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APPLICATI� FOR C(DNSTRUC��1 PERM7T <br /> GIN OF EVEREff•BUILDING CIVISION � <br /> 3200 CEDAR SIAEET•EVERETT.WA 99201 •(425)257-BB'0 <br /> ❑ DEMOLITION ❑ COM2BINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUM@ING ❑ SIGN <br /> PROJECTA1D,DRESS� f� Jl �W'�' �JEPxI` 9Y��S--- <br /> �p� �14�r�n,.1 {3;31-1 ai 4-� r�fE��11- `?`�Z,L� I <br /> rn �u,.00ness � an nn o»a¢ <br /> rtv�w uu�uwnrss crtv nP war[ <br /> no.+rnoaorp cnn R n�nrss " —'� �` u+ G� nr r�.cwr <br /> ��,�..ad� �5�.�+NE .�'La< <p_w�*_=1�E�- L.7 i� .J� 26� <br /> er [ icrnn'�t�m vui.00�ees cn. i�r r�ro�rt � .���i2r.�sr� <br /> A6u.unUlf,ovtn�Crue 4+a�CMFsS rm !�r m�q+r �9 �fUt[XS� <br /> {`IU481n4CONIP�f.lql 4Y�1IXY1f$$ C��Y IiV f'NO4f $I�IfiIC[M1�i• <br /> nwen�et riuet ar wouK <br /> HEATING SYSTEM: ❑GAS ❑ELpCTRIC ❑ <br /> o�cni� w�nx� nsrwnarroo+.@[nva� „ camc�rtuuw+umrw�.rrq <br /> kEO�acF_Y �C° I�ae � .Aw�l .5}nc <br /> a ��a.SE {o �A.1J �.J /���F,- <br /> 1 MEREBY CERiIFY TMAT I HAVE RERD AND E%AMINEO THIS <br /> APPLIGAI 10N RND HNOW TNE SAME TO BE TRUE RND CORRECT ALL <br /> i�a�nosrovx oreunpxc PROVISICNS OF LRWS AND OFOINANGf:S GOVFRNING iH15 TYPE OF <br /> WORK WII�BE COMPLIEO �.'�TM WHEIHER SPEGIFIED HEREIN OR <br /> �fr.�iM.scnmuworvuorEnrv6Nawneuor�on�nacN*wnGanFs NOT. TNE GRANTiNO Of P.PERMR DUES NOT PRESUME i0 GIVE <br /> �o� Riae a _ r1UTHORITY TO VIOLATE OR CpNCEI. TME PROVIS�ON OF ANV <br /> OTHER STqTE OR IOCAL LAW PEGULAT�NG CONSTRUCTION OR TNE <br /> PERFORMr16CE Of CON57 RUCTION TMAT I�M�UTHOPREO BV iHE <br /> — OWNER OF THIS PROPEATY TO PERfORM THE WORR FOR WHiCH <br /> APPLICATION I$ MAOE AND I COMPLY WIiN THE $TATE <br /> r�ncn�ev i o'niupw CONTRPG70R5 lAW 1B 2l PCW AND 296 200 WAC <br /> CONStn�IClifM�loWlfuflFnM[ii1F55�[t[A�OMEMNOFn z -/����V <br /> S!GN�I WR 0��. <br /> CIIY&14K5$IICENS[MO <br /> PLUMBING MECN�NIC�L <br /> N0. TYPE OF FIl(TURE OP ITEM FEE NO. TYPE Oi EOUIPMENT FEE <br /> WATER CLOSET(TOILET) NC—A/NNDLG UNRS <br /> BATH�I10 FOPCFO AIR SYSTEMS ' <br /> LAVATORY(WASH BASIN! HEAT PUMP �— <br /> SHOWER UNIT HEATERS <br /> KITCHEN SRJK 8 OISP CLO'11ES ORYERS <br /> OISNWASIIER RFNGE HOOD <br /> LAUNORY II�AY WATEfi HCATER � <br /> Y <br /> GLOTMES WASHF.R WOOD STOVE <br /> UF�NAL METAL FIPEGIF.JE(WOOD BI/RNING) <br /> DRiNNINfi FOVNTAM FIREPLACE INSERT�W OOD BURNING) <br /> f1.00R DRR:N GPS FIRCPLACE <br /> OACKFLOW PRE�EN7ER5 G!S RANGE <br /> SINK�SFRVICE—BAF.ETCJ GAS PIPING <br /> — EXHAUSTFAN <br /> SUBTOTAI S SUBTOTAL f <br /> PERMIT S PERMIT f ----r— <br /> TOTAIFEE S ' b �j -7 TOTALFEE f <br /> FOR OFFICE USE ONLY: u 7� / _ <br /> �naeivm�rr nnnsnn¢v vo[snB¢a n��n��� rfF nfrrmrrq <br /> i��,�rtiyr ioi•nu vu�usue FEES V11LU�itON FE_�_ <br /> ❑vF5 ❑NU Ru1DiNf. <br /> nN�.!aUwunUY NOpDWfllndi gI[O��t��l - <br /> iwK MOVPMf. � <br /> _._.___ ___ .. . _�_ <br /> �. u�� (X.(IiMN�IO�U fl�5f4f�� MfI.11�NiC.�1 ' <br /> r.i�.. � ❑1f5 O M� � �___ _____ ..._ <br /> ��Ti•nvSuTiou-- m�srv� �owurn.uriwaxu —_ <br /> OII�Ff1 <br /> .I:.��.:HNf:t00 Pf�c�V � <br /> cull flm1OmO5�IMu1Of.! <br /> ,�--p�ia -r�nesu,rnnvrnn. CRVOFEVEPETT r��w�^:+�"^' � '� "— <br /> LOCALSALES '-----' --�---'-'- --'— -- <br /> ���� TA%CODE i5 J105 TOT�L <br />