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/�PPLICATI� FOR CONSTRUC�ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVEFETT,WA 9ffi01 •(425)257-8810 <br /> ❑ DEMOLITION ❑ COEi91NO.TiGN �' BUlALDING ❑ MECHANIC0.L ❑ PLUMBING O SIGN <br /> PROJECT ADDflESS: �-3 U L Cory/I�XA ilV Q� <br /> fiRS� cnvircK o%.f1' Nniyrrt�F 13oi wa6en0 E�L� 98�� zSB-S27L <br /> ONNER YML/�IX.TC55 OlY ll1' IVqN[ <br /> 1C�.JuI u41NDAf55 CJiv I�V V��OVE <br /> �✓„asaw c.�rsr. <br /> •acwAe�onocveucu uui�onness cnr Tr r.,�..r <br /> NAl6n�tr tfSt H�6N4.n�ACE e��F..PElT 98u� �5�-9vSo N/it,qiX�y' �,3ao H <br /> efrvemlcovrmc�on 4ut�MM[ss cin rr r�ro�[ s�utuCrMzr. <br /> YFOUwC0.f,ONiP�f.lO� uVL�DM�RS C��V ]�P h�Ocf [i�IF14f�'[�• <br /> PIU40iMf+CON1P�f,IM N��l�IXl4EX Cilv 1�P I'rvO4F SI�IFIICENSF• <br /> CONIMCIC(aCfUlWIMM ^_ � ` ..— <br /> 'TJ�Bo� !{ '��� HEATING SYSTEM: ,�GAS ❑ELECTRIC ❑ <br /> UFscniBF wJeK�vp 5oW n[sppucF Mvolv[o cOut�cr vr nsoN urt�rrqer rq <br /> �rDUNS' NSToN- V/rY� LfIRRYN44J941 2I�-7YSo _ <br /> $10l�vL OGE,(LA 4 ' l/�St-Acr- �v�/� o<F <br /> --� I HEREDY CERiIFY THAT I HAVE REAO 4ND E%�1MINED TMIS <br /> APPLICATION AND NNOW THE SAME TO BE TRUE ANO CORRECT ALL <br /> r�nonpsvo ust or ai���mnm �N UR� PROV1510NS OF LAWS AND OAOINANCES GOVERNING TIi15 TYPE OF <br /> WORN WIIL BE COMPLIE�WITH WMETHER SPEQFIED HEREIN OR <br /> tec�w6sca�vnoriorrnor[nttrsnow++auowon�n¢HiwocoM¢si NOT. iHE GRRNTING OF A PERMIT DOES NO7 PRESUME TO GNE <br /> to� �A�3L Bioca SES or_��qT � �'��F-Fr AUTHOFITY TO VIOLATE OR CANCEL TME PHOVISION OF ANY <br /> OTHEF STATE OR LOCAL LAW PEGULATING CONSTRUCTION OR THE <br /> PERFORMANGE OF GONSTRUGTION THAT I AM AUTMOFIZED BY THE <br /> OWNER Of TMIS PPOPERTY 70 PERFORM THE WORN FOR WHI�H <br /> APPLICATION IS MADE AND I COMPLY WITH TME STATE <br /> re�n�uciD�unF� -- ����TR/AC�IORSLPWIB2IRGWAND296200WAC <br /> COMS�RVCIIMIO�NIf�rtIFP.A[IfMiF55tElE1'uG1Eup4RE11 x (/^"+/�a " " /�� S-//-99 <br /> _y <br /> �•^.M�11111[ U�If <br /> cn.ew�cs�KF�tc�o ']g33 <br /> PLUM9INC MECN�NICAL <br /> NO. TYPE OF FI%TURE OR I7EM FEE N0. TVPE OF EGUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C-P/HNDLG UNrtS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORV(WASM BASIN) HEAT PUMP <br /> SHOWER UNIi NEATERS <br /> KIiCMEN SINK 8 DISP GIOTMES OAVERS _ <br /> DISNWASHER RAtiGEHOOD _ <br /> LAUN�RY TR�V WNTER NEATER_ <br /> GLOTMES WASMER YJOOD STOVE <br /> URINAL IdETnL FIREPLACE pNOOD BURNING� <br /> DRINKING FOUNTAIN FIREPtACE INSER7�WOOD BUANING) <br /> PLOOR ORA�N GP i FIREPIACE <br /> BACNFLOW PFEVENTERS GAS RANGE <br /> SINN(SERVICE-BAR.ETC.) GAS PIPING _ <br /> — EXHAUST FAN _'y_ <br /> SUB 70TAL 5 SUB TOTRL S <br /> PERMIT S oERMIT 5 <br /> TOTAI FEE TOTnL FEE� <br /> FOR OFFICE USE ONLY: � <br /> fnnMt:frp¢[ nrJ�srip� FI84x ruqU� �+'�'�Arn r[ n{rPr�Mo <br /> .�9 023 _ <br /> uscrorr �o��ue• vcr.r��snc FEES �AW�TION FEE <br /> ❑rfs ❑u0 /�� T— <br /> / PIAIMMf� �C�(� i <br /> 11EIGIII IIVItA�IOY NO d l�W 111MG SI$f W Bl;'✓II ,/ � � <br /> liwl[ / ryi�4p:Mf. <br /> oCcuve�.r.� w��i.�r.ni� crrun�e��U�o e�SF+��� wvcr�.aui ___'__ -- _-_._— _ ._"__}—_ <br /> ra�our a . ' . _ _"_ _-_ .. <br /> I ❑�E$ ❑N7 <br /> IiNESVPwvIENNC'lD nf�[ . �DLIiON�ii'I�AOnL� — . <br /> 01��(11 <br /> Rf1E�UP4Pt00 �H�O� <br /> v�ll Ril�lUiMl:5ii�6uOf:s <br /> tmenrr.ou5r nnrs�rrn9vnar CITYOFEVERETT r^w����^" - '-'— '--� '�- <br /> ���--� , LOCAL SALES �--- �—---�-- -- <br /> N i���� , � S TAX COOE IS J705 70TAL _ <br /> __— � <br />