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APPLICATI� FOR CONSTRUC�N PERMIT <br /> CITY OF EVERETi•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257-8870 ������f <br /> \� <br /> ❑ DEMOLITION COMBINATION ❑ BUILD/IN�6 ❑ MIECMANICAL ❑ GLUMBINfi ❑ SION <br /> PROJECTADDRESS:� 22/ '7 �-v�-R-..._.,O S�, c.-�. -t-t-7 <br /> r /� / <br /> �_Q�a.�-���-� �.asa J_21'� �'v�-e�-..u5/ 4�.,.a.. e�? W r1 9SrZA / <br /> pw�wn �rui.owcss arv rm � rro�c <br /> X ,�J�N <br /> nv.r� rmuwnrss nrv �iv nro�.r <br /> un�rmrt�oncxsortn uuiernmtss orv rm r��n.r <br /> m�NrnucoNrn�cron u�neonn�ss rnr �m r�xw[ sun�¢rHu. <br /> ufCFnN�C�IC.l14IR�C10^ k�ll�[%PF55 OIY lif' Clbti( [!�f{�ICCNi�• <br /> PIVMpN4CON1H�C1C41 4u��IXY1[55 C��Y IIP {'IpMf $��IFIqfNSF� <br /> caan�a rmct a�wonn <br /> HEATING SYSTEM: ❑GAS ❑EIECTRIC ❑ <br /> [XSC ipfNY)�N�MOSOU�1�ffpplWFp1VQVCO CW��CIITIIS�W�N0�1RNfN0 <br /> `O� <br /> 1 HEREBY CEPIIFY TH�T I HAVE FE�D AND E%AMINED THIS <br /> �narosfous[ar nmiawo APPUCATION AND NNOW TME SAME TO BE TRUE�ND LORRECT ALL <br /> PROVISIONS OF UWS�ND ORDINANCES GOVERNING THIS TYPE OF <br /> WORN WILL BE COMPLIED WITH WHETHER SPEC�FIEU MEREIN Ofl <br /> IfG4IX5Cei�iiONp Ptpi�(qry�S�qwNp[IMIOn/IJ.II�CUMOCORC51 NOT. THE GRANTING OF p PERMIT DOES NOT PRESUAIE TO GNE <br /> im '�'�O eiocn.�$? or '" TMORITV TO VIOL�TE OR CANCEL THE PROVISION OF ANY <br /> OTHER ST�TE OR LOCN.L�W REdUUTINO CONSTRUCiION OR THE <br /> PERFORMANCE OF CONSTRUGTION.TIUT 1 AM AUTHORIZEO BY TNE <br /> OWNER OF TNIS PROPERTY TO PERFORM TNE WORK FOR WNICH <br /> APPLIf,qTION IS MADE AN� I COMPLV WITN TRE STIITE <br /> rw+crt���i a miuwn WNtNRCTORS LAW 18 27 RCW�ND 296200 W�C. <br /> q �-tf�z-cY�9 -0000 <br /> CENSl11�X;lIfYl10�NIfNf%11 NNI�LSS.ICI[1MOYEMNPEN �. � (Z � <br /> • �uE D�IC <br /> 4NCSS IILINSf NO <br /> PLUMBINC MECM11NId1L <br /> NO. TYPE OF Fl1fTURE OP ITEM FEE NO. TY�E OF EpUpMENf FEE <br /> WATER CLOSET(TOILET) NC-M/NDLG UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> 1 AVRIOFY(WASH BASIN) HERT PUMP <br /> SMOWER UNIT HE�iERS <br /> NITCMEN SINK 6 DISP CLOTNES�qVFRS <br /> D�SHW�SHER RANGE HOOD <br /> LAUNDRY TP�V WAiER NEATER <br /> CLOTHES W�SI/ER W00�STOVE <br /> URINRL MEiAL FIREPLACE pY00D BURNING) <br /> DRINNING fOUNTpIN FIREPLACE INSERT(WOOD BURNING) <br /> FIODR DRRIN GAS FIREPLACE <br /> DACNFLOW PREVENTERS GASRANGE <br /> SINK�SERVICE-BAR.ETC� GAS PIPING <br /> EXHAUSTPAN +_ <br /> SUB 10TA� $ SUB T07�L S <br /> PERMIi S 7ERMIT f <br /> iOIALFEE f TOTA�FEE S i_ <br /> FOR OFF�CE USE ONLV: <br /> �noNtutp6e nr�n5rtp�Ct si0C5f10KK IR�MO�¢xvVunr� rtf nrffmrNo <br /> 5�3b7 <br /> usr)orr iotrurte v�cw�sn[ FEES V�LW1t10N FEE <br /> ❑v[i ❑MU fl1�IM4f. <br /> r�CrN�11�vI1c1iO4 u00�UWfllIM3 SVEbRlW9� --- <br /> 11411[ �'1114PIY(1 <br /> � <br /> O(:l�lf'.�V(v Mln�[��,�q�.ls IX:f111'1NILO�p R�$I4EN1 4fC.11nN1C�1 <br /> G110U� <br /> OY[5 ❑N!] <br /> fl9[SITiNltlf��EO'0 nf�[ON PlqiliflN�l1'I�YCllff.t <br /> UL�(R <br /> fIP[PU�49f0'0 nr•�nv — <br /> [I�II Plftt•Nf 51111C11�(IC! <br /> �mcarco•i« rinwa�nrnovrnor CRYOFEVERETT rnwicvmnxc <br /> LOCAL S11LES -- — --- -- -- -- <br /> ��.,i TA%CODE IS 3105 TouL � <br /> -- __ _ .___ - � <br />