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APPLICATI� FOR CONSTRUCT�ON PER�11T <br /> CIN OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVEREl7,WA 90201 •(425)257-8810 <br /> ❑ DEMOUTION MBINATION �1BUILDt NG L"7 MECHANICAL ❑ PLUMBING ❑ SIGN <br /> R\ROf,��(EC'TIADDRES � I� - �..,-1sr ��.�- A�.!�= Io dt <br /> S1ltt �h�W�J l'S C. �ra���� Ii,c�P arrd/3 ( 1/�57�✓r,v� w,o Sb1i7 �Yz�^) _ <br /> rnwrn uuinoonpys on r�n r.qv[ <br /> �/�, <br /> lf�l/.� 4Y1�1%111(55 f.IIV !IV V��OMf <br /> �C S' 7!NC !_ _G I/r I?G •' W� • <br /> •ncw*ttron�pr��n u.nnnm�fss cnr n� n��v, �4�q_} UI�D�{ <br /> ,1a__J�2,,, �t. coN�� i/ sf���..., �✓.. S�r-: _(yrn3rs��-SaS. <br /> c/niu�u�icox.n•c�w u �wmEss cnv )�r ✓n�nv� sunucrNst. <br /> �[/' �G�-,v I �(Sl1 1 /��'. Abe �✓G�(!/. wn 9b117. 3!�' `iTS- y5,f/ <br /> u[[nur- m�r�pn u �tmne55 rm rm rno:r s�nfocFus[. <br /> � ����.b�. . <br /> CIIIM011'Cf.U11N�f,IM �E5$ CItY jIV ;)��( $��IFIIL[M1Sf� <br /> ��� � <br /> cw,�n�c�rmcr ur wonM <br /> ��•�e��, HEATING SYSTEM: AS ❑ELECTRIC ❑ <br /> orsenm�wJnn�qn 5(w�W�OOueE mvaYto eov�ece nru^vo4�nn rpnvr p0 <br /> S �. '� I�c] �... / tia� nla..i� v,.��a. _ <br /> __ c o `�2� 3'-13- S�r3�. <br /> I HEPEBY CERTIFY TNA7 I HpVE READ FN� EXAMINEO THIS <br /> �PPLICATION pH0 NNOW TIIE$AME TO OE TqUE AN�CORRECT ALL <br /> inorosfove oreunniun PROVISION$OF�AWS AND OROINANGES GOVERNING THIS TYPE OF <br /> WOFK WII L BE COMPLIEO WITH WMETHEF SPECIFlED HEFE�N OR <br /> �rm�ocsnaruwo�rnorenni:arowuAc�owauvecHmncon[s NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> w� 3 oiace �L�- ot `�4 -5 �� AUTHC.'iITY Tp yIOIATE pR LANCEL THE PROVISION OF ANY <br /> OTNER STATE OR LOCFL LAW REGULATING CONSTPUCTION OR THE <br /> S.��K<.� C�.u � I PERFORMANCE 0�GONSTRUCTION TI/AT I AM AUTNOFREO BV TME <br /> OWNER Q�THIS Pt10PERTY TO PERfORM THE WORK FOR WHICH <br /> - ��� pp �A APPLILATION IS M40E NND I GOMPLY WITH TI1E $TATE <br /> •nr,n���n �nwn� CO^ITqPCTORS L/y IB 21 R. D Y G 200 WAC <br /> - --- nnnV. . �h w .�S(Y_U7:� / <br /> CON4IOIILIIlN1101N1(NUFlI.M�MIES$ IRtMOMENV4R`II x y� �V �� S<. <br /> t(/���1 r�01 ,} 7 Untl <br /> L11YBU(III[SSI�'.[�Iti NO✓ <br /> VLUMBING MECHRNICIIL <br /> NO. TYPE OF FI%TUflE OP ITEM FEE NO. TYVE OF EGUIPMENT fEE <br /> _� WATERCLOSET�TOILET) !� A/C-A/HN�L3UNIf5 <br /> BATNTUB � ( FORCEDAIRSYSTEMS <br /> - IAVATORY(WASH BASIN) I�� 'iF HEAT PUMP <br /> SHOWEfl UNIT HEqiE�S <br /> � KIiCMEN SINK S�ISP I �LOi11ES ORVERS <br /> / pISH\VASNER PFNG[HOO� <br /> UUNORV TPAV WATER HSATER <br /> CL�THES WASMEH WOOD STOVE <br /> URINAL METAL FIREPLACE�1N0008URNING) <br /> OFINKING FOUNTAIN FiREPLACE INSERT M�000 BURNING) <br /> FLOORpRAW ( GASFlREPLAGE <br /> pACNFLOWPflEVENTER$ J G/SRANGE <br /> SINK�SERVICE-BAR.ETC J GAS PIPING <br /> E%HAUSTFAN // _'�_ <br /> 5�9TOTp� f SUBTOTAL E ' <br /> -- T <br /> PERMIT 5 PEAMIT S <br /> iOTAL FEE 5 TOTAL FEE 5 <br /> FOR OFFICE USE ONLY: h� � S/ 5 v <br /> �noMv�Nr. nrnn5np�d siMSFle4t� rl cuErnNvunrn rEr ' nrf.r���Mo <br /> _ aa' a0`(S� � � �v -a�S 74�.s� _ <br /> u�reorr - -'---ioinnr• v.u•uv�E FEES VALUAl10N FEE <br /> —� 1 g�o vE5 ❑VV <br /> ____ numiwc Il D [�.�:. <br /> n,irurtron.�p. ..annwrtuve cveoro.ue�� '—"L�i�" � <br /> �B u�.is � rvvomvr. � <br /> �}1✓ S F _____— "-"_—__ " _"_ _—{-_'_ <br /> ,v�ur..-, v. �,.,.v� «rm�.u�io.o e,.rwtv vrnuv<-.i � <br /> 'R:3'J�., 2 m�s cl � — ---- -- ; -- <br /> i. . ��,:.iuri��r.:o.—_ nrnsrn �o�nnr�un�vartc. _'" _��fy..� <br /> i <br /> nuKn - — _ <br /> ii-l�an��nw�o - ernprn -- — — <br /> un ni��m�sr.svnuunar <br /> ���cr rova nnvs��vn�vvnar CITY OF EVERETT ��'w:�.-vn�.c ""' ----'- _'— <br /> LOCALSALES - — �--"— --- --' <br /> � -IJ - - �,.�, __ Tnx cooe is a,os ro.a� ---�--- - <br />