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APPLICATI� FOR CONSTRUC�ON PERNIIT <br /> CIN OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•E'JEREfT,WA 98201 •(425)257-8810 <br /> C DEMOLITIOh ❑ COMBINAT'IO/N O 9UILDING ❑ MECHAIVICAL ❑ PLUMBING ❑ SIGN <br /> �ROJECT ADDRESS: ��� Y O � ��Ae t <br /> N�o�hA (��1 y� P[�!« �o.�k� ���I�/LS3/79sz6 - <br /> OWNF11 4Yl�LO��F55 LIlv lll' CMOM! <br /> 1(M�NI 441�Mf1f5$ CIIY )IC {1qNF <br /> •11LMLfLIO�f)ES�GNfN Y�IIM[:N�SS CI�Y )�� ��1Mf <br /> h.rn�,sy� �i'v��.¢ucT,o� `R�03 73 DKu� f9pr...5�t� 4r1�a 36o-053-�6Y6 /'rE,�EMevi/9� r <br /> cra¢ ncov�Nuon u�n�M��[ss cnr T nr r�xJYr sunuCrMsf. <br /> 4fC���MIC4Cf1�I1R�CIUN N��t�IMWF$$ f.11Y l��' 4`�KI4f [1��fl�CENSf• <br /> PIUYOMGCONIPAf�M M��I�OGIf$$ C11Y !I� I'NO�iF 5!/.lFll[EM1Sf• <br /> Cb1tM1�L�PII�L[Of WUPK <br /> ��0 HEATING SYSTEM: ❑GAS ❑ELECTPIC ❑ _ <br /> nr sc�mF v.on.�.0 sou.in..00u�F wwrv�n cau.c*.�usc»..uo r�.ovr ao <br /> 'oc•" ua2 � z'1- e'f- E'x;sr, � <br /> I yo ��r -�- - - -- <br /> I HEREBY CERTIfY THAT I HAVE READ AND E%AMWED THIS <br /> APPLICAiION PND NNOW TNE SAAIE TO�E TRUE ANO CORRECT ALL <br /> i•norosFo as[or ammn+n PROVISIONS O�LAW 5 AND OF�INANCES GOVEFtJING THIS TV P[OF <br /> WORN WIIL BE COMPLIED WITH WHETNEF SPECIFIEO HEHEIN OR <br /> itcunescnirna�orrnprenni5rrormeaoww�n¢xiworoR[s NOT TME GAANTiNG OF A PERMIT OOES NOt ?FESUME TO GiVE <br /> iot eioca w AUTHORITY TO VIp�ATE OR CANCEL THE 7ROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW FEGULATING GONSTRUCiION OR THE <br /> I FERFORMANGE OF GOkETRUCTION THAT I AM AUTHORIZEO BY THE <br /> — UWNER OF THIS PqOPERTY TO PERFORM THE WORK FOF WNICM <br /> APPUCATION IS AIADE AN� 1 GOMPLY W1TN TNE STqTE <br /> pentFitui Miuntn C TRPCi05lAWiP2]RGWAND29fi200WAC <br /> —201 D - �fi-12�9 <br /> CONSINIIC�Iry1t0�111fN1IFN AI%1PESt t(lEA1W1f NU4PFf1 <br /> •mnc o��� <br /> C�IVgOSHC55l�CU1�[LO <br /> PLUM8ING MECNANICAL <br /> N0. TYPE OF FI%TURE Oii rtE1A FEE N0. 7VPE OF EOUIPMEM FEE <br /> WPTER CLOSET(TOIIET) A/C—AM11NDlG UNITS <br /> BATHTUB FORCED AIR SVSTEMS <br /> LFVATORV(WASH BASIN) HEAT PUMP <br /> SHOWER VNIT HEATERS <br /> NITCMEN SINK 8�ISP CLOTMES DPYERS <br /> DISHWASNER AANGE HOOD <br /> LAUNDFV TRAY 4YAlER HEATER <br /> CLOTMES WASHER W00�STOVE <br /> UFINAL METAI FIREPLqCE�WOOD BURNING� <br /> DRINNING FOUNTAIN FIREPLAGE INSERT�WOOD BURN�NG� <br /> FLOOR DRAIN GAS FIREPLAGE <br /> DACKFLOW PREVENTERS GASRANGE <br /> SINN(SERVI�E—BAR,ET0.) GAS PIPMG _ <br /> — EXHAUSTFAN y_ <br /> SUD TOTAL 5 SU�70TA1. E <br /> PERMIT f PEAMIT t <br /> TOTALFEE S TO�ALFEE S _ <br /> FGH OFFICE USE ONLY: <br /> 111nNfGfl111fx I�f�fi$f1fl�LK SICFS�IB�CK �'I�NCIIICMkV4R(11 fFf �fff���MO <br /> �r� �° <br /> o�� +avr �o��u[• v4�v�5��c FEES VIILUATION FEE <br /> -- ❑rFs ❑Ho mmNVL (� :J S <br /> I�fl(:r�11�VI�A�IOY NOODWIIIING SIjEO�BIOGRI <br /> 114i1,[ I� �'� �1114PNC * _ <br /> C101R'1\L:V M ��li..nlf 1N:C11�1N110�(1 B�SFM[NI 4i1.N�\if11 �(/v <br /> ❑1[5 'JNn <br /> rncsrn�.urci[nntou-- nEn.m �oourtwuri�vCur.c. <br /> a��cn I <br /> nae.uava�on ai+sov " ' <br /> s1111 PVnI)✓�I:S�IIICrunl:[ —__ __�� f <br /> ��reou�n•i�• ninnv��rnrnrnn. CITYOiEVERETT ri�n:n�wo:i.e � <br /> LOCAl5ALE5 - ---�— ----��— ;� � <br /> _ _ _ �;,,�. t//�/`�C TA%CODE15J105 TOTO_�_____�_____ ___�y�.., <br /> =F( � <br />