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APPLICATI� FOR CON�TRUCT�N PERMIT <br /> C�fY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERE7 T,WA 98201 •(q25)257•8810 ��j��� <br /> ❑ DEMOLITION L�J COMB�NATION ❑ BUILDIN6 ❑ MECHANICAL ❑ PLUMBINO ❑ SION <br /> P�1ROJECTADDRf�ESS: �7 �2 `�'`7r�� �L Sl.: �% S ��,�rrNsc��s G�r'Na�ocn <br /> _1.�.�����.i \ �.w.�.�..�*�r-�� ..�_,.. . �e.iz2 7G'`FYI.. A�� �.4/K�....� 4 �. yF19c <br /> OYMft1 uul�00nE55 � qtt }�P p f <br /> 1FN�N1 MY141MF55 f.I�Y pp ppqE <br /> ��ILMilG�O�MSIG�I[II M1�IIAOPE55 CIIY )11' 1�NONF / <br /> � i...l�o �._ t a+-- � o,, �LF `� • ' � L��ecCHlli7 � . <br /> ���.i.tw.._.._,. �_ Z 7C•• ���.�< �e�rw.0 (.��... �Slyc 3-il-iizF �c. <br /> GfNEfUIfAMpALip1 M�i1�OBE55 CiIY pP PiNl4E SIAROCENSF• <br /> MFCN�MUIfONlf1q10� M�il��E55 Clb )�P ry�ry:( 5I11FUCENSE• <br /> 4`IIIMBINGCONIP1f,lp1 M�RRMMF55 CIiY jIP pNOMf $UfFIKENSF• <br /> fp1�MC I PN�E O(WOP6 <br /> HEATING SVSTEM: GAS ❑ELECTRIC ❑ <br /> �FSCMBF.WO[.N 1N�SOU.�PE�Wi�OE W VOIVE� CWi�CI P(PSOM ANp 1'IqNF Iq <br /> GF /2 I.1 �S `.J-� / C.�O J%C/� <br /> il�'�Si l � �e�.� � <br /> I HEREBV CERTIFY TH�T I HAVE READ AND E%AMINED THIS <br /> eaprpsvousc nr xmmnrto APP��'.:ATION AND NNOW THE SAME TO BE TRUE AND CORNECT AI,� <br /> PROVIS�ONS OF LAWS AND OROIN/�NCES GOVERNING TNI$TVPE OF <br /> WORK WIIL BE COMPLIED WITN WHETHER SPECIFIED MEREIN OR <br /> icmioescwnnor1a�rro�nrv�sr�ovmanowon��r.;�:.�nwocones� NpT.THE GRANTIRU OF A PERMI7 pOES NOT PRESUME TO OiVE <br /> �D��niacx or . L�."7 .� �UTHORITY TO VIOLATE OR CANCEL TME PqOVISION OF ANV <br /> � OTMER STATE OR LOCN.LAW REGUUTINO CANSTRUCTION OR TME <br /> PERFORMANCE OF CONSTRUCTION.TM�T I AM AUTHORtZED BY THE <br /> � e L /� � - - C�c- G c: }: OWNER OF THIS PROPERTY TU PERFORM TNE WORK FOR WHICM <br /> i7 L-2 'i C� - 3- C 3 )- Ca^C 2 APPLIC�TION IS MADE AND I COMPLY WITH TNE STATE <br /> P.wcEi uR i U mnd9ea CONTMCTORS LAW 1B2]RGW AND 296200 WAC. <br /> c miwnc«ia�n�Eur,�n�tun[ss.rciu�m[r�wnrn ;C�....L.� �.�.w\�+ �/ZC�iF <br /> I.'cN fi? /y/aNK _5��=� - C7`)2 smM.m� �o•�� <br /> ti}Y&IyNE55lCEN5C NO <br /> PLUM81N0 MECHIINIGIL <br /> NO. TYPEOFFl%TUREORREM FEE VO. NVEOFEOUIPMENT FEE <br /> ' WATERCLOSET�TOIIET) NO-NHpDLGUNITS <br /> % BATHTUB / FORCEDAIPSVSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP T- <br /> SHOWER UNIT HEATERS <br /> 1 KI�CHEN SINK L DISP / C�OTMES�RYERS <br /> � nISMWASNER � RANGEHOOD <br /> LAUN�RV TFAY � WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINRL MEfAL FIREPLACE(WOOD BUFNING� L_ <br /> ORINRING FOUNTAIN FIREPLACE MSERT(WO00 BURNING) <br /> FLOORDRAIN � G0.SFIREPLACE <br /> BACKFLOW PREVENTERS GAS RANGE <br /> SR.K�SERVICE-BAR.ETC.) .j GASPIPING <br /> E%MAUST FAN <br /> SUB TOTAL E SUB TOTPL f <br /> � PERMIT S PENMIT f <br /> TOTALFEE S TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> fFON �P�LM 11(�I�S(164LR $�UESF�B�LR 1`I�NLIIfCMNUMR( ffF 11FfFIPINO <br /> ��'-�- 1 / ��'lti' il'Ot7(o •, <br /> 1!S`�i .L iO��nF� v�ter��s��E FEES VAIU�TION FEE <br /> �� �/ OVFs ❑rro � o'� �'/„� <br /> f flVIWNf. 'u.J � <br /> 11F1(11111411A11��y NO(YUWf111NG $IlfOfp� I �� ��� <br /> /JrS'� 11'.i1V � . � <br /> (/l/ /S �f� .IQ rvuun:xr, 8 <br /> OL(:IIM4f.Y NJn�c1��4t� pfCllf'1N1101U fiA$L4fN� 4Ff.11�N1f,�1 <br /> f.IOIIP <br /> ��-3 u-� Z- o.es B'� ' -- <br /> �IFCiVNIYFIfPP�00 �F�SfN �DD��I�Ny1'I�NCIIfLk � <br /> � <br /> 0111fR <br /> f�(1EA(A11UP[(1'p 11{�c()V <br /> ;•�AII RIIII��NC.51111L11�11(:[ 4 !^/ <br /> +�� <br /> nveoreona� rinNx��rnovrnn+ CRYOFEYERETT ����wmwcw.c <br /> LOCAL SALES --- — - ��- <br /> -/�/ u.�t �J /b` B TA%CODEIS7105 TO7AL <br />