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/ <br /> APPLICATIO�FOR CONSTRUCTI� PERMIT <br /> GITY OF EVERETT•BUILDING DIVISION ����/// <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257-8810 <br /> ❑ OEMOIITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING }�516N <br /> PRO � CT A DRESS Bo mFkQi�L � �FIC � <br /> _� vr_�_ d 63 / 3o DO o9,/� 3/7 <br /> OWNEII YI�I�IXME Ol ll1' 1`IqNC <br /> Sn�GNi[OnI �;ec MEAiUI.I CiL$'K OK�//� E✓Fkfff 9SZC C41�341�2233 <br /> �[N�N� 441�f1OfR55 GIY )�� hqN( <br /> �11CIIli(Ci0110f51GNC11 4/JI/iCd1E55 ���� ��� ���t <br /> �v� 5i6n/ uA0 �2sSWC5fi�EAc��LiF 9 09 (2��1�-0roo �✓Miesco3�M3 <br /> ern[neicrn+menn� uuieoon[ss an t�r riqre suniKrvsr. <br /> MiG��MC�lf.0Y1MC10F R��1�L041F55 f.11V !iP Pnp:f $��tlUCCNil� <br /> PIUYp�4GCOI11P�f,1� 4�41Oq1E55 Cltt IIP YIq4F 51/.!f IKlNSF• <br /> C��L�Of vAnti <br /> HEATING SYSTEM: C]GAS ❑ELECTRIC ❑ <br /> orsc�I�S��/L ���'�cS�N�E�'tY,E ��.�W1����E ca�r�ttrrn5ovuw�yu / <br /> F N <br /> -- 6RoN�+p sr6nl. 206 28Z—�7o0 _ <br /> i HERE�Y CERTIFY THAT I HAVE READ AND EXAMINI:D THIS <br /> APPUCATION AND NNOW TNE SAME TO UE TRUE AND COHPF:G7 ALL <br /> rnprpgfousc o��inpun PROVISIONS OF LAWS AND OROINANCES GOVERNING iH15 fYPE OF <br /> WORI(WILL Bc COMPLIED WITH WHETHER SPECIFIED HEI7EIN OR <br /> iEcuotscmnnp�ornmrtnrvivaM+,anoww�iri.cmwota+cs� N0T THE GR�NTING OF A PERMIT DOES NOT 7RCSUME TO GIVE <br /> mt oioa or AUThORIiY TO VIOLATE OR CANCEL TNE PNOVISION OF ANY <br /> OTHER STATE OR LOCAL L�W PEGULQING CONSTRl1CTION OR TNE <br /> PEPFOHMANCE OF CONSTRUCTION.THAT I�M AUTIIOR�ZED BY TME <br /> OWNER OF THIS PROPENTY TO PERFORM THE WORK FOR WHICH <br /> APPLIC N IS MADE AND 1 COMPLY WITH TME ST�TE <br /> ru�cu u�i o uiiuo[u CONT ORS B 27 RCW AND 296200 WAC. <br /> ca+smucn�io�x�rrmen.�om[ss.rzicrrwrrtnuunEn x ��I'��V <br /> s�cera out <br /> C�IYW4MSSl nitHO <br /> PLUMBINC MECN�NICAL <br /> NO. TYPE OF Fi%TURE OP ITEM FEE NO. T'PE OF EOUIPMEM FEE <br /> WATER CLOSET�TOILET) NC—M/NDLG UNITS <br /> BATHTUO FOPCED AIR SYSTEMS <br /> LAVATORY(WASH OASIN) NEA'PUMP <br /> SHOWER UNIT HEATERS <br /> KITGHEN SINK 8 DISP CLO111E5 DRYEPS <br /> p15NWA5NER RANGE HOOD <br /> LAUNDRY TRAY 1VA'ER NEATER <br /> C�OTHES WASHER \\'OOD STOVE <br /> -�q�Nq� METAL FlREPLACE pY00D BURNING) <br /> DRINKING FOUNTAM PIREPIAGE INSERT M1YOOD BURNING) <br /> FLOOR DFAIN GAS FIPEPLACE <br /> OAGNFIOW PPEVENTERS GPSFFNGE <br /> SINN(SERVICE—OAR.ETC.) GAS PIPING <br /> — — E%HAUSTFAN <br /> � <br /> SUO TOTAL S SUO TOTAL f <br /> PERMIT S PERMIT S <br /> TOTAIFEE f TOTALFEE S �_ <br /> FOR OFFICE USE ONLY: <br /> inov�vm�r.� nru�snwcr snr.sne¢x ner�ai¢.n unrn rtr � Q ��rnr��o <br /> � <br /> a:irnvv imeirc� v�c�•nsne E S VALU�TION �FEE <br /> j�,.��� ❑r[5 ru numnc _ _J�LL.LLL <br /> rCiGWlNneuOV MOOUwRI�xG SR[O�BIWm � <br /> awts nurm�wr. � <br /> —_" ____'--j—'_ <br /> tA1:111`1�.fY 4�^i�1��911 Cf(IIILNIIU�O B�SFVL4� 4!1'N�NK.�I <br /> C.IIOV� <br /> ❑Y[1 ❑NO <br /> I�I.C.'�f�n',.�tlLllN[00 �(�[fN ' �Dpll(IN�IM1�MCIRCM _ <br /> ou¢n <br /> Ii�aL:.IPn•.�VL00 PUCOV <br /> ,:,.,,A�,��,�,:_,�,,,�:� -q :.'x� <br /> nr�cr�o�i�r n�evc�n � v�nn• CITYOFEVF_flETT r��ai��.�R� '- ' — - <br /> LOCALSAIES — — — ---—- �-"— -- <br /> �,��t �• .� . � TAX CODE!S 0105 70TA1 <br />