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APPLICATI� FOR CONSTRUC�N PERMIT <br /> CITY OF EVERETi•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERET'f.WA 98201 •(425)257•8810 <br /> ❑ DEMOLITION ❑ QCO�M9��I,NATIO/jf{� [SS BUILDINfi ❑ MECHANICAI ❑ PLUMBIN6 ❑ SI6N <br /> PROJECT ADDRE55:_Q�7.(�L—W m �r <br /> j,J�L� EGl.,ZS �,/��� 74" lr sE FiF/1E'tT ?J',�vJ3 �i�J'�'v1G <br /> ow�.in �� v s nn nr r.qr� <br /> 1(N1N1 4N Y'MN55 L.e� /IV M1�Mi /y ��/ <br /> �jCM�ifC�COp�yW fn ���n�MM�fS�� `�"• �r�� ,�I �•Kl�.! /`�%'-L(/�/ --. <br /> G(Nl14lCUN��61d� W9�lNY�F45 [il A� �nl S4q�iCfH4• <br /> 4iC1��FiC1�(.G4I��C'�)P 4411fiM/$[ f�h :�1' C�I(ftif il�f(IIf,IMiC• <br /> P1�I4lMiCOMIP�C�M 4�M1RVR55 Ci�Y hn (nF SIqFI[fNSF• <br /> ��Q�S jn� w N. �I I�O� HEATING SYSTEM: '�(1 GAS ❑ELECTRIC ❑ <br /> f�t f /M• <br /> MSCaPF Px�NO5q1����tifNVIXVF� [M��f.fMnSln�M��lYp <br /> Ih I ly1'� .� c 1fP <br /> �' ��j�_l___K 1 3�-q3 I HEREBY CERTIFY TNqT I N�VE READ AND E%AMINEO TNIS <br /> PPPLICATION RND KNOW THE SAME TO BE TRUE�ND CORREGT ALL <br /> rmrpcw�ne w nnna+�,: �ROVi510NS OF lAWS AND OAOINAI 'E�GOVERNING TNIS 7`^' DF <br /> WORN YAIL BE GOA�PLIED W�TH WHE EFl SPECIFIED HCREiN OR <br /> tFcu o�tta�mip�a rvc�cunaww+�Miowrn��++cMTM'o�o^�s� NOT. THE G��NTING QF A PERMIT UOES ilOT PRESVME TO GIVE <br /> µttR or AUTMORITV TO VIOUTE OR C�NCE: TME PROVISION OF ANY <br /> ���- OTHER S7ATE OR IOCQ L�`M REGULATING CUNSTAUCTION OR THE <br /> PEFFORMANCE OP CONSTRUCTION TNAT 1�M AUTHGR2ED BY iHE <br /> - — OWYER OF TMIS PROVEFTY TO PERFOAM TME WORK FOR WMICH <br /> O y���^�_D� q �On� qPPLILATION IS MADE 4N0 I GOMPIY WITH TME ST�TE <br /> � CONiR� ORSIAWiP21R.WFN0Y96P00WRC <br /> Mac-�uuo�nrvNtn 7/%0 <br /> cdG�m�CIroN�a�M�.rMFi�NN++t55tt�[I+�O'IE�niull��� x_ 1- /l <br /> �11/�A�L�7-f7AlF )37' 7 �_�1 D —_ `-c✓u�uni n��� <br /> OIYBVVMSSIK.lM4 NO <br /> 'IUMMNfi MECN�NIC�L . <br /> Np. TYPEOFFl%7UREOR�7EM FEE NO. iYPLCFEOUIPMF/(T FEE <br /> W�TERCLOSET�TOILET) I NC-AMNDLGUNITS <br /> BATMTUB �� FONCEDAIRSYSTEMS <br /> LAV�TORY(WASH B�SIN) / HEAT PUMP <br /> SMOWER UNIT NE�TERS <br /> NITCHEN SINI(S DISP CLO7NE5 ORYERS _ <br /> DISHWASHER PANGc HO00 <br /> L�IINDRY TRI1Y � 1VATER HEATER <br /> � CLOTNES WASHER \400�STOVE <br /> MEiAL FlFEPLAGE��YOOD BURNMG! <br /> UHIN�L <br /> DRINkING FOVNTAIN FIR[FLAGE INS[RT M1V000 BUFNING� <br /> FLOOF�R�IN J uaSFlPEPIACE <br /> - GASRANGE <br /> BA�NFIOW PREVENTERS �— <br /> SINK(SERVICE-B�A.ETC 1 GAS PIPING //� __ <br /> — -- EXNAUSTFAN __ _�__ <br /> $UBTOTAL S <br /> $UB iOTAI f pEAM!T S �— <br /> PERMIT S <br /> TOTFL FEE 5 _ TOT�L FEE S <br /> FOR OFFICE USE ONLY: � 4 <br /> IR(W1VIp�fti Ff��Sl1R�P Sip5ffP4t �I�xU/�f[�nVWIP fQf �m�:fN'!M <br /> S�SS• M�R S� SS �'^�' SF.E-5 S Rdt �p� v�u tion FEE <br /> us�tmr � �- w��nu v.co�a���q __ " FEES _ _/J -�� � T <br /> —��Ji ya�5 ❑M� Rt��M�n: _ S��_�G[� —/Y4Y v- �.�G <br /> NFIfrull�Wt�liOY � NO d C�VIIIiM ,Vtl p�lM.^� — � <br /> �,�,,,. � Z o �f�YL�. n��.,�� ��-- <br /> (Xnq»�\'.:Y M �I.W (NI'1��'�n�l'J�1� R1[fVl�� Vi1HwfN — , �� �' .• <br /> S � Y ,�,2„ ❑.�s e/ - n -' <br /> .ro�mv.i n.rc�rcn __��: <br /> rwt: �[un�oo m+�iw ^{I- -- - <br /> ��I✓�J -_ anrtn -_' - ' <br /> r�nc uenmo _' nr.crn v.qe�mu.ecsnM�unoi _.._ �y_.�CL <br /> ��rrMao'+<� n�v5�rrarnrnn• CRYOFEVERETT rv,nnc�+c __ ?Q.�_- <br /> ..,.} _ __ -_L <br /> � 9 �oc��s��Es - --- — <br /> V _N_ �„�� TA%CODE IS]705 Toiel �___ <br /> �L <br />