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APPLICATIO* FOR CONSTRUCT�N PERMIT� <br /> CITV OF EVERETT•BUILDMIfi DIVISION <br /> 3200 CEDAq STREET•EVERETT,WA 88201•259-8810 <br /> ❑ DEMOLITION ❑ COMBINA � BUILDMa CJ MIECHANICAL ❑ PLUMBkW O SNiN <br /> PROJECT ADDRESS: 3�I S��{v <br /> wwtn wa.mau or ir rra.�[ <br /> GLp 1�70o M�ri�i�r� /�K t� 4pi�e. .WA 1b�33 C�e1.�i1.1-431.4 <br /> itww* Y.awuass an tr v,wrK <br /> W.W. Gw,tn�t�,Ihc. 5Soo wcs+ F�++�J `'''�'tD'F '�Y.kic IL veoYl [BA'n 9b1-'Keo <br /> ��G�RGi pESptRN 55 Cliv nv pqyE <br /> PKJB Arcl�i�rc'�w►� ('}�+v be3 S�{t�...} 5}: M'Iel 6nc}}Ic.WA 1b1o1 C1.o�)4s4-itlo <br /> u w carta.ctw w� ss prr nr nqrk cr�r[uc[�• <br /> n!,, ^,�i r(. r��. <br /> YECNAMCYCONiNtfW WRMMEss att qp �MpxE [r�iElKFM3E� <br /> �y� iovv <br /> nwNGcdm�Ron uui�roncss urc ib ndt si��[�iuMSE. <br /> f'1�G4 V Y.O1Yt <br /> �b000e HEATINCiSYSTEM: �(GAS ❑ELECTRIC � <br /> oa�cw�cwpwuosou.raroo+��vav[o cah�crrt unnor4w t <br /> + n <br /> � '4�.. nv�.G� 1of.�f�1.�"3110 <br /> 1 MEREBY CEqiIFY THAT 1 N�VE READ AND E%NAINED THIS <br /> naroxoufc a wwc.0 APPLICATION AND KNON THE SAME TO BE TRUE AHD CORRECT ALL <br /> WM��C���G h��(f� P�NSIONS OF UWS NID OR�INANCES WVERMNO THIS T'PE OF <br /> WORK WILL BE COMPLIED WITH WHETMER SPEGFIEO HEREIN OR <br /> uauo[xw�auavwrcnn�vv�waiowow�rt�rvqwvicsl qpT. THE OMNTINO OF�PERMIT DOES NOT PRESWE TO 61VE <br /> ioi xoa a AUTHORIn 70 v10LATE OR C�NCEL THE PROVISION OF ANY <br /> � OTNER STATE OR LOG1L UW RE6UUTIN(i CONSTNVCTION ON THE <br /> PERFORMANCE OF CONSTRUCTqN,TN�T I MI AUT110RRED BY TME <br /> ON?!ER OF THIS PROPERTY TO PERFORM iME W(N1K PoR WIMLH <br /> APP�ICATION IS MADE �ND I COMPLY WITN TME STATE <br /> iwntttrlaio.ruw[n C�NTIUCTO �W1l27RCWM102iE.Z00WAC. <br /> 19b9o5- 1-ooS-sveb ���/' <br /> LdK�M1C1qMl6WlEMER.IDOnES3Rllh�OMEMMFP X r=�-•-- <br /> �*Wf O�if <br /> diYN5plE5llICEMSEtq <br /> PLUYMNO YECNNNCAI <br /> NO. TYPE OF Fl%fU11E OR REM FEE Iq. TYlE p�[q�IR1R FfE <br /> WATEfl ClOSET(TOILET) �_�p�g <br /> BII7HTUB FORCED NR SVSTEMS <br /> LAVATORV(WASH BASIN) NEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KRCHEN SINK 8 DISP CLOTHES DRYERS <br /> DISNWAS/IER NAN6E Ilppp <br /> LAUNDRY ttUV WAlE/1 HEAIER <br /> CLOTHES WASHER W00�STOVE <br /> URINAL MEfAL FlpEPUCE(WOOD BUflNING) <br /> DRINKINQ FOUNTAIN FIREPIACE INSEfiT(W WD BURNIN(I) <br /> F100R ORAIN GAS FlREPUCE <br /> BACICFLOW PREVENTERS MS RANOE <br /> SINK(SERVIGE—BAR.ETC.� GAS PIPINO <br /> IXHAUST FAN <br /> SUB TOTA� S SUB TOTAL 3 <br /> PERMIT S PERMIT f <br /> TOTALFEE f TOTALFEE f <br /> FOR OFflCE USE ONLV: <br /> fRONIYiB�[t pFM5Fl6�CN yp(5(is.�(,t Ol41PURNIMFR !Ff Q RLFpIW <br /> r(i,/.�° �Q� <br /> uscra+c wru�[� VICI�NILiF FEES VI1LU11110N FEE <br /> pvE6 ❑n0 MMNt <br /> �cr�rtuwi�rror� .aawrtww suEve�oar� �J 0� �JO I 0..� <br /> wrtc /5 / n�iue.q ' <br /> I <br /> OCCVV�MCY IqIXf�M(f OCCWN1110/.O B�Sf�E t YfCx1MCµ <br /> G�q�A / <br /> /..�; il / � ❑�ES �M <br /> f�ES%11YR1[NPEO'0 REASON �IX}�pM�LI'lY1CMEG <br /> � � - f_�'S�G, a�„�� <br /> nnew.wuwo�o nE.sa� /� 9 <br /> � / ��/�R`� I/ O1 "�� S1pE W0.0M(1S1KLMupE ir��l <br /> >ci <br /> rvrE <ws rt•us"�`�osr ��TYOFEVEREIT M�K�c � <br /> � � ,/�h, LOCAISALE3 <br /> � o.*Ed� TA%CODE15�705 70T�L a0 � IS'[7 <br /> p/'� ' � <br />