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APPLICATIOR FOR CONSTRUCT�N PERMIT <br /> CITV OF EVERETf•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETS,WA BB201 •259-BB10 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDINO �MECHANICAL ❑ PLUMBIN(i ❑ SI(iN <br /> PflOJECTADDRESS:,�f/DJ / °�l _CF F_ue�.-.'tF� <br /> � <br /> �•n�/�•e lJn� �r, illa c, i ,' n ,. .;�P ^�i,��_ 98'�oS x 4�7- /a��/ <br /> a �w�.�.�: a,. rm � -- <br /> ���t,,, � <br /> ���,,,, .M.�ts ��. ,. <br /> nnr� <br /> MKMRCI[rtlflfLGMY 4�ry1MInF55 CIM1 )i� q�� <br /> G(M�4CON�MClq1 YMti'(ME55 filv Jm 1Yqr,[ il��[�S[M{E� <br /> �Z F�c �a��� �inc'/�Fn�� .�irc .35i5 �4'Y��'_ �•.rJl3v�o2v� �'i�'{��N0�3Ds <br /> YfCN�MC4COM1IR1C�q1 M.VIALdRE55 fAiY bP M1Ip1[ S41El4FNSE• <br /> M1IIWMGCW111�1:1IX1 4+YApp11[$5 CIIY lil ('IqMI S��IfIICINY� <br /> COV INIC�p1X�E C(Mp1R <br /> l'CJS. O C' HEATING SVSTEM: �1`aAS O ELECTRIC ❑ <br /> uscmnEv.on..wsowuErmr�nnxwo ca.�Ac�rcn�, ,uun�art.a�+ <br /> �jd� �dl�rFiC4'4Nh/[ IT l� ..F ( 'h!«�< (=rr�rr�ln 3rJ�7-Ol �i.7 <br /> � J <br /> q°S�>inn �_ <br /> � <br /> aC ti 0 �fY � NEREBY CEHTIFV THAT I HAVE READ AND E%AMINEO TNIS <br /> �roiouous[p meio-rq ' AP�UCATION AND NNOW THE SAME TO BE TRUE AND CORRECT A4 <br /> PROVISIONS OF LAWS ANU ORDINANCES GOVERNIqC TMS TYPE OF <br /> �[nro[uwarpr1anor[nn�vavmeuowon�n�cxiwpcao�si - �VOPK WILI BE COMVIIED WITM WNETHER SPECIFIED HEREIN OH <br /> NOT. THE �RANTINO OF A GERMIT DOES NOT PRESUME TO OIVE <br /> io� eiou or AUTHORITY TO VIOLATE OR CANCEL TME PROVISION OF ANY <br /> OTHER STATE OR LOG4.LI1W REOULATIN(i CONSTRUCTION OR 7/1E <br /> PEf1FORM�NCE OF CONgTPUGTION.TNAT 1 MI AUTIIOqI�D 8Y THE <br /> OWNER OF THIS PROPERTY TO PERFOqM THE WORK FOR WM1CH <br /> APP4CRION IS MADE AND I COMPLY WITN THE STATE <br /> wncai va�o renecn CONTMCTORS UW 182]RCW AND 296200 W�C. <br /> � a �l I <br /> cwsrtucr�or��aw�crrt�n.ubnres.rt��nwr�wn�nEn %����(�t�lRi 1 O1E �.� `/- �/f <br /> sinH��unc <br /> �+ 031l003 <br /> CItYM9M551RfM5[Np <br /> FLUMBING MEGHANICAI <br /> NO. TYVE OF FlI(TVRE OR ITEM FEE NO. 7YPE pF EOUIM�IENT FEE <br /> WATER LLOSET(TOILEn NC-N}�NDLO UNITS <br /> BATHTUB � FORCEDAIRSYSTEMS <br /> IAVATOHY(WASN U�SIN) I�E�T PUMP � <br /> SHOWER UNIT NEATEPS <br /> KITCHEN SINK 8 DISP CLOi11E5 URYERS <br /> DISHWA511_q FANG@ HOOD <br /> UUNORY TRAY WATER HEAIER <br /> LLOTMES WASHEN 1VOpO5TOVE <br /> UPINAL MErAI.FIREPLACE(WOOD BJRNING) <br /> DRINNING FOUNTFIN FIRGPIAGE INSERT p400D BURNING) <br /> FLOOR DR�IN GAS FIREPIACE <br /> BACNFLOW PREVENTERS GAS RANGE <br /> SINK�SERVICE-OAR,ETC.� � GASPIPING <br /> fXHAUST FAN <br /> SUDTOTAL S SUBTOTAL f <br /> ._ PERMIi f PERMIT S <br /> TOTALfEE S iOTALFEE f <br /> FOR OFFICE USE ONLY: <br /> �.Yi!f�P\ft P[I.11(f1PK1( SICESIf11�CX ry�NCI1fCMMM1111�1J flF f1FC�l1`1M <br /> �:"^� munrn vec�vts�v � FEES V�WIITION FEE <br /> ❑rts ❑µ� mmnwr. <br /> �n�..n��v�uunw woauwruivc vxaaiooni <br /> unns <br /> nounar. <br /> itam•"c. �u�rs�m�s uccur�H��ow e�s[utr�� u�c�uacu --I <br /> ❑�ts ❑�m — <br /> ,,.+ts—vmrv.i[nn�oo nrnsa� .mimeun.r�nrt[e <br /> __'-- — --T- <br /> __ nnnn <br /> n ynnuntoo nusow �'-- <br /> vieq mmon�r.s�nr�upa! <br /> nr�nrcovsr rvnvsrrrno����� CITYOFEVERETT n�nirwrm.4 <br /> LOCALSALES — - <br /> ont TA%CODE IS J105 70T�L <br />