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APPLICATI� FOR CONSTRUC�N PERMIT� <br /> CITV OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201•258-8810 <br /> ❑ DEMOLITION ❑ COMBIN�TION O BUILDNI(i Q�MECMANICAL ❑ PLUMBIN(i L7 gpq <br /> PpOJECTADDqESS: $ll(, ��pN��i ) I.J�Fi,,.e,�,�,� 9a.�o; <br /> �rr�� No,w�rrMan }ro�� <br /> OM�fP Y�tt�WnE$� GM1 Im AU�S <br /> �EMI�Mi YYI�pp11�5S f.11� )M M1y� <br /> ♦PCM�lC�OIIMSNiMN Y1�y1(If'[SS CIfY /II' MNNI <br /> GfMf1NCW1OK�d1 Yµ� F55 C��Y <br /> )r� Alpy� i111[l10EN5E� <br /> t alniecA 5",".r ��.,. �i � �1(lI�R7�i�ae �,lie �r r�i. �jS20� -iS�-3/l4 L-U�=k'('��.�/K7 <br /> VECNu11J1lCONiR�CiQq 4\41p.�^II[SS Ca1Y <br /> nr nro�rt cr�rEiccnu� <br /> aueemccornu.r,ron �.n�wncss arv —' rm— r��c su�cucrxsc. <br /> f3 =i`,o, <br /> COM�R�[IMCEpYp�l{ n ' <br /> c «1 ri , � ' r HEATING SVSTEM: �(GAS ❑ELECTRIC ❑ <br /> o[x�er waw.we sar.u[raauee Mvo��nn r.��u..n�nsw u.n n�vry no <br /> +[:� <br /> -3 <br /> FeJI;�N�?n I � HEPEOY CERTIFY TH�T I H�VE RE�D �ND E%�MINED THIS <br /> rworos[ous[or mmdr.o �PP�IC�TION�ND NNOW TME S�ME TO BE TRUE 11ND COqRECT�LL <br /> PROVISIONS OF LAWS AND ORDIN�NCES GOVERNIN6 TNIS TYPE OF <br /> �ccuo[Xmrriwor — �RN WILL BE COMPLIED WITH WHETHER SVECIFIED NEREIN OR <br /> r+ror[anryrowxeiiowp��n�cr�rrqco.h[si rypT. THE GR�NT�NO OF�VERMIT OOES NOT PRESUME TO OIVE <br /> im Noc� p _ AUTHORITY TO VIOUTE OR CANCEL THE PqpVI510N OF �NY <br /> OTII[ft Si�TE OR LOG4.L�W PE6ULATIN6 CONSiqUCTION OR TNE <br /> PERFORMANCE OF GONSTRVCTION.TN�T I MI AUTI/OIIIZED BY fNE <br /> OMMER OF THIS PHOPERTY TO PERFORM TNE Wpql{ FOR NMICN <br /> APPLICATIDN IS MADE AND I COMPLY WITM TME STATE <br /> rwcFi ruio Mre[R CONTNIICTORS LAW 1817 RCW AND 296200 WAC. <br /> ��s,���a��E�„�A.�.,�F,t���E�,«,��„ xJ1J,�_ni��n>/„�( 7-�s- 97 <br /> SMN��UM - O�If <br /> plYlW,h5511C(HSC M <br /> VLUYlIN6 MECNIINICAI <br /> NO. 7YPE pF FlIITUqE OR ITEM FEE rq. 1�pp EpMMFM FEE <br /> W�TER CLOSET(TOILET� �_MMp�O�� <br /> BATHTUB i0110E�AIR SYSTEMS <br /> LAVATORV(WASH A�SIN) 11E�T PUMP <br /> _ SNOWER UNITNEAiERS <br /> KIiCHEN SINI(8 DISP CLOTMES DRYEf15 <br /> OISNWASNER R4NGE IIOOD <br /> IAUNDRY TR�Y WATEP'IEATLR <br /> CLOTNES W�SHER WOOU STOVF <br /> URIN�L MEiAL FINEPIACE(WOOD BUANING) <br /> ORINNING 1 OUNUIN fIREP1ACE INSERT(W000 BURNINA) <br /> fIOOF�R�IN GAS�IREPIACE <br /> B�CNFLOW PREVENTERS GAS RANGE <br /> SINK(5[AVICE—BAR,ETC.) G0.5 PIPIN� �— <br /> E%HFUSTFAN <br /> — _ _ �_ <br /> SUO TOiAL f SI/B 70TAL f <br /> __ PER611T 5 PERMIT f <br /> TOiALFEE f TOTALFEE f <br /> FOR OFFICE USE ONLY; <br /> i�(14�5(1P�C11 11IU1[flqlf,4 $Ifl($f1R�CM ry1Nf11fCFHlMlfll I(f KfYMINO <br /> oattru iuun�., vnc�e�snv FEES VALU�TION FEE <br /> ❑res nvo nummn <br /> raicnuu,uno. eaauwuur.o steorxoeni <br /> o•�qx nvunwr. <br /> c.;cor.rcr x.n s�r+n�s xovnnr��i�.o xnseuir�� � <br /> r.�v.rr mnur�r.n <br /> ❑.�� o,o —_'_'—_— _ _ <br /> iinesi�n�•alu�vitiu. —_ nr�sin—__ _—' _ ur��nv�inwan�e � —_ <br /> ___ __�__ <br /> aurtn <br /> Illlf 4AIIMRFQP NF�tpN — <br /> il�l[PIIIIf1111f[Ilfll"1411f.[ <br /> �vrr a cava� ninwvrrnovrne. CITY OF EVERETT n�nnr wa.na <br /> LOCALS�LES — — <br /> �,, iA%CODE IS JI05 TOT�L , <br />