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APPLICATI�1 FOR CONSTRUC�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT.WA 98201•257�8810 <br /> ❑ DEMOLRION ❑ COMSqii�TION ❑ BUILDINO O MECHANICAL ❑ PLUM81N0 SWN <br /> PHOJECT ADDRESS / ?J I � EGJ /� F:V E 2Fi'� <br /> pMEp MAR�OqIEtS IiY IV RU1E L <br /> �rYr,u.,. Tr��j�be sal3 /�-1 s�a�s 3�° � ` !t <br /> ``"� u�..mr�ss oirv rn`- 7 o r y'yCT�'°' T�p� <br /> 1f�niL�sf GenTi_x�,✓ 50�4.7Wf��Ca X� 14� �2s ��i'U�qQ <br /> Mli[CtOP0E5GNEN YK�WI�ESS Utt IV R�OME <br /> /h/+Rf'NnCI S/G.v d.11�- EvEI�Ef'! l��/E �6�' � �(dS'4s�•Gwl (ne � �SS I�1S <br /> rEw�comwc*on u�a�ss cirv +n A�c su+[ c[xs[. <br /> uccN+Hcuca+inuron u�nwor[ss circ sp A�OME SI�iE��CEvSE• <br /> n�uei i on uu�mn[ss circ iw vnaa 5*�tElKFNSE• <br /> cor�i v cc �O <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> OESLRIBC Wpf�R/.Np$p11�NC f00l�GE IM'ClVEO Cqli�Cl 1'[PSp1IlD PIqyE 1q <br /> L � �Jaa 1�41r£ ARs L S�G,+�S <br /> S' ((Tnl �/ds •dS� • G &ol <br /> I MEREBY CERTIFY TNAT I HME READ AND EXAMINEO THIS <br /> APPLICATON AND NNOW TME SAME TO BE TRUE AND CORRECT.AlL <br /> maroSEo use a B�nowa pqpVISqNS OF lAWS�ND ORDINMlCES GOVERNING TXIS TVPE OF <br /> WORK WILL BE COMPLIED WITM WHETHER SPECIFIED MEREIN OR <br /> IFGKCE$CPVIpNCfPPOPER1Y151qWN9ElOWOR�IIKN�NOLCPIE51 NOi THE GRANTING OF A PERMIT OOES �'OT PRESUME TO GIVE <br /> to* oiocK or AUTHORITY TO VIOLATE OR CANCEL T!c PPOVISION OF FNY <br /> OTHER STATE OR LOCAL UW REGUUTIN�CONSTRUCTION OR iME <br /> PEPFORMANCE OF CONSTRUCTION.THAT I�M AUTMORIZED BY TME <br /> OWNER OF THIS PROPERTY TO PERFORM 7HE WORK FOR K711CH <br /> APPLICATION IS MRDE AND I COMPLY WITH TNE STATE <br /> vueEt* io xvuo[n CONi CTOR UW 1827 RCW qND 2%R00 WAC. <br /> �� 3 / L7D o/ DO <br /> CCN5IPIIL1qNt041LCNDEP.�ppIE55.i[ICAqNEAV4PFN n -a� �oJ <br /> NF W�E <br /> CIiY 811511E55 LICLNSE Iq <br /> y��yyNp NECH�NICAL <br /> pp, TYPE OF flRTURE OII ITEM FEE NO. TYPE OF EWIPNENT FEE <br /> WATER CLOSET�TOILET� h'C—ANNDLO UNITS <br /> g�7N7UB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN� HEAT PUMP <br /> SMOWER � UNITHE�TERS <br /> NITCHEN SINK 6 DISP CLOTMES DRYEPS <br /> DISHW�SMER RANGE NOOD <br /> LAUNDRY TRAY W�TER MEATER <br /> CLOTHES W0.SHEP WOOD SR1VE <br /> URINAL METM.FIREPIACEryJOODBURNING� _ <br /> DFINNING FOUNTAIN FIREPLACE INSERT(WOOD BURNING� <br /> FLOOR DFAIN GAS FIREPLACE <br /> BACNFLOW PREVENTERS GAS R�NGE <br /> SINN�SERVICE—BAR.ETC.) QAS PIPIN� <br /> E%XAUSTPAN <br /> i <br /> SUBTOTAL 5 SUBTOT�L 5 <br /> PERMIT S %iRM1T S <br /> TOTALFEE S r1TALFEE S <br /> FOR OFFICE USE ONLY: <br /> lPONISEfO�CK PE�PSEiB�C SWEYI Pl 6�ECKMN&P iEE PE<FpiM <br /> �/t+- ,✓/� n�� /p- Ov . � <br /> uscto«� � / �or•nE• wuHtsrtc � FEE9 VILLIMTION FEE <br /> ;lYFS rl�W BU0.1L1q <br /> � <br /> r� .Hruuiuiox rrors��ra sveaazoci� <br /> �� a�re�: <br /> G�CANCv N]ClSiM(5 OLCVI'�N1lOM OASENfNi 4ECX�MC4 <br /> ❑Y[5 ❑1q <br /> fFE$Pf1i111LLCPRCOD P[�59N W��IICIYIV{ANCMfGI <br /> o*Mcn <br /> rncu.euPwo ��t.sa+ <br /> 51�1f Bui�MA SunLM�RGE � <br /> nreorconsr n�ws.>v ar CITYOFEVERET� �'�+eiK+b""s <br /> LOC�LBALES <br /> o„E � . J-�o T�X CODE IS 7105 roru <br /> l <br />