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APPLICATI� FO�t CONSTRUC7�N PERMIT/� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257-8870 �M��TT <br /> \� <br /> ;� DEMOLITION �-: COMBINATION ❑ BUILDING �! MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT AODRESS /_3n i 7` <br /> � <br /> o�n.cn uu�m3aess cu na rnoue <br /> IE'.�V' 1An'.L/DOPC54 CItV 2iP Gn0'!E <br /> A�+C���(GiC�pESqtIFP Y4lACOPE55 GItY 2iP VNCNE <br /> ,.11.i ALG0IRRACIOP F14L�OUPC55 GiY IIP VNONE $LAiEIICENSE• <br /> �'iCN<q�CµCONrtULiJF Y�IInpOPC55 CRV II4 GHONE 9>lEUCE15E• <br /> f�L�'4�i���GCO/I�RACTO�� MAItI.��11L55 LIiV IIV PMONE $i/.IEtICE11�L• <br /> C0�1Inti1 ff11CL f��VIOPM <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> ocxi��.ocwoa.y � souu+uoaucurrvoc+eo cormcrvenwruicvrroriew <br /> I HEFEBY CEHTIFY THAT I HAVE RE4D AND E%AMINfO THIS <br /> APPUCFT:ON AND KNOW TME SAME TO BE TRUE AYD CORRI:Q ALL <br /> nnorasm usr o�ouimaic PROVISIONS OF LAWS AND ORDINANCES GOVERYING TNIS N�E OF <br /> WORK WILL BE CUIdPUED YlITH WMETHER SPEGIFIED HERE.N OR <br /> um�mscnivna+ccveov[erc�vrownouowonurec�rv:orori¢si NO?. TME GRANTING OF A PERId1T DOE.^, NOT PRESUAfE TO GIVE <br /> �o eiacK ov AUiHOFITY TO \'�OLATE OR CANGEL THE PROVISION OF ANV <br /> OTIIER STATE OR LOCAL LAW REGULATING CONSTflUCTION OP TME <br /> PERFORMANCE OF CONSTRUCTION TNAT I Ald AUTMORIZED 81'�HE <br /> OWNFR OF THIS PROPERTV TO PERFORIA TNE V10RK FOF WHICH <br /> APPLICATION IS MAOE AND I COMFLY VIITH THE STATE <br /> ���:�ce�*�xiDvuuocn ONT ACTOHSLAW182'lRCWAN�296200WAC. <br /> CON`.rtNCTICNLO�NIExOEP.ADDFF55.1ElCVNONEIIVMBEB <br /> 'rGNetpOE C4C <br /> CiiY Bb51NC55lICErvSE I:O <br /> PLUMBING MEGNANICAL <br /> NO. TYPE Ot FI%TUPE Ofl ITEM FEE f10. TYPE OF EDUIPMENT PEE <br /> WATEflGLOSET�TOILET) � tiC—A�HND�GUNITS <br /> 9ATHTUB FORGEDAIR SYSTEMS <br /> LAVATORY(WASN BASIN) HEAT PUM1�P <br /> SHOW[R UNIT HEATERS <br /> KITCHEN SINK 8 DISP CLOTHES DRYERS <br /> DISHWASHER PANGE HOOD <br /> LAUNOFYTRAV WATERFEATER I <br /> CLOTHES WASHEfl WOOD STOVE I ' <br /> UflINAL METALFIREPLAGEIK'OODBURNING� � <br /> DRINNING FOUNTAIN FIREPLACE INSERT IWOOD�URNING� <br /> FLOOR ORAIN GA$FIREPLACE <br /> BACKFLOIY PPEVENTERS GAS RANGE <br /> SINH�SEFVICE—�AR.ETC J GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL 5 SUBTOTqL 5 <br /> PERMIT 5 PERM1IIT 5 <br /> TCTALFEE S TOTALFEE 5 `_ <br /> FOR OFFICE USE ONLY: <br /> T.^,N15R6ACK NfAqSEiB�LR Si0E5EL04M PUNO�ECIt1YJY0CR iEE PELCiPilq <br /> uc[tor�c �o*u+Ee veteNrsne FEES VALUATION FEE <br /> nres n r�a eunowa � <br /> N�r.V�tliMlf�IpN IqCfOWEIIING SIZ[Of9lPiTl <br /> UNI1S RUYBiNG I <br /> UC�'�`�NGV IqO�$IOP£5 OLGUPANilOAO O�SCYENi IAECHANIUI <br /> []YES []NO � <br /> 14f;�i�nlrttFPPfO'0 PGSON <br /> AWIfqfYIPIANCNfCI( <br /> OIPEP �_ <br /> IJ:f nL/.PIAREO➢ fiEA5q1 <br /> 51�4 BU�lDi110 SONCNePf.[ <br /> r,vF:a.wssr pi�Hs��vnoveour CITYOFEVERETT vuoicnoe.s <br /> LOCAl5ALE5 � <br /> ��.�F TA%CODE IS 3105 TaTA� i <br />