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APPLICATION FOR CONSTRUCTION PERMIT '"-- <br />CITY OF EVERFTT • BUILDING DIVISION � <br />3200 CEDAR S7RE[T • EVERETT, VJA 98201 • 259•8810 _ <br />'! OEMOU710N f I COMBINATION � � BUILDING fl MECHANICAL f"i PLUMBING !� SIGN <br />p� PR JECT ADDHES£ rta� ,q � <br />q -�% S. Z NU. �(�iP.�%T, w/C�� I <br />��tl��/�IS CAT��.�I'l1JA�i4l1�_�L'l�, lilY����� 7�y1�l t" L/UO�rnvu� �.�--�9�-- _ I <br />'7 <br />�IOrJ1111fC7itl�lk��R _•_•A'�q�Omtt<_..... '_"__' [IY"_'_" �—.".PMJh! _ . . _ _..f" <br />✓,qC�A <br />7 - GU �fs �Ir• Gt �� _.��r�,v✓�-1,�---;�`1-z�s4=G�7Hwc��Pvo � <br />� NLitAI ,':iR).f.100 1N�lAlfl�(�FSC 1.���r ]IP P�IO�JF 51A11 l�Cii�;l s � <br />___� <br />N6CMI.NChICnNlonpinn erllAU[iREca r.lir .._ 7iP �^ PHONE :Tn'fllcfM1,t�i� ; <br />I <br />i <br />�'111VPIhf.CONfRAr1Of1 M�'l�trtM�FS$ CIIY.. ...IIF YMO`.F ".. .-. .5747f11f.1':1^fr I <br />� <br />❑p•: f N�f.l CRlf.f Of Y!f MY, <br />I <br />_�0 � 9 � J HEA7ING SYSTEM� l I GAS I ELECTRIC f!__I <br />t+�sr.amrwonnn�:n�.n,innuu�.n�ufr,voivcn r.orimctr�ncur��atroHoner+o -- . <br />i <br />—'_" '. . ._ .. ._ _ . _." ' ___.... .. ._� <br />�i e.�..��, � .. �i' (�-�,�—uJ«.,.���rs ��.�5 � 4_� <br />I HEREPI' CERTIFY THAT I HAVE READ ANU 6XAMMCD THIF� <br />.-. .---� .� -� APPLICATION AND KNOW THE SAME TO BE 1 ftUF ANU CbRRCCT. ALLI <br />_� noros[o ust p� Nim nnur. �� �_ pfiOVI510NS OF LAWS AND ORDIN�NGES GOVFRNWC; 1 HIS TVPE OF <br />SiNG Nil ."/USl_Q� : ___. ___ WpRK WILL BE COMPIIED WITM WHEiHf.R SpFCIF'6U HER[If� OR, <br />�t�wt�F:r.Aicnnna�rnor�invi5w0�+�i+nr�owrn�n�cMnvOfOr�45r NOT THE GHANTING OF A PERMIT DOES NUT PRESUMp 10 GIVE <br />i0i,...._..-----�<<x���- cx ......_. _-_.... __ AUTHORITY TO VIOLATE OH CANCEL TIIC PROIISIUN UF ANF, <br />i <br />i��ucpt *nx i n. Nu nrn <br />�-o,� - 003 - O0� � OoD� . <br />(.ONSiRI1CT10V lO�ti I Y+UNt �I rpFCFS. iF� CPI IC+�.0 tW V Ptll <br />PLUMBINQ <br />N0. TYPE OF FIXTURE OR ITEM _ <br />WATEf1Cld$F1 (TOIIET) __ <br />PP7HIUH <br />IAVATOf1Y (WASH qASIN) � <br />..._ __ <br />SMOWFR _ _ <br />KII�CIICN SINK & DI$p <br />DISH WASHF: R <br />__ . ...._ .. .. .. <br />LAUNDIIY TIIAY <br />CI01 HES VJASIIER <br />URIIJAL <br />UFINKING'OUNTAIN <br />. .. FIOORbHA1N.... �.— <br />_.... . __ <br />DACKFLOW PREVENIERS <br />$INK (SFRVICE - DAR, ETC.) <br />O1HER STATE OR LOGAL LAW RECULATW(; CUNSTRUGTION Oli TN ; <br />FF.HFC)PMANCE OF CONSTRUCTION. 1 HA'1 I AM AUTI IOFIZED BY THE�� <br />OWNER OF THIS PROPERTV TO PERFORM �HF WOHK fOR WHIGH <br />AFPUCATION I$ MAD[ AND I COMPIY 1Yi1H 1HC �iATE� <br />� CONTRACTORS L W 1027 RCW ANU ?A6200 WAC. . <br />���OC% ��/ J <br />Xw:n,i r -�f�- nnu ' .' . <br />CI i�' FI �;iVF Af. l If.CN.0 N�J . <br />_'-. - -'-... _. .. _ _. . . _—.L. <br />_ FEE <br />__. .. '__ <br />NO. TVPE OF FIIITURE OR ITEM <br />/�l(; - q/F{NOLG UNITS - �l P. <br />FORCED AIR SYSTEM$ - H l.11 M LA <br />HEAT PU1AP '- - � _�----' <br />VNIT HEATEfiS - R.T.U. M <br />CLOtHEg DRYERS� � <br />VEIJTILATION FAN <br />RANGEHOOD <br />-. •'_ —_.. ..__..__.. <br />WATER HEATER <br />W60DSTOVE <br />METAL FIREPIACE (WOOD BURNING) <br />RRCFLACEINSEFI(WOOD BURNING� <br />GAS FIREPLACE <br />C;AS RANOE <br />SVB 1pTAl <br />P[RA�!IT <br />_ iOiALFEE <br />FOR OFFICE USE ONLY: <br />f11n��i$PNSt'✓. ... RFM1R :fiOi�rK <br />VFl iONt .. .. I oT Alil� ".. . . <br />CIpF 4fTRAf.K <br />VdC�Nf :Itc <br />GAS PIPING __ <br />6XHAVST FAN <br />—� . <br />PI�N C��FCN NUMOCR <br />/. � ' � � <br />. . _ I �105 �' I��! NUIIUMf. <br />1!F�:�I711MITATIQ'J qU(ypW611IN. S17COfOl�C�1. .... <br />IINII j P1114111hr• `_— <br />Or,f.UCINLY p'i A' :1PPR5 UCtJVI'AYI 100.0 RASFMRlT �.�C�.:N�NICAI <br />.uDU{` <br />i'YC`. I! r�p .. •—'— <br />_ , ._ _._. . . ._.... ..._ RI�f�:ilONnLPl�4f.NFCK <br />fl�[AUI1Mut0U... FFh5D1! _ _ <br />U�MFH <br />�IRC $PINIJ✓,lF�� Phf�O FGA504 - <br />ivvr <br />VAiCOWlOMpSURC:H�RGC ` <br />iinNsndraov�o er CITY OF EVERETT rnni ir. wcxinS <br />LOCAL SAlES -- <br />�„�r� ___ TAX CODE I$ 3105 TOTAL <br />SUP T07A�. 5 <br />PERMIT S <br />T07ALFEE $ <br />i(f Mf.FR'1 tJ0 ' <br />VALUATION FEE � <br />— - a�� �_ ;_ <br />- i , <br />.. .—. -�—�"" <br />I , <br />' _ _�_'.' ._L' <br />.... .. ,. � I <br />' i : <br />i ' <br />/� i��l <br />_ ...__�. i 'w._ <br />; <br />-'.. ..—... . i -' <br />- � - -.. _ -_i—�. <br />