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APPLICAT�N FOR CONSTRUC�ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVEREIT,WA 98201 •(425)257-8810 <br /> ❑ DEMOLITION ❑ COMBINATI N ❑ BUILDIN6 ,�MECHANICAL [�FLUMBIN(i ❑ SION <br /> PROJECTADDRESS:��O y <br /> JFe�'_'���.r�(io�9L D�,_,��Qs•• f� 9Yav3 Ce/ 3q3- O/O/ <br /> VMl�COv(55 CIiY !In �py� - <br /> IIM.�NI 4I.X�fU1X55 brv )�p �ybyF <br /> �11CWIfLtqltl(yGrl[I1 Y�i110IM($i Ci1Y !�� 1'N�'Mf — <br /> GfN[Il�l�or�r�� V�r���,�/11a��� II ��� ��„/�.3/�,If 1iCfMSf• / <br /> �CIU 1CO41t1\C1U� 4ul�fqnk$$ fM1fi pl Puy.( S11i11CfM5C. <br /> PII�MlhGCOYIP��IM 4�1�IXT1[55 C�iv Jin ��if $1�tFIKEMS(• <br /> ca.�� �y� - <br /> uct a wrnw <br /> MEATING SYSTEM; (�(GAS ❑ELECTRIC ❑ <br /> DrScmPi KwF�wn sw�nt�oouct�xvavfo cou�lcr n nsor.rm rrHw�.p <br /> mi ks /r�°F,. a,, ./ <br /> � �'„rn. Q l T�o as, Sz�-3/1`/ <br /> ,S.F. Ko,,'(�,�L � NEREBv CER7�Fr iNpi I NqyE RERO �ND Ex�M�NEO TM�S <br /> i•�avstnva rn nunm�.r: APPLICAiION ANO NNOW TNE SRME T08E TRUE�ND CORRECT ALL <br /> PPOVISIONS OP��WS AND OROINANCES GOVERNING iNIS TYPE OF <br /> WORN W9: BF COMPLIEO WI7H WNETHER SPECIFIED HEFEIN OR <br /> IrGan[sormnp.a r�nrviwnrmxuowou�mCetxvcon[si ppT THE GR�NiING OF A PEPMIT <br /> DO[S NOt PpESUME ip GIVE <br /> io�_ aiaca or AUTHOnITV TO VIOL�TE OR C�NCEL THE PROVIS�ON OF �NV <br /> O1HER STATE OR LDCM.L�W qEGUUTINO CONSTRUCTION OR THE <br /> PENFORMANCE OP CONSTRUCTION TN�T I AM AUTHORIZEO BY THE <br /> OWNEH Of THIS PROFER7Y TO PERFORM TME WORN FOR WNICH <br /> APPLICATION IS AIq�E �ND 1 �QMPLY WITM TME STATE <br /> n�ucrt w i0.anupin CONTRnG70R$lAW 1P 2]RCW AND 296200 W�C <br /> CO4511111CINnIt1I.NIfAMfIM1»LSStII[IMONENUYpF11 �.��(����/� a g-99 <br /> <•f*��( [I�11 <br /> C�1�IIV4MSSIKINSf NO <br /> OLUMBINC NECNIINIC�L — <br /> MO. TYPE OF FI%TURE Oq IiEM fEE NO. 7VPE OF EOUIPMEN7 FEE <br /> WATER CLOSEl(TOILET� /�-qMNOIG UNITS <br /> BATHTUB FORCED Rlq SVSTEMS — <br /> LAVATORV(WASN BASIN) HERT PUMP - <br /> SMOWER UNIT HEOiEliS <br /> KITLNEN SMK 6 DISP J ClO7HE5 ORvf.fi5 <br /> DISHW�SHER RANGE NOOD <br /> �AUNDRY TRAY R'AiER MEATER ' <br /> LLOTNES WASNER WOODSTOVE <br /> UNIN�L METAL FlREPLACE(WOOD BURNINGI <br /> _ DR�NKINGFOUNTAIN FIREPLAGEINSERTpY00DBURNING� <br /> FIOOR DRFIN GAS FIREPIACE <br /> OACNFLOW PRLVENTERS GASRAN6E <br /> _ SIKK�S[RV10E-BAR,ETC) �'fj GASPIPING T- <br /> EXHAUSTFAN <br /> �— <br /> SUB iOTA� f SUB TOTAL { ' (J � <br /> _ PERMIi f PERMIT S /S <br /> TOTAIFEE { iOTRLFEE f <br /> FOR OFFICE USE ONLY: <br /> Ifl(1MItfiP�CF It(��5l1P�C.R $i�($C�R�Ck M�NCI��[SNVVnfP 'l ![f �fC(I�IMO <br /> ��S 7V <br /> uscrorr �mun. v.uv�s��f FEES V�LWITION FEE <br /> ❑v(5 ❑NU P��IINYf. �— <br /> I�FION1114�111qY 40 b 1�W(lll� 51I!d BIOG�II <br /> Yrl:. <br /> Hllupiyf. <br /> � <br /> ctium��cr a���.�,an u�.cu�uw��wn "__ <br /> onovr e�zrwv veriu�iru ..'-- _._.___ _ "_""'_�__- <br /> 0�6 ❑YO ' ._. .___ _,_ <br /> PHISI`NOqt[HP[9p f615OH Ippl�p4y%�4C�HCR <br /> ni���n -- _ -- __ <br /> nnuuawnm�o �' nf.snv - <br /> cl��l BiVID.aG5n11(�YIIOt <br /> �ir�nrrw��� riers�nrnrnrnnr CITVOFEVEflETT nni�cwni.c - '�"-- --'-" -- <br /> LOCALS�LES -� - - . __.____ _ _ <br /> ��•�t TI1X CODE IS 7105 Toi�l <br />