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APPLICATI� FOR CONSTRUCT�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET.EVERETT,WA 98201 •(425)257•8810 <br /> � OEMOLITION ❑ COMBINATION ❑ BUILDING ECHANICAL O PIUMBING ❑ SIGN <br /> PqOJECTADORESS: (_ S <br /> �FA M4L�CPIf$$ ���y <br /> S/���I H �'�G o n� �"�"r <br /> � 55 � " �� <br /> ! rv��n� <br /> •�1LMifCfO�hJLyU� uu14NMf55 C�Ir l�r P.KnI -- <br /> WH[IIqCOMt01LIC�1 441�qMF55 Cil� hf Pm14t a41114M5{� <br /> YFCN1�M�U-�l^CON1/1'1'��CIW 4/4�l��fAnE55 �/��`' f�ry )Y. 141pr.f <br /> W G�C`r ZRW I Pry�J`� il�tf lK[M5I• <br /> C�- �+� 7ic.��2��c�o �nrr�s�1��'`,�3 <br /> �! ccOM .p� w n�nWESs �r <br /> Sl�if IKtM51• <br /> COw1140 nMCI O�v.Onw <br /> S L�.�� HEATING SYSTEM: GAS ❑EIECTRIC ❑ <br /> otscu�er w�n���,n swu�r roor�ct.�vuvco cair�c�n nsa..+n n�.r,q ^ <br /> 'I���l/ � <br /> T ��+ �2�}'�l� <br /> 1 HEFEBY CERTIFY THAT I NqyE REI10 AND E%AMINED TNIS <br /> �+anostovst or aund+rc� pPPUG1TION�ND NNOW THE S�ME TO BE TRUE AND CORPECT�LL <br /> {'ROVISION$OF��yyS AND OROINANLE$GOVERNING TNIS TYPE OF <br /> �[GuoRcraruonaiatm[nrvisw�wuiowon�n¢xrnotontsi W�RK W��� BE COMPLIED WIiH WNETHER SPECIFlED HEREIN OR <br /> NOT THE GR�NTiNG OF A PERMIT OOES NOT PRESUME TO GIVE <br /> lm eiocc a AUTHORITY TO VIp�q7E OR CANLEL THE PROVISION OF �NY <br /> OTMEP Si�TE OR LOCA���W qEGULATING CONSTRUCTION OR THE <br /> PERFORMRNCE OF CONSTRUCTION TNAT I�M AViHORIZE�BV TME <br /> OWNER OF TNIS PqOPERiY TO PERFORM TNE WOqK FpR WHICN <br /> RPPLICATION IS RND I GOMP�Y WlTfl TNE STATE <br /> ��'��,[�� _/i /_� l''// '_C'G�U� CONTRRCTO A �N� 200 WAC <br /> l. ' - � // �f'C/�q <br /> C�iCfl0�.1 O�M I fMflf 11.N%In[55�[t[M1qNE NWPFII /�/ <br /> N ��- � ✓ <br /> �IG1111VItL �.� U�II <br /> GlYlI1L14 SS lK[MS(NO <br /> PLUMBIHG MECHANIC11l <br /> NO. TYPE l`F fl%TURE OR ITEM FEE NO. iVPE OF EGUIPMEM <br /> WATER CLOSET�TOIIET) FEE <br /> NC-NHNDLG UNIT$ <br /> BATHTUB fOPCEO AIR SY57EM5 <br /> LAVATOPV(V/ASN 9ASIN) NE4T PUMP <br /> SHOWEq UNIT HEATERS <br /> NITLNEN SINK 8 DIS__ CLOTIIES ORYERS <br /> OISHW�SNER <br /> RANGENOOD <br /> LAUNDRY TR�Y WATER HEA7EH <br /> CLOTHES W�SHEN tY00D STOVE <br /> URINRL METAL FIREPI.ACE ryY00D BURNING� <br /> DRINKING FOUNTAM FIREPLACE INSEPT QVOpD BURNI9G� <br /> FLOGF DRAIN GAS FIREPLACE <br /> DACKFLOW 7REVENTER$ CAS RANGE <br /> SINK�SERVICE-BAR,ETC� GAS PIpING —�— <br /> EXMAUSTFAN � <br /> -+— <br /> SUB TOTAL S SUU70TAL S <br /> _ PENMIT S PENMIT f �- <br /> iOTAI FEE S TOTR�FEE f ' �` <br /> FOR OFFICE USE ONLY: <br /> innatvin�rx nr�nsnn+cs vocsf�64a neqcu¢ar.vw�rn — <br /> rFf nlrY�mqo <br /> irs�rorr ��30 <br /> �OI�NI� V4�NIy1[ — <br /> Orts O M� -- FEES V�LU�fION FEE�_ <br /> � fl�pfv� <br /> I�IIC�I1�41�/.�IpY NO p�ryy1lUNG Sljf d OIUG�II <br /> IIYiI,f <br /> 1ry11Yp�N� <br /> CClIMV4':� Y n�lf Uf.11l'1NIIU�p ..•.' •' <br /> C.Ilp�if �`I� B1WWN1 VII�N�FiI'11 � � . .. � <br /> O�Il ❑Nr1 . _ <br /> I���L51'NI•�RILN11['J�� III�VM �Op�HW�IM1�Vt�Mf.n ' .•• <br /> fil�l�IAI�MNIOf1 11{1tnV — ()���f� � <br /> ♦1�11 RunU�Nf.5�H1CMMtf —••. <br /> I�pl CI i ylV fKnMS��MpVfllOv - � <br /> CITY OF EVERETT ninncwa�.c <br /> LOCALSALES -� - _._ <br /> _._ . i�.�� TAY CODE IS 0105 TO7AL � <br />