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APPLICATI� FOR CONSTRUCTrN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 9B2U1•257-8810 <br /> ❑ DEMOLITION G�COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS �f727 <br /> � <br /> owr�cn u.n�oonc,s crtv ^:n . q� <br /> /L=R �� � Kn-Tt� '- � T Tr t r qq l_� �4z5� z49-S7/2 <br /> iENAHI MARApfA1[55 CIIY Ip qq.� <br /> �\�����.-..-�� Oaa_ �r4� ,r2.S 7za - - 9c 1 �yZ$� �SV-n dul <br /> AL OELiO11DE54M11 M�M1�Op11E55 �p� jp p�E <br /> _R_Lu.� n �cr�+ -� !� (;� •s � rn ,-F ,,.,�jflZTS" ( N2G) 25�i -7n7(� i�� <br /> OEMRµCONif1¢:1011 M�I�COPCSi OIY � jp NlpqC St�lt qEMSE• If�1C110I1q� <br /> cl�:c T�' � I�.Cn,3 - `f, i"�Z 4 �;TX'__ . .� r!r:�H 4A�41 �T4o�G�y� -7L�N C -C <br /> YECN�NiC0.00�11I1YI011 44L�WB[55 •OfY jp %ppQ SL1ElCENSL� <br /> Sti+vlZ�.'.�.,1I�u.MG�NH c,.z�, a .,.--,.%r�., na� �*'z� ("ii �dCB taz� n <br /> �n�uonqcaw c w�yze crt � ��L <br /> q�'� � ��/��� SV MqtIE St�iEIICENSE� <br /> n �� <br /> �L / <br /> CONIMLI POqE OF WqIM <br /> _ S�nu�iE Fqmw 3Yizl C � � . HEATINGSYSTEM: G�GAS OELECTRIC O <br /> o[scmoewn�xu�ost�u�ne oar�c[irrvavco cwn�crrcnsorvuqrhauExp <br /> � S]—�5 3 707(�• <br /> _ — ` �—. _ 1 HEREBY CERTIFV THAT I HAVE READ AND E%AMINEO THIS <br /> rnovps[o us[o�ewmrr�. APP�ICATION ANO KNUW THE SAME TO BE TqUE AND GORRECT ALL <br /> PROVISIORS OF 4W5 AND ORDINANCES(30VERNINO iNIS TYPE OF <br /> 1E04DE5CIliPIqNp'�POI'@iY15NOWNBEIOW WI�IQLMMqCpMES� WORN WILL 0:'COMPLIED WITN WHETHER SPECIfIED HEREIN pR <br /> NOT..THE GflMRINO OF�PERMIT DOES NOT PRESUME TG OIVE <br /> io*--L�A�aK_�or�� - AU7HORITV TO VIOLATE OR CANCEL iNE PROVISION OF IilV <br /> OTHEA STATE OR LOCAL LAW REQUTATING CONSTAUCTION OR 7HE <br /> Y�AAITrnN '�n (?JE2ET �'N �� PERFORMANCEOFCONSTRUCTION.THATIAMAUTHORREOBVTHE <br /> 01YNF.R OF THIS PPOPERTY TO PERFORM THE WOPN FOR W::CH <br /> OO�i� I - _ i � APPUCATION IS MADE AND I COMPLY WITH THE STATC- <br /> ven���reeionuueEn, CONTRACTORSUWIB2)RCWRND2962WWAG � <br /> BJck'ETf" � . / <br /> CdISIPULiqNl041LEMXR�C011[SS,IREAqNEM'40E11 i � <br /> X._L'' /� � � -� /- �i - 9� <br /> �.'12I.. F� "(-��` 2(-F / Fi�`'� 'I� q�. SIGN�NIIE IfI.IE ' <br /> 1 <br /> Cliv9p541E55lILEN$Elq LV�NF/C•4q <br /> P�UMBING MECHANICAL "�� <br /> NO. TVPE OF FIl(TUNE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET(TOILET� )/ p/C—AMNOLGUNITS <br /> Z �ATI/TUp ! FOfiCEDAIR5V5Tf.M5 t <br /> IAVATORY(WASH BASIN) HEAT PUMP —1— <br /> SH0IYER j UNITH[RTFRS � <br /> NITCHEN SINK d DISP j CLOTHES DRYERS -- <br /> DISHWASHER RANGE H000 ' <br /> LAUNURV TflAY VlATER NEA'ER <br /> CLOTHES WASHER WOOD STOVE i <br /> UPINAI � METFLFIREPLr10E(WOODBURNING) <br /> �tiINKINGFOl1NTA1N i FIREPLACEINSERT�WOODBURNING� � <br /> FLOOR DRMN �AS FIOEPLACE <br /> 9ACKFlDW PREVENTERS � GAS RANGE � <br /> SINK�SERVICE—BAR,ETC.) � � GM1SPIPING i <br /> ExMAUSTFAN / � <br /> i <br /> t ' __ �— <br /> i <br /> SUDTOTAL 5 i Sl1BTOTAL f i <br /> _ PEFMIT 5 i PERMIT { � <br /> TOTALFEE S TOTAIFEE S <br /> FOR OFFICE USE ONLY: <br /> lllONixEiO'Hu PE�NSEI`JB�C/F) S�p!_,SEi8K1( IiAN(��xECNMU4,�8/E�P(�� ifE ) � PECENTNJ <br /> � '^ Iv�A�✓ I • l_���' VV� II�/ 7 <br /> us[xcrve �� ior.n¢� ��qu�rsi¢ - FEES VALUATION �E <br /> ^' I S 000 e.vef ❑eu ouaowa $S S 7 <br /> ��ear�ruMiurroH r�oorew[wru sir[o�azorn <br /> Z VNIIS �� 1LIIYOiNG <br /> 3Go Sf, <br /> CLNRWCV tqq5�Mf5 OCCUI'1Nf10�0 0�5 ukNi MCGUNKK <br /> cp;wn / <br /> u a � o.cs Mro <br /> nne nmrt[nn�oo ne�son wortqxLLpw�CY�Ea <br /> OINFP <br /> lIIIC AUIIM 11[00 11[�SLN � <br /> SI�iE BU4➢i1q SVIILIIAl10E ��{ <br /> TY�[O�CONSt PlANSLGVPOVE00Y ' V <br /> CITY OF EVERETT rua�nwums � <br /> LOCALSALES <br /> � oe+c TAA CODE IS 3105 TOTAL <br />