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APPLICAT�N FOR CONSTRUC�ON PERMIT <br /> CIN OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257•8810 <br /> ❑ OEMOLITION ❑ COMBINATION ❑ BUILDIN;�G ��HANICAL ❑ P(.UMBING ❑ SIGN <br /> PROJECT AODRESS:�77� ��($1•v� ,� L,�� _ <br /> a yu��oon�ss t�r n�� 2 <br /> �' � - "� ' n,�("/L�/c �r�� 7S_7 l2(,'�_.__ <br /> � Y� u�n�nonr.s cnr be rv�xf <br /> ux:Nrqclono(sicnu —u.—iuinu�v. cm �m - r.rnr '— <br /> G(NInµCOYlp�Cl(MI 4u1�0.^�FA Oh pl' ��q�l c1�lluCfhS{• <br /> 4ff,y.4��1, ff/1�111r�� / 4��t�lHWfS$ �'IiV )iF �il'Ilf [11��lICEN[I• <br /> I <br /> �� �v %1, 1 <br /> 7'1114B�4GCONIR�f,�(Vi yu��ryp(SC Clfl' jl� 1`Nry�� 5111FIKENS�• <br /> i-,�rn�n rn�cr u�wnn. __ <br /> _7 L�•CJ. �_. NEATING SYSTEM: ❑GAS ❑ CECTRIC ❑ <br /> f115CPIBF WJRK�4f1[OU1P�Ippt�G[MvqV[[1 COx�/C�������y� � -��!^� <br /> E_L�� �{�"�� �[, � <br /> "ItLC�� � HEREBV CERTIFY iHqT I HAVE READ AND E%AMINEO THIS <br /> i��rorozfov�t rn nunprxi A°PIICATION AND NNOW iNE SAME 70 DE TRUE�NO CORRECT ALL <br /> PF.lVI510NS OF�pry5 AND ORDINANCES GOVERNMG TNIS iYPE OF <br /> WOPN W�IL BE COMPUED WRM WN[TNEq SPEQFlE� H[RE�N OP <br /> irr.n n[suurnmoi npr[nnrt.awneuowon�n¢eiwcca+[si NOT. THE GR4NTiNG OF A PERMIi DOE$ NO7 PRESVME TO GIVE <br /> ioi aioca or AUTMORITV TO VIpLATE OR CqNCEL THE PROVISION OF ANY <br /> OT11ER STAiE OR IOC�L LAW RcGULATING LONSTFUCiION OR TNE <br /> PEi1FORMANCE Of WNSiRUCTICN T11AT I�M�UiNORIZEO BY tNE <br /> OWYEF OF T1115 PROP[RTY TO PERFORM THE WORK iOR WHICN <br /> APPLICATION IS nND I COMPLV WITH TNE STATE <br /> ��m:� 4;�14P{I� C� �' `�''^C � CO'ILRPCTO AW iP ' N�2 200 WAC <br /> �_f``7_C� , '� _ , <br /> � / � �� <br /> C(Yrt10iKfIM11O�NIfNfKf1/OlM�651[l[hqNENVYRiO x i'/ <br /> — 9LNL1 p. � U�I � <br /> C�IYBU.. [INV L(1 <br /> PLUMBING MECH�NICRL � <br /> NO. TYPE OF FI%TUflE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCIOSET�TOI�ET) —�— NC–�lHNOLGUNRS —�— <br /> BATNTUB PORCED iiR SYSTEMS <br /> LAVATORY(WASH�ASIN) HEAi PU4P <br /> SIIOWER UNIT NEA1i�R5 <br /> KITCNEN SINK 8 DISP CLOTNES OnvFf15 <br /> DISMWASHER RANGE HOOD <br /> _ LAUNDRY TqAY IVATER HEATER <br /> CIOTNES WASNER 1Y00D SiOVE —�— <br /> _ URINAL METFL FIREFIACE pY00D BURNINGI <br /> DRINRING FOUNTAIN FIRGPLACE INSERT pVppD BURNING) <br /> _ FLOORDRAIN GASFIREPLACE <br /> OACNFLOW PREVENTERS GASRANGE <br /> SINK�SERVICE–DAR,ETC� GAS PIPING �— <br /> E%HAUSTFAN <br /> _ y_ <br /> ____ SUD 70TA1 S SUBTOTAL S <br /> PER671T S PERMIT 5 <br /> __ TOTALFEE S tOT0.LFEE S <br /> FOR OFFICE USE ONLY: <br /> 1nl�NiVl��fV IIf�115(IP�CK 5��[$CIB�C� 1'II.NCII[CM1M1UYRfN ffF f1{f{I�tr�p <br /> ((U 7S� <br /> �++ +���� iot�u�• wc�yiyn FEES VALURTION FEE <br /> _ ❑vf5 ❑v� Rih�MYL � – __�_– <br /> ��Ii.::�11�N1�1it�\ 40bIM(IIIMG .. WlIDG'11 � <br /> 11tiii� <br /> rwun vr. <br /> _.._ "__ _'_'____ " _—_y- _ <br /> '.. .'�h�.♦ V' �� u. INflil'�NII[111� R1VVf\I Yilll\\Ily <br /> —. ❑�tS O40 —. . . . _.. __._�_ .. <br /> ��.� i�i .n�l�i(']I) I�I�IfIN �DDIIi04�I1t�4C�KG� <br /> _ .. l)IIM11 � <br /> � ..a1.VHllil) 11l�c7Y � _ ____ ___ <br /> [ull RJVO�hf.cipl[u�pG( <br /> `-- �+.� h�+x��rnorrnn• CITYOFEVERETT n�nncwn�.c -- ' ' �_ _--_� -"'- <br /> LOCALSALES '�--- -- ---�-� - ---- -- <br /> _ _ __ ___. �rnt TA%COUE157105 TOT�L <br />