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APPLICArI� FOR CONSTRUC�ON PERMIT <br /> CITY OF EVERETT•BUILC;NG DIVISION �C,�� <br /> 3200 GEDAR STREET•EVERE'ff,WA 98201 •(42 ,257-8810 <br /> C-1 DEMOLITION ❑ COMBINATION ❑ BUILDING �1 MECHANICpA�L . �.�, PLUMBIN6 ❑ SION <br /> �ROJECTADDRESS:_L'�'� � E'.-+h �_r VJ�FV__-l��—J�--�' u��' 481a! <br /> (rn�.�V,s :!i1-=������.-'�e�� Gr'.R 4 , i H 1��sS�y�oJ eZ <br /> pwypn uui�owiss tm nr r�– <br /> �EM�MI up .1'pM55 1}\v lio M1YY+f <br /> �111N1fClO��f51Ci��.. J�i11�1�1u{SS C�IY lin 1'�KMR <br /> CdH[��:Calpt�lM(� // 4414M�155 C�1♦ l�f hwh( c1O1 VCMSf• <br /> Ct/- //.'t✓A/ET — <br /> MFU��N1Gl CO4�nM1Uu W�11(MPf.55 fiM1 I�1• 1'�K1Yf �I�¢lKE4$[� <br /> rn�F' / F,2` <br /> cc��m u.n��was cnr nr v�a.t su�viKtxr. '—' <br /> cow'n�crn.ri a��+ <br /> S� �y, HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> Uf Sf P�Ri w'::��)SOV�nf flquf.F WvpK� [Ov14��'1 n5(n�N��rrtW�W <br /> y—� I NEREOY CE(1TiFv iHnT I HnVE REA� I1ND Ex�MiNED THiS <br /> �� �(t_y_�_(_� nPPUGTION�ND KNOW THF S�ME TO BE TRUE�ND CORREf.T �ll <br /> vr6�rosw av ot nima� PpOVISIpNS OF LAWS AND OADINANCES GOVERNMG THIS TYPE OF <br /> WORN W�IL BE COMPLIED�4'�iM WNETMER SP[GFIEO HEHEiN OR <br /> tEain[sea�rvp�nrrnor[nrv�s�nnHertowa��*�ae*hoew+es NOT. THE GR�NTING OF A PERMIT DOES NOT PRESVME TO GIVE <br /> ip �i�^ w AUTMORITV TO VIOUTE OR CANCEL THE PROVISION OF ANY <br /> OTNER STATE OR LOCAL L�W REGUUTING WNSTRUCTION OR TNE <br /> PEPFORMANCE OP CONSTRULTION TMAT I AM�UTHORRED BV iNE <br /> — OWNER OF THIS VRO�ERTY TO PERFORM TME WORY. 'OR WNICH <br /> �PPUCATION IS MnDE FND I GOAIPLY WITH iNE STA7E <br /> i`M':I l 1��i D MNPF n (� <br /> GONiRPGTORS lAW IA 2]RCV:�ND 296 200 WnC <br /> cmcimK�Kw�o��ir�nwrntss �t���a�cwuntn fll�r'�C �31SY3_� <br /> 6'LN�N�R � U�11 <br /> O��W VMSS l41��f 4[1 <br /> PLUMBIN6 NECH�NIC�L _ <br /> Np, TYPE OF FlIfTUME ON iTEM FEE N0. NVE OF EOUIPMENT _FEE <br /> T <br /> WnTER GLOSE i�TOILET� NC—NNNpLG UNITS <br /> BRTHTUO fOACED AIR SVSTEMS <br /> LAVRlOFY(WASH BASIN) NEAT PUMP <br /> SMOWER UNIT HEATERS <br /> kITLMEN SINN 8 O�SP CLOTNES ORYERS <br /> DISNWRSMER AANGE MOOD <br /> UVNDPV TRAV WATER HEATER <br /> ^ CLOTHESW�SHER \VOODSTOVE <br /> URINnL METAL PipEPLACE(WOOD BURNINGI <br /> DRINNINGFOUMAM FIREPLAGEINSEPiM1Y00DBURNIN.� _ <br /> FLOOA DR�IN GAS FIPEPLACE <br /> _L BACNFLOW PREVENTERS G45RaNGE J_— <br /> —r_ <br /> SINe(SERVICE—B�R.ETC� GAS PIPING _ <br /> —— EXHAVSTFAN y <br /> SUB 70TAL 5 SUB iOTAt f ' <br /> PERMIT S —1 PEFMIT f —T_ <br /> TOTALFEE f TOTALFEE f <br /> FOR OFFICE USE ONLY: _ <br /> ��qvivtP+c+ nr•n5tin¢• 9Df5[tB4x q�eO�IPMuunrn Rr �rrPr�wp <br /> uei lorr �o����r• v�<.r�snt FEES V11W11TION iE� <br /> Ovl.[ ❑w) RInIMW. <br /> I�FIGr111�V1��lil� •J N I1WIllIM i.i'i M Ela�l �/ � <br /> iYit. I41�4P'YC � <br /> _ __ __ � -...__ _ .. .��� <br /> cc�•.m..:. �.vw� arun.wiiwn a.uw�� w��runx�.� 3� <br /> cnoor ❑.[s ❑» —' __'.—__ _ "__ _ _' <br /> riacsn.w.i�uaia'o_—_ m.acr. .x.nrnun.wcmo _ _._ _'_ —" <br /> cnx�� <br /> rnT.v.uvnw�o m•snv ---- <br /> cull fl�1.�Uiv6 SMKunMN <br /> nrr ro�:o'+�� nnrs�nrnnvrnpr dTV OF EVERETT n'�'.�r+m"^' �'— — .. . — _" <br /> LOC11L S�LES — — - LM <br /> �,,,i TA%CODE IS 7105 Tovi._. _ <br />