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APPLICATI� FOR CONSTRUCT�N PERMIT///���� <br /> CIN OF EVERETT•BUILDING DIVISION �/r�_ <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257-BB70 ����r <br /> ❑ DEMOLITION ❑ COMBINATION � BUILDINQ ❑ MECHANICAI ❑ PLUMBIN6 ❑ SION <br /> PROJECTADDRESS:_ �I C c S u�+ � A qbtoj <br /> � �unnc�3 .O�o t.c � 5Zo5�"Z �v:r� J��-fi��� <br /> Ir 's 2S'9-5�`Ib U/K <br /> ovn[n uutwrn[ss dtt Im rraME <br /> itvWf 441�INY�iSS 'd�Y DV WUMF <br /> v� �, �ic�s l�Jar��Wt�f' i59it.rvz"iA�c4V ���1ti�Lt tu� Wo�.(;,, '.I__�<<YZS�vts= y9oo <br /> •I�Cwrrc10np4Gnln u�n�MwFst Utt )�r rKwf <br /> (��ry(Mt[041�� M4{ApfN�(S$ C�IY �[ )-1' MMTIC t1�I111C�N5{• <br /> �ATuSZL�u13K1 <<n7��v..�{,�,.� yb�6lE� L(pr�<c .5'f �Gur•c}� ?biol (YtY�ZS7.-�bYl �����cao49J`L <br /> uvcru.euicovm�aon uuutrnrss c�n r�n ruovr su.viK¢H<E. <br /> feic��� /a�� <br /> 1'i114pIY�C0�11NI1f1(M 4�M1�INML55 /� I CIIY IIP �NOMF $IIIFIICfMSf• <br /> �b✓nryU.�W ���M�n C "�9J��o "L� �U�� � <br /> mvm.trrniu u�wona <br /> I�� Jc7 c� /1(p ]/_3 HEATING SYSTEM: GAS ❑ELECTRIC ❑ <br /> wsrn wonK�vnsw.m�oor�cE�vo�v[D cor��•crvinsa.�rnrwrwu <br /> �✓:Id �J a <br /> w'.hl 2�� � r � /✓�a �Bws�� �Sa - 3t.�1/ <br /> I HEREBY LERIIFV TN�T I NqVE PEAD AND E%�MINEO iN15 <br /> vad�ocr vs[M nnnawn APPLiCAT10N ANO NNOW TNE S�ME TO BE TRUE�NO COAAECT ALL <br /> PPOVISIONS OF LAWS AND ORDIN�NLES GOVERNING THIS iYPE OF <br /> CJ�C WpRN VAIL BE COMPUED WITM WHETMER SPECIFIEO HEREIN OR <br /> i[r..i.o[scmrumarnor[nnisrqwrveuaww�n¢Nrnoca+[si rypT. THF. GRANTING OF 11 PERMIT DOES NOT PRESUME TO GIVE <br /> io�_�niaa/� a n �UTHORITY TO VIOUTE OR CANCEL THE PROVISION OF �NV <br /> �v�V.f 4I j-\��\.�i c..1 1 �l U O I V �!' OERFORMANCE OF O STRUCTION LTHATG AM AUTNORIZED BY TME <br /> J/,� n � OWNER OP THIS PROPERTY TO PERFORM THE WORK FOR WMICH <br /> P��S KG7U �S F $(e Q��o�aS ��c�<,N• APPLIC TION IS M/OE �NO I COMP�Y WI�H TME ST�TE <br /> r.wtn�e7io'm p�n %O� CTORSl�7PCWAN0Y9fi200WAC <br /> �"3h - ,-v0 2 ' C�O . <br /> an��mrcrrcrv�a�r��r.mrn.uxn�ss.�nc�rou�r�xntn (�.�� �/�i <br /> _�y�-c W[_l'f' (..�N 6r.euum out <br /> C�lv Bu4M551tf n5[Np <br /> PLUMBING MECNIINIC�L <br /> NO. TVPEOFFlXTUREORREM FEE NO. TVPEOFEWIPMEMT FEE <br /> WATER LLOSET�TOILET) NC-MINOLO UNIiS <br /> � BATHTUB ( FORCED�IRSYSiEMS <br /> LAVATORY(WASH OASIN) NERT PUMP <br /> � SHOWER UNIT HEATERS <br /> �_ NITCHEN SINK 6 DISP CLOTNES ORYERS <br /> DISHWASHER / A�NGEHO00 <br /> I.AUNOHV TR�Y \YAIEP NEATEq <br /> CLOTHES R�SNER \VOOD STOVE <br /> V�INnL ��ETFL FIREPLACE M'OOD DURNING� <br /> DR�NIUNG FOUNiAM FIREPIACE INSEfii(WOOD BURNING� <br /> FIOOR OR�IN GAS FIREPLAC[ <br /> ORCNFLOW PREVENTERS GASFANGE <br /> SINK�SERVICE-BA�,STC� GAS PIPING <br /> E%HAUSTFAN <br /> $UBTOTAL S SUB TOTAL S ' <br /> PERMIT S PEAMIT f —�— <br /> tOTAIFEE S TO7nLFEE f <br /> FOR OFFICE USE ONLY: �I�-'�. L� <br /> �11(1N1ViP�fM , nr�n�(in.t� s�otstie.c+ n��nnc.rnwnr rtr -(� irccrm�rro <br /> II a IR �` > , OD� D�ln <br /> uvrtrn �.o� nt• veu�m/yrt FEES V�LWTION FE�_ <br /> �I / W[5 O W Ri1iMnY. 13�• LOS ,J D <br /> MFIf.�1�IWi1lupti NOOIMft11NG SUFM lDL9� '— , � <br /> .� R u,n� � Z 656 SF, na.reMn ---- ---- ' --'--�^ OJ <br /> «am.v:. M•,�.�,�w„ u:rur.�iio•n n.swr� ( � <br /> (.110111� 4FI:N�NK11 -J o � !1 J <br /> ��I Z l5 O N� t. <br /> nn�.n ,uumo�o .-_ m�snN �oaucwu nwortc. i(p 'S 7 <br /> �� m��tn - —"_ <br /> nr.uunernmo� nr�snv -- - � <br /> sun nunUn���snncrunr.t c(J <br /> �rr�orvnva rtnrz�rrMrvtnnr CITYOFEVERETT ror.i��wrn�+c ' <br /> LOCAL SALES ^--�-�� <br /> _�_hl _ �,.�i (j ',�-�j TA%CODEIS]105 TOi�L_ '� — �—_- -_- 7G I j� <br />