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APPLICATI� FOR CONSTRUCT ON PERMIT <br /> CIN OF EVEREff•BUILDING DIVISION � <br /> 3200 CEDAR STAEET•EVEHEIT.WA 98201 •(425)257-BB70 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �MECN�IHCAL ❑ PLUMBIN(i ❑ SNiN <br /> PROJECT ADDRESS: I��nS n -1.o c Pcvfl <br /> � � � tbns �ales Icve e�eYtM qb�f yZ5-a5a-5331 _ <br /> n vui�oo�sS dn +�" P� <br /> 1(N1N� V41/JIPiF55 f.IIY lp �'��OMF <br /> �P�IxitC10�1f1f5�Gvtn Y111MORf55 CIlY )�� �rKWf <br /> GfML�4CO41f1�l.IPI Y��IMIME55 CI1Y l�� IVMJY[ CI11LlKfNS{• <br /> MfC11�N1[µC[N�1uC1UA V��I�fA�fS$ piY 1_ l�� 1'INWf q[I�flllCEN�f• <br /> r�7pM� +pyf{��dC �J`1U��45��1 iqv� 5r5CW��7U�le po Lynnw_�_CVA %8�3�n. <br /> �izs-� � -�43 eeo�r� u,n a�n� <br /> cwrn.ci rma a�. <br /> HEATING SYSTEM: �iAS ❑EIECTRIC ❑ <br /> OFScwPF W}1��wOSMl�ut rpO��cf MvpVFo cb�r�c�nnsW u��rrNnf vp <br /> I HEREBY CERTIFY 7HRT I HAVE AERD AND E%AMINED THIS <br /> �PPLICRTION AND NNOW TME SAME 70 BE TRUE AND CORRECT ALl <br /> nnd�oSfoutt a nonnK: PROVISIONS OF LAWS�ND ORDINANCES GOVERNING TH151YPE OF <br /> WOPN W�IL BE COMPLIEO W�TH WHETMER SPECIFIED MEREIN OR <br /> lFW�O[SSInv1qNMMq1'fP�'lIS�UMN1�ElOW W�t14M�'OtOALS qpT. THE GR�NTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> 1e� �a� a AUTMORITV TO VIOUTE OR C�NCEL THE PROVISION OF �NY <br /> OTNER ST�TE OR IOCAL L�W REGUUTIN�CONSTRVCTION OR TNE <br /> PERFORMANLE OF CONSTRUCTION TN�T I 11M AUTHORREO BY TNE <br /> � OWNER OF TNIS 7POVEFTV TO PERiORM TME WORK FOR WHICM <br /> APPLICATION IS MROE �ND I GOMPLY WITH TME ST�TE <br /> nncrt�e�i o Mnx+t� CONIR�CTORS UW IP 27 RCW AN�196 21H1 WRC <br /> CONSIPoC�MMIWNIfNbFP.N%WESiiRE1VdIEMNlFII x��,��y� �:>.,, �y-y9 <br /> �'LN1 RL Il�\I <br /> GIYlU4�C551¢FNSCMO <br /> PLUYlING MECHIINIC�L <br /> Ip, TYPE OF Fl%TUIIE ON ITEM FEE NO. TYrE OF EWIPMEMT FEE <br /> W�TER CLOSET�TOILEn NC-NNNDLG UNRS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATOHY(W�SN 9ASIN) HE�T PUMP <br /> SMOWER UNIT HE�TERS <br /> k�TCHEN SINK 6 OISP CLOTNES�RVERS <br /> OISHWASMER FnNGE HOOD <br /> L�VNDRY TRAY V�'ATER MEATER <br /> CLOTHES WASHEH WOOD STOVE <br /> UR�N�L META�FIREPL4CE�WOOD BURNINGI <br /> DRINI(ING FOUNTAIN FINEPIACE INSERf hN00�BURNIN(i) <br /> FLWR DRAIN GAS FIPEPLACE <br /> BACNFLOW PPEVENTERS G!S RANGE <br /> SINN(SERVICE-BAR.ETC) GAS PIPING <br /> -- E%HAUST FAN _j_ <br /> SUBTOTAL S SUBIOTAL S <br /> PERMIT S PEPMIT S <br /> tOTAIFEE S TOTnLFEE S <br /> FOR OFFiCE USE ONLY: <br /> �nf�lvlNr., nr�n[�1P6� 4or5[�BKn n�ucutPMivnrn irr nrrOrtqo <br /> ns�torr �o�nn�n wc�v��r _FEES _ VI1lU�TION_ _�EE_ ___" <br /> ❑vfi ❑M�) RI�II��M'. <br /> ��UG�11'WunU '�UODwIl1i4G S�f[MllOG91 . .. � <br /> uvn5 hvw�.a � <br /> . ._.__'__ . _.______ . .___j__- <br /> ocwre��:. r �•�r4u au��.x��o.n x�srw.� -- �rn��.�ui .. <br /> cnovr _ '.__'_ -. ..._ .- <br /> o,�s o,o -- — <br /> ��eq•-rnrtU�n[oV"—_ ni��tw — �Mtulvnh�vi�n�. _ '___ .__._'_ — ' <br /> nM1Yn <br /> I��.LI.lAlt1�41rit� IH1�f]S � —.. � <br /> �1�11 fl�l�ll`�41:��H1[��n11:.f <br /> __ ._ ._ __ _ __ _ . .: ..._ <br /> nr�o���mm nnr<u•rnrnrnm CITYOF EVERETT n'^.-..•'"'•c . <br /> LOCALS�LES --� - --- -�- - -- - -' <br /> ����t TI1X COUE 15 7105 i0T111 . ._'_L_ '_ <br />