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APPLICATI� FOR CONSTEtUC�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STRcET•EVERETT,WA 98201 •(425)257-8B1U <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING � SIGN <br /> 5.« <br /> PROJECTADDRESS: Io�O3 EV�CTf�pU ��c..� n �VUt,Tt WP �.y�V.Yj_ <br /> �j1���,��e Mw,c'r„Y�ID(�SS �:,c yi+.t� Sutc �ou (�1�WA�_],�,Wy �IaS-`+55- 050�(�o2cr:�) <br /> OwwFn 4�R�OMFSs c�rv t�r n�out <br /> 1 �n Shec�ltin I�U"� Evc r�C Mn��W4 Surt6¢ 6vcrcff4+P �iB�uS 4a5.1vk °f7�i� — <br /> ��ti� uui�nonrsns��— cirv — nr r�mvv —' <br /> �no.irc oncesicuu� uui.o�Ls an --i�� -nrt*e <br /> �gC`�K Slt v� 1�7��-1 LnIN".a�,r N�. Yu,nrvwn.c W_+ �C.�122�_�{25�t{IS�(e3�elo S1�k7CL5I11oTC. <br /> GINE(UlCOi11�1C1 / 4�II��IIn[55 lll♦ )�1• • •)YI <��tl1�CEN5l1 <br /> 4F[�UNiUIfONN�IU� �I�iI�INN�F55 Orv Iil -- f�4]Vf [I�qI�C[N[E/ <br /> NI� <br /> niuue�uccornn�r,�on v.n.amcss rnr rm r�w�rt s�e�n¢[Mzr. <br /> �L��']l){�1 « _- <br /> mvm.n rnre�ur.nm.. HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> orsrn�er wone�r�u srn�urr�o�uer r�mivco couucr n nsae.rmInwHr.0 ] <br /> SnnV�l+c.LT1\Um.nc,5t<5 �t; r 1 IG .�J��� �1c�L Q1C1�A�-�S 4a5"���5'U.)�L� <br /> I HEREOY CERTIFY 11/RT I IIAVE READ AN� E%FMINED TNIS <br /> RPPLICATION AND NNOW 111E SFidE TO BE TqUE AND COFRECT ALL <br /> rndqsFoust or eimown PROV1510��$OF LAWS AND OR�INANCES GOVERNING TIIIS tYPE OF <br /> WORN WI�L BE COMPLIED Y/ITN WIIETHER SPECIFIEO HFPE�N OR <br /> lFmioFsuarvq�a rirorEi��'Isqwr1Buowoneiuo�rwoconES� NOi THE GRAN7ING OF A PERMI7 DGfiS NOT PRESUME 10 GIVE <br /> m� o�oce or_ AUTMOAITY TO VIOLATE OR CANCEI THE PROVISION OF ANY <br /> OTIIER STATE OR LOCAI LAW REGULATING CONSTPUCiION OR THE <br /> ��L �,�.`�N� PERFOFMANCE OP CONSiRUCTION THAi I AM AVTHOR2ED UV 7ME <br /> �1,1 I� OWNER OF THIS PROPEHTY TO AERFORM TNE WORN FOR WHICN <br /> IS�SOS��I�V�I�-OV Af�PLICATION IS MADE RNp I GOMPLY WITH TIIE STATE <br /> ru¢[t uv in rnrumn COHLRACT_lAW IB 2]PCW ANO296100 WAC <br /> cartmucmx�w�xirvnFn.nev�tss muv�avea�Mne� %�41' ___ /�I5"�.7,tAQ _ <br /> •..m uim aMr ']- <br /> — — i��ua c� <br /> fil�PII[Ir�f:S IICI�15f NO <br /> PLUM9ING MECHpNICAI <br /> NO. TYPE OF FI%TURE Oli ITEM FEE NO. TYPE OF EOUIPMENi FE� <br /> WATEFCLOSET�tOILET) P/C-PMNOLGUNI�S / <br /> BATHTU� FOACEDAIRSYSTEMS j <br /> LAVATORV(WnSH BASIN) / � HEA7 PUMP / <br /> SHOWER UNITHEAiE(75 / <br /> KRCMEN aINN 6 OISP GLOTHES Of7YERS <br /> DISHWASHER R�NGEHOOD __ <br /> LAUNORViRAV " WAIERHEATER <br /> CLOTHESW4uHER � 1V00DS70VE <br /> ���p�A� - MFTALFIPEPLACE�WW�BURNING) <br /> DF.'iKING FOUNTd W FIPEPIACE INSERT(1YOOD BUFNING� <br /> FL0090RAIN GASPIfiEPLACE . <br /> OACBFLOW PREVENTERS GASRANGE <br /> SINK(SEqV'CG-DAR,ETCJ GAS PIPING ' _ <br /> — E%NAUSTFAN �_ <br /> - / <br /> / / <br /> SUO TOTFL E / SUO iOTAI S � <br /> �T <br /> --�- PERMIT S PEPMIT S <br /> TOTALFEE S TOfALFEE f <br /> FOR OFFICE USE ONLY: <br /> innN�[nnvx �r�nsfle�c[ S�DtsEleh^x ReubR(.MM�Mnrn /rr���/ �rCRr�bo <br /> ustn��r wi���t• v¢�rnsnE _ FEES VALURiION _ FEE r <br /> �_1 � — ❑vE5 OHV RIP�MiY. . . ��GS <br /> l _ <br /> I�FIf11111411�11pY 1101XIIWfIIING 511E0lBlOG�II <br /> ��H��� PIIIMN�Nf. <br /> IXA:IIf'14:� 4�l4����al5 (%'.f1i1.�N�1U111 B�SFMFNI 4f1:11�Wf�1 .... .. ... � � <br /> i <br /> r.nnur <br /> � <br /> �v6 ❑MO __ .__ _ ___. ...___-_� _._ <br /> in�[:miv.iuinoru-- nr�srv+ — �cpunwirier�curr.n _ � ____ __ <br /> on�tn �_ <br /> nnuinnunwo � nr�srn '._ ' <br /> •.�.mm�mu�r.snncn.nr.r �' '7� <br /> Trrrix�mvci rine5um�ynr CITYOFEVERETT �'iimir.wro�.� � <br /> �'� / LOCAL SpLES ---' --�-——-- '.A/- <br /> ����t �j TAX CODE IS J105 T9TAl _ i(O <br /> / <br />