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APPLICATI� FOR CONSTRUCT�N F�ERMIT� <br /> m oF�Rerr•eui�owc omswN <br /> 3200 CEDAR STRc6T•EVERETT,WA 98201,•(426)2S7-B810 <br /> Q OEMOUTON � COMBINATION ❑ BUILDINO ❑ MECNANICAL ❑ GLUMIBMW !] SION <br /> PRQJECT ADDRESS: I��{'w � Z3� DE2. S.�. <br /> �I��T�} p2eSr pEy f o do�[ 3�-p ��n,o�Ds 9802o N+r) 77�/-3151 _-- <br /> , <br /> q YMMO�F55 PIY I�O �rp{ <br /> TFWWI Wut�0U�F55 GlY lw Y�qNF -.-. <br /> CF.AUC D'�Ibnl INA'15Iu7E',eudAJ JWF S.#Q�S-B i ��l.�F qd IL9 (ZoL) T-44-Z48o _ <br /> wc'�mranoevaxtn �un�oo�ess nrv im n� <br /> �n+c;>.�rraEv. P•o- F.3� 3�Fo E�w�nus `l8ow C�FZs)na-aiti eai D� <br /> OEMENµCONIN'1011 Y4l SS CIIY l�� I'IYJNF (I�IIIKfHSf• <br /> SM T+ Hs�FI'i►k- ��'�`i..��`�- �w99 S. EUD2e�T_9820� (YZS)347-o't� I BR.�teESr+ov�S�F <br /> fFDiN4 •iJCED �Glwd�nU �i i4�#YIzR 5. uEif)aE"►'T 98wy (�3w8-S1oo�.pDvANPNou P <br /> Plu1MMGCM�RK.lq1 Yul�aM�Fss CT iir nrqNf 51��FlICENSi• <br /> � cwrn�cioaceMwowi HEATINGSYSTEM: GAS ❑ELECTRIC ❑_ <br /> CESCN�FW'JNYIHOSW�PF{OJ1�6FNVIXVFC Cd1I�Ct11NSON1MI1hO11FM0 Z�� ���'J�Ir <br /> �201'+ �fiS� 7��{-315s1 OFFic+ <br /> �1 ��E 1 ,� � I HEREBY CER7IFV 7N�T 1 HAVE READ �ND E%�MiNCO TMIS <br /> APPUC`TION AND BNOW THE SI1ME TO BE TRI/E AND CORPELT �LL <br /> rnovouousc or amwa PROVISIONS OF�,AWS ANO OHDINANCES GOVERNING THIc �VPE OF <br /> WORK Will BE CAMPLIED WITH NM1IETHER SPEpF1ED N[REIN OA <br /> IEG�lOE$CPiPfIOHOfYXMERfY13��OMMeEIOWOP�il�CN1WOCOlYE51 pqT, THE GR�NTING OF A PERMIT pOES NOi PqESUME TO CNE <br /> io��_�ay p NO1�E A��'rl. AUTNORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER ST�TE OR IOC/�L UW REOULATIN6 CONSTRUCTIOII OR i nE <br /> PERFORMANLE OF CONSTPUCTION.TNAT I AM AUTMORRED BY THE <br /> OWNEP qF THIS PROPERiY TO PERFORM TME WORN FOu WMIGH <br /> APPUCATION IS MADC ANO I COMFLV WITN THf STATE <br /> wWtEl oa i0 MMan yj � . , � CONTqACTORSIAW 1827 PGW ANf[96200 WPC <br /> p�►1�t saUir�Xi �,,, eoa�i.,l�R.�o3�� % F , p (Ge_. — <br /> CCNSIRULIqMIWxIEM�fN�01nE S.iEIEM1qHF wnrn 1c� I( 12- R� _ <br /> -�2-�--(.�o�9Loq_ _r..�.,����. �.� <br /> -. �•issicE�u�io <br /> VLUMBING MECNINICAL <br /> NO. TYPE OF Fl%TURE OII REM FEE NO. TYK OF EpUN'MEMT FEE <br /> WATER ClOSET(TOILET) NC-Mv10L0 UNfB <br /> � BATHTUB ' �OriCEDNR5V5TEM5 ' <br /> � UVATMY(WAS11 B�SIN) HEAT PUAM _ �- <br /> - SNOWER VNIT/IE�TENS -J— <br /> _ _i_._ <br /> NITCHEN SINI(8 DISP CLOTHES 1:RYERS <br /> DISHWASHER A4NGE MOOD <br /> LAUNORYTfUV � WATERNFRER -�— <br /> CLOTIIE:WASHER WOODSiOVE T <br /> UF�NAL METAL FIREPUCE(WO00 BUHNINGI _ 'y. <br /> DNINKIN6 FOUMMN FIREPUCE INSERT(WOOD BURNING� <br /> FLOOR JRAIN GAS FIREPLACE _ <br /> BACNFLOW PREVEkTERS G��� <br /> SINK(SERVICE-BAR.ETC.� GAS PIPIN(i __ <br /> E%NAUSTFAN �_ <br /> ___y'_ <br /> � T' <br /> SUBTOTAL f SUBTOTAL f �_ <br /> PERMIT S 7ENMIT f <br /> TOTAIFEE S TOTALFEE f _ J_ <br /> FOR OFFICE USE ONLV: <br /> fM1NISF1P�f.R 1KYISFIlKM 5�pE5FISK1{ 14NICIIFf�DNUyf� fFF MffW'�MO <br /> 2D 'ZD S o '� _ <br /> uurwr io�ur�� v¢�x�v� FEES VALUAi10N FEF <br /> 5 r,;p �/} <br /> - �00/ euirvxr. _�L.p _.�/��.��" <br /> w[iaau��ung� wa•nwum.a sii[ w ai ' - <br /> r/qy vm� I nuwwc . .. <br /> (/•' ZU . "'___�.__� _�__ ' ... <br /> OCCIM�Y� M)niY��ul (N:CIIn1M11p�� S�.{4(NI Vi1�1.V1�1�� <br /> GPOVY n �/ D� <br /> • U�� [� �VFS �M� ' � <br /> i1Pf5 NMI[NPf7'O (If�Y(YI �DD�IN1Y�11iaNG�MG� <br /> QIMFN — <br /> IINf�WNPl00 NFIt()V —�� <br /> i1111�11i1:'.1:.1�.-11N1f11�M:f <br /> rtatnrr.ne�� r�ews�rro�vme• CRYOFEVERETT nmir.vm��.p <br /> —�/J LOCALSALES -" ---'-�_-;��I ^ _ <br /> o.ic ZCI Q TAIf CODE IS�105 70TA1 lUX%.i_.. <br />