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Ar�IICAT�N FOR CONSTRU�ON PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEUAR STREET•EVERETT,WA 98201 •(425)257•8810 <br /> ❑ OEMOLITION ❑ COMBINATION ❑qB'UILDING O MECHANICAL �PLUMBING ❑ SIGN <br /> PROJECT ADDRESS: /q/h� l0l)��{.1� — <br /> /�'„r�i�a�r1 ��r�u�n �918 Laa�lw.� QiK ��F�a�f _� -�/�5,�1-i�s� _ <br /> OYroER 4ul�U0uE55 Ort tm enOM <br /> <I]n7E A� ni in�r - <br /> 1EMu�� uui N%MFSS � Grv P� 0"! <br /> �ACM�fG10R(��IfLCl1F11 YVI:.MIPf55 /.��y"C�IIY 1� /� � /�I` I/YA'W/ij J �1/1�/A <br /> 'ENE�111/�LItl1�YY�/.q)�S�IL�� /\V� V\3��L�1�l.��f�����MS{• <br /> ( <br /> VECN�MC�ICCMIA�C1pP 44l�fANE55 bh 1��: rvNWf Sl��ilK[NSE• <br /> %U1/SNGCONIP�f.�Of1 Y�1111qMF55 Cllv l�l� �•M'Y�f S�IIfIK[NS{• <br /> cwtwc�rn�aorwon� NEATINGSYSTEM: 1+�.GAS �ELECTRIC ❑ <br /> /�7�j� — <br /> OEUWefMO�x�Ho50V�A �OO��GFmvavEo cWt�crna$OwuN'rrxMrrq <br /> / �/ 1Fl�.� � ��� 1 7O <br /> I HEREDY CERTIFY 7NAT I NAVE READ AND EXAMINED THIS <br /> RPPLICATION ANp NNOW TNE SAME TO BE TRUE AND COAAECT ALL <br /> rnpooStous[or eonm�: pROV1510N$OF lAWS AND CADINANCE$GOVEFNING THIS TYCE OF <br /> � WORK W�IL BE COMPUED WITH WHETHER SPECIFIE� MEREIN OA <br /> lFGuoEScn�vnOwW�u0�'E�n'�s�'OwN�ttOwon�n�CM�WoroMcS� NOT. TNE G�ANTING OF A PERMIT UOE$ NOT PRESUME TO GIV� <br /> im eioc+ M AUIHORITY TO VIOLATE OR CANCEL THE PROVISION OF �NY <br /> . OTHER STATE OR LOCFL LAW REGUL�TING CONSTRUGTION OR THE <br /> PERFOPMANCE Of GONSTRUCTION TMAT I�M�UTHOFIZEO flY TME <br /> OWNER OF TMIS Pf10PERTY TO PERFORM THE WORIt FOR WHICM <br /> �PPLICpT10N IS MADE RND I GOMGLY WITH THE ST�TE <br /> ruicnu�ior,wet�� �O��IAACTOR IAWIB2�NLWAND296200WAC <br /> • � � ,f/�/99 <br /> COMS�MIG�IpNIWNI[MM11.MN�E551[l(MOMENU4RFI1 x <br /> S2Nnu�4 U��1 <br /> CIrvpV4ME551w[nN MO <br /> PLUMBING MECHANICAL _ <br /> NO. 7YPE OF FI%TURE OH ITEM FEE NO. TYVE OF EOUIPMENT FEE <br /> WATER��OSET�TOILET) NC—NNNOLG UNITS <br /> B�THTUB FOPCED FIR SYSTEMS <br /> LAV�TORY(W�SN BASIN) HEAT PUMP <br /> SNO�MER UNIT HEATERS <br /> KITCHEN SINK 8 DISP LLOTHE$ORYERS <br /> DISMWASNER N�NGE HOOD __ <br /> LAUNDRY TRAY WATER HEATER__ <br /> LIOTNES WASMER �NOOD STOVE <br /> URINAL METAL FIREPLAGE(WOUD BURNING� <br /> ORINMING FOUNT�IN FIREPLACE INSERT(WOOD BURNINfi) <br /> FLOOH DRAIN G/S FIREPLACE <br /> B�CNFLOW PRE�ENTERS GASRANGE <br /> SINK(SERVICE—BAA.ETC� GAS PIPING <br /> E%HAUSTFAN +_ <br /> — `_ <br /> $UB TOTAL S SUB TOTAL S <br /> PERMIT S PERMIT f <br /> TOTAIFEE S TOTALFEE S <br /> FOR OFFICE USE ONLV: <br /> rnna�ssrp+c� unosnn.cw s�asne•c. ru.cmc.vuuxr�j �fr nrtnr��o <br /> /�y1 �OG 04/ <br /> vs[rovf im.a:. v.ceru�5��[ FEES V�LUIITION _ FEE <br /> � — T� <br /> ❑vE5 p rN RviM�N. <br /> MEIGNIII4��I��ION NOO�OWIIIIM( S�tfMllDG�ll <br /> IlHlli MIIUI1Wf <br /> OCCIp�4CY �U(�\I�ql) IN:CUOANII(I�D B15F4FM1 Vf1:M�Mf�1 .•. .. . . ..• � <br /> GaWP _. � <br /> �—_ o.�, o ryo <br /> ��IIMI�I M1�4CIRl.R <br /> f�PE51'NnIRIEPPEO'� �{�Vrn � � - ' <br /> OwFn <br /> fIPfIA/�NMPfO'U Af��lIV <br /> G1�1f R11�IUM1:5�111LI�I.11C.f <br /> nn[nrrp.�v rtnNs�rrnovroor CITYOFEVERETT ^�MK^n""° _ <br /> �OCALSAlES -� — —'—�— —�� � - <br /> ��„� TA%CO�E IS J105 TOT�� _ _ <br />