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APPLICATI� FOR CONSTRUCT�N PERMIT/=� <br /> CITY OF EVERETT•BUILDING DIVISION �� <br /> 3200 CEDAR STREET•EVERETT,WF.98201 •257-8810 `��• <br /> ❑ DEMOLITION ❑ COMBINATION � BUILDI'!G ❑ MECHANICAL fl PLUMBING f; SIGN <br /> PROJECTADORESS <br /> o ST p� S� <br /> wna�' u�a�ooucss um re rr�prc <br /> � � <br /> 1 1 ' 11 ��� � 1 In//> "' 33y y//�. <br /> TCNnNf A' / MLL1ppPC55 L:1Y IR P�qNC <br /> IVI � . <br /> I.NLNIILCI�iU[•'xM 4MlI.DLn 55 CI1Y Iro pqN[ <br /> \d :� � _ : . � n�� �D� iV, 1�e,���1 , �,�A �,�t; � U); ��4- 5�15 <br /> c[ \ (1� �� �,C(��ur�loc�[s� >fA0`I " � FI„i.v , n• nqrk n�r[�k[rsc. <br /> � - ��= nnr�,�,l,� w�. 31�u 4�f ti�,o�l <br /> VECM��li1:4C�11Ri1CipR M111 C55 CIIY IN U VlqllC SiAIElKCNSC� <br /> VYVMBWCONIR�CIOq Y�iI�D 5 Cllv 1� AqN[ 9R[tCCNSU <br /> +� <br /> CONiFM,r PItCC OI1WPn <br /> \'�� di ' � HEATMG SYSTEM: ❑GAS ELECTRIC fl <br /> ocscu�e[v�onKurosowacroor�ccmva�co ccNt c� � ,�o� noM xc�ro � _ ` � <br /> I 4 � <br /> ��...11l nai.i �n1 .�-� .i�- �� 1itK'�J <br /> 'l � <br /> � I MERE�V CFR71PY TNAT I NAVE PEAD AN� EY.AAIINED TMIS <br /> APPLICPTION qN0 KNOW THE SAMF.TO OE TRUE AND CORRECT.aLL <br /> rnorosm vsc w evnonK: PqOVIS�ONS OF IAWS AND OROINANCES GOVERNING TH�S TVPE OF <br /> WORK WILL�E COh1PLIE�WITH WHETHER SPEGIFlED MEREIN OP <br /> �[cuw::cewrwuarvrrorcerv�srwwxeuowon�necnrwocowcsi NOi iNE GRANTING OF A PEPMIT DOES NOT PRESU�tE TO GIVE <br /> �o*�e�ac/K v / a ��� — AUTNORIiY TO VIOLATE OR CANCEL THE P90VISION OF ANV <br /> P ei I c N � / /' �� c� 2( PEPFORMPNCE OF ONS RUGiION.`THAT I AM A1 TNORIZOEO�V THE <br /> OWNER OF 11115 PROPERTY TO PLPFORM THE YIORK FOR WHICM <br /> rWP 7"h � � U//�'I —Q LICATION IS MADE AND I COIAPLY WITM THE STATE <br /> vu+ce�i +iovuuo[n . NTRACT� A �B.Y7RCWAND296YWYlAC. <br /> - A �� .. �✓. S✓:��./� � � . <br /> I:SI�VCIIONlIO�N([Irt,YR,�DME55.i[ILRqN[NUMB[P X /� / U' /i /W <br /> Z W '(LL�IG /I✓1 S.GNyyHF-� � DR <br /> ./.i(, G� c1�-Gi! T�r/ <br /> Ylf � / ",7�- cuveos�r:cssucc�+scw <br /> PLUMBIN6 MECMANICAL <br /> NO. TYPE OF FI%TUPE OR ITEM FEE NU. TYPE OF EOUIVMENT FEE <br /> WATERCLOSET�TOILEi) 4 /uC—ANNDLCUMTS <br /> Br1TMTU� � FORCED AIR SYSTBdS <br /> LAVATORY ryYASH BASIN� HEAT PUMP <br /> ' SHOWER U UNITME�TERS <br /> NITCHENSINKADISP I �LOTHESDRY[RS <br /> DISHWASNER � qANGE MOOD <br /> LAUNDRYTRAV � 1VATER HEAiER <br /> CLOTHE$tVASHER 17'OOC STOVE <br /> URINAL (�/ M[�(: FIREPLAGE�WOODGURNING) <br /> ORIhNING FOUNTAIN FIRSfLArF IYSERT�\VCOD OUPNING� <br /> FLOOR DRAIN GAS FIREPLACE <br /> j DACNFLOWPREYENTERS (� GASRANGE <br /> SINK�SERVICE—DAR.E.TC J GAS PIPING <br /> E%HAUSTFAN <br /> SU�iOTAL 5 SUBTOTAL 5 <br /> PERMIT S PERh11T S <br /> TOTALFEE 5 TOTA:FEE S <br /> FOR OFFICE USE ONLY: 1 <br /> i(�4NLSLitl�Cx PC/.RSCiB'�CR^ S'.tt$[1p�CN .WCNECMM/I4,P^ER� fCE ALCCIpiN] <br /> � • W � / ��{� <br /> usc+o+e iot�n � L �+uvtsrtt FEES VALU�TION FEE <br /> — 6o n s n No eunona <br /> nu:o�-uun.iri0� uw�smvuu�a scrosni .n <br /> � � 1�12lj 5`/S SP vwue�� <br /> CLL�:�'�NCY NC`�SRWE$ OLCUPWiLO/L B�SfM[M1f 4[CMANiC4 I <br /> �"� •� Z ,�, r� <br /> IIPCSn1li'.Nl[NPCpO R[I.SON �CO�tICN4p�AHC11ECl( I <br /> on�En ( <br /> ni�Tnu�anacoo nEesoH <br /> sureBononYsuuc�ua.¢ I <br /> rweorcmr,� v�er�s�waovmer CITYOFEVERETT Pveicnrou�s I <br /> LOCALSALES <br /> — o„�2�U C TA%CODE IS J105 TOTnL <br />