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APPLICATION FOR CONSTRUCTION PERMIT <br /> CIN OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT.WA 98201 •259-8810 '���" <br /> p DEMOLITION ❑LC1OMBINAT101L ❑ BUILDNI6 ❑ MECHANICAL I:f PLUMBMIG ❑ SION <br /> PROJECT AODRESS: � I�U�-{ - /����/ � = h''� <br /> ,�I7c-"��R /: . �!-a.oy T,��.�« ��.� �-;.=r�,� w� ysaoJ a�, �ti �oy� <br /> ONHfP 4YIIYIftNCS CIM1 M' h�l <br /> IfM�MI YMMMR55 fJl♦ )M nK� <br /> /.PCM1fC1p10fWiMn MMNIX�l�S CI�Y !M' M1�� <br /> C.fM11NCWIp�CIR1 Y4lGO[M55 bl� I�P AUv[ 51��CIICYM•E� <br /> 4fLN�MCNCM�A�CION 4M�IXMF55 f.iM1 )�P M�� ���ifICiNSF• <br /> t.ZJ �-V� SA��.�.� <br /> ryll�/IMGCp1�P11;\pR Y4l�Cq�l55 OIY Iq �'�V1f $1/.I[IK�My• <br /> CWIMCII•IXCL V NV�R <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> uescam[wrn.�rq sw�m rom,w[Mva�cn tw��cr nnso+w1 nqrw xo <br /> / � .n. � �- /C v2' % � <br /> it ��(� (�' `� I HEREOY CERTIFY TMAT 1 HAVE READ �NO E%11MINE0 THIS <br /> APPLIC�TION AND kNOW THE SAME TO BE TRUE 11ND CORRECT�LL <br /> °"������""�110 � PRONSIONS OF UWS AND OROINANCES GOVERNING TNIS TVPE Of <br /> �/�°� ��7L' WORK Wlll BE COMPIIED WITH NMETHER SPECIFlED HEREIN OR <br /> �Ea��o[5cnm�iwama�curv�s.rowxenoww�nrcNiwocoorcsi ppT. THE OHANTINCI OF�PERMIT DOES NOT PRESUME TO OIVE <br /> �o� �iay a AUTHORITY TO VIOLATE OR C�NCEI THE PFOVISION OF ANV <br /> OTHER STATE OR LOCAI LAW RE6ULATNO CONSTRUCTION Ofl TNE <br /> PEHFONM�NLE OF CONSTRUGTION.TNAT 1 AM�UTNORIIEO BY iHE <br /> OWNEN OF THIS PROPERTY TO PERFORM TME WORK F011 W1/1C11 <br /> APPLICATION IS M��E AND I COMPLY WITH THE STATE <br /> rancEi w i o Mre[a CONTR�CTOPS UW iB'21 HCW AND 2%200 W�C. <br /> co+srwcriornoe��oa�nuMntss�ucr+aMrernrn x���lC.��.-�-C�. �� � ��G� �/�- 5(� <br /> sK:w. ouc <br /> CifY&1 VNESS lC[NS(Iq <br /> PLUMMNO MECM�NIC11l <br /> NO. TYPEOFFlkTV11EORITEY FEE NO. n��EO�N� �E <br /> � WATERCLOSET�TOILET) NC—MMOIaUHfiS <br /> B�TNiUe FORCED AIR SYSTEMS <br /> LAV�TORY(WASN BASIN) HE�T PUMP <br /> SHOWEH UNIT HE�TERS <br /> MIiGHEH SINK 6 OISP CLOTHES ORYERS <br /> � . DISHWASHER R4NGEHOOD <br /> IAUNORv T9�Y WATEfl HFA7ER <br /> CLOTMES WASNER W000 STOVE <br /> URIN�L MEfAL FIflEPIACE(WOOD LiURNING) <br /> URINNING 1 OUNTAM FIREPIACE INSERi(W00011URNING) <br /> •�. FIOOROR�R! GASFIREPLACE <br /> B�CNFLOW PREVENTERS GAS MNGE _ <br /> SINN�SERVICE—BAR,ETC.) G0.S PIPING <br /> �— EXHAUST FAN <br /> �— <br /> SUBTOTRI f SUIiTOTAL f +_ <br /> -i PERMIT S PEFMIT S <br /> TOTAL FEE f TOT,LL FEE f <br /> FOR OFFICE USE ONLV: / � a � '.J IIvD <br /> ��(y�.{�pq;y n��115l1PI1Ct SICES[1PKM 1'IWO�L[RNVMGfII fIf flff.fX'INO <br /> /� �� <br /> vY�var�c mrmu v�cev�vtr FEES W1LU�TION _ FEE r_ <br /> Or[s ❑uo pummr. <br /> MUGnIVu�4fiON N016�w[lll�q Si![M&00/11 �J�� i <br /> fy114RXVO _ /.S�±._� <br /> IXCuv�v[:� vMpSR'm15 OCCV��HILO�O B�Y�EHI 4FO��HN;µ �� <br /> C.nqM � ___ <br /> ❑�LS ❑Iq � � <br /> nu[SvniN+L[RPIO'� �f�SM �MM�N�M�IR�NONCR � <br /> ou¢n ���—._ <br /> i��;t uwunroo m+sorv "— <br /> snir nuntm�t snncrunrt <br /> ia•�nrrnvcr r�nMc�rrnwmnr CITYOFEVERETT r�ini¢wa��a <br /> LOC�L SALES ----- ---— --"'— <br /> �„�i TAX G�DE IS J105 iouL �__ <br />