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APPLICATIO� FOR CONSTRUCT�N PERMIT//�'�� <br /> CIN OF EVERETT•BUIIDING DIVISION `/ <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257-BB10 <br /> ❑ DEMOLITION ❑' C/OMBINATION �2O BUILDING ❑ MECHANICAL � VLUMBING ❑ SION <br /> PROJECT ADDRESS: X � 3 I k��q�e- `��`vL �=`��Tt W1{ 9S'ZO 6 <br /> �D,,�o A. /h.�����u P013 I�-vz C-,.rnz-l- 70� �52-92oZ <br /> f� V4l�W�fSS OfY l�� vrq4[ <br /> 1�N�V� 4Y1�IId1!$S (llY I�V M�OVf <br /> �1¢r�1fC�O�M54fR�� 4u1LMW65 C�•v Im �MA'f <br /> C.fYrrl•lC�� N�M1IMM�[SS (.�1♦ I'� I�Mn[ a1��ilK(NSi• <br /> Mfl��dY�C�I(.(14��AC1p11 4Ul.�t%M�FSS f.lh lil' 14Nh� [��IfIKFMtI� <br /> 1'1�14pNGCCN1P�f,1(X1 u����UMi[55 Cliv IIV f�KN�F SI�IFIS[NVI <br /> cuu�n�c�nact oi wun� <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> MSffUBF VRNI�1411 i!h1�11[f OOI�pE NVCIVFD f W��Cl rt n50M�M 1'�YYi(NO <br /> 1 HEREBY CEFTIFY TH�T I HAVE RE�O �ND EX�MINED 7H15 <br /> ripmsro mr w nunpvn APPLICATION AND NNOW TNE SAWE TO BE TRUE ANO CORRECT ALL <br /> PPOVISIONS OF LAWS�ND OR�INANCES GOVERNING TNIS TYPE OF <br /> WORN WILL BE COMPLIED WI7N WHETHER SPECIFIEO HEHEIN OR <br /> ur.uncsrnnno,anartnnisrn�mxinww�n�cM�xvca+[si rypT. THE GRANbNu OF A PERMI7 DOES NOT PRESVME TO GrvE <br /> �oi__ etocx p �UTNORITV TO VIOUiE OR CANCEL THE PHOVISION OF �NY <br /> OTHER SiRIE OR LOCAL LAW REWUTINO CONSiRUCTION OR THE <br /> PERFORM C[ F CONSTRUGTION.TMAT I AM AUTNORIZEO BY THE <br /> OWNEN F PqOPERiY i0 PERFORN THE WORK FOR WHICM <br /> RVPII ATI MADE AND I COMPLY WITM THE STATE <br /> � ��� CON L WIB27RCWANO296200WAC <br /> � �' - 018-A'��l-OD��( � 9 3� <br /> tIfllKli(MI I(lIN 1 f Nflf II N1M�15[Illl Mp4E MAY1iP <br /> .M�l O� <br /> OlY PUVM551 CI NS!NO � <br /> PLUMBING MECN�NICIIL <br /> NO. TYVEOFFIKTUREORITEM FEE N0. TYVEOFEWAMENT FEE <br /> WATEP CLOS[T�TOILEn NL-MINDLO UNI75 <br /> BATHTUB �ORCED AIR SYSTEM$ <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> � SNOWER UNITHE�IERS <br /> ( NITGNCN SINK 8 DISP CLOTHES UI1VE�5 <br /> 1 DISIIWASNER � iiANGEH00D <br /> LAUNDFY TMv WPTER HEATER <br /> CLOTHES WASHEfi WW�STOVE <br /> URINRL MEtAL FIREPIAGE 6YOOD 9URNING) <br /> ORINNING FOUNiMN FIREPLACE INSERT(WOOD BURNING� <br /> fLOOF ORAIN GAS FIREPLALE <br /> __� OACNfLOWPREVENTERS GASRANGE � <br /> SINR�SERVICE-�AR.ETC j GAS PIPING <br /> � EXHAUSiFAN <br /> SUO TOTAL S SUO TOTAL f <br /> PERMIT f PEPMIT 5 <br /> � TOTAIFEE S TpTqLFFE f <br /> FOR OFFICE USE ONLY: <br /> .�i�Y1Gl��l� IIfYi(t�P�C4 SIMSf�R�C1t ('I�NCI�.[C(4NIIVPIR ff� IYCI���MO <br /> �-�_ � ��� --- J � ."1�1�1�74 <br /> . .�d�i' �ux• v�uv�snr _ FEES V11L011TION FEE <br /> ❑.f5 � �- <br /> c� �••• �O RViMut � <br /> i� 4 ♦ n 4U tY PMFII�� SiIF M Bl W� � ��— <br /> � � � ry 14P V f . . . .. . �/ <br /> '�HIIV 11 1!1[fNYI �S/i <br /> ..� ) u /i � 4!1'Ii�YN �� - <br /> '� �� �./�• ❑�f< B'4� <br /> I�+IrI� ��IncfN �OPt(!hn ry 4t fl'� <br /> _ ��/�_ — OI�rt11 <br /> � . .:I' nl��0a 'I � <br /> ��11`� _ ' % I�tlP�litUi4.5�lnfli�tl::f —�J ;� <br /> r <br /> ,��—� -.:--_"." ��n�c.—�mrnrnn� CITYOFEVERETf rnnnca+x.... — — <br /> LOCALS�LES -� - --- — -- - - — '-�— <br /> '__ �,,,i �' TAIfCODEt50105 To7�L _ _�J� <br />