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APPLICATI� FOR CONSTRUC�N PERMIT <br /> CIN OF EVERETT�BUILDING DIVISION � <br /> 3200 CEDAH STREET•EVERETT,WA 98207 •�425)257-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL (�'�UMBING O SIQN <br /> PROJECTADDRESS� y^' r�...��� ,l�,zY �verr_�� I,�la-SG 98�f <br /> rnwfn —w��t�owrss on rvr vroM[ <br /> r i c�t= i/. ._ � .�9 / �'✓trr��r E A���lJ/ � .�$9-S33C� _ <br /> �rvw� u�x'"'rs5 crtr y !m nrorf <br /> I.�K�arCronbE9LnP� uw41q�f5s cnr !ir � rvKni � <br /> .Aa.,.,.� �i�-/i, qP ag���:,��:��ffrl,� <br /> r.rNtn�icaw�n�c�rn� wn�w� s an r�xrir siuincr�.s. <br /> MiC1��NrC4(.04111�f,�,111 UUTAf'�t55 I:IfY .i I410�I :��IfIIC[N<I� <br /> �� id ���%�ti - --- <br /> Nvu6�r.C.ca��nRr,tIX� u.n�aNFas cne t�r vno•6 S���r�Kt6a{. <br /> ca+m.nriec�ur wona HEATING SYSTEM: G GAS O ELECTRIC O_ <br /> J!s@�aF wJu[�Lt�5W��f�W��4E vrypv[n ca�l�ct M nztn�M�n�(nl�.p <br /> -�- StiL ���,�5� t�t�sLp�_ u.C��.,,d — <br /> Ti� l. _ _ <br /> � /� I NEREDY CERTIFY THAi I NAVE PEAD �ND E%AMINED THIS <br /> �� �T /1 ��� n PUCpTION PNO KNOW TNE SAME TO BE TRUE�NO CORRECT ALL <br /> rro�bc���f,oLiiSt or uno C. PROVISIONS OF LAWS AND OADINANCES GOVERNING 711IS TYPE OF <br /> WORR WiIL OE COMPLIED W�TN WN6THER SPECIFIEU MERE�N OR <br /> iEGuoEscnn•np�ornnarcnnivqvmluowonen¢M*x'o[m[5� ��pT. TNE G�ANTMG OF A PER611T DOES NOT PqESUME TO GI':6 <br /> ipt Biata o/ AUTHORITY TO VIOIATE OR CRNCEI THE PROVIS�ON OF qNY <br /> OTHER STATE OH LOCAL LAW�EGUUTING CONSiRUCT10N OR iNE <br /> PERFOR6�ANCE Of CONSTRUCTION TH�T 1 RM AUTNOFIZED BV THE <br /> — OWNER OF TNIS PRO�ERTV TO PERFORM TME WORN FOR WIIICM <br /> qPPLICATION IS MAOE AND I COMPLY WITN THE STATC <br /> vu+cR u�i o�nnrpt� W"��qAC70R5 l AW IB I7 RL W PN�ME 200 WAC <br /> GLS'� a� cn o! �D'a'�/� <br /> CO451P�ICIIOMlOIN1(M�Fi1YMyRS51pl��OMENUVRFII _ � <br /> xlfN�iVfll U�11 <br /> tlblULN[SSIKFNlI HO <br /> PLUNBING MECNIINICAI <br /> NO. TYPEOFFl%7UREONITEM FEE NO. T'PEOFEOUIPMEM FEE <br /> WATER CLOSET�TOILET) WC—PMNDIG UNITS <br /> BATMTUU fORCED/iR SYSTEMS _T <br /> LAVATORV IV7ASH BASIN) HEAT PUNP <br /> SHOWER UNIi MEAlERS <br /> NITCNEN SINN 8 O�SP GIOiNES URYERS <br /> D1511WAS��ER RANGEM00� _ <br /> UUN�RY TR�Y WATER HEATER___ �_ <br /> CLOTMES Y:�^HER WOOD STOVE <br /> VRINAL METAL FIREP�qCE�1YOOD BURNINGI <br /> DRINKINGfOV"TA�N FIRFPLAGEINSEFThY�DBUFNING� __ <br /> FLOOR ORA�N G0.S FIREPLAGE _ <br /> �ACBFLOW PREVENTERS GASRANGE 1— <br /> �— <br /> SINH�SERVICE—BAR.ETC� G0.5 PIPING _ <br /> — -- E%HnUSTFAN �___ <br /> SUB TOTAL 5 Su8 TOTAL S <br /> GERIAIT S 7EAMIT f <br /> _i— TOTALFEE S TOTALFEE f <br /> FOR OFFICE USE ONLY: <br /> rnn4luiNr• vNsr16�CK SMsc�eKK ri�uc��t«�W�_u rtr nHnr�rq <br /> lY Tvl <br /> us�rurr �uunt• v.c••nu�r FEES V�LU�TION FEE _ <br /> O�FS ❑M� RinNW. —_ — <br /> __.___--_ ._�—__ —. • <br /> P[iGulUvit��N� N07DWIlU+G SREO�HDG�� • <br /> IIY�1� �111411�4f� • <br /> _.__ ._....__ _ _ . .. . '+ <br /> U11111'�1::� 4�rl.i'ul) UI".(1�1.1MIIU�O B�Si4[�I 4f11�UN'11 <br /> ��.Ilnlli� ' ' <br /> O�fS ❑+✓l <br /> �Dducw�i r��.�ortt. <br /> �i4[srn:.,.uuaia�o_—_ nr..a+ __ __. —_' — . <br /> nwm <br /> w�c.uvvnwo-- ut•�nv —__ <br /> p�q Rd i U.'.f.Sn�Kn1M.( <br /> nrrrxcaia — n�re�rrnovfnm GTYOFEVEREn r�'^.� ^'.""` ��" — '�" '"— <br /> LOCAL SALES —�- — --�—----— ---- --- <br /> � _ _ �.. <br /> i„�� TA%COOE IS�105 TotAL � <br />