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APPLICATI� FOR CONSTRUC�N PERMIT� <br /> CIN OF EVERETT•BUILDING DMSION <br /> 3200 CEDAR STAEET•EVERETT.WA 98201•(425)257-8810 <br /> ❑ DEMOLRION ❑ COMBINATON ❑ SIMLONI6 � MECM�NICAL �jUY11� ❑ SION <br /> PROJECTADDIIESS: 3�s1\ �hOfl, qVl- • -_ <br /> �qb�c� Oa�.1 3b11 �hort �W�- C��re.t�' qb7,o3 42S-346-3���1 <br /> q —�YIkUIE55 Qf� IV' M1ONL <br /> If4�H1 YN�fMl55 G�\ !h a�`� <br /> I.IC��TCIM[�EyGrlln 4�n�MPf55 C��� )m �� <br /> �_5��� 70 00�. 4q`{ Sw��+owyti t.�A982N CNo1Cl1So338�.. <br /> Gfe[1u1G0'�IDK.fC{� Mu14Mf55 C�l� l�� �M1oKM [441C(MSi• <br /> Ca.ivti. 0. o�L 4°�y hol�o�Mol� � qez4\ ��s6'l9W CNo�G�SpZ3�U�. <br /> BfcwriPtrrn�n .On `{'�w�n s5 rn l�t• wro�+r SL4tKEMt. <br /> MIHNIM.CONIP�.CVI 4\ 5 Qry IIV 1`Np4t $��fillC[MSf• <br /> ca�m.c��cr a wnn. HEATING SYSTEM: �,GAS ❑ELECTRIC ❑ <br /> -�a�p_00 <br /> oFscmnrwm.wosw.nrrnm ..vavro cw�.cinnunurt�rnorrw <br /> r�s�o..� n�.�i� u rnaca. CNo. aw, aves 3bu .sl.B-15o0 <br /> wc..4c h.-akr n�, u� <br /> I NEREBY CERTIFY TH�T 1 N�VE RE11D �NU E%�NINEO THIS <br /> �npb���(L �pfl, 1$O� 11PclIC�TION�ND NNOW TME SAME TO BE TRUE�NO CORRECT ALL <br /> nmirnwn PROVISIONS OF LI1W5�ND OpDINqNCES GOVERNING THIS TYVE OF <br /> 5 WORN VAI L BE CO�.�PIIED WITH WNETHEN SVEGflED MERE�N OR <br /> �m��n[scmriro�w r+�or¢nn�srqwxeuoww�n.cHmoconis NpT. THE GR�NTiNG OF�OERM�7 UOES NOT PRESUME TO OIVE <br /> io� moa a �UTHOAITV TO VIOUTE OP C�NCEL TNE PNOViSiON OF ANY <br /> OTNER ST�TE OR LOC�L LAW REGULATINO CONSTAUGTqN OR TMf <br /> PERfORMANCE OF CONSTRUG710N.TH�T I�M AUiMOR2E0 BY THE <br /> OWNER OF iN15 Pf10PEAiY TO^ERFORM TME Y/ORN FON WMICH <br /> �VPUC�TION IS M��E AND I COMPI� W�TN TNE ST�TE <br /> CONTR�CTOHS lAW IBP RCW�ND 296�900 W�C <br /> !�/.t1CC1 1/��10 MMPf 11 � <br /> C,l y�..A 'I-�S'98. <br /> covs�m�c*w.��o.+ir�n�c�rn�ss rn��wwc.nMr�� o.�� <br /> xr�u�ra <br /> G�IY H15M SS IS[H[I'K1 <br /> PLUMlIMO YECN�NICIIL -. <br /> NO. TYPEOFFlIITUREOR�TEM FEE NO. n��EW��RNT FEE <br /> WATER CLOSET�TOILET) IUC—MINOLG UNITS <br /> BQHTU! \ FOPCEDMRSVSTEMS <br /> LAVATORY(WASN BA��N) HE�T PUMP <br /> S��R -- UNITHEATERS <br /> NITGNEN SINK 6 DISP CL0711E5 URYERS <br /> DISH WASNER RANGE MOOD <br /> LAUNORY TRAV WATER NEATER <br /> CLOTHES w�SNER woDD STOVE <br /> URIN�I METAL FIR[FLACE�NO00 BURNINGI <br /> ORINRMG FOUNT�M f1REPUGE INSERi M'�D BURNING� <br /> FIOOR OR�IN GAS FIREVUCE <br /> BAGKiLOW PREVENTERS GAS RANGE <br /> SINK(SERVICE—B�p.ETC� GAS PIPING __ <br /> — - E%HAUSSFAN <br /> SUBTOTAL f �00 <br /> SUBTOIAL S �a <br /> PERM1i f PEpMIT f <br /> TOTALFEE 5 TOTALiEE f Q{'yU <br /> FOR OFFICE USE ONLY: $ v��'�'— <br /> �11fIMIKiP�f� 1P�R[I�II�LK sasrie.c� IYINCIRC�NV4PfP <br /> rtr mrtm�.q <br /> — FEES Y�lW1T�UM iEE <br /> �n:(!Mf IO��N• vN�Y15i11 - '�-- <br /> ❑Y[C 0� �I�IMW. <br /> I�Iif.r1�1�V1�/.IIOY NO(TI�wllllYli S�IfpMW'II f'IIMPWt1 i <br /> �iY . �� <br /> OCIIM��'."V na�ro�� {Mf.linlN�lU�ll B�if�(MI 4f1���Mf• __ <br /> . Gli' -- <br /> OHS ❑40 <br /> �murnu rur nrtc� _ <br /> nm smniqcn�¢mo-� �rc.xw — - — - <br /> ourn <br /> rm.a�nnunmo -� m.�rn amnii��orr,snnnumx <br /> nrem�:a+�i nnrs.rraovrnm CRYOFEVERETT n.rucwa�..a _ <br /> IOCALS�LES ---- ---�- <br /> o��i TA%LOOE IS�705 TOT11l <br />