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.� <br /> AF�PL.ICATIO�� FOR CONSTRUCT�N PERMIT <br /> CIN OF EVERETT•BUILDING DIVISION �C� <br /> 3200 GEDAR STREET•EVEREIT,WA 98201 •(425)257-8870 <br /> ❑ OEMOLITION Ci COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADORESS� % /p��- '6/�/ 5 % SE <br />��OWv Mu�MAufss Oiv rm rv�onE <br /> r�1,Q,� I� �Ac{+aeellp 6708'- /R �JhA✓F SE .S�ola.n,'s�, u79 <br /> +rveH� vu�eoartss nn no v�rovr 9&'dL�✓O <br /> 36a-S6 S•1�� _ <br /> �noa.rcronnsvc��r� Mui�nrn+ess an nr m�onr <br /> cr/y[q/uco�un�c�rn uu�eoon[ss o�v t�r r�u�v� curtucrnss. <br /> Vi� t1�1 / - <br /> Mic�UuiGIf.ONIPLcIon u�il�fqnE55 Cin Iir rv�oNf Suifl2Eu5F� <br /> PII�AIBINGCOIIIR��:�M M��lAIK1Rf55 CIiY I�� �'Hp11f SI�If11LFN5F• <br /> CONIII�CI I�RICF Oi Wf111R � <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> nFscnioe won��un snu�n�rooi�cE wvoiveo �rn�r�c�vr nsoN.rm n�ovr r.o <br /> i � <br /> 1 HEREBV CEF7�FY TNAT I MAVE AEAD AND EXAMINEO THIS <br /> APPLILATION ANU NNOW THE SAME TO DE TPUE AND CORRECT ALL <br /> rvqeasro usc or pnimiuc ppOV1510N5 OF LAWS AND OROINANCES GOV�RNING THIS TYPE OF <br /> _j�y. WURK Wlll BE GOMPUED WITH WHETHER SPECIFIE� H[REIN OR <br /> ice��o[seamna+wnrc�vpnrv�5rqwnaeianoa�necN*wneoA[si NOT TME GRANTING OF A PERMIT DOES NOT PPESUME TO GIVG <br /> �o� oiac or A4THORITY TO VIOLATE OR CANCEL 7HE PROVISION OF ANV <br /> OTHER STATE OR IOCAL LAW REGULATING CONSTPUCTION OR TME <br /> PEFFORMANCE OF CONSTPUCTION.THAT 1 AM AUTHORIZED BY iHE <br /> OWNLH OF TMIS PPOPEFTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION U MADE AND I GOMPLY 1YITH TME STATE <br /> CE�ux i o r�ouxen GONTRA' O��RGW ANO 29fi200 WAG <br /> 3 �2�o S- /o o - aoo <br /> c�sini¢noxin�r�ir�mFnu�rnEss�[«�+�or�c�.uuntu x .e�+� /i�i+-nn pV <br /> sm� ��c wrz <br /> C�1Y BU VHES$pC[IISC tiG <br /> PLUMBING MECH�NICAL <br /> NO. TYPE OF FI7(TURE OR ITEM FEE NO. iYPE OF EOUIFMENT FEE <br /> WATER CLOSET�TOILET) A/C—AMNOLG UNIiS <br /> BATHTU� FOPCED AIR SYSTEMS <br /> LAVATORV(WASH BASIN) HEAT PUhIP <br /> S//OWER UNIT HEATERS <br /> KITCHEN SINN d OISP CLOTHES DAVERS <br /> DISHWASHER RANGE HOOD _ <br /> LAUNOfiV TRAV WAtEA HEATER <br /> CLOTNES WASNER W00�STOVE _ <br /> URINAL M1IETALFlREPLACE�WOODBURNING) __�_ <br /> ORINNINGFOUNTFW FIREPLACEINSEFT(WOOOBURNING) _ <br /> FLOOR DRAIN GAS FIFEPLACE _ <br /> UACNFLOW PREVENTERS GASRANGE � <br /> — --� <br /> SINK�SERVIGE—BAR.ETC.) GAS PIFING <br /> — — — E%HAUST FAN �_ <br /> SUBTOTAL E SU070TA1 S <br /> � PERMIT $ PEAMIT 5 <br /> � TOTAIFEE S TOTALFEE S <br /> FOR OFFICE USE ONLY: _ <br /> �nnNlsrt��[n n�encnP4x S�OEsc�P�cK rteuU��xevm�rn �Ef nrrn�•�NO <br /> ��� q <br /> usc+o�+r ����•�'u ��cevisn[ _ FEES VALUATION __ fEE <br /> —�-- <br /> ❑r[s ❑'�u nmim;c <br /> nu<aanvu.var yanwnuuc s¢eo.eiocn� — — __ <br /> ri uux vr. <br /> ._..""'_ '._....__' _ ' _"__'__T_ <br /> p(;(;IlfnM1i.v �`..!�! (�fl�('I.N�IU�1� 91(fN[I:� MFI'l1�Nifn1 <br /> f.11011l` . _._, _ � <br /> ❑v[5 ❑40 <br /> �p[N�1(IN/I 1'{W l'I�(f4 <br /> �IIiC_:�•I:i\nILNI:LO�II ��1��(YI — __ <br /> nl��f11 <br /> fIPIP1AlY}pEOU i1f�C�V <br /> •;Iq11 llllilUiM1:511nG�41CF <br /> ,________ .__ . ___� <br /> ��__ .. . ._ _ � <br /> �vmri -� . rimsu•rnovrnm CITYOFEVERETT �'�ni��.wni�+c : <br /> LOCALSALES --- -- , —� -- — -- -- � " j � <br /> _. . � ,,,� 7AXCODE159105 TOTAL ___ ___.____'__ _ ____. ____ <br /> — _ --i— <br />� <br />