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APPLICATI� FOR CONSTRUC�N PERMIT <br /> CITY OF EVEfiETT•BUILDING DMSION � <br /> 3200 CEDAfi STAEET•EVERETT,WA BB201•(42S)257-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDINO �MECN�pICAL ❑ G{.UAASNq ❑ iION <br /> VROJECTADDRESS: i,��/O1 MRPLc- ST <br /> PM1fn YuI�OPK55 dT' IM tiUM[ <br /> �ieeu�w6 n,t i.JRI�HT .�Yo� nv4occ sT• EvErttT'r�t3J� 4f�20� (42s)3o3-9n9 <br /> iFN�MI Y1X Ypi55 Gi� � jI PrqNF <br /> I.f1LMifL�diMSqNFR YMMO�fSS CIfY !11' IYYhf <br /> GFN[n4 CON11pC.IC11 uu1�IXM�FFS plv hf Aw}�F 541L IRfMSF• <br /> 4FCIUMC4LONINCIVP 4�M1�LOaE55 CAry b� MRYIf Sl�i{IKFMSE� <br /> PIII4lMGLtIHIM�f,lp1 4�M1��11NE$$ Clry jIV MKM( Si�ffllLfMSf• <br /> COMIH�Ct 1'MCC(X Mpl�t <br /> HE�TING SYSTEM: '� GAS ❑EIECTRIC ❑ <br /> orswe�w.ra�vn sdun[roomt rywvco can+.n rtasp..un r�vaw <br /> �L . J- QrIz4��Q �4LS� 7)�'�i100 X��a— <br /> �(C fF7�. - <br /> I HEREBY CERTIFY TH�T 1 N�yE READ �NU E%AMINEO THIS <br /> �PPIIC�TqN M!D KNOW TME 311ME TO BE TRVE AND COfiRECT ALL <br /> iou�_�n�sE or e�mnu�t �� PPOVISIONS OF��WS�ND ORO�NANCES GOVERNING THI$TVPE OF <br /> WOfil(YAIL BE COMPLIED WITN NMETHER SPEGflEO 11EREIN OR <br /> itcuotscmr qNprr+qrEarv�s�owxe[�avw�n�cwrv.oca+cs� pqT, THE GR�NTIN6 OF� PERMIT ppES NOT PHESWE TO OIVE <br /> �o� _�aA p AUTMOPITY TO VIOiATE OR C�NCEI TME PqOVISION OF 11NY <br /> OTMER STATE OR lOCl1l l�W REGULATIN(i CONSTRUGTqN OR TIIE <br /> PERFORMANCE OF CONSTRUCTION TM�T I AM�UT110NIZE0 BY T11( <br /> OWNER OF THIS PROPERT'TO PERFORM THE VIORK FpR WMICN <br /> � APPUCATION IS M�OE AND 1 COMPLY WITN TNE 5TI1TE <br /> r�xEi�u�io Mn�n CONTRACTORS LAW 1827 RGW AND 296 Y00 WI1C <br /> d0A —� —0 0— T . /„� <br /> covsrmicrroM�owinnrn.urncss.rt�[rMo�.nn.�tn X ! iLl l� �� 1Z <br /> s w o+rt <br /> CiiY M)SME55 tCFw[C eq <br /> PLUMlINO MECMAINCIIL <br /> NO. T1'PE OF FlKTUII[OR REM FEE NO. TYR Of Ep1RMEM► FEE <br /> WATER CLOSET(TOILET) �—�y1MpL6 UNITS <br /> BATNTUB FORCED I11R SYSTEM$ <br /> LAV�TORY(WASN BASIN) HEAT PUMP <br /> SHOVIER VNIT HEATERS <br /> NITCNFN SINN 8 DISP CLOTHES DRYERS <br /> Di5HWA5HER MNGE HOOD <br /> lAUlIDpY TR�Y WA ER HEATER <br /> CLOTHES WIISHER WOCD STOVE —� <br /> VRINAL METAI FIREPLACE(WOOD BURNIN6) <br /> pRINNING FOUNT�M FIREPI.ICE INSEfiT hV00D BURNIN(3) <br /> FLOOR DRAIN GlS FIREPIACE <br /> BACNFLOW PREVENTER$ GtiSMNGE <br /> SINK(SERVICE—BAR,ETC.) G0.5 PIPING <br /> E%NAVST FAN <br /> SUBTOTAL f SUBTOTK f <br /> PERMIT f 7ERMIT f <br /> TOTALFEE f TOTALFEE f <br /> FOR OFFICE USE ONLY: <br /> 111fINiViR�ft u��PSflp�[S SIDiSF�lKa f1�NC11fCRMMfryRl-1 fFF AifFll'�MO <br /> �W _ <br /> usrrovr mi�ur. ••.c�vig�[ FEES Y�WI1t10N FEE <br /> ❑YES O No q.���y,�. <br /> _--�— <br /> nc�cai�vn�iror voaavi.iuw sv[axocai .— _ <br /> vn5 rvvonNtt <br /> ___.__ — ---..__��{--- <br />' QC�111„�4::� Y�M��iwl: IX:CIiMMIIO�p S�tF4fM1 V!1'MWIf11 .. <br /> ❑rtS ❑M <br /> flflf SAtI`:r.lENp[�0 IN�ti(1N �ar��M�l(Y�NCI✓(� _ <br /> OIH(q <br /> nnT.ui+Mnioo ' m•sm <br /> [1�1f IhnIqMl:qpl�lU.M:f <br /> �rrer»�o�n. nnvc�rrornrna. CRYOFEVERETT nnuMwn^.� <br /> LOCALS�LES — — �—� -- <br /> �,,�t TA7f CODE IS�105 TOi�L _ <br />