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APPLICATI� FOR CONSTRUC7�N PERMIT/}� <br /> CITY OF EVERETT•BUIIDING DIVISION � <br /> 320D CEDAR STREET•EVERETT,WA 98201•257-BB70 `�"' <br /> C; DEMOLITION � COMBINATION ❑ BUILDING ❑ MECHANICAL r7 PLUMBING ❑ SIGN <br /> PROJECTADDRESS <br /> `d6�6 G� -2So,U .,A c 3/E�Gti- t)8 <br /> c.:e�n uu�eocn[Ss an nv vnoHe <br /> �..r.�� ri L Tttirsu,u �'�'E FMi�ecti � FvcVe-ii 9S'^� N.2s-3SS-2'"'ti <br /> 1lNANi MI.ILApOFE$$ LILY ZIV 1'l1ONf <br /> 5%rM� AS ['c�'N•=r� <br /> 4PLIIIIECiOR005GIRR Y1i�1D�AE55 ��TY �� A��� <br /> �"-' ' - IH�� NPb 5[va ST EiiFPtT� WP �1��v3 H2S- 3S;-GSSI <br /> {:INEP�LCOMR.�Lt0i1 f Y�ILADOPESS GIY IM %1q1C $iI.IElICC115E• <br /> ilnU n �u�� <br /> VipuN�UICONiP�L1M IUILAppI1C55 CpY IiV NbNE S1�iElICL1LE• <br /> N oo�+ acJ,uN' <br /> 1'luJLnM19CO11:i1K1OR M�M1AOJ�E55 CI1Y I�P fYIONE SiAtElIQNSE• <br /> V <br /> cru��acrr�:ceornoun — HEATINGSYSTEM: ❑GAS XELECTRIC ^ <br /> oiscmee won.wo souwe roo*ece im�avm mrrt.c���cncer�.r�_r«or+¢rq <br /> _ cn - E .0 � � '�3i$� <br /> Syll—ii�iic ii.TALi�c.;L -`[�FT ' uAii <br /> 5t2�i. - 'CI' .2 ti Y� � � i - L�' Sp qpp�IC TION AND KNOV7 THE SAI.fE TO DE T E A xC0 aECT ALL <br /> � :��as[Duse o�eunDrta; PROVISIONS OP LAY�S AND OROINANCBS GOVERNING TMIS TVPE OF <br /> c 5 iA%�- �' rw,d� � 1YORK WILL�E COMPLIED\VITN YlMETMEF SPECIPIEO HEREIN OR <br /> uc.�.eccnm�ronorrnoxarvi5rrowrvouowoaenaer�nweocicsi NOT TNE GRANTING OF A PERh11T DOES NOT PFESUTAE TO GIVE <br /> ia -'� o�xK ��`i4'L'—a ' � AUTHORITV TO VIOLATE OR CANCEI THE PROVISION OF ANY <br /> Oi11ER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TNE <br /> PEPPORh1ANGE OF CONSTRUCiION.THAT I A1.1 AUTHORIZEO DV TME <br /> OIYNER OF TNIS PPOPERTV TO PERPORLi THE Y�ORN FOfl WHICH <br /> APPLICATION IS h1A0E AND 1 COh7PLY 1YITM TME STATE <br /> �=��Cu*exinxv�.m�n CONTRACT R lAW1 \YAND296200WAC. <br /> � o > J _�� �CL'� ` ����/�� <br /> ,.orsreuc.ior�io.rucwca.eooncss.iucnwr+E miuecn <br /> s�cH��u�� � or.r <br /> LIiY BUSINC55 ULC15C 1A <br /> PLUMBING h1ECHANI�AL <br /> NO. TYPE OF FI%TUPE OH ITEM FEE N0. T�PE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET� tiC—A HNDLG UNITS <br /> BATHTUO FORCED AIR SYSTE615 <br /> LAVATORY(WASH�ASIN) HEAT PU6'P <br /> SMOWER UNIT HFATERS <br /> KITCHEN SINN 6 DISP CLOTMES ORVERS <br /> DISHWASHER RFNGE 1'JOO <br /> LAUNDRV TRAV � WATER MEATER <br /> CLOTNES WASHER WOOD STOVE <br /> UFINAL AIETALFIREPLACE�VfOOD�lliiNlNGI <br /> DRINNIYG FOUNTAIN FIREPLACE INSERT�1VOOD�URNING� <br /> FLOOR�RAIN GAS FIREPLACE <br /> DACI(rLONPFEVENTERS ! GASRANGE <br /> SINK�SERVICE—BAR.ETC.) ! GAS PIPING <br /> � E%MAUSTFAN <br /> SU�TOTAL 5 i SUBTOTAL 5 � <br /> PERM1IIT 5 PERMIT S <br /> TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> .�.-���c*u+cn_ � nuns[�e�cK � sioc5ere�cK/ ruv c..ra,+�nEn _� r¢ �� Z amuvtra <br /> `�� J7/! <br /> �A� <br /> i .;,v.c _/ �otenu v�UrnS��E FEES_ VALVATION FEE <br /> ,^,rEs nr:o n,�,r•..: 3Y � <br /> .�-�.��ruurteraH� � r:awmvtumu v+roro�a:r� <br /> � �wrs / g S� ttuuoiw <br /> �O <br /> �,tln.VILY i ' ^1�15 CCN49N�l0aU ��SEARNl N611N'CLL <br /> a.., � <br /> p I ❑rEs YFo i <br /> rEsrnu.wtuineao eusorv warroauwwc�Ftc � <br /> OiNCN I <br /> r.fµumNEOU RE�SON i <br /> S��1E 0110.0W0 SUaCNMGE � <br /> in��.c�mnsr M�++s�or�aovmuv CITYOFEVERETT i'�.'e�cHa+.s � <br /> LOCAISALES <br /> ����� �( TA%COOE159105 TOTPL ' <br /> _.1L�J _l_0 1�----- --- - <br />