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APPLICATI� FOR CONSTRUC�ON PERMIT <br /> CITY OF EVERETT•BUILDING OIVISION � <br /> 3200 CEDAR STAEET•EVEREIT,WA 98201 •(425)257-BB70 ����✓�rr <br /> �.J <br /> ❑ OEMOLITION O COMBINATqN ❑ SUILqNG �MECHMIICAL ❑ PLUUSM6 ❑ 816N <br /> PROJECTADDRESS:� °l03 DQC`�S\C - 0.J2 ert'N ln/sL z53-�SZ�2�SD <br /> ,�]er���S �Z O 3 t . w�c��,.�. ST- J�oc'�'a�,.�av.r�.�j 3�°� <br /> owrr nwnvsz an qw[ <br /> (�err.;s 2`1eS Po.c��C.c nv � 2s3-35t•2��o <br /> 1lM�4� VM�(q1f5$ CJf� )N ryKy�( <br /> J��P-, I f �_ <br /> •�cM*f[�MMvvn�� un�M�+rss ci�� �m r.Kwr <br /> fi�NIf14CONll��f1(}1 4�i1�IXN1I45 f�lY jif IhRM t1��111C(NV• <br /> MCN�N�'4f.(nlmflW 4�M1R,Y1�i55 f.� )ii� M�p�f All(12EN5[ <br /> F7�P .'�P, '�� c 4� box 254� �Qw�,.�r,� W A q�o�i 2o6-YaZ•bA'Ya- FA&�u�mO��R <br /> f111MlMGCOM�R1f,1R1 VIry1ITH[$$ CIIY � ll� t'NQ�IF $I�tI1K[FN• <br /> CONi11�Ctlax[[p Wp�� <br /> j SO O HEATING SYSTEM: GAS ❑ELECTRIC ❑ <br /> orscme�w�nr•«nsw•ut� �w[�.+avro cwr.crr�nsor•.nrrrcrnr,e <br /> rur hew, k•� d'�s+�.,b,.-M,a.. �oyd R,.�1,4W <br /> _� ucT Wor�E.�_��1�. . ZOb-9�2- 638� <br /> I HEREBY CERTIFY TM�T I H�VE RE�D AND E%�MiNED THIS <br /> - APPLIC�TIONl1ND NNOW THE S�ME TO BE TRUE I1N0 CANRELT �LL <br /> i+a��oa n v�i or ntn.rt1 PROVISIONS OF L�WS ANO ORDMANCES GOVERNING THiS TYPE OF <br /> ��"�'�� WOFI( Wil�BE COMPLIE� WITH WHETMER SPECIFlEO MEREIN ON <br /> ucriMscmm�oaorr�dcnnisr.oer�w�owwen�c�rv.omn[si rypT, 711E GA�NTING OF � PEI7MIT ppES NOT PqESVME t0 6NE <br /> ip� p�p�� p IIUTHORITV TO VIOLATE OR CANCEL TNE PROVISION OF �NY <br /> OTNER STATE OR IOCQ L�W RE6tA�TIN4 CONSTRUCt10N Op TNE <br /> PENFORMANCE OF CONSTPUCTION TH�T I I1M�UTIIONIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM TNE WORK FOq WHiCM <br /> �PPLIGTION IS MADE AND 1 COMPLV WITH TNE STATE <br /> r�utn�uiorervp�n — GONTq�CTOR5UAW/I�BP]RLW�N�O%200W�C <br /> LfWSi111KtILM101N1�NlFP/.INV�($5�(�[AIOYEMM�11 �,_ � 1JYl,UV` Q�zz'y/' <br /> $IClU\ �—� ` <br /> wn <br /> b1Y 0115M SS l6!NSL MO <br /> v�ure�Na � recn�tnc�� -- <br /> NO. TYPE Of FlI(TURE d11TEM FEE MO. TYrE OFEp1RM61� fEE <br /> WATER CLOSET�TOILET) �_�pp�p�� <br /> B�TMTUB FORCED RIR SVSiEMS <br /> L�VATORY(WASH BASIN) HE�T PUMP <br /> SNOWER pN1T HEAT ERS � <br /> NITCHEN SINK d DISP CIOTHES ORYf.RS <br /> D�SMWIISMER RANGE MOOD <br /> I�UNDRY TR�Y WATER MEA7ER <br /> CLOTHES WASNER WOOD STOVE <br /> UR�M�L METAL FIREPLACE(WOOD BURNINGI <br /> ORINRING FOUNT�M FlFEPLACE INSEfiT�WOOU BURNING� <br /> FLOOR DR�IN GAS FIREVLALE <br /> B�C1(FLOW PR[VENTERS GASRANGE <br /> SINK(SERVIG[—BAR,ETC.) GAS PIPING <br /> E%HFUSTFqN <br /> (�'i �o� �_ <br /> SUB iOT�L f SUB TOTAL f ' <br /> VERMIT f PERMIT f —T— <br /> TOTRLFEE S 10TA�FEE f <br /> FOR OFFICE USE ONLY: <br /> �nrmrarn�r� ro.nsr�n+t� sio�srrn�c� irn�criS+OS in �� r�r mrrmino <br /> -1 <br /> us�ernr �oi•x• v.oavrt FEES V�WI100M iEE <br /> ❑•[5 ❑e'� —�— <br /> IIi��MN�'. <br /> ul0nlP4i�ctqN WPUWfl11Mi 5�I[dNWRI <br /> IINiI[ <br /> n�iunwn <br /> _'__'_ "_ _.____"_y_— <br /> IX:UT�v� Vt..i�cnn♦ U:OIn�N1104� R�[IW41 Vfl'�uNN:4 <br /> f.11QN <br /> ❑v!5 O M ' �" � <br /> IIPf51'PI•IxIfHR[70 �I�VM /.WIINWyI'I�4C�RIv <br /> _ O��Kn --- —— <br /> ilaE�uW�t00 M�fT �— <br /> 1�11 Ri1�1U�H1:511�1f:ll�llf�E <br /> nnnrcm��. rierc.rrwovrnm CITYOFEVERETT naucw�x�..c ��"' "' --- <br /> LOCAL 5111ES -� - —� —- --- <br /> nnt TA%CODE IS J1M Toi11� <br />