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APPLICATI� FOR CONSTRUC�N PERMIT <br /> CITV OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERET'f,\NA 98201 •(425)257-BB70 <br /> ❑ OEMOLITION O COMBINATION 0'BUILDING ❑ MECHANICIIL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS:_�-� O ( �n/• AtJ�_L�,/- G(�JY [�'�"'� <br /> GA�_ __l��A✓sS�fi2S_�hvss�ldJrszt_fL�b—p�/ H�S a S�j�G2� <br /> OMhfn � Vut��P�iss bn I�r r�qM <br /> 11 V��I 4An�M�f_$ [Ji� !10 RqNF <br /> •n"�xifUplMLC:q� u�NR4N+155 Ci6 /m h[Mf <br /> r.lylnyC041p�f1({� Vul/�IX%�E55 C�h )if NYhf 41NIVCEN51� <br /> vlf��uuC4ClTIIN�CIU� 4��l�fRY�FSS ph A� hq\f SLl(l2[Ni[• <br /> �iwpncCO��luq��n vM�qM455 b�r bo 1`�q4F S���f�iCfsc!• <br /> 1(�Yf11�C11Ml�ff 1)!MTY�� � <br /> .� 5o HEA�ING SYSTCM: ❑GAS ❑ELECTRIC ❑ <br /> �a-c-n�wa����nr N�M � cw��crnnsa.•Nnnuwi�,o <br /> �/It� M� �/�� <br /> —1�A--..c�—s�i7�-4'S — <br /> p I NEHEBV CERTIFY 7HqT I IIAVE RERU �ND EX�MINED THIS <br /> APPLICRTION AND KNOW THE SRME TO BE TRUE AND CORRECT �LL i <br /> �'^�'�«����«M P������ PROVISIONS OF L�WS AND ORDINANGES GOVERNING iN15 TVPE OF <br /> WOAN WI�L BE COMPLIED WITN WNETHE7 SPEGPIED HCHEIN OR <br /> i�cu r�rsc��^riwa n�a�c�nivv/.�+nuawrn�n�cMrv.ocon[5� NOT. TNE GRANTiNf.OF A PERMIT DOES NOT PiiESVME TO GrvE <br /> ��� MaA a AUTHORITY TO VIOUTE OH CRNCEL THE PROVISION OF �NY <br /> - OTNER STATE OH LOCAL UW REGUVITING CONSTRUGTION OR THE <br /> PEPFORMANLC Of CONSTRUCTION T11FT I AM AUTNORIZEU AY ME <br /> --� OWNER Of 11115 PROPEATY TU PERFOPM TNE WORR FOR WHICH <br /> APPLICATION IS MADE AND 1 G(�MPIY WITM TME ST�TE <br /> v�ncn�+�i o��Mp�n CONTRPGIOFS l AW 1 B 27 RGW AND t96 200 WRC <br /> t lnillllKl�'ri IO�M 1 f Mtf 11/.OM[55 lf l[nqMF MNMF11 I YL✓6� <br /> _ x.fN�1 . [4�1 <br /> C���p1141,I551 C[Nq 4U <br /> PLUMBINU MELN�NICAL <br /> NO. 7YPEOFFlKiUREOPITEM FEE NO. NPEOFEWIPMENT FEE <br /> WATER CLOSEi(TOILET� A/C—MMNOLG UNITS <br /> BA7NTUD FOACEDAIR SVSTEMS <br /> IAVATORY(WASH ORSIN) HERT PUMP <br /> SMOWER UNIT H[ATERS <br /> KITLMEN SINN 6 DISP CLOTIIES ORYE�S _ <br /> DISHWA$NER RANGEMO00 __ <br /> LAUNORYTRAV \VA7E�HEATER _ <br /> CIOTHES W�SMER WOOD STOVE <br /> URINAL h�ETAL FIRLPLAGE(YfOOD BURNING) <br /> DNNNINGFOUNTAM FiR[PLACEINSERTpY00D8URNING) _ <br /> FLOOQ DRRIN GAS FIRECLAGE <br /> DACKFIOW PRGVENTERS GASRANGE __ <br /> SINK�SERVIGE—OAR.ETC 1 GASPIPING <br /> -- - --- E%MAUSTFAN _t_ <br /> _ SUO TO1AL S __i SUD TOTAL f ' <br /> FERAIIT S PEPMIT f —��— <br /> tOTA�fEE S 10�ALFEE S <br /> FOR OFFICE USE ONLY: <br /> in��Nl[(Ip�[y Pf�115f�pKX 9pC5fIPICS �11NP�(CSMIIVPIl1 ff( Plf(�I'�NO <br /> �9GG3 <br /> ,��.� rorr imen[• ac.asnf FEES _ V�LU�TION FEE <br /> Z2//y <br /> . ..__ ❑rF5 ❑y0 Ri�Jxw: . " ' '�(l <br /> .i i.�n i�w4ri.'.\ 40I,v pWflOMI 4R W lLOG91 <br /> �h�l[ v�nVPhf. � <br /> .._.____ _ . ' . —} ._. <br /> �• �! U.lI�I.�MIIUN) fl�t1V1�1 4{1�1�1\M'11 � <br /> �m u ❑�ffi ❑h0 ^ ____ _ . .__ _ .__ <br /> . .� .� . .1� �.�.. 1�11\IN �01}�i(fY�l 1114CIMC� —.-. <br /> 1)I�M� <br /> � .....a..It�lVl` � N�cIIY � ✓� <br /> Vq19nnU�4GSMCW=� " � <br /> „�,T�o•—:.,--- �y•�e,�rn,rovno. d7YOFEVENETT runucww�.c <br /> LOCAL511LE5 ------ --- — —� --- �- � <br /> �.,,i Tl1%COOE IS�105 TOTAL __ _ _ _ <br />