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APPLICATIORFAR CONSTRUCTI� PERMIT <br /> CITY OF EVERETT•BUILDING DiVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257•3810 '����' <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDIN(i ,f� MECNANIC'1L ❑ PLUMBINO ❑ SION <br /> PROJECT ADDRESS: 1 �'I IFA,n`jl�\ �'ct X D I <br /> Oiwfn uut�OP�Ess On i�r v1qxt <br /> �='�:��:�1 llo�l n?�I (� ��r n.�. ���-�.K�--�-��I�(�Uzti� Zti 1- �Sa(a <br /> �fN�VI 4Y11f1ry1�55 f.IIY 11V �'�qMF <br /> —�n,�tr _ <br /> ��Kurrc�MMzicvEn MUI�MH:[s5 O�r pr N�trvr <br /> CINL�1�lCON�1�/.Ctpl 4111�IXMfSS GIY 1' 14 )YI: CIIIIIIC(NY� <br /> t�l�� I:,n1.,clla'�tT�2 �V�n j1���1� Y-""t�n4• `�'hl�jf'I J� f�loicil-I U��-1lo3fC']. <br /> oFfuwrGl fnvtn�rlon qu��Dq+E55 rirv .e• �nO.r cu�f UC[45F� <br /> � �� l. �L ����Q <br /> f'IUMpWGCONIR�C1p� yul�IXM[55 Ory III' 1'�qMF SLIfIICEMSf• <br /> ca�mr.cr nmc�oi vnn� S� _ HEATING SYSTEM: jd GAS ❑EIECTRIC ❑ <br /> E � <br /> r*s<n�nr wour�.,u smi•n�rpo��c�Nvavtn can�c�n usa��r�n rucwr wo <br /> L F, <br /> �-��._�l�'_ ��_ �Y"�'l J�c C � �iC4� 1RZ-L� �O� <br /> I HEREBY CERTIFY iHA7 I HY'� Fl:�D �ND EXAMINED TNiS <br /> r�qsf uvu or Pvnwoa �7PL�GATION AND NNOW TIIE SA8 IO BE TRUE AND CORREC7 AlL <br /> PROVISIONS OF��WS�ND ORDIN�NCES GOVERNIN6 THIS TYPE OF <br /> WORK WILL BE COMPLIED WITN WHETHER SPECIFIED MENEIN OR <br /> ❑cuntsrnmuorvor i•np�fnnm.ominnavw�n�tHrwoConF51 NpT. THE GRANTIN6 OF A PERMIT DOES NOT PRESUME TO GIVE <br /> io� e�.oc. or AUTMOPIiV TO VIOUTE OR CANCEL THE PROVIS�ON OF I1NV <br /> OTNER SiATE OR IOCAL L�W REGUUTINO CONSTRUf:TIOq OR THE <br /> —� �ERFORMANCE OF CONSTRUCTION.TNAT I I1M�UTHORIZED BY THE <br /> OW1ER OF TMIS PPOPE TO PER THE WORK FOR WNICH <br /> APPLICA�ION IS G MPIY WITN THE STATE <br /> r�Mfu��iuuuuntn _. CONTNACTORS Y D 6200WAC <br /> � ��� �� � ��— �' � 1 _ <br /> LON[If1�1LfIM1lOINICNMnM11ni.55i1t11104EMMfP x <br /> SifALI U��C <br /> O1v BuyN[SS l[INS[�:O <br /> PLUMBING MECMIINICIIL <br /> NO. TYPEOFFlXTUREORITEM FEE NO. 7YVEOFEq11PMENT FEE <br /> W�TER CLOSET�TOILET) A/C—NHNpLa UNITS <br /> BAtHTU� FORCED nIR SYSTEMS <br /> LAVATORV(WASH B151N) HEAT PUMP <br /> SMOWEP UNIT NEATE�iS <br /> KItCNEN SINN 6�ISP CL0t11E5 DRVERS <br /> DISHWASNER RANGE HOOD <br /> LAUN�RY 7NAV WATER HEATER <br /> CIOiNES WASNER W000 STOVE <br /> U��NAL METAL FIREPLACE pY00D Bl1RNING) <br /> ORINRING FOUNTAM FIREPLACE INSERT ryVOOD BURNING) <br /> FLOOR�NRIN GAS FIREPLACE <br /> OACKFLOIYPREVENTERS GASRANGE <br /> SINK(S[HViCE—BR0.ETC� GAS PIPING <br /> __ E%HAUST FAN __'�_ <br /> SVD TOTAI 5 SUB TOTAL f � <br /> PGRMrt 5 VERMIT S 'c � <br /> TOTALFEE S TOTA�FEE f <br /> FOR OFFICE USE ONLY: <br /> �noq*qmur. N�n5r1P�CM s�Ms[tR�ce rl�MOrtCeMUVPrn r(r �rrlmrrq <br /> ma :nrr � w���n. �vc�uisn[ FEE6 V11LU�TION FEE <br /> ' __.�__ <br /> _.__ ❑Y[5 ❑NU RtF1IMW� <br /> �R��.�1:•Wun�;� AOUI�WIIIiHG SQLO�BlLG91 <br /> 1Mi14 M114PIVf <br /> .. _._ _ __ ... �� <br /> Il�ll`�. V 4' ��..��� IX'TII1`1NIIJ1(1 11141V[NI Vf1�1��N1:I.l <br /> ❑�l5 ❑4�] �� <br /> i..irl :��•i1.II1:I�IJU 1�1�c(try �IHMIi(1N41'II.NI�II(M <br /> pll�fll <br /> Ii��LA1T�i•11�1�11' 1�fl.�n <br /> 0�11 flW:U�N1:50I1O411G{ <br /> ��riri �ov�•----'— rin�c�rrnrnrno� CR�OFEVERETT run.irwon.s . .._..— _'— — <br /> LOCAL 511LES '- — ----—------- -- <br /> �,.�t TA%LODE IS J105 TOT�L <br />