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!-; i APPLICATIOR FOR CONSTRUCT�N PERMIT� <br /> CIN OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREFT•EVERETT,WA 98201 •(425)257-BB70 <br /> ❑ DEMOLITION ❑ COMBIN'TION � BUILUING ❑ M/ECHANICAL ❑ VIUMBINO ❑ SIGN <br /> PROJECTADDRESS: y.�r��'/n /J(�j/r� �N.,��1 �i/�l y, <br /> ��// ( �i']//G�W�I,WCqs"Y �`/G� f/ M1 a�O�OMil�lin`/C�h P�360-GG8-�.<ta�- <br /> 1tN�N� v�ry�11Cs1f55 f.11 110 hqMf <br /> /-�Fs�r.r� /SQTiGlv /5^�_ .✓� ..• ��3�?2Y1i�G� <br /> �nC/m•lf+tI,YMMLCN[n � M�N�tM^E55 �i �(/�� OR�+ !iP^ M1qM( <br /> !�-W!� ��Y //(Y• �Juf ��/G�I��r J��O �p�� 3�:o- G�8-5<s27s <br /> f.(Nf�NCO41MC�q1 Nut�OMF55 CiIY lil' 1'�MYI[ ����IIiC(NSF• <br /> '^./,/, tiG.:�, /�� G,6}.�. �'k-'/�• .8�<< �c�-7•/i-I.G.ZY <br /> u�ry.wcurovrn.��pa ��y �����nnnss on e�r r��anr cur�ocE+sc. <br /> �ri�:�+ti�r 17tr��r�' //:Z�/ /�'E/H S<L�.wet dlh %SL�A"G .Ca",i.�G7G-.^�531� <br /> t'in4pn�GCONIIUCILi1 4ulN%ME55 bl� PNOUF 5���(IKEMSf• <br /> tlW�I1�C�1`IM.!IX Vlnnn <br /> HEATING SYSTEM; �GAS ❑ELECTRIC ❑ <br /> fYSC11'Pf WO�iF�Hf15W�l�f�OO�bF NVOIV[ CON��CI i'1(15IY1�M11'M'I4I Np <br /> ��_ .') ' � s � <br /> ��' J f <br /> � � ���3 � NEREBY CERTIFY THA; I HAVE RFnU AND E%�MINEO TMIS <br /> nrroroct uvq or e�nnnnn APP�iCATION AND NNOW TIIE SAME TO OE TRUE AA�CORRECT ALL <br /> PROVISIONS OF V.W$�ND ORDINANCE$GOVENNING TNI$iYPE OF <br /> -�f�� WORN WIIL BE COMPLIED WITM WMETNER SPECIFlEU HEREIN OR <br /> vcu n[sc anp.a rnqrtnttisrow�uxuawon�n�cH�woca+[si NOt. THE fi��NTING OF A PEPI.IIT OOES NOT PPESUME TO GrvE <br /> io��BiaR W S� �- ! AUiHO(iITY TO VIOLAiG OH CANCEL THE PflOVISION OF RNV <br /> OTHEF SiR1E OR LOCAL lA\V RECl1LATING CONSTRUCTION OR THE <br /> PERFORMRNCE OF GONSTRUCTION.iN�T I�M�ViHORIZEO BY tHE <br /> pWNEH OF THIS PROPERTY TO PERFORM TME WORK FOR WNICH <br /> APPLICNION IS MADE ANU 1 COMPLV WITH TME STATE <br /> ru¢n u�i o.ei+rem CONiRACTOPS lAW 1 B Y)RCW r1N0 396I00 WPG <br /> ���:-"'� ,Z.% �/� �n.�.. � <br /> crn�=niK�o.H��n�vn uimiss nirnavFmiuwn z_ /�/� � , �� " r5 <br /> ar.xri i m <br /> ai.nu�rnss�w�Mscva <br /> PLUMBING MECH�NIC�L <br /> NO. TYPE OF FI[TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � WATERClOSETITOILET) P/C-AMN�LGUNITS <br /> BnTNiUO �ORCED AIR SYSTEMS <br /> / LAVATORY(WASN BASIN) HEAT PUMP <br /> 5110WER _y' UNITNEAiERS _ <br /> � NIIGNEN SINN A OISP CLOTNES ORV[RS <br /> � D151;WnSNER � RANGEHO00 <br /> —� LdVND�YiR�V KNTEFHEATER <br /> " CLO�HES W�SH[R LYOODSTOV[ <br /> VRINRL M1�ETPL FINEPLACc�YOOD dURNINGI <br /> pPMK MG f"OUNTAiN FIREPIALE INSERT hN00D BURNING) <br /> FLOOFURAIN T G/SFIREPLACE <br /> OACNFLOW PqEVENTERS GASPANGE ' <br /> Gl.S P�oING � <br /> SINN�SERVICF-BAR.ETC� _ <br /> t E%HAUSiFAN <br /> SUDTOTAL 5 SU�iOTAI S <br /> - PERMIT 5 / PEfiMIT S <br /> i iOTA�FEE 5 I1 � TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> innmenn�r. nru�cnn¢. s�oFuteK.� ruxurtr�won�n_ �fr �J �rrrm�rq <br /> �j [ <br /> ��, - � s --»: . - <br /> mivovv in�u��. vx�vsnt FEES V�LU�TION FEE <br /> - �- % -- — ❑.rs ❑�r g3(�3t3 ---J �_. <br /> B�pMW. <br /> . . �i ' / �l�rvl lliw.i cqF IX P1UiT — '——� � <br /> �vu4q`i ..a� <br /> y ,,.,�,, y�z Sf. .��„�,�� - --��i- - <br /> -- --- ----- <br /> ,., �. � .,�„��.�, a.�� „� vF,�„�.., � <br /> ,,. r � <br /> � � � y o.�� „ ' <br /> — ------ .. - - <br /> ,36.�. v�i� �. ' �,i�<(w �m�n��.riewoecn <br /> oi��rn '_ _ _ -_ <br /> �i ,.,.�.�ri::;-_ . nn�o�_—_ — - _ <br /> uq nu�i�:w��.sinnunr.t <br /> -, --- `----- -- -9 � <br /> �n �� �c.� -' rinwc�r�.�min� pTYOFEVEREiT r��n��nnn.�.� '� <br /> / ^ <br /> � LOCALSALES ��'/ �� <br /> . .�-/J _ o.n 'L�1�9_$ TAX LOOE IS 7105 TOTRL___ __ _�J�4 '��i <br /> L_' <br />