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APPLICATI� FOR CONSTRUC�IN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CE:AR STREET•EVERETT,WP.90201 •(425)257-0810 <br /> ❑ DEMOLITION ❑ COMBINATIOIV I ❑ BUILDING L3-61�CHANICAL ❑ p�UFiBING ❑ SIGN <br /> PROJECT ADDRESS: �U� O �7�0� � (� — � <br /> OVMFn uu��00uE5s r�r rMOM[ <br /> < <.fD���� AIYc�Ni;�-� ���i2�. <br /> iEMWI 441NCIIfS$ CIIV lN {'��UryF <br /> RILIYRCIO�MLGN[n uul�qluf55 Olv /ip ��ry�! _. <br /> GFMfNlCON11uC�M uul�l.`�nF55 C�1�' llf IiliNf [In�11iCfM5l� <br /> YE6II.NIC4CONIR�CIUP 4ul�COuf55 C�rv lrt' p��O�if [t�til�CIHSE� <br /> WE'SCO rLRCc�It-tdQnlP`�K� C_�R �ri I/�_Z�_cQ�.q��cfo Uf(t5(i�'��3 <br /> 1`I1148N1GCOIIIP1f�C(1 4�i1/4M1f5$ CI�Y I`NOM! $111FIIC[MSF• <br /> Cp11f1ACtV�iCCOfWry�R ` �, _ <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> pESCneF WJnR�Mo SOU�n[[ppr��F wvIXV[o ccr���cr v���sox/.Ml r�m�ar rq <br /> ��--C�--f�l N r2� ?�Z4�-�,� <br /> 1 NEREDY CERTIFv iHpT I MAVE READ AND E%AMINED THIS <br /> ✓nc ro ux or xnnpyr /PPUCATION ANO NNOW THE SAME TO BE TR11E ANO GORRECT ALL <br /> PROVISIONS OF UWS AND ORUINANCES GOVERNIIIG TNIS TYPE OF <br /> WORI(WI�� BE COMPLIEO WIiH WHETHER SPECIFIEU HEREIN OR <br /> tfm o[scmvnpuorr�nrv�yqx.leuowonr.mcnrnota+[si NO7. THE GRRNTING OF A PEBMIT �OES NOT PRESUME TO GIVE <br /> m� aioc. or AUTNORITY TO VIOLATG OR CANCEL TME PROVISION OF Aryy <br /> OTnER STATF pq�OCAL LAW REGUUTING CONSTRVGTIDN OR THE <br /> PERFORMANGE OF CONSTRUGTION.TMAT I AM FUTNORqED BV TME <br /> OWNER OF THIS PROPEFiY TO PERFORM TME WORK FOP WMICH <br /> APPIICATION I$ pN0 I COMP�Y W1T11 THE $iATE <br /> �P i yy�[n CONTRACiO AY ANp�t! IOOWAC <br /> L-UOO-C� -C)C�O 9 � / J�' T� <br /> COMSiP11CfIpNIWNIfNfIfll.lplMLSS.ICIEIMOHENVYPEII z— � // ✓/ Vf-// <br /> V / // ' / <br /> $IGH�'VIIE �� p�ll , <br /> CIIYBV411ESS11[ENif NO <br /> PWYBING MECHANICAL <br /> NO. TYPE OF Fl7tTVRE OP ITEM FEE ND. TYPE OF EOUIPMENT FEE <br /> W 4TER CLOSET(TOI�ET� A/C—M/NDIG UVRu <br /> �ATHTUB FORCED AIR SYSTEMS <br /> UVATORV(WpSH BASIN) HEAT PUMP <br /> SHOWER _ UNITNEA7ER5 <br /> _ NITCHEN SINK 6 DISP CLOTHES�qYERS — <br /> �ISH WASHER RANGE HOOD <br /> UUNORY TRAY WATER HEFTER <br /> CIOiHES WASHER WOO�STOVE <br /> URINAL METAL FIFEPLACE�W000 BURNINGI <br /> ORINNING FpUNTAIN FIREPIACE INSERT h'JO00 BURNING� <br /> FLOOR DRAIN GAS FIREPIACE -- <br /> OFCKFLOW PqEVENTERS GAS RANGE —`� <br /> SINK�5`_RVICE—�AR,ET�.) GAS PIPING �— <br /> � E%HqUSTFAN <br /> _ �_ <br /> ___ _�_ <br /> SUBTOTAL f SUBiOTAI f <br /> PERMIT f PEFMIT 5 �—T— <br /> TOTA�FEE S TOTAL FEE 1 <br /> FOR OFFICE USE ONLY: <br /> rnnHrvrn�ce annsne.eR sx,ne•ca ruxurtcnuuwirn., „ rer nrcnmr�o <br /> '�/;.� '1 <br /> us¢fonv �o��nu v�c�rny¢ FEES VALUATION FEE <br /> ❑vE5 OMI ppilM� ����— <br /> I�fIGN:11411�tpN NOOUw'EIIING 513f0lplpGRl <br /> IIN�II � ._ � <br /> �IIIY11i4f <br /> ...._..� . _...__ _ _ _ ... ��. <br /> OC�p�NC� y)ry)uw�.lf Uf.f.��'�NIlU�O Ot5{4CN1 4f[Mni��f4 <br /> On5 O✓1 —. . . . _ _ .___ <br /> RnFSMnlzlEupE�o np�[pn �OpqRw.,ri+qc��rc[ <br /> Olu(n <br /> fIFEI�URMPIO�p Pf1lnV <br /> [I�Iffl11�lUW1:511nC1���if.f � <br /> IroEMf.ONN ry�M5�Mp0VfpOv " "- -- <br /> CITYOFF.VERETT niniicwnn.c <br /> LOCALSALE'a - . . <br /> o��E TA3 COOE IS 7105 TOTqI, <br />