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APPLICATIO� I�OR CONSTRUCT�N PERMIT <br /> CITY UF EVERETT•BUILAING DNISION � � <br /> 3200 CEDAR S iAEET•EVERETL WA 98201 •(425)257-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDINO ❑ MECHANICl1l bLPWMBMK� ❑ SI�M <br /> �� / <br /> PR0.IECT ADDRESS: I I6 �LP�c <br /> nJ� • Sv� E,u/ „?�290 .f�,wc w N�f �A � N3` J7foo3u <br /> owwrn r.n.m�[ss an +�' no.t <br /> �cM�wi �••a uid�tss un rw n.v1[ <br /> �p�Mrfclp�0E5�oMEu u�n4NN�f55 Cirv r�r r��MR <br /> GfN[��ICONIp�pp1 V�iI�IXM�E55 C�Iv h� MKM 51�f111C[NY• <br /> MFCNW�GlLflNif4f.lOf1 M��lA0V�E55 PtY T� %�� [I�1FlK[MSE� <br /> �� n�t F — »S' o0 5' <br /> M(',�pq�n�uq� uu��d+�F55 c�rv t�a nwrt SV.RI�CEbu. <br /> COM�"'°��CO`�'0"' NEATIN6SVSTEM: OGAS ❑ELECTRIC ❑ <br /> oEscnnc wo�.•w�sown[rao*�ot r+vo�v[o cwucr rcnsor.ro n�aw.x� <br /> " LL � '^� <br /> I HEPEBY CERTIFY TN�T I H�VE NE�D AND E%AMINEO TINS <br /> APPLIC�TION AND KNOW THE SAME TO BE TRUE�N�CAPRECT ALL <br /> snorosf o usc or euxaMn PROVISIONS OF UWS AND ORDINhNLES 60VERNIN6 THIS TVPE OF <br /> WORK WIIL BE COMPLIED WITH WHETHER S�ECIFIEU NEREIN OR <br /> ircuotscmr�iwariqrtan�srawneuoww�n�cnnwconcs� pqi. THE OR�NTIN6 OF�PERMIT DOES NOT PRESUME TO ONE <br /> ip� a�oa or �UTHOHITV TO VIOIATE OA CANCEL THE PROVISION OF I1NY <br /> OTHE�STATE ON LOCK UW REOULAi�NO CONSTRUCTION�N TME <br /> PERFORMANCE OF CONSTPUCTION.TH�T I�M AUTNORIZED BY TlIE <br /> OWNER OF THIS PRO!'ENTY TO PERFORM TME WOIM FOM MMICM <br /> APPLICATION IS MADE ANO I COMPLY W��N TME ST�tE <br /> CONTRACTORS I.AW IB27 RCW AN0246200 W�C. <br /> �«,,.�o�NM ,2�0 -G <br /> LOMSi111F1qMlO�N1[MIFN.�Cb�f55.R1(A�JMEMNA�ER � / �� <br /> �un o � <br /> � anw�r<ssiae . rro <br /> VLUMOHIO MECM�N�C11L <br /> NO. TYPEOFFl%TUREOR:TEM FEE NO. NrlOFEOIIRMENT FEE <br /> WATEH CLOSET(TOIIET) A/C—MMaQ lMfiS <br /> BATHTUB FORCED AIR SVSTEMS <br /> J LAVATORY(W�SH BASIN� HEAT PUf.IP <br /> SHOWER UNIT HEATERS <br /> NITCHEN SINK 8 DISP CLOTHES ORYERS <br /> DISHWASNER PANGE MO00 <br /> L�UNDRY TRAY WAhR 4FA�ER <br /> CLOTNESWASHER W�DSTOVE _ <br /> URINAL METAL FIREPLALE M'OOD BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSEliT(WOOD BURNING) <br /> FLOOR DF��N CJ�S FIREPIACE <br /> OACKFLOW PREVENTERS G/SPANGE <br /> SINK�SERVICE—BAR,ETC) Ca0.5 PIPING <br /> E%HAUSTFAN <br /> SUt �OTAL S SUBTOTAI f <br /> VERAIIT f PERMIt S <br /> TOT�LFEE S TOi�LfEE f <br /> FOR OFFICE USE ONLY: <br /> R�MGRcaMNMA rR nfrim�M <br /> 111l1N1ViPM'.M �f�115f1N.�.M SIOESC�BV.4 �_� . <br /> � <br /> FEES v�w�non �E <br /> us�:orr �o�•u�. v¢r,v�s�iE _ - --�-- <br /> ❑vE5 OtN p�e�fMM: <br /> i�O6�1�UV11�1qN MOfFOWEIIING S�IFplIOG�II i <br /> u4�1[ hIPTrvO ______+�_ <br /> CC(AOMVCY �11M9iwli IXICVI'eN110�D 145f4[4� yff.NnmfN __ <br /> CnpVi' <br /> OV[5 OMO <br /> /,ppIN144.M1�N ClifC� _ <br /> fIPE5ITIMILLLAPEO'0 nf��� �� <br /> an[n <br /> nntLV�WP[a'o M�SpV y�qla�v�umrS�N�Cu�M�e <br /> nrtarr,pvn n+rs+ornovmnr CRYOFEVERETT nri�r,ww�,c _ _ <br /> LOC�lSALES -' — — — <br /> o•�t TAI!CODE IS]105 TO7A4 __ __ <br /> I __ <br />