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APPLICATI� FOR CONSTRUCT�N PERMIT� <br /> CITY OF EVERETT•BUILDING DMSION <br /> 3200 CEDAR S iAEET•EVERETi,WA 98201 •(425)257-8870 <br /> ❑ DEMOLRION ❑ COMMINATION ❑"WILDGNI'O1,��,,��MECNANICAL ❑ PLUYBNNi O SWM <br /> PROJECTADDRESS: U�� IK'�s�1f R3�� <br /> pM�[N Y41�0011[6! Ptt !1� nUME <br /> (i��,i �a�1 4Z� Er�t�K- F� F�Ibe�tr � 'c„ �las) 3cvS-9.G.o <br /> ttw.rn uu� s� an t� nowt <br /> .�.,.�,��s��4 �,� � �,rv ,M � <br /> ��a�l ���-�{�-c�z� <br /> pFNf1UlCON�11 1GA 4�0.M[MR55 CIIY )�� I'iq4F <IAfflKfNSF• <br /> nl� ���-�H��-� 25�r -�d,;�J� �6a, 4X(R°� �O2'MWE{ KJ3iP1 <br /> 1FGNUMC4L�1C1 41�Cd455 �, /QlY ST��%� itAiiUCfMSF� <br /> WU�lMGCOM1Ru:fOR 4�KIOdRSS � Gn" M �� Sl�lEIiCEMSF� <br /> [W�MC��'NCf Of wOM <br /> � � — HEATINfi SYSiEM: OAS ❑ELECTRIC ❑ <br /> o[xneEv.aw�r,osou�rrtrooi�OEwva�co can�crrrnsoMuor�o�[wL .-� <br /> \:1' _ n �E �C'��L��-$�"�Q'1 <br /> ,�- 1 HEREBV CERTIFY THAT I N�VE REI1D �ND E%NAINEO T/NS <br /> APf'LICATION M!D NNOW THE SAME TO BE TRUE AND CORNECT AlL <br /> nrorouo uss or mm.pr10 pqpy�yp�5 OF LAWS AND ORUINMICEB OOVEIIHNq TIIIS?VPE OF <br /> WOR�(WIIL BE COMPUED YAiH WHETMER SPECIflED HEREIN OR <br /> i[a�iaxmrrrowarwsaunisqm1xioww�n�cnrwoca�si rypT. THE 6R�NTIN6 OF A PERMIT DOES NOT PNE9UME TO OIVE <br /> ip� �� p AUTNORITY TO VIOL�TE OR C�NCEL TNE PROVISION OF �NV <br /> OTNER ST�TE OR LOCK L�W RE6UUTINO CONSTIRICTION OR TNE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUT/qRIZEO BY THE <br /> OMMER OF THIS PHOPERTY TO PERFOHM THE WOIK FOR WMCH <br /> �PPLICATION IS M�DE AND 1 COMPLV WITH TME STATE <br /> wwcCl w i o r.waEn CONTRIICTORS LAW 1821 p�W IWD 798.200 WI1C. <br /> —( � tcl ,C:p (;�-Iq �' <br /> CONStN11CMINIdWIFMfR.Mp�f55.1EtE�111r�M � _ <br /> gd4fUPf D�IE <br /> plY R191ESS I�CFNS[NO <br /> PLUMSINO MECNI1MICl1l <br /> NO. TYPE OF FlIRtME OII rtEY FGE NO. TYP[OF 60111rMlM F[E <br /> WATER CLOSET(TOILEn MC—MI/ALG UNffS <br /> BATHTUB � FORCEDAIRSYSTEMS <br /> UVATORY�W�SH BASIN) MEAT PUMP <br /> SMOWER UNIT HEATERS <br /> NITCHEN SINN 8 O�SP CIOTNES ORVERS <br /> O�SNWASl1ER RANGE HOOD <br /> LAUNDRY TRAY WATER HFATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL MEL1L FIREPUCE(WOOD BURNIN6) <br /> DRINKING FOUNi�IN FIREPIACE INSEAf(1YOOD BURNING) <br /> FLOOR�RAIN GAS FIREPLACE <br /> B�CNFLOW PFEVENTERS GAS FUNGE ' <br /> SINN�SERVIGE—BAH,ETC.� GA^u PIPINC <br /> —�— <br /> E%HAUSTFAN <br /> SUBTOTAL S SUBTOTAL f <br /> PERMIi S GERMIT f <br /> TOT�IFEE S tOTALFEE t <br /> FOR OFFICE USE ONLY: <br /> rmwrvm.c+ nru�sne�t� vocuie�a n�.nci¢ar.�(ypp� r�f wcrmrrq <br /> d�� <br /> usera.r wi��[e WCLx�L�F FEES V11LU�TION FEE <br /> Or[s ❑w eu�ayx: <br /> 1�FIf.11i1�w1A1pY NOOipWflllN6 SUFd&ONI� <br /> IIN1�{ 0111411M[{ � <br /> - � <br /> OCCl11'�K.Y MMVIIwIS CfCU�ANIl0�0 !�5{�SNI y(C111b'11 <br /> G�qW' _ <br /> OvfS OM <br /> f111C$1'11tyFlLIIPfOD fF/�S(Y� �I�D�INW�I.1'I.WCIpL� <br /> O�uF11 <br /> HPEMMMPCOO M�59V <br /> t1111'BIMIOM S�XCIwK:f <br /> nrcarcp�c� M�as�rrnmrnn� CRYOFEYEREIT �+nur.v.on•5 <br /> LOCALSAIES — -- <br /> o.�E TAII CODE IS�105 iOT�� <br />