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APPLICATI� FOR CONSTRUC�N PERMIT//��� <br /> CITY OF EVERETT•BUILDING DIVISION Y�/V� <br /> J200 CEDAR STREEf•EVERETT,WA 982 •(425)257-8810 ��M�IOl77 <br /> �/ <br /> ❑ DEMOLITION O COMBINATION ❑ BULLDING MECHANICAL ��UMBIHfi ❑ SI6N <br /> PROJECT ADDRESS: ��3� WP�m�'< �.�1 ��W I1- <br /> OWMfN 4�ilNU�F55 bn lln O�v� �V:I <br /> ��a.�� o u�a�,;�� a331 c.aea J1'iaF E�.,�a �,.,� 3�3 �a�� <br /> rtw�r� uw�nourss urr �io nqvf <br /> �rcwrrctonnF4vrt�. uuinrewrys pr. �.� r.rnr "-- <br /> CfM1�4CV�����1!]11 4��I�MM�1`. Cil� lif IxRI i��\II�CENN� <br /> t�a� _ L.]� 'i` � ,� C�_y.�E,e,�l+5ba�= 35�. c���ti's�,er� �.obbav <br /> "F����MC�1f(1YI�I�fIfiP 4��1�lO�i55 Cih )'1' �IMf t���fl�C[Nil• <br /> �,��� nu<ti,��,�� <br /> niuu�nccmnn.nrn a.���nnnt cm nr -' r.^.n -- smnc�uvr. — <br /> cor�mcrn.cr�*� - <br /> �(t p3, $� MEATINC SYSTEM: ❑GAS ❑ELECTRIC 1� <br /> n u;runr ww.��o•.rni�m�ro�.cr rn+Trrn ro.���cr n�sm.vn r.�wr w - <br /> 1.. 51j11 qFl� Sau.� --- -- <br /> I HEREBY GEP71FY iHAT I NAVE READ AND E%�MMEU THIS <br /> APPUUTION AND ItNOW TNE SAME TO OE TRtIE�ND CORREGT �LL <br /> i��rono vs��w eimpw: PROVISIONS OF 1�W5�ND ORpIN�NCES GOVERNING Tw5 TVPE OF <br /> S F Q WORN N'i1L OE COMPLIEO WIiN WMETMEF SPECIiIfD HERE�N OR <br /> �mu xscmm�wq rtwr[nrv�s�qwvnlmwOn�n�cniwpmntsi NOT THG G��NTiNG OF �PERMIT 00[5 NOT PRESUME 70 GIVE <br /> �m��' e�mn 45� q F�FN I+ �UTMORITv TO VIOL�iE OH C�NCEL THE PROVISION OF �NV <br /> OT��ER SiAtE OR IOI:AL UW REfiUUTING CONSTPULTION OR THE <br /> PERFORMRNCE Of CONSTRUCTION THQ I�M�UiMORIZEO BY THE <br /> OWYER OF iH15 PqOP[NiY TO PERFORM TME WORN FOR WNICN <br /> 4PPLICqTipN i5 M DE AND I GOMPLV WiTH TNE S1�TE <br /> rnncnuno.nMrvn CONIMCIO .IAW P3IRf.WAND 96200WRC <br /> tii41 -491- o1v _eoo <br /> ��..�,�,K„�.,,�.�,�ti7��z�,,,,�M�,F„ r (-�5-57 _ <br /> � ��L <br /> _ ,�.,� < <�.,, <br /> CII�IIUS:M SS ll'I N!1 ln <br /> VLUMBING MECN�NIC�L <br /> NO. TYPE OF FIKTIIRE OR ITEM FEE N0. T'PE OF EOUIrMENT FEE <br /> W�TER CLOS[T�TORET� /�-M1qp�G UNIiS <br /> 9ATMTUO FORCED A�N SYSIEMS <br /> L�V�TORY(WASH BASIN) HEAT PUMP <br /> SMOWER UNIT HE�lERS <br /> KITGNEN SINK 6 DISP CIOTHES�RVERS <br /> D�SHWASNER RnNGE H00� <br /> L�VNDRY TR�Y 1YAlER HEFT[R <br /> GLOTHES W�SNER WOOD StO�E <br /> URINAL METAI FlqEPIACE M1YOOD BURNiNG� <br /> pRINkING FOUNTAM RRCPtACE INSERT hY00D BURNING� <br /> FLOO�DR�IN GAS RREPIACE <br /> BACNFLOW PREVENTERS G45RANGE <br /> SINR�SERVICE-B�R.ETC) K GASPIPWG <br /> � E%HAUSTFAN <br /> Sf�� S{l�t -f_ <br /> SUB TOTpL 5 ' SUB TOTRL f �D ' <br /> PERMIT f —� PEPMIT f /5T <br /> TOTALFEE S iOtRLGEE f �' <br /> FOR OFFICE USE ONLY: <br /> �P�WIV•H¢n pf�OSflp�f,R Sit%5(IR4t ry�Npi1(�vV�lP fff nlf(m�y0 <br /> _ �� / <br /> ns�ioer io��ui• v.ccv�urt FEES VIIW�TION iEE <br /> _'_ -'-�_ <br /> ❑rn o.. a,ninrvr. <br /> ��nm��nwurror w n omuivc sin a nima� - -_' _-. _ <br /> w��` nrn�rr. <br /> ._"."__' _'_—_ ___"-y_.._ <br /> ocam�.i:. ,.i =� acm+v�m.0 nnstww v�c..rv. -' ' ' <br /> mn ❑rn --- _ ____ .. __. _. _ <br /> nuezrani.i�wuion-__ m..cw nm�rn,.�n.rowe. <br /> onr� --- '- -____ - " <br /> nr+tni�avniao ' mwnv -'"' <br /> uq anao�ur.s�mo�.rc;r <br /> �rr� 'rtrrnia� n�ms�nn�nvrnn. CITYOFEVERETi rv•+ucwrm.c "�- � " - -"�� "'- <br /> IOCAL511LE5 -�----- --�- - - -' <br /> ��.�� T�%CODE IS J105 fOTAI <br />