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APPLICATIOR FOR CONSTRUCT� PERMIT� <br /> CIN OF EVERETT•BUILDING DMSION <br /> 3200 CEDAR STAEET•EVEREff,WA 98201 •(425)257-BB70 <br /> ❑ OEMOl1TION ❑ COMBIN�TION ❑ BUILDIN6 ❑ MECH�NICAL ❑ PLUMBIN6 ❑ SION <br /> PROJECTADDRESS� SGOI U9 DR F.UC�-�� �✓M <br /> kIP,��-uNoa M9N CLo7 w�el� 2!�Mn- y1a�3Y7-'�S''r <br /> awrn ��n�oaKss an rm �w� <br /> 1fN�41 Y111�fUf1f55 f.IIY )q R�� <br /> I�f,µqOO�M4GNU� uuI�MN�F55 Cirv l�a 1'K�Mf <br /> ._(N.✓yIS0_�(w'7 dKiVOCR-✓ i1jAl�Y1✓IL�-C 98L7o J.(_0 (�SJLS/L J6IFNSNS/]LKM <br /> r.fNlnrtr.pJn6�M 4u��OMRSs cnr Irr rip�q Su�1�CrMR. <br /> NiCa�MUI(lW����IOn V�il4%I�F55 f�iY )�� P�KNf V�IfI�CCN[F� <br /> PIu4lnipCUl�u�OM uulLfllln[55 (�1 '1Q� l�� P��F Slq(IS[MSf• <br /> o1p j� <br /> �a,��.���m��a.«,�. � <br /> y 4.�p0 U HEATINQ SVSTEM; '�GAS ❑ELECTRIC ❑ <br /> IHSCniPi1NMM�v(�Sql�nllOpi�G[mVOLVFO COxIf.�Af157� M� ��0'RMO . <br /> L.9 K L! �� ,{OOi7i0� r�Fm R.wl f- ' 11 � U � �f CS , U <br /> feMi'c� 6o s.m a,cr�r- 3bU - (t��i'3— o'1S1`d <br /> � HENEBY CERTIFY 7H�T i HRVE AEAO AND E%�MINED TNIS <br /> �PPLICRTION AND 1tNOW THE SAME TO BE TRUE ANO CORRECT�LL <br /> nnorosr n a�r M eunnxc:`�^ pROVI510N5 OF L�WS�ND ORDINANGES GOVERNING TNIS TYPE OF <br /> •J I� WORN WILL BE COMPUE� WITH WMETHER SPEGFlW HEHEIN OR <br /> umincscn�mior�rn n+w[nrv�srrow++nurnvw��+�c"i+A�o^�s ppT. TNE GR�NTING OF �PERMIT DOES NOT Pi7E5VME TO O�VE <br /> �o�.�M�WR��-0� a �UL�M OTMER 9T�TE OR LfOCAL L W RE6UL TIN�CONSTOPUOTOION OR THE <br /> LLSJ S /D'r OG N1 �Z r�r PERFORMANCE Of GONSTRULTION.TIUT I�M AUTNpRIZEO BV THE <br /> OWNEH OF TNIS PROPEATY TO PEFfORM THE WORK F011 WHICH <br /> �VPIIC�TION IS M�DE �NO 1 COMPLY WITH TME ST�TE <br /> r�nrnu�iuMiunen CONiRPCTORSUWIB2lRCWAND296�f� y1S•JSSY92B <br /> y7/7 - moo-s y3 ^6o°S /� v� � Z-l7 9� <br /> cw �nir��irn�o�w�rwrrn+MMtss*t�m�orE�nNnr�� K <br /> x�.nr�c o•�� <br /> C�1Y pUyMSSIKIM[C NO <br /> PLUMBING —.. MECM�NIC�L <br /> NO. TYFE OF FlIITUIIE OR ITEM FEE N0. NPF OFEqII►MEMf FEE <br /> J_ wRiERCloSET�TOiLET) NC—NMNDLGUNITS <br /> Bp7MTU0 �ORCEUA�A SYSTEMS <br /> i �AVq"JRV�WASN B�SIN) . NE�T PUMP <br /> J_ SIIOWEA_ UNITHE�TERS <br /> ki1CIU N SINN 8�ISP CIOTNE50RYEp5 <br /> DISHWRSMER RANQE H000 <br /> UVNOHY TRAV WATER HEATER <br /> GLOTHES W�SHER WOOD STOVE _ <br /> �— —- '- - METAL FlREPLACE pY00D BURNINGI <br /> JIlI4el <br /> DRMNMG f OUNiAM FlRE�LACE MSERT(WOO�BURNMG) <br /> 1"I.00R pRRIN GAS FIFEPIACE <br /> pACNFLOW PPEVENTERS GASRANGE � <br /> SiNK�5[RVIG[—BAq.ETC 1 / GASPIPING <br /> ---T <br /> — - ------ EXHaUSTFAN <br /> SVOTOTAL S SUBTOT�L f <br /> --' --- PERMIT E ✓ PERMIT f <br /> TOTAIFEE S iOT4LFEE f i <br /> FOR OPFICE USE ONLY: y 9N / _ �'( •� <br /> r.n'.nn�n. nr�n•.nn�c s�Msnn4x n�xa�rtnpvwrn qv/� , nrrrrir�o <br /> �„ � a ' �_ T��' .'� 7� 5 ' '— <br /> �,.� in.,i, � �aiupn v�cemsnl _ FEES W11U11ilON fEE <br /> _t__ <br /> x_ o.« o��, a�.���.�: 3��b_�.9�Z'.�.:� <br /> „��-.,,,,,�,.,,:. - .�,,,,,w<<,�� .^,�Eae�a�, — <br /> / .il.� /S S.F ry11VP'Yfi '___ _ _____ _ _ _ __ / Z�____ <br /> e1 �� <br /> / <br /> ...i:�.�.:� Y� �•..����. IM:f.ii1��N11U�1� P�tl�/[41 VIIw�YX:�1 �Q <br /> � <br /> ie'oi, r <br /> ❑�1[ MNO � - . v—. <br /> K''3 I _ —r` 1ppIION4%�401fC4 <br /> ,.� ,� ..���:�r�•�, - ��.�m — — -- — <br /> o�„�� -- <br /> . <br /> ,.. ,. ,.,, ;�-- - �„<�-- -- —�-- <br /> clnll flm11�NO50M'Nnfd ..._ . _/J. J�O <br /> 1 <br /> -7i,i�:---- nnvcornovrnn:- CITYOFEV@HETT ri•ni��.��n•' q <br /> . , ., LOCALS�LES " — --------v�L/o 'GO <br /> . ..�. N _ �,.�t �l,�c� /9b TA%CODE 15 7105 TOT��_ _ <br /> �_L <br />