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APPLICATIOR FOi� CONSTRUCT�N PERMIT <br /> CIN OF EVERETT•BUILDING DMSION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257•8810 ��� <br /> ❑ OEMOlIT10N �'COMBINATION / ❑ SUILDINO � MECHANIC�L ❑ PLUMBIN(i ❑ SION <br /> PROJEC7ADDRESS: .�JOI �hD✓�- .AVG <br /> ow.rtn wu�p�ss`/ an rr vurr,c <br /> �dyN�an��,,,, /1ub,�7,,;.� �fCY��f Nas�K/'�c�2rrf�9��:n/ ,�s?-0.3�7 <br /> 1CH14\ 4y YILVIfS$ tl�Y IF >�1JNF <br /> /�1)l�• <br /> •1M;HIIL�O��ES�WiIn 4�ryRpIDE55 Ci � )i� hq16 <br /> t��' ' ' � ' �/!kL'� L;�m��nr ��Fc,Zs .�:?l 3CG'-iC`�3-//�-S� <br /> W�NC Ip� 10�1 pI�IXMK55 Ci1v lif AMM .I��IIiCfMy• <br /> Jc�,�- �leicl�r/ l��l') aan�,�� ��' ric� .S�„w�� 94�9,: ,�r�,�Yd.vc �fER.�yNc19Ho� <br /> MFCM�NF� p41 �f.lpn 4ullpWFSS f.RY )iP ryqNf 9�1{IKENiF� <br /> �%wn�r �-d3- 9e� <br /> M�w�nccONln�qpn uu��p[M[ss c�tr r�a rwOMr S1�RI�CrMsr• <br /> �ll/�C�� <br /> CMIR�C�1'IMCfU(WpM , <br /> li.�vt P h d �� � � � ' MEATING SYSTEM: GAS ❑ELECTRIC ❑ <br /> ov�eF �M$W�1�f fOpyQF N�vrn � cow�. r w ow nn r w � 4= ?S- _ C i G�.� <br /> �,�'� , J, c � L , �--.� -�Ej���1',...�� <br /> ^�1�� �Je�run ���� .$�P: � <br /> /7� 51��^�}'e /lYn (j3'j I HEREBv CERTIFv TN�T I M�VE NE�D �ND ExAMINEO THIS <br /> Mqq5f0U5�,G!�IMb APPIICATION N!�KNOW T11E S�ME TO BE TRUE�NO CORRECT ALL <br /> "9 PROVISIONS OF UWS AND ORDIN�NCES 60VERNING TNIS TYPE OF <br /> Srr«�� �PS/��e�!� t.� WORN WILL BE COMPLIED WITH NMETHER SPEfiflEO NEREIN OR <br /> �fa���[sc ro.�a rnptnr�yq���pw �n/-�cMrvrorc csi Hp7, TNE GR�NTING OF�PERMIT DOES NOT VHESUME TO arvE <br /> mt_�_eioce p ��'�`�' [ - �' C '� AUTHORITV TO VIOUTE OR C�NCEL TME PROVISION OF ANY <br /> _�� �� OTNER ST�TE OR LOCQ LAW PEOULATINO CONSTRUCTION C7 TME <br /> PERFORMANCE OF CONSTRUCTION.TMAT I 11M 11UTHORIZEU 6Y TME <br /> UWNER OF THIS PROPENTY TO PERFOFM TME WORK FOR WNICH <br /> �PPULATION IS M�DE AND I WMPLY WITN THE STATE <br /> wncruwmwowrn CONTRACTORSLA 2 FGWAN0296200W�C. <br /> ' -GD >-D -U00 � <br /> 7 <br /> CONi�Po61MM10�NIfM1iPNMf53l[lfl�iblE FP x�����.����1.1.(,� ���� ���y <br /> WJ�etupE � D�p ' <br /> Gn'W4N[iSIICE NS[NO <br /> n�uuemn �cn��c�� <br /> NO. TYPEOFFlIITUREORREM FEE NO. 7YPlOFEOURMIXf FEE <br /> W�TER CIOSET(TOI�ET) �—��Q prp�g <br /> BQHTUP FOpCED�IR SYSTEMS <br /> LAVATOFY(W�SHBASIN) HEAT PUMP <br /> SHOWER 4NIT/IEATERS <br /> KITCHEN SINK 6�ISP CLOTHES ORYERS <br /> DISHW�SNER RaNGE HOOD <br /> L�UNDRY TRAY WATER HEATfP <br /> CLOTMES W�SNER WO00 STOVE <br /> URINAI IAETAL FlREPUCE(WOOD BURNING) <br /> ORINNING FOUNT�M FiRE^LACE INSERT�VJOOD BURNING� <br /> ROOR ORA'N GAS FIREPLALE <br /> OA�RFIOW PHEVENTERS GASRANGE <br /> SINK�SERVICE—BAq,ETC.) G/S PIPING <br /> EXHAUSTFAN <br /> $UB TOTAL S. ?�' 'nJ SUB TOiAI f /5 ; <br /> VERMIi S PEFMIT f <br /> iOT�IFEE f TOT/�IFEE f <br /> FOR OFFICE USE ONLY: �'e�t� /I <br /> rnc»i.a�nu.. M+nsrin.cx sro�sc•n+c. n�Mc�rcux�un rrr n�nm�rq <br /> 2s ZS F+-`^s�„F '7.5 o-yo" ; ��'7. SD <br /> ua�invy � ioi�me v�c�v�urt FEES _V�lU11TI0N FEE <br /> �c o.�s ,� _��y � <br /> �,�,�,µ: ,-,; <br /> �nim�mwu�ar uoou..Tuvic srcaxocm -- <br /> ? b, ����� � lo z n�..��. -- - --��� �� <br /> �,_ <br /> p�CfI�;V^�I�I:Y Y�rvaliwlc (ff111.�N110�D R�tINN� 411M�Mf�1 �i JJ <br /> Y([;[///-f � � 0�lt 47 � �` <br /> f�MST�•.�fl[�P[O'� �1�C[IN IiWW�IN14�1(YIYCIHC� - '� : =J <br /> �1/� O�IN� <br /> fin[aAVNP[OL M�cpv - /� <br /> fl�iffl�l'11)�MIt511�L1��11I:I �/ �S� <br /> l � <br /> �mi.rncavv nn�smrnnvrnnr �RVOFEVERETT niairwin.� <br /> �f' LOC�LSALES - - <br /> ,�L�I� o.�t B TAX CODE IS 7105 TOT11l _ � <br />