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APPLICAT�O� FOR COR^,STRUCT�N PERMIT <br />C{N OF EVERETT • BUILDING DIVISION _��. . �/ <br />fi200 CEDAR STREET • EVEFETT. WA 98201 •(425) 257-8870 <br />❑ OEMOLITION ❑ COMBINATION ❑ BUILDING ,�MECHANICAL ❑ PlUM01NG ❑ SIGN <br />PflOJECTADDRE55:�aI I—OCttS (— - _ <br />,_r-:1-r I-fc,.e���.:C, A�rrlc�air� 310} Cq��%v�'fP��l�4. �i�'zu/ — <br />ti�vwEn wui�oou[ss 'cirv —!m . �c.+[ <br />�FN/.N� V41NMf$$ f,lt• )IV ���04! <br />S I'✓I (Z. 5<.�.t1'�e - Uer.�on tib�lso�J ,�oln-1�J.3'�i�4 ___.-. <br />��r.rrao��s�m�e� uui.00�fss on n� r.nrr <br />�wVL�2 --- <br />GFMC��lCON1��LIfF� 4u1�IXN�[55 C�I� l� I'i��)uf `I�IIi�CENSV• <br />.. L' '., � — _ <br />MfC11�NiUlC04IA�C1U.i 4��l�fRWE$5 flrv l�f: I`�iO4( 411�{IKINir• <br />vuWPriGCONIR�pCn V��l/.qMfR C�iv l�� fw'1'.f S���ilKFNSf• <br />/1 7�-v oO <br />r�r,:cn�,nrvr�na.vnsOw�f �o <br />-i 1�,•rn,ol <br />.,.'Fs <br />Ih.,.IF� 1'o��t�i <br />i rr�i ut scnirnvi a riqrpnn brrowi euow a�+t�an �' <br />���i oiocn.__or <br />1Nn[Fl1l�ln r�141111� 1I <br />L`C�('�•.C�' _l��iU �C��)�T <br />CO4ci(�IKIIfN� IO�x I fHMf1 �(MU�C55 1[I[MOME NWREII <br />NoN 'c� <br />PLUMBING <br />NO. TVPE OF FI%TURE 0t71TEM <br />FOR OFFICE USE ONLY: <br />iu,.•.n�rm.r. nr.nvnp.c� <br />i� . ,�rvr <br />� <br />L�,�' .. µ .��liml <br />�1�! 51'1111rt1FN11[OU <br />. c LNM u� J [� <br />PERMI7 <br />socsnx¢. <br />HEATING SYSTEM: �GAS ❑ ELECTRIC ❑ <br />cminr.� ��i aaox �rvn r��rnr ua <br />�7.ill �Gv�4U� - `��}ri-3� <br />n <br />I HEREI�� CERTIFY iHAT 1 HAVE AEAD AND E%AMINED TNIS <br />APPLICATIO�J Al1U NNOW TME SAIAE 10 OE TRUE AHD CORREC' ALL <br />PROVISIONS OF LAWS AND O�pINANCE$ GOVERNING THiS TYPE O� <br />WORH Wq l �E G061PlIE� WIiH WNETNEi1 SPEGIFlED HERFiN OH <br />NGT. T��E G�IANTiNG OP A PERMIi DOES NOi PRESUMG TO GWf: <br />AUIHORIIV TO VIOLAT@ OP GnNCEI TNE PROVI$ION O� aNV <br />OTIIER SiAiE OF LOC4l. LAW �EGUL�TING GONSiRUf.TION OR THF <br />�'ERFORM4NGL Of CONSTRUGTION iHAT I AM AUTIIORIZLD OY iHE <br />OWNER OF TNIS PROOERTY TU PEPFORIA TME WORK FOP WHICM <br />�PPI.ICFTIO!! IS Id00E A��D I GOMP�Y 1YITH THE SiA7E <br />CO"I I(i!!)TORS IAVJ I B 2] RG W/ ND 396 200 W AC <br />� z,r:- � � _�� a 0 <br />xGNn1N�1. IL�I <br />[ilvPVSii11.4UCP�Sf ��O <br />TYPE OF <br />P/C — AMNDLG U <br />FO�CED AIR 5�57 <br />HEAT PUMP <br />UNR HE4iER5 <br />CLOi11E5 URVEF: <br />RANG[HOOD <br />WAIER HEAiER <br />CIOOD S f OVE <br />MFTAL FiRGPL4CE <br />FlREPIAGE ���SE!1 <br />n �e nrtc. rvvu.� �. <br />� ):�1'1-, ;�) l <br />1— FEES <br />FEE <br />�G� —__ —_ _ <br />NG) <br />� -T <br />TOTAL S — _ <br />�� nrrr�rn,n <br />_.. ____-_' -_ <br />— "" ---- FEE <br />�o� nn�. vu.�.0 _r � VAIUATION . _ __."__ _ ' "_ <br />rne� n., n�����,.,—_._.—._—_—. — —.__ ____. ____ . .. <br />r nwi u�K: cin o� ama � — . --' "" <br />� 4P'�� <br />l ' �1111(1�1� II�SfV(�.� 4f �� ' <br />__ <br />❑�fG ❑Y�1 .�II� ' <br />nf��rn �Dp1O4 '� � . <br />___ _ _ <br />1��(� <br />�11��V — � � <br />1�11 1'.. 1 . ( .• _ ' _ <br />I <br />""'-�� ''""�� rCITV OP EVERETT '^ . ° • .. � <br />' ' _ _ . I <br />ILOCAL SAL -' .. . . _ . . . _ _ _ ._ _ _ _. _, <br />T�% CODE IS JIDS T�TA� . I.. <br />