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APPLICAT� FOR CONSTRUC�ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVEREIT,WA 98201 •(425)257-8810 <br /> ❑ DEMOLITON ❑ COMBINATION(�,,�❑ BUILDING ❑ MECNANICAL LUMBING O SION <br /> PROJECT ADDRESS: ��a2 �(-� KL"rE L�� EVE�'t'(T �I S� I <br /> A�iE�v +-`�Y��i � G�Mev�vuc � � FlE�J� 4a5-a�i-4a51 <br /> o'n.�fn �u�+ooa[sT nn !m r�o.rt � <br /> �'�W NF���-- - — — --- <br /> �fN�HI - --.___,_uq Y1pR55 f,�M1 )w 1'�U4f <br /> � _i <br /> uc�.+tcrpnncs�[an�� uw�a�n[sv an nr � r.Kwr <br /> __ '-_ . __._. <br /> GfnEM�tOh:n¢�rn � VM�UMt55 c��. -- dr nrrvf 5u11Ucre5{. <br /> OFCM�N�UIf.CNINf1UP v4l�f%%�F55 f�tv )ir PROVf GI�RLKEuSf• <br /> D��J�s P�uMa�rlca N 3�o i96��5�-���-345 WrJrJiJbODu1A � o�l�-�376 �knl5�zsi�3Ni1" <br /> �r��um.acw�u�r.�rn w.n�r<w�ss o« tio i �ro��r s+�rtiKEssr. — <br /> �� �� _ _ <br /> oNrn.nvr.ci u'wrn+ ,4EATING SYSTEM: �A= ❑ELECTHIC CJ <br /> ociWefwM��rn t� [ cox��r+v�ns�r+.vnrr�rnrr�o <br /> -[01 a� �D� ,�� <br /> TofnL DVVV� RCPi <br /> I HEREOY CERTIFY THRT I NRVE RE�U AND E%�MINEO THIS <br /> �PPLICATION AND ICNOW TNE SAME TO BE TRUE ANO COFREGT ALL <br /> �+rorosfo uss rv n�m PROVISIONS OF�AWS AND OROINANCES GOVERNING iN15 TYPE OF <br /> _,�� WORI( WII L BE COMPUED WITH WHETMER SPECIFIEU MENEIN OA <br /> IFGNO[SCn.v�iP�O���+Mf111Y15�Om�![IOWOn�tLCnMVCO�[5� NOT. TIIE G�7ANTiNf. OF �PERMR DOES NOi PRESVME TO GIVE <br /> �o� e�oca or AUTHORITY TO VIOUIE OR C�NLEI TME FROVISION OF I1NY <br /> OiNER STpTE OR IOCnL L�W RECVLATING CONSTPUGTqN OR THE <br /> �'EAFORMANCE OF�ONSTRUCTION TH�T I�M AUTHORIZED BY TNE <br /> OWNEH OF TNIS PROPERTY 70 PERFORM THE WOR1c FOR WHICM <br /> — AVPI.ICA'ION IS MRDE 4N0 I COMPLY WITM TME ST�TF. <br /> �. n.wrft tu i n rnw�wn �.. CONiR�C10RS lAW IB 2]RGW�ND 29fi 200 W�C <br /> - -- '�{3�,�-�1,�3-oaa-000a /� <br /> ctMmiK�crvio�Nitwn�nuim[s�rzun�a.EwunFn X_ � � '11Q(�IA�J� IG//�� <br /> srcnn � uu <br /> C�1111UVMSS liC!NS[Np <br /> PLUMBINO YECNIINICAL <br /> NO. TYPE OF Fl%TU11E OR IiEM FEE NO. TYPE OF EWIPMEIIT FEE <br /> WATER CLOSET(TOIIET� NC—AMNOLG UNRS <br /> BATMTUB FORLED AIR SYSTEMS <br /> `jI. LAVATOHV(WASH BASIN) HE4T PUMP <br /> gqpy�q UNIT HEATEnS <br /> NITLNEN SINN S DISP CLOTNES ORYERS <br /> DISHWASHER RANGE HOOD <br /> LAVNDRY TRAY WATER MEA7ER <br /> CLOTMES W�SHEH �V00�STOVE <br /> URIH�I MEiAL FIREPLAGE hY00D BURNINGI `_ <br /> DRINRING FOUNTIIM FIRE7LACE INSERT nY00D BURNING� <br /> FLOOR ORAIN GAS FIREPIACE <br /> flACMFIOW PREVENTERS GfS FANGE ' <br /> SINK(SERVICE—B�R.ETC) GAS PIPING T <br /> E%MAUSTFAN �_ <br /> SUBTOTAL f SUBTOT�L f ' <br /> FERMIT f PERMiT f �— <br /> TOTALFEE f TOTR�FEE f <br /> FOR OFFICE USE ONLY: <br /> �MN\VIpK�. 1P�PSflp�d SiC(SCISKt 1'IIMOR!'�NpNYP 4f Mffm�M <br /> as[tmr ia•ni• vcw�snr FEES V�LU�iION fEE <br /> —r <br /> ❑rF5 ❑� Rix�ry� <br /> 1�[IC��IIIM1�1qV NOb1M�ll1MG 511ldMDG'�I � 1 <br /> u�n� nuiun�ti� � <br /> az��.v . ru��nu urrvn.u�m.n e�uw�� �rcru�ru <br /> __'_._'_ _—_.—._ ' '__ ..."'_{_— <br /> o.�s ❑� — ---- ---- <br /> �inESmxi.�tun[0'o-- �n�snv �pbi�rnqn�n'ort[. .— ' ___ <br /> nn�rn — — — <br /> fiPE�UNAPtOD M��Ov �—' -- <br /> (1�11 RiV1Uvt:cill4".1���1:'.f <br /> �mrtuca��� nnrs�nrn�v�nnr CRYOFEVERETT n�x.:cwrx�+c —. .�"' "'� -- <br /> LOCAL 511LE5 -- -- ---�— —�—-- <br /> �.�t TAX CODE IS J105 TO7AL � __ <br />