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APPLICATI� FOR CONSTRUCT ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVEREIT,WA 98207 •(425)257-8810 <br /> ❑ DEMOLIT�ON ❑ COMBINATION 7� �BUILDING ❑ MECHANIC�L ❑ PLUMBING ❑ SI6N <br /> PROJECT ADDRESS: IO�1�Z��1F1��jQ I.1I�`�r�v_ey3_e�'E—_j�?�J�/ <br /> �rua2"f co /I� s 1 2� aKu��aY �n-����`/ ` � - sS�So46-N»e <br /> owven �ui�o +ess nn 7 nr ��e y�7342• e - r��rne <br /> �Am2 <br /> drov� uu��npn�ss nn nn nqa� <br /> •;5 ncro� vo+� uui.nm�vss nrv nr - n�rnr --� <br /> .t�R��T e 8 r�w< P.�,�Z�2!_a,5�_I,�o�,Aivr1� y/� 99o�z y�r PyY-96►37 <br /> rfBUulra'1�Mnp� aEpM�l4� at. Ar ��rvx�•,r [uq RNa. <br /> --- arr�ai�;r�Paa�xS <br /> uao�+�.�uienv��+cw� vui�r��rs; on �n mro�r crurucrtise. <br /> rvUUPh�,r.oNlu�r�p� wn�t'1[55 c�R � bo .. rn1F [u1rIN[1nct. <br /> CONIII� � � UfN�HI� <br /> ��1 (�b HEATING SYSTEM: U GAS ❑ELECTRIC ❑ <br /> scn:nr R ��ry�nn[��y�36X12 � c��eM�n'10��� y2S'8�/`f-�G�__ <br /> � <br /> �PoS�"�tE��^_us� � onJ -- -- <br /> I HEREOY CERTIFV SHRT I IIAVE READ AND EkAMINEO THIS <br /> id,�w�osro•.ia oi rnno� . APPU�Ati�N AND NNOW TME SAME 10�E TRUE A4D CORPECi ALL <br /> /,�. �5— � • i, �0 PROVISION$OF�AWS AND OAOINANCES GOVEPNING TNIS TVPE O� <br /> _�..Y1_--_ WORN Wil� OE COAIPLIED WITH WNETMEH SPECIFl[D NBREIN OR <br /> im�i ntsumuw�a r� rvi�qwvPnowd��n�ce con[Si • NOt. TNE GP4NTING OF q PERMIT OO[5 NOT PRESVME Tp GIV[ <br /> Oo}p.pi a �7A�„ � �NT[R�� AUTHORITV TO VIOLATE OR CANCEL THE PFOVISION OF ANY <br /> io�_�g eior.. <br /> OTHEF STA7E OR LOC4L UW REfUUT144 LONSTRUC�ION OR iHE <br /> D�V �. PERFORAIANGE OP CONSfRULTION !H�T I AM�UTNORIZED OY iHE <br /> OWN[q OF THIS PqOPEATY TO PERFORM TME WORK FOR WNICM <br /> APPLICAiION �5 RIROE A4D I GQMPLY WITH T/IE SiATE <br /> ruert w i n�nivp� CO'll qRCTORS UY!I P 7]RC W�NO I96 200 W/C <br /> �2Y–uo7=a/F -o <br /> CfY1G1111K1IfM1(llllll4f1F11MIM1C5[ Ifl[A1�EM1UPF11 �.� G//�SO <br /> �'GN/.l 1. , lllll <br /> O��BULM[[SIKIN`l40 <br /> PLUMBING MECH�NICl1l <br /> NO. TYPEOFFlIlTUREOpITEM FEE NO. iYiEOFEOUIPMIXT FEE <br /> WnTER CLOSE7�TOILET) A/�—P/IINOLG UNITS <br /> BATH7UEi FORLED AIR SYSTEMS <br /> �AVATORY(WASH BASIN) NEAT PUMP <br /> SMOWER UNIT HEATERS <br /> �_ <br /> KIiGMEN SINN 8�ISP GlO7HE5 DRVERS <br /> D�SNWRSHER FM1GE MOCD <br /> �AUNDRY TRAV 1YATEP HEATER <br /> LIOTH[5 W�SNER 1V000 STOVE <br /> VR144� h�ETAL f IFEPIAGE M1VOOD BUFNINGI <br /> DRIN1(ING FOUNTAM FREPLACE INSERT(YlOOD BURNINf,) <br /> FLOOR ORAIN GA$FlPEPLACE <br /> BACKFLOW PFEVENiERS GAS 9ANGE <br /> SINN(SERVIGE—BAR,ETC� G0.S FIPING �— <br /> E%HAUSTFAN ' <br /> _ �_ <br /> $UB TOTAL S $UB TOTAL S <br /> PERAIIT S PEAMIT S <br /> TOTALFEE S TOTAIFEE 5 ; <br /> FOR OFFICE USE ONLY: <br /> ��u•.+•nn+r. nnnsne•a sotsne.ca n��an«�.vwrn ��r mrnr�np <br /> ��-- - Z0� 5� oioi - oa� <br /> ��.� �ovr i�nuy• v�U•��v�c FElS V�LU�TION FEE <br /> �'`Z o.�s c� p - ---�—- <br /> nu�rvu. __1U �,/�- ' <br /> u�i�:u�i�vne�rU+� to�t nw��uw[: <¢[«eloGai — - t.��_ __- _ <br /> �S/ il. 1 ) � / MIIYMiNf. _ ._._ .. ...._._ � <br /> Y _�_. <br /> i4li';a•..♦ 4`��".al Vlflil4N11J�1� P��fV(\I � / Vf1.N11Y'�I <br /> r.'rp�`' I � ❑YlF �O _ _._____ _. .. _ _ .. <br /> ��apV•y[HP[0� nl�Y(W �IXYhOH•qWUMC� <br /> tl�iK� <br /> I�c[P'.l.l��l�l'�U n{1c7V " <br /> ♦uq F.itl,MlcnllC�uOGf <br /> _.... . .'.. <br /> ��no�.�rnrv� rin.,c�rwpvrnnr CITYOFEVERETT n'e�i':� �.. <br /> LOCALSALES --- -- -- �--- - - � �— '-- -- <br /> _ _ �-/`-� I:•'i_I�24/O� TA%COOE157105 toia� ..L___ . <br /> _. __ —_ .___'_____—._ --_i-. <br />