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APPLCCaT10� FOR CONSTRUCT�N PERMIT <br /> C�TV OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETf,Wq g8201 •(425)257-BB70 <br /> ❑ DEMOLITION ❑ COIABINATION ❑ BUILDING ❑ MECNANICAL �PWMBIN6 ❑ SI6N <br /> PROJECTADDRESS:���[) ��yy� E;/�_��(jL� <br /> �C-dE�✓� y7 3v ���-/ ���-3 <br /> o`�"Fn /�� M4�1pq1f55 <br /> VC'[J I��Q tirv nr orow[ <br /> � <br /> �E��`�� uuiuiw+rss r.nr riv n�qvt <br /> •ocm�rcron�sicvo� uuienrw[ss arv nr nqar <br /> =✓t��l cac..l J C`al� �'�c�UR .�d �'Giiv�l �- 3�`I-S3o7 <br /> crni.n�icoam.nm uui�ppnEss a�r �,r r�xnt siutucrr.sc. <br /> iro c i�rouess EUECE S��3'� �/ <br /> bn ��r p�qr;r surpucFu,E� <br /> �1�5 Sc�i?/'/(E/�/i.�il Y//K.P-flN.l� .1�,.� �'�'� r7/�!/C-55/� <br /> GC NI �.Ip1 V1M1I�Lp�E55 IlS� <br /> ��n' r�o v�f 51��rIC[qsF <br /> CON�MCI OIN�L O!MTYII( <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC r� <br /> orscnmc�aK.nn scw•n.roo�we wvav[o caur•cr rcnsa+ua rwor�r rvo <br /> �'A U (_- -1'b <br /> � i=1�� L> > u X/n�, . <br /> � <br /> 74t� � �� ��A�.� I HEREBY CEHTIFY 7NAT I MAyE READ �ND E%AMINED TMIS <br /> viarosfo us[a ni p�ro �PPUC�TION�ND NNOW TME SAME TO BE TRUE�NO CORRECT ql� <br /> PROVISIONS OF LAWS AND ORDIN�NCES GOVERNING TNIS TVPE OF <br /> irmiofscmruonornr�q�n rsuormnRowwenecMrxocorryai W�RK Wq�BE COMPLIED WI7H WHETMER SPECIFIEO HERE�N OR <br /> NOT. THE GRANTING OF�PERMIT ppES NOT PRESVME TO OIVE <br /> �o� A�a+ w AUTHORITY TO VIOLATE Oq CANCEI TME PROVISION OF ANY <br /> OTHER ST�TE OR LOCAL LAW REGULATING CONSTRUCTION OP TME <br /> PERFORMANCE OF CONSTRUCTION.TN�T I�M�UTHORIZED BY TME <br /> �j OWNER OF THIS PROPERTV TO PERFORM iME WORK FOR WNICM <br /> / �' %' �J(/ �/,�' 9 � APPLICATION IS MADE AND 1 COMPLY WITH TME STRE <br /> ne��i uv io wwnw CONTRACTORS LAW IB 27 RCW ANO 296 200 W11C. <br /> CMG1111KIIfM1lO�N1lN q y%M�651IIfAqVEMMPFH � _ �� <br /> ,,l � i 2�f/S��w-i��+-v /O- S' <br /> j_y'_S Y[= 1 lt-�2 G A. c- snu�im¢ o.rz <br /> /', �, �,n - �/ - cp <br /> OL- /y L f% �/(�D C�1v0U4M551C[NSCNO <br /> PLUMBING /(;TL�(�!q,(C (c/ „CY� MECN�NICQ <br /> NO. TYPEOFflKTURE RITEM FEE NO. NpEpF'EOUIPMENT FEE � <br /> / WATER CLOSET�TOILEn —�— I <br /> -- NC-NMN�LG UNRS <br /> BATNTUO <br /> �_ FORCEO AIR SYSTEMS <br /> LAVATORV(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HETERS <br /> KITCHEN SINN 8 DISP CIOTHESORYERS <br /> DISHWASNER RANGE HOOD <br /> LAUNDRV TRAY 1YATER HEATER <br /> � CIOTHES WASNER \400D STOVE <br /> URINAL METAL FIREPLACE(WO00 BURNING) <br /> _ DRINRING FOUNTAIN FIREPIACE INSEfiT hY000 BURNING) <br /> _ FLOORORqIN GASFIPEPLACE <br /> OACNFLOW PREVENTERS GASPANGE <br /> _ SINK(SEFVI�E-BAR,ETC.) GAS PIPING —�— <br /> _ E%HAUSTfAN <br /> � <br /> � <br /> __ SU�iOTAL 5 SUB TOTAL S <br /> _ PERMIT S PEAMIT f � <br /> _ iOTAIFEE S TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> �nnr:�crtn•r. nru�sne+te vo[sne¢. ryexn�Enww+rn rrr nrcnr�.�o <br /> i��•.i iGvr ___ .��1'/:>� �L� I� . <br /> imeN• v�uavrt FEES VAIU�TION FEE <br /> O�FS ❑NU -- �f-- <br /> ___.— NuiM� �—���.J 'n�`.�� !�,� <br /> I�kl(AIIIIVi111iVY A(1 fM lMIl11110 fIIFMlIIXVfI .��1��_ � <br /> : <br /> IIAiIV � � <br /> nuunNn F(— �rJd <br /> � �, ircnr�w�iu�n a�v�.�[r� "_" "_"__' ______'___.�_ <br /> lM:lllll�\1�♦ H'�. Vif.1��MX:�1 _ � <br /> ❑�[4 Oro — -.--___ _.____�Z��U" <br /> 7..i�vi�•.-4mnw'u -- m.s� eodnnaunewnxc. <br /> -.-i u...�nfrl�n ._- nrecpv au�En —"- —'- — —" <br /> tl/.tl fl11.lUMf SIIIK1141f.[ L !f �� <br /> '�f�(�1"'py[� f'��N4�1`IVl(1\Fflllv <br /> CRYOPEVERETT rnniir.nnnxs <br /> LOCALSALES <br /> _ _ ____Lu.�t TA%LODEISJ105 TOT�L '� - - ---�- _--�-- ' <br />