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APPLICATI�1 FOR CONSTRUC"�N PERMIT� <br /> CITV OF EVERETT•aui�nir�c orvisrori <br /> 3200 CEDAR STREET•EVERETL WA 98201 •259-BB10 <br /> ❑ DEMOlJT10N ❑ COMBpJAiIOnN /❑ BUIIqNO ❑ MECNANICAL ❑ PLUMBINO ❑ 816N <br /> pROJECTADDREST� S 2Z7 //,I�Y'tG)') �I/ . <br /> v �P4n C Ca/> 3a�� !'1c,e/h.i p,,• F_,N,v. �f<a0f 3o1-dil-y <br /> O�OIMFR WRMCR55 plY 1W PIIpC <br /> 1 T WIIIOqI[SS . G1Y SW 1'lqlrt <br /> i � ) C <br /> RttanoEsr+rcn �un�orn[ss cm nr rrq.� <br /> 0lMEMLCONtMGIw uulMpKss Li�r �rr M1qNE �r�IEI�LYNSF• <br /> M[LNWK4CONiN�Clp1 YM�pdR55 fJ1Y i�i' NqN[ ii��FlKENSF• <br /> %UMNGC0111RAC�pq 4YI�CV1E55 G�Y }IP PIqNf Si��ElKFHSf• <br /> ��r����� HEATINGSVSTEM: ❑GAS ❑ELECTRIC ❑ <br /> o[w`et waw�ro souu�t root�cr�r.wivto covuc�vwsaN u�rwrc No <br /> � ) _ <br /> (" G t• - <br /> --E , i __ — � MEREBY C[RTIFY THl1T 1 HAVE READ AND E%AMINEO THIS <br /> ��p���p� —��- APPUC�TION AND NNOW THE SAME TO BE TRUE AND CORRECT�LL <br /> �.,,(�� PROVISIONS OF UWS AND ORDINMlCES GOVERNIN6 7HI5 TVPE OF <br /> ♦Lt.cu_ WORK WIIL BE CAMPLIED WITH WHETl1ER SPECIFIEO HEREIN OR <br /> iEaivaEumtioriorv�arEnnls���owon�n�cMrvua+¢si Np7.TXE dRANTIN6 OF A VEPMIT DDES NOT PRESIMAE TO OIVE <br /> ip� apQ pr AUTNORITY TO VIOLATE OR CANCEL THE PIiOVI510N OF ANY <br /> OTHER STATE OR LOG1L l�W REGUUTINO CONSTRUCTION OR TNE <br /> PERFORMANGE OF CONSTRUCTION.TNAT 1 AM AUTNORIZED BY T/1E <br /> OMMER OF THIS PRQPERTV TO PERFORM iME W W11(FOp MMICM <br /> APPIICATION IS MAUE �ND I COMPLV WITH TNE STATE <br /> wctuu�o r�Aatn fANTRACTOPS UW IB 27 RCW�ND Y96.Y00 W�C. <br /> wamucnu'�aw«�n..awEss.rciEnaraM�n /��L llGf"t/ o��/O'/r7 <br /> �� h 3 I 9 3 a� o.rc <br /> GfY&ISiNESSIIL[MSC NJ <br /> PLIIYlIM6 MECN�NICIIL <br /> NO. 7YPE OF Fl%7URE ql IiEM FEE NO. IYPE OF Eq11PMEM FEE <br /> WIITER ClOSET(TOILETj A/C—MMOIG UNIfS <br /> BATNTUP FOPCED AIP SVSTEMS <br /> UVATORY(WASH BASIN) HEAT PUMP <br /> SIqWEH UNIT MEATERS <br /> KITCHEN SINN 6 DISP C�OTNES DRYERS <br /> DISHW�SHER HANGE NOpD <br /> UUNDRV TRAY WATER IIEATER <br /> CLOTNES WASHER WOOD STOVE <br /> URINAL MEfAI FIREPIACE(WOOD�UflNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT(WOOD BURNING) <br /> FLOOR DRAIN GfS FIREPLACE <br /> BACKFLOW PREVENTERS GAS RANGE <br /> SINN�SERVICE—B�R.ETQ) Gf5 PIPING <br /> IXHAUST FAN <br /> SUBTOTAL S � SUBTOTAL f <br /> PERMI7 f �' i , PERMIT f <br /> TOTALFEE S TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> f110N�VIP�LX MM[iIMCM 90ESFIB4X 1Y�HOIfC P fIf �fffIPIMO <br /> uscror�c �a�u�u v¢w�sie EES VALU�TION FEE <br /> orts ❑ra —� <br /> nuinar. <br /> IQ�C�If1�M1111NH1 NOClI)W[LIIW 51}Ep&IXY�I <br /> ur�ns nwenw, <br /> __ � <br /> oc�.r«:r runsirn�s occur�N�w.o e�wn� utaur�Ky <br /> ❑v6 ❑rM <br /> tIXfSPoUlMIlNNL00 nf1((YI .�COIIIOM11A1NC111CF <br /> �t�� <br /> OIIIfII <br /> fi11ENMM11F0'0 AfL[pN <br /> [I�IC BUlMMi41f1C1U�t <br /> �rrcorrprcr rvnus�rrvnvtner CITYOFEVERETT n�wirw,'xu� <br /> LOCAL S11LES -- -- <br /> �.�i TA%CODE IS 7105 TOT�L <br />