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APPLICATIOR FOR CONSTRUCT� PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STAEET•EVEREIT,WA 98201 •(425)257-8810 <br /> ❑ DEMOLITIGN ❑ COMBINATON LK BUILDING ❑ MECHANICAL ❑ PLUMBINO ❑ 816N <br /> PROJECTADDRESS� '-�S�S G� S�• Ev�cfl' itnJq _ 9U�3 <br /> ow�.in uuieooafss an ar vrn+[ <br /> ,.�._�0 S� � �{SiS tl St L?vc H 55��3 2S2 4Y32 � <br /> 1CN�N� YYIIlIMC55 GiY l�� Pr104F <br /> 5" W1C a� Ni, �( ' <br /> ♦r�C�nifcton�KAcvin uP1�ObntsS cnv br rrqr.F ' <br /> iMAS ��S�VN IT�O� IV Lk. $�v��tNe�..� 1�r_�'�-4/�•1 lr4w3 � r1q4C �L�� ���CENOiE'�� � <br /> crMuuimn�wc�rn � 41�lILU�f55 fllv <br /> �� 0 � S� w �153C tl 5E t✓E � 5Y] 3 2S2 -`�Li7- H - o.�+.s�_ ,' <br /> NiP��M�U'.COYIMC1011 4uL�00�F.55 CIiY Iif' M�OM1f S1��fl�CEHSf� <br /> s �+., ,a-� < <br /> M11401NGLONIN�pp1 4�tlNMME55 Clh IIP CNONE S1�IFIKENSF� <br /> S�.IH< t <br /> crninec�rmcrorwon. �' HEATINGSYSTEM: GAS ❑ELECTRIC ❑ <br /> Sawr 14t W!� � <br /> orscn�erwqnx��.nsou•�c�oouu�wroivco cwr�c�rtnsw�xnr uo <br /> lo i- 1� Nv�.� .�C ��... 2f2-4k32 <br /> d� k,�f-�L�� <br /> 1 HEREBY CERTIFY THRT I HAVE AEAD ANO EX�MINEO TMIS <br /> APPULATION AND NNGW THE SRME TO BE TRUE ANO CORRECT ALl <br /> rnorosw�rt[or nunmHn pROV1510N$OF LAWS nND ORDINpNCES GOVERNING THIS TYFE OF <br /> WORN WILL OE COMPLED WITH YMETHER SPEGfIED HEREIN OR � <br /> iw��o[scmm�w �rrior[nrc�s�rovmsaana+�necunrvcon[5� NpT. THE GRANTING OI° A PEHMIT OOES NOT PRESUME TO GIVE ' <br /> io� Z aiaca ��'�B °�or u. ..P AUTHORITV TO VIOLATE OR CANCEL THE PPOVISION OF ANV . <br /> OTIIER ST�TE OR LOCQ LAW REGUL�T�NQ CONSTRUCTION OR TME <br /> O•J PERFOFMANCE OF CONSTRUCTION.THAT I AM AUTHORREO BY THE , <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORN FOR WHICM , <br /> APPLICpTION IS MADE AND I COMPLV W�TN TME STATE <br /> penc[ueyio rmwnen CONTR4CTOR5 UW IB27 RLW RN 296100 WAC. � <br /> ir�z _i�m- .,n2 - Oooy _ ��j�� �n-Z -S'� <br /> ca�s�m�ciicw i o�N iruntn.u�rn2ss.n�cnai.c r�ri+nEn <br /> o x:cN.iurrt ouc <br /> G1Y BULHE$lF[NS[HO � <br /> PLUMBING MECH�NIC�L <br /> NO. TYPE OF Fl%TURE ON REtI FEE N0. T'PE OF EOUIPMENT FEE i <br /> WATER CLOSET(TOILET) NC—I/MNOIG UNITS � <br /> BATHTUB FORLED AIR SYSTEMS � <br /> LAVATORY(WASH BASIN) HEAT PUMP '. <br /> SNOWER UNIT HERTERS , <br /> NITCHEN SINK 6 DISP CLOTHES ORYERS <br /> OISNWASMER RANGE MOOD � <br /> LAUNURY TPAV 'NA7ER NEATER . <br /> CLOTHES WASHEP W00�STOVE <br /> UIIINAL Me7AL FIREPLACE(WOOD BURNING� ' <br /> ORINKING FOUNTAIN FIREPIACE INSERT�'JOOD BURNING) . <br /> "' FLOOR DRAIN GAS FIREPLACE <br /> DAGNFLOW PREVENTERS GASRANGE <br /> SINN�SERVICE—BAR.ETC.) GAS PIPINCa ' <br /> E%HAUSTFMI � <br /> SU�TOTAL S St1B TOTAL f <br /> PERMIi S PEAMIT f <br /> TOTAIFEE S TOTALFEE S <br /> FOR OFFICE USE ONLY: • 3 <br /> inauisnn+re nnnsnp�c• �, siotsc�n�eK nwc�cKnuunrn rrF 70 nrrnrrr�o <br /> 2p' � 2o N'P� Sd ioE� _ <br /> uaitovr imua+ v.cer��v¢ / FEES VALU�TION _ FE�_ <br /> �� I a G�LCO � O�FS lu.0 PuiMw �ZZ �S� i�Q <br /> IIEIC11�1�4�IIt14� NOt%l�N'fl11NG GIIFpBlW�1� � <br /> 2 IINiIG 1 �,�. /�fjf �1114PINO _��_ <br /> b <br /> CCl:111'11\l:Y M1C��I:'Nlti U'.f111`�N�10�[I B�[F4LM1 � 4!l'l1I.MN:11 <br /> Glt V�` I ��l5 ] . <br /> III�S�S114k1(11f1[O�D Af�tp1 �L�'.v��nN�IM1�NC�IfCK - !��l_ <br /> au�tn <br /> nn�nuFWamD n��'�� � <br /> [1�1f RIIIIUiMt:5�111C1�.111(:I — _ '� <br /> �rrr n co�+�i riews�rrnov�npr CITY OF EVERETT rnnur.wa��c <br /> LOCALSA�ES -- — --"— <br /> __�_� �,.,t � 8 _ TA%LODE IS 7105 To7aL____'_.�____. ____ ���.3 '/J' <br />