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APPLICATI� F0R CONSTRUC�N PERMIT <br /> CIN OF EVERETT•BUI�L�NG���".SION � <br /> 3200 CEDAR STREET•EVF.RETT,WA 982U7 •(A25i 257-881C <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILD/�IN6 �8 MECHANICAL ❑ PlUM81NO O SION <br /> PROJECT ADORESS:h`?��� '��tl�ve+r-- 1"��' ���— �1'���� ���� <br /> pwFn �wuiuion[s5 an p�n rrrovt <br /> i � � �j i� .rG� , � ��-O �.C'� V� �„�•�.P:�fT CUZ�� 7GR'�U� <br /> �^ � <br /> ��r�u� uu�uwrsz un nr urr <br /> � <br /> f�' 'y, <br /> /.11CN1fCIQIf1%S�G fn 4Y1�M1��F55 Cllv l�� �K�hF <br /> f�N1114C0411(11f.1p1 44lWIM�[i$ / CII• l�l' /f'IMh[ <I1�LIIC�HG�� <br /> �Al�ii� l'.1�1� � i�� . :i � /_�)i]�, ��1�iI�T���; :J� I:4 �r�;Gqli"O`_�1('�L7_.�.�'�i1f1 � <br /> uFOurwPttOvin¢IDa MUUDME55 C.in im Tbtit- SI�F� t�C[aSF• <br /> ��n� � �'� L��-1 �1��1F r <br /> F1114BMGCOIItM.npn Vul�p)R[55 C�M1 I�P PNp4F S1�Itl�CEFSi• <br /> ca�m.a rma ur wrn+.�.r��_ ,� HEATING SYSTEM: GAS ❑ELECTRIC ❑ <br /> Mst��oi wJFM�ht)SW nn�f(%l��cF rvvOlv[o cOv��cr v�n5W�Nf�rwM!r,p ^ <br /> � !1� <br /> L'1•�' ��L��� i%'^C.r:• G ' �'� �i�"� i'7.� =-�-1 <br /> —�r I HEREBY CERTIFV TH�T I NAVE RE�D AND E%AMINED THIS <br /> APPLICATION AND NNOW TNE SAME TO BE TP11E�ND CORRECT ALL <br /> vnMosfovs[or Bm�q�t ppOVISIONS OF LAWS AND OR�INANGES GOVEFNING THIS iVPE OF <br /> WORK WII L BE COMPLIED WiTN WHETHER SPECIFIEO MEREIN OR <br /> �rw�oFScrnrnano�i+rorEnrvlLwmeuowp��neCNivqconEsl qpT. THE GR�NTING OF�PERMIT OOES NOT PRESUME TO GIVE <br /> �o�__BiacK or AVTHORITY TO VIOUTE OR CANCEL TNE PROVISION OF I1NY <br /> OTNER STATE OR LOCA�L�W REGUTATING CONSTRVCTION OR TNE <br /> PERFORMANCE OF CONSTHUCTION TM�T I�M AUTIqRiZED BY TNE <br /> OVMER OF TMIS VqpPERTY TO PERFORM THE WORK FOR WMICH <br /> APPLICATIO D 1 COMP�Y WITM THE STATE <br /> r�cn wio Mtixtn �,a <br /> CONT0. OPS 1B G N Y%200 WAC. <br /> � _� • - -, t� �- r� <br /> 1t�1 '��i � L. . .�. �.� r. <br /> CO4[IiX�LfroM�O�M�f�.f4n Mt�t55 t[I[�Yq`4MtiRFf1 <br /> X.cHe�u o•�c <br /> bl�WSM[SSLK[M <br /> PLUMlING MECH�MIC�L _ <br /> NO. TYPE OF FlKTURE OR ITEM FEE NO. R'iEOF EGUIPMfNT FEE <br /> WATER CLOSET�TOILET) NC—M7NDl6 UNffS <br /> BATHTJB FpRCED RIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUM�' <br /> SMOM�ER UNIT NE�TERS <br /> NITf.NEN SINK A�ISP CLOTIIES ORYERS <br /> OISMW�SMER AANGE HQOD <br /> L�VNORY TFAV H'ATER MEATER <br /> CLUTMES WASHEH WOOD STOVE <br /> URIN�L METAL FIREPLALE pY00C BURNING� <br /> DR�NRINGFOVNTAM FIREPLALEMSERT�WOOOBURNING� _ <br /> FLOOF DRI11N GAS FIREPLACE <br /> BACNFLOW PREVENTER$ GASRANGE <br /> SINK�SERVICE—B�R.ETCJ GAS PIPING <br /> � EXHAUSTFAN <br /> SUBTOTAL f SUBTOT�L S <br /> VERMIT S PERMI7 f <br /> TOTAIFEE 5 TOTRLFEE S d ' <br /> FOR OFFICE USE ONLY: <br /> IPON1ViP�fM M�OSf1P�C[ LMS(IMCa R�xORCKM�4wfP� !FF �fffM'tN0 <br /> uvlwv �O��uF• v�U•uv�[ FEES V�lU�T10N FEE <br /> _ --�-- <br /> OvES ❑t,U p�r�Mvr: <br /> 1�CICa111N1��1104 iA'O�llWflllNG S�Ifplll�G'�I � <br /> ry11YP�Nf. <br /> _____ _ ._... _+ <br /> OCLIIALC� 4)fap�wb LY.CUn�M�1V�0 B�NN4t yf(���AX:4 <br /> f.11011�' . . <br /> OYft O++f <br /> (��R4Y9.1alEPPCry� nF�NM �OdIMN4R�MONh — <br /> OLT� <br /> �it.[�IA11A1PlOU M�[nV <br /> C1111 RIIrlIlM1:S�MC����C�( <br /> �mcxca+�r n+rs�rr�vrnm CITYOFEVERETT n'^�"'�"'� <br /> LOCALSALES --- — ---�— --- <br /> o•�t TAX CODE IS]105 TOi�I _ <br />