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APPLICATI� FOR CONSTRUCT�N PERMIT� <br /> CITV OF EVERETT•BUILDING DIVISION <br /> 3200 CE�AR STREET•EVEREI"f,WA 98207 '�»e5)257•8810 <br /> ❑ DEMOLITION ❑ COMBINATION � BUILDING fJ��M�HANICIIL ❑ PLUMBIN6 ❑ SION <br /> PROJECT ADDRESS: I�U Z� � y /�L � z v <br /> 0,�.4 cr/_l���-s,,;�,.J-� oZ� p b2 !c �'"�2cKr ���SS- <br /> �14�41 u�n 41p��65 GiV )q C��� <br /> �rcmifLlO�bELGNI� Mq�MME55 CitY bn M1qNf <br /> f.IN�ln�l�l�O4/���L1(i1 NUI�OMliS C��Y lif MMnt <I��LIKfNG• <br /> 4ICe.MIC.If(niuqt0� 4ul��C^i55 ryT )��' 1'�bVf [1�IFV[CNSC� � <br /> �i�iuPippC9iW�C1(n 4u1�CfM[55 CItY 10' �w04f S��IFIC[H51� <br /> icwimdrmccurwrM. 2�`�� _ MEATINGSYSTEM: 11S ❑ELECTRIC ❑ <br /> M'� 'PFvrtM f)C I���fl ��GlMVIXVCD CM11C�n�50'+�'�1 MJ <br /> I u�T� (� �-���G# 2ctw - <br /> —�� ` 2tfz <br /> I HEHEBY CEFTIFY TN�T I NAVE READ RND E%AMINEO TMIS <br /> APPIiCRiION AND NNOW T��E S�ME TO BE TRUE AND CORRELT ALL <br /> rnprosro ust rx nmionh ppOVI510N5 OF L�WS AND OROIN�NCES GOVERNING THIS TYVE OF <br /> WOAK WI�� BE LOMPLIED WIiH WHETHER SPEGFI[0 NEREIN OR <br /> �munrsra�rn�wor�rronnrv�s�rormeuavan�n�onwocon[s rypT. THE G��NtiNG OF�PERMii DOES NOT PRESVME TO GNE <br /> io� o�a'. q AUTHORITY TO VIOUTE OR C�NCEI THE PAOVISION OF ANY <br /> OT11ER STRTE ON IOCpL UW RE6UL�TINO GONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTROGTION.TMAT I AM�UTNORIZEO BV THE <br /> ��7� ��, q OWNf.H OF i1nS PPOPEFiY TO PERFORM iHE WORN FOR WMICH <br /> '�/( !� �/UJ`�1� - �VV A7P��CATION IS �AND I COMPLY WITH THE S7�TE <br /> re�1�'�t1oMlvPl� CONTFACTORS �I�W1 iCWRND296200W�C. <br /> [tY��•mlCtit»1�o�M�tvf+Fnu%M�155.It1(A10`rtMWMFn X �/. �T'� Y' <br /> 51GN�1V[ U��[ �— <br /> Ol�BVLMS[1 iLl NSL NO <br /> PLUMBING MECM�NIC�L <br /> NO. TYPE OF Fl%TUPE OR ITEM FEE N0. T'PE OFEOUIPMENT FEE <br /> WRTER CLOSET�TOILET) NC-AMNDIG UNIi$ <br /> BATMTUO fOPCEO AIR SYSTEMS <br /> LAV4TORY(WASN BASIN) HEAT PUMP <br /> SHOWER UNIT HEAIERS � <br /> NITCH[N SINN 6�ISP CLOTHE50(iYF1:3 <br /> DISNWASHER RANGE HOOD <br /> LAVNORY iRAV N'AT[F H[ATER ' <br /> — � <br /> ��pTHES\4RSIIER ��OOC STOVE <br /> VIiINnL METaL flREPLACE pV00D BURNING� <br /> DRINKiHG FOUNTRIN FiHEPLACE WSERT(WOOO BUPNING) <br /> F100R URnIN GAS FIPEPLACE <br /> OACkiLOW PfiEVENTENS GFS RANGE <br /> SINN�5[RVICE-BRR.ETC� GAS PIVING <br /> --" EXN4U5T FAN <br /> SUO TOTAL S SUD TOTAL 5 O' <br /> VER1,11T S PERMIT 5 � � � <br /> TOTAL FEE S TOTAL FEE f ' Y ' <br /> FOR OFFICE USE ONLY: <br /> in AqlMfx PI��Sf1P/.f.v S�MSIIRKx PIWO�IfnNVMR�R ff( nlff���NO <br /> �^ , <br /> , i �� �n�un. v.uv�snr ^ fEES VAIUATiON FEE <br /> .. ,. . — '_ --T— <br /> ❑Y[5 ❑MU Rln�f��4f. <br /> �{ .� i Vi.��ii�\ )IY 1'w1111NG ��If 0�Bl��l — � <br /> iFil'� 1114PN r <br /> � <br /> .__ __ ._ . . . _{_. <br /> �i� i�� [Ii�•�Nil<1�1� R�cfY1N1 y1����nNv�.�1 <br /> ..�e..i r ��.� . �V i <br /> �. i i <br /> . . ❑\[S ❑N7 � � � � ... <br /> � � �� ..i�doC�u-__ ni��aT �on��ntiuriwa�rr.e __ '_ __ _ " <br /> onrt� <br /> �:. ...,.. :ri�i,—_ . nn�nv � ... — <br /> v.n nu¢uar.s�mc:n�nn <br /> __ '_ - .__. .' _ '__';_"_ <br /> ;�,-f �---_ 7�in�;�.�r�o.inn-- QTYOPEVERETT n�n�i�wrx�.� _.� <br /> LOCALS�LES ---- --' <br /> I,�� TA%CODE IS]105 TOT�L <br /> .. 1 -L— -_—_'_�_"—'_ <br />