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APPLICATIO� FOR CONSTRl1CT�Pl PERMIT <br /> GIN OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVEREfT,WA 98201 •(425)257-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS:�42(� �jg'7H STI'L�- <br /> Cosc�D�. ,��vro2 �o. BO,� SzaC� EJ�1T �✓.4 9�37L1� 425-259- 7 l BS <br /> -0YM1!'R' 4ut�DWF55 OIY Iin prpN[ <br /> -`�'�`r„ " 24zo 3a,u srn�r ��-r �ra� 9az� AZS-z59•762� <br /> 1INAH1 4Y14^.OflI55 ry.tY )IG .^!K�MF <br /> ♦�1Cnii(�IOPMSIGqO� M��IIO(MESS (Itt !ir PnpNF <br /> GfNEO4 f,OVIp�LIp1 Y�il���PE[5 [i�v )i� MNh[ [41[IiCENSE� <br /> 4GCI��N�L�.CnNtfl�ftUf1 V1��/.Cpf1E55 C.IiV }If� CII(1�f tf1lFlICFNSF• <br /> V1Kld(3�`Gt21AIKLFl2 3434 I sr .QJE 5 SE.4TfLE v.lf� 9F31'A- 2�G�Z-4L-r� V(K��1n 3�3µ-�- <br /> PI MPiM1Gf.ONIH�qt[M1 y�p/LppES< prv IiP plqqF S1��FIiCF�Kf• <br /> CONIlIAL!1'1110E O�J.^�1M <br /> 2 �'j L � HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> oFscn�oe xonK�r,�r sou•ur awiec[wvoivm mrnna rrnso��.�+o rr�ovv rro <br /> _�:"I�'llt� E.�IST/J6_ KGbF <br /> 5� E�.�/ OGFICE <br /> <ral n r" g�� I HERE�Y GEFTIFY THAT 1 NAVE READ AND E%AMINE� in�o <br /> -��T APPLICATION AND NNOW THE SAME TO�E TRVE/1N�COFLECT ALL <br /> v�o�vs�u vu or nmmiur. FROVISIONS OF�AWS AND ORpINANCES GOVERNING TH�S TYPE OF <br /> �FF I C'_E WORN Wi�� �E COMPLIED WI7H WHETHER SPECIFIED MEFEIN OR <br /> ifcainrs�.nmuw�orvnorenrv�siavmeuowon�ruonwocon[si NOT. THE GRANTING OF A PERMIT DOES NO7 PIlESJME TO GIVE <br /> ���. oiot+ Or AUTHORITY TO VIOLATE OP CANCEL THE 7ROVi5'ON OF ANY <br /> OTHER STATE CF�OCAL LAW REGUTATING CONSTRUCIION OR THE <br /> PERFOPMANGE OF GONSTRUCTION.TMAT I qM AUTHORRED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM 7HE WORK FOR WHICH <br /> APVLICATIOt! IS MADE AND 1 GOMPLY WITH TNF. STFTE <br /> renn'iu.ioMrun[n - CONTRAGT , LAWt82]P AND49fi200WAG. <br /> j71�0 L%�La O?n O� n;� <br /> c(wvini�cn(W IO�N�runFn Mf�n[ss t[lE1`xd+EMuvREu �� 5��-9'B <br /> X <br /> :'GNI�fV11L P�IC <br /> p24704 <br /> CIiY flV VN[:S ll{'F il`[r:U I <br /> PLUMBING MECNANICAL �', <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TVPE OF EGUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C-MINDLG UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORV(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> i__ <br /> NITCHEN SINK 8 DISP CLOf1iE5 ORVERS <br /> UISHWFSHEi1 RANGE t/00D <br /> LAUNORY TRAY WATER HEATER <br /> GLOTHES WASHER VJOO�STOVE T <br /> I/RINAI h1ETAL fIREPLACE�WOOD Bl1FNING� <br /> DRINKING FOUNTAW FIREPLACE INSERT(WOOD BURNING� <br /> FLOOR DRFIN C�AS FIPEPtACE <br /> BACNFLOW PREVENTERS GASRANGE <br /> SIhK�SERVICE-BAR.ETC.� GAS PIPING <br /> EXHAUSTFAN <br /> -- � G �00 <br /> �r./ ='�`E" ..` <br /> _ SU�TOTAL S SU�TOTAL E <br /> PERMIT E -�- PERMIT S <br /> TOTALFEE S TOTALFEE f <br /> FOR OFFICE USE ONLY: <br />� �np.n[nMrn nr�nNtP4x SMSE1PeQ r��ur�rttn vuxrn rFF nrrPr�Na <br /> �7cL= <br /> vri iurr imue� v���v�su� iEES VAWAfION FEE <br /> ❑YF$ �AII RIXIIIiNt: �� <br /> uFiC•��iNn4�iJ� 6OUfUwILLI� 91FO�BlW4i ' <br /> y��v r�vw�nr. <br />' (iCtufN r Y I:��P fl�[lVfti� _..�..� � � � -�� <br /> f.11"11�1 �" ul. L4:(I�n�ll� 4f1:1�1NN'11 <br /> ❑�IS ❑M� ._ . _ _._ .._. _ . <br /> I��i�l ��.•.nll�:l:lll[1 111�[CN ALWII(I4�IrylNlrlffK <br /> nn�[n --__- _____ ' —_ - - <br /> ili�l+I:.�M1�IRISU � � nlncqy _ __ <br /> ��I I.'il:cilflC'I��nt:f ', <br /> l,n ri :�nd--_- _a..s�rrnavtom __' CITV OF EVERETT ,���-_�..,.�_- _ ' . -_' __ <br /> . f1 LOCALSALES . .__� _ _. ---_. - __ - .- _ �_ .- <br /> ' � TPX COOE IS 3105 ro.A� , <br /> ��,�t —_. - _ <br />