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APPLICATI� FOR CONSTRUC�ON PERMIT <br /> CIN OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR S7AEET•EVERETT,WA 98201 •(425)257-8810 <br /> p DEMOlIT10N ❑ COMBINATION � lUILqNfi ❑ MECHANICAL ❑ PLUMISMO ❑ SION <br /> PROJECTADDRESS: Z3�S P�N�t Sr <br /> mnak Fuart,� z;is P�+,� sr 6✓�.zsr. wk S9rr�l 4zti 2S$ Z�ZZ <br /> a�w1Fn �u��cp�Ess an nn or�px( <br /> t[N�Nt II41/tM111F55 f.l\Y )N P�ONF <br /> ♦1CMffC�Of�MS�Gh[� ��x�MMf55 Citv )i� 1'MYf <br /> �IFiL 6'p2A(ad�_?77�/ R�/GKS.����G G/A= AgU�f 4zc zS9 /1/I <br /> cr�.meicwmec�m �ui�w:n[ss an nr n�� si�rutrrrv. <br /> PqC�FGi o897r( <br /> 4iO�11wG1G041O�C1pB MP1��10��F55 OiY ]�P Mq4( 511¢IKEYif� <br /> PIIIMlMGCONIP�pp1 y4��qMF55 Clh 110 I�qN! SIMFIICFMS[• <br /> ��u�mn nixcc a v.ane <br /> MEATING SYSTEM: ❑GAS ❑EIECTRIC ❑ <br /> orscweF�w�nR�wn sou.nr�om�c[�va�to can•cr vrnsor u1n r�..o <br /> � 2 Pn,i��. �� A� ,.:i.:i,� 42�>' Sa3 �I"S$ <br /> 39to � <br /> I HEREBY CERTIFY THAT I HAVE RE�D AND E%�MINED TNIS <br /> APPUCATION AND NNOW THE S�ME TO BE TRUE 11ND CORRECT ALL <br /> �"�O�°Oif�nO11d'^' pROV1510N5 OF LAWS�ND OR�INANCES GOVERNIN6 THIS TYPE OF <br /> YYORK WIIL BE COMPUED WITH WNETHER SPECIFtED MEREINOR <br /> icc��oq[sc�mr'r'ro'r�orrn�4nn�vxrnr�euowau•n�cMrnoca+csi NpT. THE GAANTiNG OF A PERANT OOE$ NOT PRESUME TO OIVE <br /> m�_�_aiaca SoZ or � �UTMORITY TO VIOUTE OP CANCEL THE PRpVISiON OF �NV <br /> OTMER STATE OR IOCI�I.LAW REGULATING CONSTR�TqN OR THE <br /> PERFORMANCE OF CONSTRUCTION.TM�T I M1 AUTXORIZED BY TIIE <br /> OWNER OF TNIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLIC�TION IS M�DE �ND I COMPLY WITH THE STI1iE <br /> ru¢rt�u m rnn�n[n CONTR�GiORS UW IB 27 RCW�ND 2%Y00 WAC. <br /> S <br /> CONSIq1�fILMIWHIfMIFf1.�MM�[55.1[l[11qMEMVf11 x � L�. � _O � / 7•�S'� <br /> s:cxrama ouc <br /> or.euarcu�cc�rc[.a <br /> PLUMBIN6 YECXANICIIL <br /> NO. 7YPE FlIITUREOIIREM FEE NO. iVPEOFFOIMMENf FEE <br /> W�TER QOSET(TOI�ET) �—MiNpl�UNITS <br /> B�THiUB FORLED MR SVSTEMS <br /> IAVATORY(4/ASH B�SIN) ME�T PUMP <br /> SMOWEH UNIT NEATERS <br /> KITCHEN SINK 8 DISP CLOTNES DRVERS <br /> DISMW�SHER RANGE HO00 <br /> UUNDRY TR�Y WATEH NEATER <br /> CLOTHES W�SNEF WOO�STOVE <br /> URINAL METAL FIREPIACE�1VOOD BURNINGI <br /> DRIN1(ING FOUNT�IN FIREVLACE INSF.pT(WOOD BURNMG) <br /> FIOOR DR�IN GAS FIPEPUCE <br /> BACNFLOW PREVENTEFS GASRANGE <br /> SINK�SERVICE—BAR.ETC.) GAS PIPMG <br /> E%HAUSTFAN <br /> SUB TOTAL S SIIB TOTAL f <br /> PERM�T f 7ERMIT S <br /> TOTRIFEE S TOT�LFEE f <br /> FOR OFFICE USE ONLY: <br /> �mwlvrp�r� nr�n5nn�cK SmESciNc� ht�rtunuwrn rrf �yp ttW'twD <br /> 2 z— S s _�2. -�l GI <br /> uscxr.r ioi•m. v�ux�s�rz FEES V�W�TION FEE r_ <br /> �_�r� � � ❑�[5 vJ R�n�M4f. __Jlf`� Ir 7 <br /> MF�O4�VViWq� 4Jb{m'1lUW S�IEMNpG�II . )J iCJS <br /> ians 39 .sE nv.w�w: ___.' "— " _'_'__ � <br /> OCllli`�V,�.Y M�(Valfn.l) CYfli�`�N 101I1 111VHN� � Vfl11�Af11 <br /> r..�am' <br /> � / ❑�t5 <br /> fIP!CI11V�Y.lfP PE J'0 I�F�4M1 �OU�1!)Y�I IYA4 C1YCR <br /> ptl�fll <br /> f�n[�UP�.IPLOO uf�PDy � <br /> tl�ll RIFtfIMI:S�MC�411Cf � <br /> __ _ Cl. � <br /> �rrton�a�a n�vs�rrnnvtnm CRYOFEVERETT n�MKwai.s <br /> �OGAL SALES — — - —�—� <br /> _�/f �,.�E 7 Zp. Y TA%CODE IS]10S TOTl1l I S <br />