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APPLICATI�I FOR CONSTRUC'�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION �C�� <br /> 3200 CEDAp STRtET•EVERETT,WA BB201•259-BB10 '�" <br /> ❑ DEMOLITION ❑ COMBI TION JAI BUILOING ,T�MECHANICAL �PLUMBING ❑ SHiN <br /> Pp OJECTADDRESS:_y�p�UdLA�lJ/,� �GE Ft/Q�F�T � <br /> L�u 7�,e9</ss�,c/ /7oz �.4,sfsi,aG�v,c��.�/cnt,"vZol..�h48z7s 3ss-sz2� <br /> wwca u.n+omEss on nr p,o.t - <br /> IFwvl uMMMIss Orv )�p p�q� <br /> �//�/`�s;�,u �zsBv.-Ce,e /�,LC �D `�u24',v�.�,Jn8Z3� -�s,�•o68r <br /> I.rca+�[c*musicttn u�nuvnres �nr nr ry�p,� � <br /> L.�nt� i�ANS'S��✓ <br /> G[MIYlCd11ML�P1 uY�App11f55 C1�Y lll' M1qyE {I�l[IIC[NSE• <br /> 0� �o <br /> 4FCMu+G/iCWIn�CIOR M41�[qnF55 C�T' lu� p�py[ it�tEtCFM:I• <br /> RIM1PMLCOMINGIp1 Ynrt�IXM165 Oh tro MqN[ S1NflqfNY� <br /> [W f1UC�PM1CL M W(YM <br /> ��%c= :L J HEATING SYSTEM: ❑GAS �ELECTRIC ❑ <br /> o[scrxc v.w+w�rq xaunt�ootirF Nvavtn ccr1uct rrnsax un rwart ra <br /> i �,U lZ i;%</ � /;n�SS'E J SS- rz2o <br /> : <br /> �NiT- -(lf,r, � . �%�'� <br /> Sr,(� I HEREBY CERTIFY TN�T 1 HAVE REAO ANO E%�MINED THIS <br /> maos�ovsc or 6a.w; APPLICATION AND NNOW THE SAME TO BE TRUE AND CORRFCT ALL <br /> PRONSIONS OF LAWS AND ORDINANCES GOVERNING THIS T'PE OF <br /> WOPK WIIL BE COMPLIEO WITH WMETHER SPECIFIED HEREIN OR <br /> iccuo[scwvnworrnov[nrciSqrmaiowon�n�cNrw ronW- Np7,7ryE GR�NTINO OF A PERMIT DOES NOT PRESUYE TO UIVE <br /> �m Z xw a - �✓} �� AUTHORITY TO VIOLATE Ofl C�NCEL THE PROVISION OF ANY <br /> /' p r / � / e OTHER STATE OR LOCAL U1W REOVLATINO CONSTflUCTION OR TNE <br /> I/�.>_: �/3 '_,Q �^' ( d0 q f�� � / O cZ PEflFORMMlCE OF CONSiRUCT10N.1HAT I MI�UTHORIZEU BY TNE <br /> r J ON?!EC O'ONN�S P MADF. AN� P`7COMPLYHEWITN�HEp 5T TE <br /> �133600oo5�oZo6-l� <br /> vwc¢iu�iounw[n CO TO S AW IB..^7RCW � � ?9fi.Y00WAC. <br /> �'urr��F.sT• F�- - . .S• '2 -93 <br /> Cb15iPVC�qN lPW I[MCE11.Mp1f55.1ElER�P[MNMII -/D-C <br /> •1U11F WlE <br /> p1Y&ISxE55lC[NSCM <br /> PlUN01N0 MECNANICIIL <br /> _ NO. TYPE OF FlIfTUqE Ofl ITEY _FEE NO. NpE pF EqNP1AD/T FEE <br /> _ W�TERCLOSET�TOILEn � /y�_.�y�0�� <br /> � BATHTUB FORCEDAIRSYSTEMS <br /> UVA10qY�WASH 9ASIN� MEAT PUMP <br /> Z SIIOWER UNITHEATERS <br /> / KIiCHEN SINN 8 OISP CLOTHES OPYERS <br /> DISHW�SMER PlJJGE H000 <br /> UUNORY TR�Y WATER NEATEfl <br /> / CLOTHESWASHER WOOUS70VE <br /> UR�NQ MEISLFIREftACE�WCODBURNING) � <br /> DRINFING FOUNT�IN FINEPIACE INSERT�WIX:D BVRNING) <br /> r^,OOR DRMN 3 GA^u FIiiEPLACE <br /> BACKFLOW PREVENTERS GAS R4NGE <br /> SINK(SERVICE-BAR,ETG) - GASPIPING <br /> ex�+nusr rnri <br /> r � <br /> SUB TOTAL S / ' SVD TOTAL f <br /> PERMIT 5 PERMIT f <br /> TOTALFEE f TO1AlFEE f <br /> FOR OFFICE USE ONLV: <br /> fIpN�V1R/.ft PEu15FIMCM S�OESf�p/.Cl � M1�NCI�[[t �1 ![F IVf.fM�W <br /> Z-� ZS 7.S r�/J �l��a-+ <br /> us[xw[� � �m�nE� ,,t v�teq�y�[ J FEES V1ILUATION FEE <br /> SO Y' Pacs ❑w mnirw,ii 2 O 3 � / ' <br /> ��c�nu+����a. Nocxmvrwr.� 3E��`o�f. G�v�n.o + 1 . -1,'[ <br /> uvi�� ry�iwwt —�t��l I <br /> io f. GnRwo� 0 <br /> c��vcr roivs�rws occ�r�M�io.o e��cr�r u�ni..ecu Q I <br /> 3Ur ° � o�n <br /> l�NESMYNttrFn[on nf�SUV ���n�rt/.4C�xc� / 22;�a <br /> ;i ��' ., � „�c �,�,�� <br /> fl �NRCOL Rt�tpy � <br /> _ . $I�1tMMpMM151N1[111�f / i �n <br /> 1� <br /> �rvEacoHsr n�usur,rovn CITYOFEVERETT n�n+:wm.c � <br /> J�� LOCAL SALES ?U'�- <br /> _�-�� ��.�t u r(� TAXCODEISJ105 TO7�L �/ � <br />