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J APPLICATI� FOR CONSTRUC�N PERMIT <br /> CITV OF EVERETT•3UILDING DMSION � <br /> 3200 CEDAR 3iAEET•EVEREIT,WA 98201 •(A25)257-BB70 <br /> ❑ DEMOLITION �OdSOJATION ❑ SUILDIN6 �1 ❑ MECMANICAL ❑ PIUMSNIO ❑ BNiN <br /> PROJECTADDRE35: � � GY¢�t.r� �'-I �'G� <br /> � � <br /> � ��q r`c /�r�il✓, ��/ Gr�:_�.l �v.�2e.c'� �f'io'/ �3� - �'3� .z <br /> n i�� dn tm vr�or[ <br /> l� <br /> �EMI�N� VW�Mrt55 d\Y IW hqNf <br /> •KNTC�O�MLGNFP V�N�Otwf55 Ci�Y lll` M1(nf <br /> ���L� L - <br /> GFNEnN Cw�Ncip+ u41 MNME4 cnt I�r rvxhr c4q ucrv5l� <br /> 14CN�MC4COYlnqlOu 4�R�LdR$$ CM1 llv PIqN( 4�4lKEMit• <br /> %IIYIIM4CON�P�f.�O11 4�R�IXM1I5$ J CIIY l�� 1'11.�1{ Sf��f IK[AS{� <br /> -'j - '� �t' %y.<al -��o o�r. <br /> co+�v.c�m¢r oi wam� ,� � — <br /> ,;.)�'C l _ .� HEATING SYSTEM: , AS ❑EIECTRIC ❑ <br /> a�w.w��r�'6w�nt mc�wva�o .� < cowt�c�nnsr+u.nnvw.ro <br /> LC+�1-�1' �/J.t�fJ':� G,n�F 3 , -.f. r. . <br /> �C�S/G/•'n.l� ' � S F � HEFEBY CERTIFV TNAT I HAVE REI1D ANO EX�MINED THIS <br /> APPLIC�TION/UIO kNOW TME S�ME TO BE TRUE AND CORRECT�LL <br /> wdnsovse w emiau� PROVISIONS OF UWS�ND OPDINANCES GOVERNING TMIS TYPE OF <br /> WORK W11L BE COMPLIED WItH M/11ETHER SPECIFIED HEREIN OR <br /> i[c�io[scmniiwa ruonnn�vo�wnnrnvw�n.cMnrocans� rypT. THE GAANi1NG OF 11 PERMIT DOES NOT PRESUME TO GIVE <br /> ioi�,?y �C, eia:.�a <br /> '��• il� �UTHORITY TO VIOIQE OR C�NCEI TME PilOV1510N OF �NY <br /> OTNER STATE OR lOC4L L�W REGULATINO CONSTRUCTION OR THE <br /> PERFORMANCE Of CONSTRUCTION.TN�T I M1 AUTNOpIZED BY THE <br /> OWNER OF THIS PROPEATY TO PERFORM THE WORI(FOR WNICH <br /> (,�'j�,y�� (�/].��i�y_ Q�;�l � APPLIG�TION IS MA�E �ND 1 COMVLV WITH THE STATE <br /> wcEi�u i o r�nwxn CONTR�CTORS UW IB 27 RGW�ND Y%t00 W11C <br /> CP�Slu�lCrpH�a�111rMiaNln[SSr[IFAqMFMM�fu �, <br /> � � /9.+�,�r ,d�% <br /> s�exreurc out <br /> CifY W VMCS$lt[NSI NO <br /> ►��ryp MECNIINICAL <br /> 1p, TYPE OF Fl%TUIIE OR ITEM FEE NO. TYE OF EOIIRMdT FEE <br /> '� WATERLLOSET�TOILET) A/C—MMDLpUNiT$ <br /> � B�THTUB FORCEDAIRSVSTEMS , ���s�.��! <br /> � N LAV�TORY(W115H BASIN) ME�T PUMP <br /> SHOWER UNIT HEATERS <br /> NITCIIEN SINI(8 DISP CLOTHES ORYERS <br /> DISHW�SNER pANGE HOOD <br /> ' LAIXIDRY TR�Y WATER HEATER <br /> CLOTNES W�SHER 1VOOD STOVE <br /> VNINAL METAI.FIREPLACE(WOOD BURNING� <br /> DRINMMG FOUNi��N FIREPLACE INSER7(WO00 BUFNING) <br /> FLOOR OR�IN Z. GAS FIREPLACE <br /> B�CI(FLOW PREVENTERS GAS RANGE <br /> SINN(SERVICE—B�R.ETC� GAS PIPING <br /> � E%HAUSTFAN <br /> SUB TOTAL f SUB TOT�L f <br /> PERMIT f PEPMIT f <br /> iOTA�FEE f � 'QD TOT�LFEE f <br /> FOR OFFICE USE ONLY: <br /> fIVMi[fipMK Pf�P$f111�CR S�pF5f1lKR 1'I�NCIiL RMUMPl11`I �(I AfffM'�NO <br /> ����J <br /> usf 1rnr w��a[� vCw�vrz FEES V�LU�TION FE� <br /> ❑�[5 Ouo Pui�xva — QOnOJ J�� ,� <br /> M�f.Mt�rrw���roV WVOw[llMO s�IEO�IXW�� " ��— � <br /> uvns rviwnnn <br /> '� ---- - - - - -9i,°-'2 <br /> oclw��.cr w��..inotf v:c�in.x��o.o e�srM�.� 4rrMnrr.� '— — ' /�/� '�s-�- <br /> f.�n' 1l <br /> � O�IS �IM <br /> fiPLS��YtI[NP[�'0 M�GfY� �pdIHIN�IM1�YCIrtC� �a ,,�v <br /> o,�� — <br /> rinuuAMum'o -' m.cnv ! � <br /> S�ntpa¢Uw6L�M'Wn<tt _.:`1 v <br /> nntMtpvst nnrvrmovrner LRYOFEVERETT n��i�r�'^� ___ ___ <br /> � IOCALS�LE3 '- �a,J <br /> —� �.�E / � TIUf CODE IS 7105 TOUL �•.—Q <br />