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APPLICATIO�OR CONSTRUCTI� PERMIT <br /> CITY OF EVERETT•BULLDING DMSION � <br /> � /' �200 CEDAR STREET•EVERETT,WA 98201•259•8810 <br /> @�OEMOLITION O COMBMA ❑ B LDMp ❑ MECXANICAL O PLUMBINfi ❑ SIfiN <br /> OJ CT AD�RESS: � <br /> � d ?� I S0 i �&G3 �v�� <br /> � ��ZS�� � �` "�` <br /> li i �. <br /> ��M� 4l�OGR55 � Gl� <br /> !IP M1q�4 <br /> MWRCTOMR54MFN WII�Opt55 pry �N, ry� <br /> II <br /> OEMEMlCWi11�C1O11 Y4lMG4E5 Clf� �- <br /> II �� m� [�qElKf1KE� <br /> VECI��MCIiLCd1iR�CtOR Yy�pq4S5 f.i1Y M� RqN[ Sf�lElKfMSF• <br /> RIMNGCpNiR�ttq1 YN�pp�[55 CIM1 !� 1'�d[ Sf��FlSEMSf� <br /> COxfMLI Fl�f O�Hp�t y_ <br /> �� �C7 OU'0 �— HEA7ING SYSTEM: ❑GAS ❑EIECTRIC O <br /> GESf}AFwol�c�r,o50u/.nFrOptwF vEo cwtr�crefnsOri�Honqr�[�q <br /> 4�'l�� <br /> �� 2' 1 HEREBV CERTIFY TN�T I H�VE RE�O AND E%�MINED THIS <br /> �Eo�.a� APPLICATION AND NNOW THE S�ME TO BE TNUE AND CORRECT AlL <br /> PFOVISIONS OF�AWS ANU ORDINANCES OOVERKNG TMS TYPE OF <br /> 1E640E5CRP�Os iORPT bq�w�![lqyq�n�Nnp�pqEs� �� �«BE COMPLIED WITN M/HETHER SPEpF1ED MEREM OR <br /> NOT. THE OR�MING pF�PERMIT DpES NOT PqESUME TO 61VE <br /> �o� _eia.* or AUTHORITY TO VIOLAiE OR CANCEL THE PqpVI510N OF ANY <br /> � OTHER STATE OR LOC/4.UW REUUUTINU CONSTRUCTqN Oq THE <br /> PERFORM�NCE OF CONSTRUCTION.Ti/AT 1 MA�UT110i1IZED BY TNE <br /> 7 _ � � — OWNER OF THIS PROPERTV TO PEPFORM TME Wpql(FOp WHICN <br /> APPLICA�ION IS M�DE AND 1 COMPLV WITN THE Stl1TE <br /> nwceiriu�o r�r�� . CON�t�W le. W NO2M.200 WAC. <br /> S� �//y) <br /> COMSIRCT[MIdWIEMOER.�OdE65.IflfAd[MU40[P l.f � / <br /> S�o��Oi14 04F <br /> dlY FIHNES!IICFMS[Iq � <br /> n�"� MELN�NIC�L <br /> NO. TYPE OF FlI[fURE Op ITEM FEE NO. 7YPE pF(q�pMFHT � FEE <br /> _ WATERCLOSET�TqLET) NC—MMOLaIMITs <br /> B�THTUB FORCED AIR SYSTEMS <br /> _ UV�TORY(WASN B�SIN) HEAT PUTAP <br /> &pWER UNIT HE�TERS <br /> NITLMEN SINK�DISP CLOTHES DqYERS <br /> _ dS/iWASi�R MNGE11000 / <br /> _ LAUNDRYiMY WRIERHFATER <br /> CLOTHES WASNER WOOD S70VE <br /> ���� METAL FIREPLACE(WOOp BUNNINO) <br /> DRINKM6FOUNf�IN FIREPUCEINSERT BURNRN3) <br /> FLOOR DP�M �Au^FIREPUCE <br /> BACKFLOWAiEVE ERS �y�rypE <br /> SMAc(SEIiVICE �R,ETG) �pg p�p�ryp <br /> IXFUUST FAN <br /> sue rorn� s sue rorN t <br /> PERMIT f PERMIT f <br /> 70T�lFEE S 70tALFEE t <br /> FOR OFF�CE USE ONLV: <br /> rno�rtecre�c. �•nsEre�c� sro[sE�e.cR nu�a�c.Mwwrn rtr ntcrorra <br /> usEidrt lo��M� v�tu��y�[ ��EES V11LU11TION FEE <br /> � �1]YFS ❑ND ��� <br /> IIEqNilMlAiqM �'ppNCllMO ylEOfMW/fl <br /> ry1M14f{ <br /> ��NCY IQQ1f11\[f OCLIA1Hfl01p 11�SfYEN1 u(M��11 T <br /> a.E. ❑�n <br /> f111E5R1iM(IENPEOD �F�iW �pltrti(1NI.IA�wCKCK <br /> r+rtwar.acan nr.s� <br /> ourtn <br /> xuq eundxf.SmO��mF <br /> rvv[orcors� n�ws�nrnuvtoer CITYOFEVERETT i+�a.-waa.� <br /> ia <br /> IOCAL5ALE5 — <br /> one TA%CODE IS J105 Toi�L <br />