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APPLICATIO�FOR COI�ESTRUCTI� PEFMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)2:7-8810 <br /> ❑ DEMOLITION �COMBINATION ❑ BUILDINU ❑ MECHANICAI ❑ PLUMBINO O SICN <br /> PROJECTADDRESS: - .3f' '¢'7"�` �L SW �oT � /IIa'rTNFWs CLENLVooD <br /> 1�.�',=��, L�.w:t t � -� C- i'z 7LY� J'i ,./4..�.�./, C�'�• 95zJn �:;7- 3528 <br /> pyr�Fp rui�oDn ss an zin vrqr¢ <br /> IIN�M� 4YIYWFf55 f.l\Y !IV ��OME <br /> •nOaqL10n0E5�W�En Mul�[NwESS Lilv l�� nqeF <br /> vl� e t �—�;'2 7(�r_�,���.k�4�.,...i l 9r»� 3;•=3s�o C�`c«NTi4��c <br /> �_�y�. � L11f�.� [PIL IIC[NSE• <br /> GfNU1�lf,ONip�(:Iql Kul D11FSi f�lv !if 19�tlYf <br /> MFC.1111�iC�lC.(IYIR�(,IO� M��LAMMFS$ I:IIY llf' VIION� tf1fFLICFNi[� <br /> PIIIMPI��f.CO�1�H�f,1W M��I�CO�E55 LIiY jIP PNDAF 51�1F1qFH5F� <br /> coum�ci rnicc or wonK HEATING SYSTEM: L9�GAS ❑ELECTRIC ❑ <br /> L�FGCaiqFwf1nR141lsnu��I�OO��f.EmvavEo cOY��crvrnSOM�V)r�bNiM ' <br /> _Stn /_>�S" ��, r✓7r f'� �7 ✓ C E� N -�.37- .'>T� F <br /> , <br /> li,�.,,.c 'r /'� 3L` <br /> � HEREBY CERTIFY THAT � HAVE RE�D AND EXAMINEO TM�S <br /> APPLICATI04 AND KNOW THE SAME TO BE TRUE ANO LONRECT ALL <br /> wmroscoosr or am7mHr, pROVISIONS OF UWS AND OROINRNCES GOVERNING THIS TY�E OF <br /> WORK WI.L BE COMPLIED WITM WHETHER SPECIFIED HEHEIN OR <br /> ircum'.su�mnor�a rno:�[erc�srqwuanowrn�nr.cHiwocoacs� NOT. THE GAANTING OF A PERMIT GOES NOT PRESUME TO GIVE <br /> io��- pip�x or AUTHORITV TO VIOLATE OR CANCEL THE PROVIS�ON OF �NV <br /> (� Ju�� '�/- I� PERFORMANGE OF O STRUCTION`TNATOI AM�UTHORIZ D BY THE <br /> . C-=��r ; �.�,�... OWNER OF:HIS PR07ERTV TO PERFORM THE WONK FCR WHICH <br /> � '- ' � C 4 � ��� , APPLILATION IS MFDE ANO � COMPLY WITN TM= ST�TE <br /> rnncn�ev i n aiuxt n CONIR/.LTO�UW 18 27 RCW AND 296 200 WAC. <br /> C(YIS1q11C1i(INIO�MIFNOFII,M[In[55.1[lEl'�1CMENU4NFN X��`\� <br /> f-i;� n! i F r f�.i 4� S /'�_C%� � s�H�mnt o��r <br /> C�TIlU9VCi'�LCENSC NO <br /> PLUMBING MELHANIGIL <br /> NO. TYPE OF FlXTUNE Oil REM FEE NO. TYiE OFE<7UIPMFM FEE <br /> J. WPTERCLOSET�TOILET) _ NC-NMNDLGUNRS <br /> I BPTHiUB _ ( FORCE�nIR5Y5TEM5 <br /> ] " LAVATOHY(WASN BASIN) HEAt PUMP <br /> � SHOWER UNITMEATERS <br /> � KITCHEN SINN 6�ISP CLOTHES ORYEAS <br /> _� DISMWASNER � RANGEHOOD <br /> LAUN�RY TiAV � WATCR HEATER <br /> / CLOTHESWASHER WOODSiOVE <br /> URINAL METPL rIREYu.:.31+/00D BURNIIJG) <br /> DRINHING FOUNTAIN FIFEPLACE INSERT�WOOD BURNINCa� <br /> FI Gufi DRAIN I GAS FIREPLACE _ <br /> BAC✓FIOW PREVENTERS GASRANGE _� <br /> SINN(SERViCL-BAR.ETQ) .3 GAS PIPING _ <br /> — -- - j E%HAUST FAN <br /> —_ ✓ � <br /> � SUBIOTAL E SUBTOTAL f <br /> PERMIi 5 PERMIT S <br /> TOTALFEE 5 TOTALFEE S <br /> FOR OFFICE USE CNLY: -. <br /> inrn�iar�n+r• nren[rtP�[v 5'1%sEtB¢K r1��+0i¢Kqovxrn rff � �Frf���No <br /> l�� !,J� .� —.,� �G� _._ <br /> u�i mvr / io�urt. wur.�5nr FEES VRLU�710N FE_ ET_ <br /> �!_-. ❑.�s ❑r�a no��rv•,c �7 � _ , � 17J <br /> 1�F1(i�lfl•v�t�11U•. � �.(11Y UNI111NG 51lF(11 Pl <br /> � � ��•.��. 553 8 SF �•���Mw:v�_--- ---- - ---- --��+— <br /> �. �.: ��. �ACWau��wn R�stNrY� - .. - � <br /> (tiL111L\� 4. VFII�n4N'nl ��`_ <br /> (.11.^�il• __ ______ ._. .. <br /> ���I n .-- ❑VFti— O <br /> {� — �(�D�Ii�N��l'I�NI:��(f� <br /> �'�I•. +\ IIi1N[Of� �4�iM �_ . . - <br /> murn <br /> -ia«�d.niSn -" ntn�nS --' ^ <br /> 5uqmnuwr.sunpunG! -- ''( �� <br /> _� <br /> orrrn�:ova---- rin.su'rn�vrnnv CITVOFEVERETT runu::wtw.� �Q; <br /> �,t LOCAL SALES - -- --� n �� n' <br /> _ ��/_�_ �����. /Zy TAXCO�EIS0105 TOTAL __ �CiU ;LJ <br /> JL �- <br />