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APPLICATIOAFOR CONSTRUCTI�N PERMIT� <br /> CIN OF EVERETT•BUILDING DIVISION <br /> �200 CEDAR STREET•EVERETT,WA 98201 •259-8810 <br /> ❑ DEMOLITION ❑ COMBIN�TION �BUILDING ❑ M£CMANICAL., ❑ PLUMBING ❑ SIGN <br /> PROJECTADORESS: � �� '� � F�.1��� '." I�{' <br /> ���r ,E�i�.eufz 74pg��r�jn y zoJ <br /> nwm�ss cin r,r nroM <br /> —�x . <br /> �r��v� �r,n uvKss r�r rm nqxt <br /> InL1alIC�Mf1[K.Mf� Y�ry�fS/N¢t5 GM1 l�l` rvqr�f <br /> r �v�•s��1�KEGL�/D NP SH�PS rn. --r�r r�rou s�����KrwsE. <br /> �ZSS/yb'''"PLSE S �o�H��' L61` �°f <br /> ufLN�NiCµC04@�Llpl yVI�RpE55 Ory jM qq�2 GILIFIXINSC• <br /> r✓p <br /> M1UUPMGCpI1P�f.�011 V�M1MM)f1[5$ Clry IW PIpNf S��IEIKIHY� <br /> N/a <br /> coN�n�r.t rrXc[p w�a�h ' <br /> HEATING SYSTEM: ❑GAS ❑ELECTNIC ❑ <br /> �x�yPLv^os�dil��wEa���o ' � ��„�1%� �i�lc.rc 3G� GLYyt'�f <br /> I li[PEOY CER7IFY TI/RT I HAVE RERD �NO E%�MINEO iM15 <br /> nnnosro se nr .io-w�.�e✓ APPL�CRTION AND NNOW THE SAME TO BE TRUE AND CORFECT ALL <br /> �� S•�^- 'E `�`f� � �ROVISIONS OF LAWS AND ORDINANCES GOVERNING iH15 TYPE OF <br /> � � WORI(WILL OE COMPLIED WITH WHETNER SPEdflEU HEREIN OF <br /> imaascmrnworrirortnmiv nuowoq�rmo�nq�nis� ppT. TH[ GR�NiINa OF A P[RMIT DOES NOT PNESUME TO GIVE <br /> m* Z�_eioc+ or �UTNORI7V TO VIDLATE OR CANCEL TNE PROVISION OF �NV <br /> OTIIER STATE OR IOCAL L�W REGUUTING CONSTRUCiION OR TNE <br /> NG�/'�iR.�C �f f�'L'S PENFORMANGE Of CONSTRVCTION.TNAT I AM AUTNORIZED BV TME <br /> � OWNER OF THIS PROPERTY TO PERFORM TNE VIORK fOR WHICN <br /> APPLILATION IS MRDE ANO I COMPLV WITH TNE STATE <br /> ru¢c�ru io�un[n WNTRACTOPS Lr1W 1B2)RGW AND 296200 WFC. <br /> ca.sin�cnw�o�.rionrn.wrn�ss.rz«nvrtru�.rEn x �(�-(��E77-�'ya��1s�'�"'� /d//f'l. <br /> xr� ��� o.rt/-�- <br /> LI11 BIISMSS ICf HA NO <br /> PWMBING MECNANICAL <br /> NO. TYPE OF FlI(TURE OR ITEM FEE NO. 7YPE OF EOUIPMEMT FEE <br /> WATER CLOSGT�TOILET) P/C-MINDLG UNRS <br /> B�THTUD FORCED Alq SYSTEMS <br /> UVATORY(WASM UASIN) HEAT�U'dP —�— <br /> SNOWER UNIi N[ATEfiS <br /> KITGNEN SIhK 6 DISP GLOTNES�RYERS <br /> OISHWRSNER MNGG 110p0 <br /> UUNORY iii�V WATEt111EA7Ef1 <br /> CLOTNES WASHER WOOD STGVC <br /> URINAL M[lAL FlREPLfiCE pi'OOD BURNING) <br /> ORINNING FOUNTAM FIREPIACE INSC NT(1V000 pURNING) <br /> fLOOF URRIN GAS FINCVIAC@ <br /> OACNfLOW PREVENTERS GAS MNGE <br /> SINK�S[qVICE-DAR.ETC.) GAS PIPING <br /> �— EkMAUST FAN 1 <br /> — F_ <br /> SUOTOTAL S SU0701RL 5 <br /> PERMIT f PEfiMIT S <br /> TOTA�FEE S TOTFLFEE S <br /> FOR OFFICE USE ONLV: /'_:� ��' <br /> IOM�N�RtC)K I pf�n5llpe[v S�CFSFtB�[It ryENOKCMMNp1l1 fff - PfCf�PIMO <br /> / l � ��'� •� C ^ '� �� �L� •) '.,J.,�l <br /> usvavr �? I �m•nu v�c.e�s�it / FEES V�LUIITION FEE <br /> �_ � :Q� ❑r[s ,[Ir.0 <br /> nummn 13 l"1�7 /)S 1 J�J <br /> �ruc�aiwnni<w Nonorrtuwc s�rtwe�uani <br /> 1 r i�x��� uK nu+wiHr. ' <br /> '�7Zt3 S,F tl1r � <br /> �%Mn4C\ k1M51M�15 IX:pI1MM1101p B1y4[MI 41��I�Mf.�l <br /> 3 ❑HS ❑Mp <br /> n�o .�n,v,ien�aon nrosw ea.uovnin�rerme• <br /> � '�_ <br /> niu[n <br /> Tine w.nun[o�o nnsa� — --- — --- /}'-- <br /> [Init Iluilt'�Nf SIIMII�IK.[ . �:��J <br /> imrar�va rinvsrr�rnrnj er CITYOFEVERETT nrmv.vm <br /> Vf�- LOCAL SAlES �1,�.� - T-- <br /> �/ -�J_ i�.�i ���.,'� TA%CODE�SJI05 TOT�L ���� ���� /_)J_;�! <br />