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APPLICATIO� FOq CONSTRUCT�N PERMIT <br /> CITY OF EVERETT•BUILGING DNISION � <br /> 3200 CEDAR STAEET•EVEREIT,WA 98201 •(425)257-8810 <br /> ❑ DEMOLITION ❑ COMBINATION �BUILDIN6 � MECMAHICAL ❑ PLUMBNIfJ ❑ SKiN <br /> PROJECT ADDRESS: '5�7�.�. `Yf0/'/I70�f�� ,�✓P�eTI� 9AZD3 <br /> ,�f1 d/D ,C. t'ii9FFD.PD /5/0 /rJ8'"�S'fs uri . 8L13 r7' �f<7� r/�S`-/�//�� <br /> �!fzlb� �2 No DLd�'1er'= �l�/YS S'fa�or<(Sad�h.tu, S'�u<c��f��ss�P/�.� <br /> IEMu�� 4MMW(55 Gtt tv c��V,F 7 <br /> ��c�9c? <br /> •pCN1fCIORUESGNEN Y1�IMInf$$ C1ry li� M1Id4 <br /> OW NER <br /> WN[nucON�NCrOq uut�0IXrts5 t��r Im mqYC 541[I�CFMF� <br /> i�[xi� ocUNER <br /> NfC���.ONiF4tOn Wil/.DO�i55 Llh liv v1�WI ciuflKEMiF• <br /> 1'IU-Ml(1MGCCNIP��fOR 4�M1ACCM55 Clh !IP F1q4[ S1��FlR.'fM$E� <br /> rV <br /> COMIMCI 1'PKI M MdM � ^ — <br /> i J MEATING SYSTEM: ❑GAS ❑ELECTRIC �U l� <br /> �E$[M1OEMdW11NO$Q)N�Pf[W�6fNWlVfD _� GCN11C� 115pY�N�1'11011FNO � _ I/ / <br /> /� '�7/)Ll �/���10 [. , <br /> 9 E G 9 <br /> I�Qf� GYS S 4' r�Ar/�'e�. S'<lc�Pt/cC I HEREBV CERTIFV TH�T 1 H�VE RE�D Ni0 E%AMINED iM15 <br /> �p 1���x� y APPLICATION AND NNOW TNE S�ME TO BE TRUE 11ND CARRECT ALL <br /> � F/� /L �S/�E_NC.E P��ISION$OF LAWS�ND ORDINANCES GOVERMNG TNIS TVCE OF <br /> WORN WIIL BE COMPLIED WITH VR/ETNER SPF.CIFIEO HEREM OR <br /> IEG�lOfSCIM1ViqNIX1'1101E�T'15�1pMNK10WCA�T�KNIWOCORE51 NpT. THE ORANTING OF 11 PERMIT DOES NOT PRESUME TO OIVE <br /> im 2�� aca a — �UTHOiiITY TO VIOLATE OR CANCEL TME PROVISION OF 11NV <br /> y� A / ,(/ OTHER ST�TE OR LOCAL UW REUUUTNfI CONSTqUCTqN OR THE <br /> /Y �D. /7CCOrQ!!7� 'I / PERFORM�Nl:E OF CONSTRUCTION.TMAT 1 AM�UT1qRRED BY TNE <br /> OWNEH OF TMIS PROPENiY TO PERFORM TNE WOqK FOR WMICM <br /> P�L S 9 �j APPLIC�TION IS MI1DE AND 1 COMPLY WITH THE 5TI1TE <br /> wa va m M [n CONTFACTONS LAW 1B?7 RCW AND 396.T00 W�C. <br /> �0�8- D/s'-n28-oo�s %.1�F �. �_� �/�a•/96 <br /> CbISfMICl1011 l WN I FMflF11.N['nE55.1Flf�MME MIM�fN � <br /> �qp/.lU[ �� D�I� —T <br /> GtY b5V4551K[�.Z MO <br /> PLUMlIN6 MECMANICIIL <br /> NO. TYPE OF Fl%TUIIE 0111TEM FEE NO. T'PE Oi EOURMB/i FEE <br /> WATER CLOSET(TOILET) NC—AMNOlO UNITS <br /> B�THTUB FORCED AIR SYSTEMS <br /> LAVATORV(W/SM BASiN) HEI1T PUMP <br /> SHOWER UNIT HE�TERS <br /> KITCHEN SINK 6 OISP CLOTHES DRYERS <br /> DISNWASHER RANGE H000 <br /> LAUNDRY TqAY WRTER HEATER ' <br /> CIOTHES W�SNER \YOOD STOVE T— <br /> URIN�L METAL FIREPUCE(WOOD BVFlNINQ) <br /> ORINKINQ FOUNT�IN FIREPUCE INSERf�N'OOD BURNIN6) <br /> FLOOR DR�IN GAS flBEPUCE <br /> BACKFLOW PHEVENTERS GASMNGE <br /> SINK(SERVICE—BAR,F.TC� Cu�S PIPING <br /> EXNAUSTFAN <br /> SUBTOTAL S SUBTOTK f <br /> PERMIT S iERM1T f <br /> iOT�LFEE S tOTALFEE f <br /> FOH OFFlCE USE ONLY: <br /> fl1(INIViP�L� PfM$f1I1K.R LRS(IlKF AI.MCIIfLK�VMYP �FF RFf{M�Iq <br /> � <br /> u�[mrt �a��ur� v�c�r�s�rt FEES V�lU�T10N FEE <br /> _ __�__ <br /> o.cs o ao n�.�cM«: _ '2�3c2 <br /> 11fIf�1�1�411�11UM NOOfUWflL1M6 SUEOfEIUNiI <br /> ������ KtS1�4 n�,..�, — -- - • <br /> - � <br /> occ�e��cr rnnsmw.�s orcur�w�iuw e�uxv� �r�H.yKy <br /> ",�3 I > <br /> ❑vE5 �M <br /> IiPC51'111NM1[HPE00 Pf�50N �DI}IRWNM1WQMC� i`D <br /> m�rtn <br /> nnuununroo m•snv <br /> siat nwmhn:simuu�Kx A <br /> 'Y-� <br /> nrenrcovs� MAYi�nMOVFOB� CRYOFEVERETT nmix:wm.c <br /> LOCALS�lES — — — <br /> o+iE �9�9',3 TAII CODE IS 7105 T0711L <br />