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APPLICATI�1 FOR CONSTRUC�N PERMIT� <br /> CITV OF EVERETT•BUILDING DIVISIC�N <br /> 3200 CEDAR S7REET•EVERETT,WA 98201 •259�BB10 <br /> ❑ DEMOLIT�ON ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBINIi ❑ SION <br /> PROJECT ADORF�SS: ly ),1 /')n�IC <br /> i� '�=�.ic,¢�U�rt.�'fr�i���9i,4v 5�"/�Tru- JR/G� �5'l`�•,�/('(� <br /> a+nrn � � u.n�an s orv nr worrc <br /> � {�tJ/5 r_ J�J <br /> ��H�r�� V /� um.umfcss cnr rm r�a�c <br /> �.n /JUctGa�,� /Y_:2..Z M�}i�c=s /ritr�'1 9s�1�+� �39-C/6o _ <br /> �� rrc a�ncs�r.�rcn x [ss n im 'n�ror.F <br /> �nh ��-,;�„�� �ciT i�F /40s� Sro<��L1i�i 99f-y�,�� F/oa-T*-osv29 <br /> r.rtimacannenrn � �� cnr �m Miour su�n¢[eu. —'-- <br /> 4FC11�NK4CON10�C1Oi1 Y4lAb[If1E55 Oh }li' MbNC [I�IEIICEN$F� <br /> MII40NGCIX1IMCIIq Y�n4MN'FSS GtY (IP 1xGN[ S�M[ICENSE��--._.._._.. <br /> cornn�.c�n�c or v.mK �/E <br /> �� HEATING SVSTEM: ❑GAS ❑ELECTRIC ❑ <br /> o«puncwonK�vosou�n[ ooircEwvavco carn�crrrnsou�xnrvrtv2rn <br /> ' R i ua � n��— - r.'t� -20>-537,� <br /> 1 HEREOY CERTIFY THAT 1 II�VE REAO AND E%�MINEO 7HI5 <br /> nrqrosrnuu or�nnMa APP�ICATION�ND NNOW THE SAME TO BE TPUE ANO CORRECT ALL <br /> PROVISIONS OF LAWS ANU OIjDINANCES GOVERNING TI/IS TYPE OF <br /> WORK WILL OE COMPLIED WITH WNETHEP SPECIFIED MEREIN OH <br /> awlrcunwna�ormnrcnrv,ry,Jy�^�enavonen�cmvrtic/a/+csh � NOT. TIIE GRANTINC OF A P[RMIT DOES NOT PRESUME 70 GIVE <br /> i�� �3 p�pq e�sv M )d.C.LO'/Y' U/✓ I AUTHOHITY TO VIOLATE OR C�NCEL TNE PROVISION OF ANV <br /> OTIIER STRTE OO IOCAL LAW REGUUTINd CONSTRUCiION OR TME <br /> - P[OFOfiMpNCE OF CONSTRUC710N.THAT I AM AUi1/0R2ED BY TNE <br /> OWNER OF TIIIS PROPEHTY i0 PEflFORM TI/E WORI( FOR WNICH <br /> APPLICATION IS MADE AND I COMPLY WITH TME 5Tl1TE <br /> pu�c[t i miue[n O CONTRRCTORS 1 AW IB 27 R W RNO Y96200 WAC. <br /> ;;� � oa3 000tp 7u�� s��-n�,�.���. /J <br /> ewsrm�cnonio.wiu+rcit�oonEss.tei�nax[miuwn z G�JOUC �-��S'd <br /> swhr.runc n�t[ <br /> urrnuvrvcss�crrai�m <br /> PL'JYOii:G MEGMIINIC�L <br /> NO. TVPE OF Fl%TUPE OR ITEY FEE NO. iYPE OF EOUIPMENT iEE <br /> WATERClOSET�TOILET) P/C-MM�LQUNITS �— <br /> BATHTUO FOfiCEDAIR SYSTEMS � <br /> IAVATORY(WASIIOASIN) —1 IIEATPIIM1IP —i <br /> SHOWER llNl�HEATERS <br /> KITCHEN SINN A DISP CLO711[S Of1YE115 <br /> DISIIWr15HER MNG[IIOOU <br /> UUNDRV TFi�Y WA7&H IIfATIIfi ' <br /> — �— <br /> CLOTIIES WASHER WOOD STOVB <br /> URINAL �•�E7AL FlRGPIACB(WO00 DURNING) <br /> ORINNINGFOUNTAIN FlREPIAC[IIJSERT�WOOOBURNING) __ <br /> FLOOR ORAM GA$FIRf PIACG <br /> OAGNFLOW PREVENTERS �:AS RnNG[ <br /> SIN6�SERVICE-OAR,ETC.) GAS PIPING <br /> [%HAUSTFAN <br /> --i— <br /> �— <br /> SUOTOTAL S SUATOTQ S <br /> PERldiT 5 � PCRMIT 5 <br /> TOTAI.FEE f TOTAL FEE f <br /> FOR OFFICE USG ONLY: <br /> rnornu�n.�cK n[u�u�n�cK s�as[te�ch riuinrzc�miunrn rir wcnr�rlo <br /> �i%5� _" <br /> uscroec iounr� v�cex�v�¢ FEES _ VRLU�TION F� <br /> ures n�ro nimnian �7J 3 O ; a� <br /> uucn imnr�roH .a a uvrtwrH: su�or oar.,n � j <br /> IIMII4 ^ ( I`111M11M0 � <br /> ���J ,U � ��— <br /> �M�NCY WOISIfM15 UCCIIP1NIl0�0 B�YMINI 4ff11tNlf.4 <br /> v� pYLS �HI ' � <br /> RlIEFi10MlC01Q0'O 0l�SM �IqpMN�IA�NC�ItGK /� i��(�. <br /> r�- <br /> am[n <br /> Iu�ENMY�iEoo n[�Fln — �— <br /> SII.ICOII�If�nHiS�NK�U1M! ( i �� <br /> �m�ornr1n rinxs�rrnervroor CITVOFEVERETT nimu:acx�es ___ � - <br /> LOCALSALES � — — <br /> -I�{ n.i� Z43�9B_ 7A%CODE IS 7105 Loi��__ ___- ..--_-_ 1.�'�._� .. <br /> J <br />