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APPLICAT�N FOR CON8TRUC�ON PERMIT <br /> CITV OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERE7T,WA 98201 •(425)257-BB70 <br /> p DEMOIITION ❑ COMlINATION �.SUILDIN6 ❑ MECHANICAL ❑ VlUM01NO ❑ SION <br /> PHOJECTADDRESS: 7YlS ��I061C�• le�'U�h7T�iCG(4 � <br /> �1j1LfuUn� APKiNs �9i5 i.�A'�/� �• IEuiRtF71; ts�d S'8zo/ 353-8/Sn <br /> GvnRR �ni�OGi55 OM1 li� rvqN <br /> IIM�H\ YY1YIry1�55 f111 ]N 1'�qY{ <br /> nn[wRLfpPU[5H'Mn u�pqypf55 VM1 !rr - nwA <br /> jJ, P�D7FRSle.�/ Q7N.t77LCC��G �nX /2aD�( JSu7ri1�� /,�14• 9B2DC. npi���c0('dNS <br /> c++mucaam.c.�rn vu�.avncs un — ��r �.�.ni nu�iKrvu. <br /> YfC�����CMt11�CIW 44l�fRRY55 fY1V !�• 1VqN! [I��i1K[N[[� <br /> ry1HI11N4CONIP�fIM 4��1IXP(SS C��� I�0 fw(Ylf 5�1lfIKIM1V� <br /> COMIn�C�1'MC[p MM�R <br /> /O.$'�('= ��3 Q HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> orzcmn�ww..rn sw.nr r �.cr r�.a�rto cw�.c.nascn.rn..«rr wo <br /> �.�u-c.�a.7'aF n ze'x.3o• o0 oAu�o �DSRs�rtCtiz�) zs9-�zsts <br /> �wavur� <br /> � HEREBY GERTIfv TN�T I NAVE AE�� �ND E%�MINEU TH�S <br /> APP�IG�iIONl�ND FNOW THE S�ME TO BE TqUE�NO CONREGT ALl <br /> r+yNosro int ar e�mn�wnC�� /�N�'�� PROVISIONS OF LAWS AND OpOM�NGES GOVERNING THIS TYP:.OF <br /> WORK WII L BE COMPUED W17H NMETMEN SFEQFIED HEFbN OR <br /> IFruMscnmq�p rm�san�swwweuoww��+.c�rwocan[si qpT. TNE GAANiING OF�PEAMIT WES NOT PRESUME TO 61VE <br /> �p� /3 si����a L AUiHOPITY TO VIOUTE OR C�NCEL TNE PROVISION OF �NY <br /> Oi11ER STATE OR LOC�L UW qEO0.ATINp CONSTRl1LTION OR TNE <br /> ��� PERfORMANCE Of LONSTRULTION TH�T I�M�UTNORRED BV TIIE <br /> OWNER OF TNIS PqOVERTY i0 PERFORM THE WORK FOR WHICH <br /> APPUCIITION IS M�DE �ND I GOMPLY WITM TNE ST�TE <br /> ��i����oMMM� CON�R�CTONS ` 2 CW�ND796t00W�C <br /> 3v3�'6roo i3�9 <br /> ���,4,�,�.��.wro��,��ss,������� x� � 3 3/-9/r <br /> ,n�., �.,� <br /> � <br /> C�\�1WVMSSITlH��YO <br /> PLWBIMO MECHIIMIC�L <br /> NO. TYPEOFFl7fTU11E0111TEM fEE N0. TY�EOFEWNMF/IT RE <br /> W�TER CLOSET(TOILET) NC—MINDLG UNITS <br /> BATNiUB FORCED�IR SV;TEMS <br /> L�V�TORV(WASN BASIN) HEAT PUMP <br /> SHOWER UNIT NEqERS <br /> NITCH[N SINK 3 DISP CLOTNES DRYERS <br /> DISHW�SMEP FANGE HOOD <br /> I�UNURY TRAY WAiER HEATER <br /> CLOTHES W�SNER WO�D STOVE <br /> URIN�L �AETq�FIREPIACE IW000 BUFNING) <br /> DRINKING FOUNT�IN FiqEPIACE IHSERT�W 000 BURNING) <br /> �LOOR DA�iN G45 FlREPLAGE <br /> O�CNFIOW FREVENTERS G!5 RANGE <br /> SINN�SERVI�E—BAR.ETC� GAS PIPING <br /> E%MRUSTFAN �_ <br /> SUBTOTAL f SUB10TAl S <br /> GERMIT S VEAMIT 5 <br /> TOTAI,FEE f 70TALFEE f <br /> FOR OFFICE USE ONLY: <br /> �mrtu*nu�.. - nr�n5f1M�S_� scKsri�� M�tia�t'�vu�«�� r�r �/5(J nrrrm�ro <br /> 7 ��J/�A <br /> —Lt� --Co/�=!' <br /> usuorr ���.��n v.cw�Yn FEES V�LU�TiON FEE <br /> �.- 1 -li`jo,°"` o.r� ,��u n,.�nwr. Ib 380 272Z�2`` <br /> n�manvn.nev � rarvnwfn�vc s�naeioem ._—�____ ; <br /> a�c: g� rvouniv. _ _ _ ...'"' <br /> 5 I O SGS .._ _ . —+--- <br /> POIf�4-♦ " u� (M�I�e�N11ll�U 9�C(4[�I 4fIM�4N4 r <br /> ' y��.'.. ��l{ �fI ._ _ .___ _.. _ _ . <br /> riue¢rw�.nuvni�u �-- mn.rn �ow�mvunwnMe+ <br /> oux�n --_ __ ' _ _.. <br /> ��[.—J.uvmao � - inwm --- <br /> ,.,�.�,,,�,.,�.s�,�...,.�« - —`�50 <br /> nrrm�'nvci oin�s��rnnv�oer CITYOFEVERETT r��ni�r.xn�.� <br /> —t— <br /> 7 Q LOCAL511LES ------ -- ---- � ` <br /> _y—� ���,t � TA%CODE IS 7105 TOT11L _ I 2 C5.7 :7J <br />