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APPLICATION FAR CONSTRUCTION PERMIT� <br /> �CITY OF EVERETT•BUILDING DIVI� <br /> EOAR STREET•EVERETT,WA 98201 TLS&BB10 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDIN6 �MECHAtNCAL ❑ PLUMBIN6 ❑ 8NiN <br /> PROJECTADDRESS:D� !�f,��M���-Cllt�-�I L����� � <br /> � �.c�'I S �J�f w.��s:�C� :�o . ( >nb��q=`ft�g� <br /> IEWV(1 �NL/�IMESS GtT IW �� <br /> YIGYRLT0110F51GNFP MM�GOESf Clrv lM R�OwE <br /> p[I1(pµCd�tlUCltl1 YM�OC{IE55 GIY l�� %IOI�E $I�iFIICFNSE� <br /> yfCXIJMJ�LCq1iPILTM �� fJfY IW �y Si�IEIiCENSE• <br /> ��,��,�iytr�y�i�; �/hhi,l�n' US �o��r� g�w��.�-�tL�N�Q i9V6E �D�a•.��» <br /> �9&ss <br /> CON1P"Li°"'�OfwO"" HEATINGSYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> oescnee wau un sau�raor�o[m�oa�o caxr�cr ocnwr,un��wi[xo <br /> �M c / (vJD ��— <br /> I HEflEBY CERTIFY THAT I NAVE RE�O AND EXAM�NED TMIS <br /> APPLICATION AND NNOW THE SAWE TO BE TRUE AND CARRECT ALL <br /> rnoros[ouseovnRura PpOVISIONS OF UWS AND ORDINMICES GOVE1iNIN6 TMIS TVPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPEGIf1ED HEHEIN OR <br /> � pEkqpip�p��pniyqy,xec�owoq�ni.cxiwoton[s� NOT.TNE �RANTIN� OF A PERMIT DOES NOT PRESUME TO OIVE <br /> io� �� a AUTHORITY TO VIOLATE OR CANCEL THE PflOVI510N OF ANY <br /> OTNER STATE OR LOC/�l.UW REODUTIN6 CANSTRUCTION ONN TNE <br /> PERFORMANCE OF CANSTRUCTION.THAT I AM I.UTHORIZEO BY THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHILH <br /> APPLICATION IS MAOE �ND I COMPLY WITN THE STATE <br /> PArCEt nu i o.rMeEN CANTR/�6T(IR��ANO 29820D WAC. <br /> GqAIflUCI10111OY1lFWER. SS.IFlFR1CMEMMlEfl (��y��� If� : ��( ��9��� <br /> V'��J� pAIE <br /> Ciry p�Ig�E55lICfxSE Iq <br /> VLUNBINO IAECNANICAL <br /> NO. TVPEOFfl%TURE0111TEY FEE NO. 1NPEOFEOUIPMEM FEE <br /> T <br /> WA7ER CLOSET(TOILEi) �—�N���� <br /> BATHTUB FORCEO AIH SYSTEMS <br /> UVATORY�WASH BRSIN) HEAT PUAIP <br /> SHOWEfl UNIT HEATEPS <br /> KITCHEN SINN 8 OISP CLOTHES DRYERS <br /> �ISHWASNER RANGEHOOD <br /> UUN�RY TRAY WATEfl HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL MEfAL FIflEPLACE(W�D BURNING) <br /> DRINKING FOUNi�IN FIREPUCE INSEfiT(W�OD BURNING) <br /> FLOOR ORAIN GAS FIREPLACE <br /> BACKFLOW PREVENTERS G/5 HANGE <br /> SINK(SERVICE—BAH,ETC.� GAS PIPING <br /> IXMAl15T FAN <br /> suerorn� s � sueroTn�� s O' GtJ <br /> PERMIT S PERMIT f <br /> TOTAL FEE S TOTAL FEE S J` ' <br /> FOR OFFICE USE ONLY: � <br /> (qONl:itWtx N[MutMCM SipESEl6/�LR rt/.ut�ICcxNUu6rn f[F tE1S�P11q <br /> us[ra+[ im•ncn v.c�w�si�c FEES VALI1I1710N _ �� <br /> ❑r[5 ❑�a euinwr. I <br /> ��Ew��ruuir�rion rwauwuuxa saEorazocni <br /> uwls nuuowf• <br /> CCCUPANCY NJP51(YY(5 OCCUPAHIl0�0 B�SEM[MI 4fG1eWL�l <br /> G1101W �- <br /> OYfS ❑MO <br /> ♦OpIION�l1Y.W C�YLR <br /> f111E SMIY1NlEX PEO'0 11[ASON <br /> DII�EI1 <br /> fNE.VMMNW'4 11F�SOx <br /> [IAI[fl1111MN(1]1111CII��E <br /> rrveorr.ovsr rieNs�rrnovmor qTYOFEVERETT rurxir.w(x�+s <br /> LOCALSALES — — <br /> ����t TqX CODE IS�105 7oT►L <br />