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APPLICATI� FOR CONSTRUC�N PERMIT <br /> CIN OF EVERETT•BUILD�NG DIVISION � <br /> 3200 CEDAR STREET•EVEREfT.WA 98201 •(425)257-8810 <br /> ❑ DEMOlIT10N ❑ COMBINATION ❑ SUILDING � MECMANIC�L ❑ PLUMBINfi ❑ SION <br /> PROJECT ADDRESS: 3l 0 8 Ija r�e.. — <br /> p.M„Fp Mu��pd�[SS arv Im oww[ <br /> _5___q�.� C�a a hSto '` \ ✓ v M.r� I�t 447�1 �3ivlifs• '1lOH <br /> 1[M�N� 4U1�Od�F55 G�Y !F V�4�F <br /> �nc�«rrc�onrrt9c•itn u•n�om�vss cirv T� �.�mr <br /> f.FNLNlCON1O�C1(Y1 M41��I�ESS Olv .i� PxNC 54qVCfM<{• <br /> MFCII�MC4CON1�1C1pP N��I�LS�E$5 bh !11' Nq4f C111{IICFN<f• <br /> E�rr rr 51 � «, �+ m +l L. P� (5.,. �sof E�. qfraoG a>,t•si�� rvt,tts-soaz>'r <br /> ryU nccONlP�r,trn 4�'I�IXMF 5 cirr iiv rMO4F SOrF1�CtM5i• <br /> CONt����iLOf�� MEATfNGSYSTEM: �GAS ❑ELECTRIC ❑ <br /> R�Jo <br /> UFSLWPFM'J11N�YOSOU�uf�OO��Gf NVOIYfO fOM��tt%NSON�M����JMi MO <br /> q C1�1 Y �O! PQlI���n �/• ��9.��IIY <br /> I HEREBY LERTIFY TMAT I HAVE REaD AND E%IIMINEO TNIS <br /> �PPLICATION�ND KNOW THE SAME TO BE TRUE ANO CORRECT�Ll <br /> nnorosro ose or nund�.n PROVISIONS OF LAWS�ND OROIN�NCES GOVERNING TNIS 7VPE OF <br /> �it�.��nrl WORN WIIL BE COMPLIED WITN WNETHER SPEGFIED MERE�N OR <br /> �fG�tr�acnn•nworrwrtanisuvmnE�owaumr.xmo[oAESi ppT, THE GAANTING OF�PERMIT DOES NOT PRESUME TO GIVE <br /> �m eioca a �UTMORITV TO VIOLATE OR CANCEL TME PROVISION OF �NY <br /> OTNER STATE OR LOCAL l�W NE6lK�TINO CpNSTAUCTION OR THE <br /> PEPFORMANCE OF CONSTRUCTION.1HAT 1 AM AUTIqRIZEO BY TME <br /> OWNER OF THIS PROPERiV TO PERFORM THE N'ONR FOR WH�CH <br /> RPPLIC�iION IS M�OE AND I COMPLY WITM TME ST�TE <br /> rv�acFi m i o mnx�[� CONTR�CTORS UW 18 27 RCW ANO 096 200 W�C <br /> cwcimK�ror��ou.irwn��ss*n[nartruu�[n x�.fUA-w j� I1•29•99 <br /> sxn�� —L out <br /> arv euv�ss icEMu vo <br /> VLUNBINO MECN�NIGIL <br /> NO. TYPE OF Fl%TUIIE OR ITEM FEE NO. TY�E OF t0111r1AlMf FEE <br /> WATEN CLOSET�TOILET) NC—N�M�Ia�H�TS <br /> B�THTUB � FOHCEDAIRSVSTEMS <br /> IAVATORV(WASN BASIN) ME�T PUMP <br /> SMOWER UNIT ME�TERS <br /> KITCNEN SINN 8 UISC CLOTHES UPVERS <br /> D�SNWASMER RANGE NOOD <br /> LAVNORYiRAV I WAT�R���A <br /> CICTHES W�SHER WOOD STOVE <br /> VRINAL METAI F�REPLACF.(WOOD BURNING) <br /> �RINNING FOUNTAM fIREPLACE INSEHf(WOOD BURNINC� <br /> FLOOR DA��N GAS FIREPLACE <br /> BACNFLOW PREVENTER$ GfS RANGE <br /> SINKlSERVICE—BAR.ETC.) ', CaASPIPING _ <br /> E%HAUSTFAN _ i_ <br /> SUB TOTAI S SU0 TOT�L S <br /> PERMIT S PERMIT f <br /> TOTAIFEE S TOTALFEE S <br /> FOR OFFICE USE ONLV: <br /> �nOut4IIurtl nr�ncnp�cM Si0F5E1NCe rleMU�lUMowrn rff NrFlrtMo <br /> us[�ovr io��n�e v.uv�g�c fEES V�lW1TION FEE _,�_ <br /> O�fS �nU ppMM. <br /> ��EIf.��11Ni�e�ip� tif1YUMl4MG q2fpRW91 � <br /> ryi�upryf <br /> —_.._ __ ____ _ . .._. _� <br /> OCllll'11�.♦ .�.�.nl� {M-.(I�n1N11U�D !�[i4{\1 4f1.1��V1'�I <br /> I.IIOVI• . .______ _ .. .... -_..� <br /> �HA O WI - <br /> I nl.'�li� . �OUIM1V�i M1�NC�NC.\ -- <br /> vnnr�o_—_ mTs�w <br /> onKn <br /> uFt�u���muo-" nf.snv —"'_ __ _— <br /> s�u�nu��uni�.mM'wnr¢ <br /> �roto� 'rc�a nnw�rrn;wrnm CRYOFEVERE7T rnMx:r.���..� ��'" --_-- - _' <br /> LOCALSALES '. —_ -- — __._ . . ..'_ _ <br /> �•�t TAIf CODE IS J105 iOT�I _'_ <br />