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APPLICATI� FOR CONSTRUC�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVEPETT,WA 98201 •(425)257-BB70 <br /> :� DEMOLITION ❑ COMBINATION ❑ BUILDING �MECH�NICAL ❑ PLUMBING ❑ SION <br /> PROJECT ADORESS: 1�31 �2s,� ' <br /> c7i+n_�ur_Fac�12iL e ler E���tfl- `iPZCI � 52�,5�1 _ <br /> pwrfn 4u��Od�FSs C�*` im rrqrvL <br /> �f4�\� ���I�fIMf55 GtY )1n h�CNF <br /> .rcunuonntvc:.�n uu�.rou�.. —cnr nr - n�rnr <br /> Gfv[nµCOY1pKICR VuI�IXIDl55 C�1� l'� P�xnf 54t11�[fMSf• <br /> 3� �P ��4�.,; �C �rK 11/G �r.�,h��,s-9�'�__(uaslSfYcu4 guRN�i, nz4o3 <br /> uro�..�cnmvm..ma Vui�rro�ess orv nr r��o.�r su�n¢tesc. <br /> ri�wnc�co�nu.r.r�n uuunw�ss c�+� r�� rv�rn� s+��nwrnsn <br /> crnm.0 nna u�wrn+ <br /> HEATING SYSTEM; ❑GAS ❑ELECTRIC ❑ <br /> IM cL11�.P!W]PM�4()[fw�ol t(IO��Gf iMv01\TD. CON��ff r11151Y1�Mfl l'�NMt NO <br /> _�m�a��sn_ari.-..i„��i�in� -- <br /> I HEREO� CERiIFv TNRT I NAVE READ �ND ExAMINED TMIS <br /> _ RPPUCnT10N AND NNOW iHE SAME TO BE TRUE AND CORRECT AlL <br /> ���'fo���eo� i<[ vennp.ro PROVISIONS OF��WS AND OADINANCES GOVERNING THIS TYPE OF <br /> . !1[wL�CfS4lACK WORN Will BE COMPLIED WITN WNETNER SPEGFlEO HEFEIN OR <br /> ur.•,Msc �� ma rnortnn�xrro�wPuawAd�a�"�c•n�c*wmmy�a� i� �� NOT. TNE G�7ANTING OF A PERMIT OOES NOT PRESVME TO GIVC <br /> ���.IS���eiocn�or��.LC.I.I_Y�YIJI� pU1MORITV TO VIOLATE OR CAYCEL THE PROVIS�ON OF �NY <br /> OTNER STATE OR LOCAL lAW PEGUi.pTING CONSTRUCTION OR TNE <br /> PERFORMANCE Of CONSTRUCTION TIIAT I AM�UTMORIZEO BY TME <br /> — — OW�"1ER OF iH15 PROPERTV TO PERFORM TME WORIt FOR WNICM <br /> RPPLIGTION IS MAOE AND 1 COMPLV WITN TNE $TATE <br /> rn n�n.i o Mrvnr� /�/��� CONlRPG70R5 LAW 18 YP RGW�ND 296 200 W CC <br /> ��-��yJGl � /� <br /> l'(n[tn�KlfNiIO�NIf�.Y�F114]MESi �[llAqnfMl4PEn z� 1�1 A � p (�� <br /> �•�N�\U11L [1��1 <br /> bM1'BUqM551�CbP.1 i:0 <br /> P�UMBING MECH�NICIIL <br /> NO. TYPE OF FURURE OR REM FEE NO. TVPE OF EWIPMEMT ' FEE <br /> WpTEP CLOSET�TOILEi� A/C—MINDLG UNITS <br /> BRTMTUD �ORCEO AIR S�STEAIS <br /> IAVAiORY�WASH BASIN) MEAT PUMP <br /> SMOWEA UNIT HEATERS <br /> NITCNEN SINK d�ISP CLOTIIES ORVERS <br /> PISNWASHER RANGE HOO� <br /> �AUNORY TR�V LYF7ER MEAT[R <br /> GLOTNC$W�SMER �YOODSTOVE <br /> URINAL METAL FlR[P�CE hY00D OURNING� <br /> DRiNR WG FOUNTPiN FIR[PLAC'c INSERT�WO00 BURNING) <br /> Fl OOR D�aiN GAS FIREPLACE <br /> �PCNFLOW PR[VENTERS GASRANGE <br /> SINK�SERVICE—BAR.ETC� GAS PIPING <br /> _ E%HAUSTPAN �_ <br /> SUU TOTp� f SUB TOTAL S ' <br /> PERMIT 5 PERMIT y --� <br /> TOTALFEE 5 iOTALFEE S <br /> FOR OFFICE USE ONLY: — S <br /> �L•.�v�w�. nrm<nB¢t S�ocsne�c. nr.nortu�+uwrn r❑ nrrrm�.�o <br /> � � r im•ur. v¢.�n5nt FEES VAlU�T10N FEE <br /> . _ T— <br /> ❑vF5 O NU qi��MW. <br /> .�ii.��IINi�11i�J\ y0 IY[�WLt11K 511[IX lICL�II — � � <br /> i14i1[ I�IMP:Vf� <br /> .. .___ . .� . .. ��_ <br /> 1 I ���."ol� lN.(11�'�NllU�ll P�R4fM\ 4ll���VfM <br /> .. . ❑�Ffi ONO � <br /> . � i� .pfuP[0� �i�vft4 ��0'IRM4h�Y0�lp <br /> t)II�Fn <br /> . ../. /ulr)0 11l���V <br /> ���II flneL`�Mf.5�1�lNM:r <br /> ��r�r�rr,:� nev¢wrnrnrnn. CITYOFEVERETT riwnr.wrw.� — --� "— <br /> ��[. LOCAL511LES ---��---- --�— ------ ' <br /> �„��� — i '- TA%CODE IS]105 TOUI. _ _ __ <br /> . — _�"—�'_-1---_ _ _ <br /> } ' <br />