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APPLICATIOR FOR CONSTRUCT�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEOAR STREET•EVEREI'T,WA 90201 •(425)257-8870 <br /> ❑ GEMOLITION ❑ COMBINATION � BUILDING �MECHANICAL O PLUMBING ❑ SIGN <br /> i I .'v 1 <br /> PROJECTADCRESS:.-'��,'`'Z f" ri ^�i-F' I\��-'' ' �'��-'�- <br /> wrvrn uu��w�[ss ott iv vro+[ / <br /> ��,�S�i 'V`'��` �u �`I -o'rrfl=r� Z"�i4 I�K'n^�F-�' ll� El-`'t`'C,I 41��)3C ' -`ti/� <br /> IEMIIII uul.V%Hf55 GiV I�✓ p��� <br /> r�^lr <br /> II�CIYifCiCR0E4Wl(11 V/.n�00PE$$ Cliv )It' PM��! <br /> LfN[114GOM1111C�(H 4Yl1pMF55 CIIY �� l�l' I��pME i11��11CINY� <br /> ♦AI„'�, I,�.,n=r•�-1G.'�Z�FCr ^-ur� "�t�a:1`�� c ?�=P `�" �`�1�7 �i• 1?`�Z cI�C��' �L'etFu�.,1rc���.� <br /> M2N�NiCµCAVtP�CtOP 4�i� OfV Iil' hRW[ 51�¢lKENSE• <br /> f9iluBN�GCONW1C1pP 4�M1.W/QSa LIiY IIV V1q'�F S1I.IFLC(NSf� — I <br /> � <br /> Cp�fNK1V1bC[O�WOf1Rl�. _ 1 <br /> q�,--� ; — HEATING SYSTEM: I�GAS ❑ELECTRIC ❑ � <br /> pfSCPIRF W011M AMp SW�f`E i W t�('rE�1VJlVEO Cb1\�Cl ITf150M�M I'Iq��f NO 4 <br /> �y.'� -1 �i . :- <br /> (. �- , C t �E, (;'c � \ i.l -�" <br /> I HEREBY CEtilIFY THAT I IIAVE READ FND E%AMINED THIS <br /> APPLICATIOR AND KNOW THE SPME TO OE TRUE AND GORRECT ALL <br /> �norosro use or euxoiwn pROVI510N5 OF��W5 AND ORDMAliGES GOVERNING iM15 TVPE O� <br /> WORK WILL bE COfAPL1ED WITH WNETHER SPECIFlED HEREIN OFl <br /> i¢micescniv.wrvnrnrovenmsrrovmertowwr.m.cHrv.acon[5� NOi THE GR�NTING OF A PERMII DOES NOT PRESUAIE TO GNE <br /> io� BiacR a AUTMOR17V TO VIULATE OR CANCEL THE PAOVIS�ON OF ANY <br /> OT11ER SiATE OA LOCAL LAY/REGVLATIN(i CONSTRUCTION OR TME <br /> PERPORMANC[UF CONSTPUCTION.'N�T I�M AUTNORIZED�Y THE <br /> OWNER OF TNIS PROo O PEriFORM TME WORN FOR WMICM <br /> APPLICATION IS OE C Y WITH THE STATE <br /> reacu ueio vuun[n �]-7 � CONTRRCTORS 1B N WRC <br /> �g�l�� LZ1 I . � l ( � � �� ��� <br /> CONS111lILtIp1lO�N lE'NF11.ALIX�E55.1(lIAq1E NINRF�i <br /> 9GNI.1l14R �'�- �� <br /> nrreuvxrssirtrvs[�ro <br /> PLUMBING MECNANICRL <br /> NO. TYPE OF FI%7URE OR ITEM FEE N0. TVPE OF EOUIFMENT FEE <br /> --r— <br /> WATER ClOSET�TOILET) NC–P/MNDLG UNRS <br /> BATHTUB FORCFD AIR SYSTEb�S <br /> LAVATORV(WASNBASIN) � HEI�PUMP <br /> SNOWER UNIT HEAtiRS <br /> KITGHEN SINN 6 DISP � CLOTHE$UIiVERS <br /> UISHWASMEA RANGE HOOD <br /> LAUNDFY TRAY WATER H[ATEF ._ <br /> GOTHES YlASMER W OOD STOVE _ <br /> UFINAL METAL FIREPLAGE pY00D DURNING) <br /> ORINNING FOUNTAM FIREPLACE INSERT�WOOD BURNING) <br /> FLOOR URAIN GAS FIREPIACE __ <br /> OACNFLOW PREVENTERS GASRANGE _�_. <br /> SINK(SERVICE–UAR.ETC.) GAS PIPING <br /> EXHAII$T FAN <br /> SUDTOTAL S SUDTOTAI f <br /> PERMIi S PERMIT S <br /> TOTAI FEE S TOTAI.FEE S ,i_ <br /> FOR OFFICE USE ONLY: <br /> �nrnrt¢f�Ncx nf�nsr�e�f.� 9MRIeKt M�MC��FCxM�lY11fM rr� �F�F�r�� <br /> m.r�orr io�r.nr. �¢�ti�vm FEES VAW�TION FE� <br /> ❑Y[5 ❑NU Ill�lp� <br /> ��E�f:i1111411�1104 MOb1�Wf1lIMG $IjEMBIW�iI i <br /> � , 1'1 V4flIN6 �'.�� <br /> ♦ y'�r1a�i:q.15 IX:CtiVI.N1IU�I� R�Si4[NI VFf,1�U11f�1 __ <br /> i.n..J� O�fS ❑NO � <br /> ♦pqIRYI�i�UNC4fC� <br /> .—n—w�mm�-- nnttw —' <br /> onrcn <br /> iTo�nwnrmao �' mwcor <br /> c�nr mno�uc siwrumx <br /> rtrrarr,w+�' nnr�s�rrnwrnPr CITYOFEVERETT r�'^�":"n"^` _ <br /> LOCAl5ALE5 – — – <br /> i,��t TAX LODE I$J105 TOTAL __ <br />