z� 4858'4�8 <br /> ���iPoX ��` �'Q � '� " �Io- ��SZ <br /> I HEREBY CERTIFY TN�T I NAVE READ �ND E%�MINED TXIS <br /> ��oroseous�or eu�mr: �PPUCAT�ON AND NNOW THE S�ME TO BE TRUE AND CONRECT AlL <br /> PROVISIONS OF UWS AND OROIN�NCES GOVERNING YNIS TYPE OF <br /> WORN Wlll BE COMPLIED WITH WMETHEN SPECIFIED HEREIN OR <br /> iFc�iorsc ri�a�arw+orEnn�srarmxiowon�n.cNiwomwcsi NpT. THE GRANTiNG OF R PERMI7 DOE£ NOT PRESUME TO ONE <br /> io+ 23 Z4 atac. Q,�� or ��"�� �r �UTHORITY TO VIOI�TE OR C�NCEL TME PROVISION OF ANY <br /> OTNER STATE OR LOC/�L LAW REOULATINO CONSTRUCTION OR TME <br /> ��1=flv 2ST U f�• PERFORMANCE OF CONSTRUCTION.TMAT I�M AUTHORIZED BY THE <br /> OVMER OF TNIS PROPERTY TO PERFORM TME WORK FOR WMICN <br /> APPtIC�TION IS M�OE AND I COMPLY WITH TME STATE <br /> nuK¢�ea i o rw�n CONTRAC ORS LAW 1827 RCW AND 296.200 W�C. <br /> S Sa- c9i'9-- OZ3- Ooo 1 �\�\ \ \\p^ <br /> cws�micna��o�Nirutrn.�[Kwcss.�EtE'+wMtmwa[n % �10�� C1...�\�4..�Vr� �\I�Q / \'T� <br /> s���unc wrt <br /> GiYlU9KSS ISFN'L 1q <br /> PLUMBINO YECHIINICIIL <br /> NO. TYPE OF Fl%iURE OR I7EM FEE NO. TYPE OF EpURMlN{ FEE <br /> WATER CLOSET(TOILET� �-MMp�p�ry� <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(W�SH BASIN) NEAT PUMP <br /> SHOWER UNIT HEATERS <br /> NITCHEN SINK 8 DISP CIOTMES ORYERS <br /> DISHW�SMER RANGE HOOD <br /> LAVNDRY TRAV WATER HEATER <br /> CIOTNES WASHER WOOD STOVE <br /> URINAL META�FIREPLACE(WOOD BURNING) <br /> ORINKING FOUNTAIN FIREPLACE INSEAf(WOOD BUPN!NG) <br /> FLOOF OA��N GAS FIREPLACE <br /> B�CRfLOW PNEVENTERS GAS RANGE <br /> SINK�SERVIC°-BJ1R.ETG) GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL S SUBTOTAL f <br /> PERMIT S PEpM1T f <br /> TOTALFEE f TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> 111(1NiCffll/.CA !1(1115fIP�CK yp[5(1!/Llt M1ANCIIFGKMUM�fR fEi �FC{II'�Iq <br /> _ / <br /> us[raa �m�'rc♦ v¢�H�gq FEES V�1U�710N FE�_ <br /> OYES O NU B��i��. <br /> I�EIGIIIIIVIIAIp4 W10UWfllllq SIhMMp'✓�1 <br /> IYVYRMf <br /> —j_ <br /> CCCbM4CY MOMShw15 P^.f11n�NllO�p fl�5f4�N1 4ff.�4NK�1 <br /> C110V1' • <br /> n��s 0� -� ---'- - <br /> rwcsi+nvx�[nrrca�o— nresa.+ �ou�e»+un�Nartc. <br /> ourtn -_ <br /> rinTeuean[ao �rc•snv <br /> .\1�11111F1UMC 5�111CII�Mf <br /> �mrttto���� MnaS�rrnpvlbPv CRYOFEVERETT ���i�r.���� <br /> LOCALSAIES - --�- — <br /> o.�E TA%CODE IS J105 TOT�L <br />