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APRLICATI� FOA CONSTRUC�N PERMfT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETI,WA 98201 •(425)257-88�:0 ����� <br /> ❑ QEMOLRION �I COMBINATION ❑ BUILDNlfi U MECNANICAL ❑ PLUMBING ❑ SION <br /> PflOJECTADDRESS� II�{Zq — Z3� Z1�Q-. S•�• <br /> No2TH A2eST UEv Ro- d� 3�Fo ��mo�nDs q�o2o 14�r) 77�/-3►SI <br /> OWVFP M41�(11Mf54 LIIY h� P�qN( <br /> 1FN�N� 441�AM(55 Cliv !IV V�qYF <br /> C�AUE DFSiGnI 141�5 Zu7c,tu8At� 1� S.�q�S-B_T ��1� 9d 169 (zob) Z44-Z'ISo <br /> •xwlfcrOnDELCAEu uui�ntmtss r.nr nr r.qyr <br /> NnRaNC2EsrDEv �•o. Boy-�`fo--- '� NDS_ `l w �2s1»y-aia� �l�e�u�aisa� <br /> 'or�.cmicow:n�r.ron uui�onn s ai. n� �.� •,r cuq��crusv. <br /> c� T� ��-���I� �w9q 5. EUF�1__98"Lo_�_�YjS)3y7-o2� I 82LlcE5No�13Jp <br /> ufbumu�cov�n�q�u� v��u fnri I.r ruolr n�rf�KFwSE� <br /> RDIk!nk.E�.�it �n �;�;T"'�ii� g E✓r7�'� 9EwV (�3y8-�oo AevaNPNozzPs <br /> PIIIMlMGCp11R�f.IpP M��l�IM1BF55 OR l�� P��04{ Sf�IL1�CEN5F• <br /> cw+m�c�vma u�wtini — HEATING SYSTEM:�GAS C ELEC7RIC ❑ <br /> OFSCPiUF WJNN�NfISW�X({Q(�`I�GE WVOIVFII CON��Lt 1'1115OH�Nf11'�1(ryi!,a0 <br /> I 1G—�n�,+n iS1 7'S'ii I�r, <br /> _{��,.y�,� �7A1`T �4zS) 77�(-31k1 oFFcE <br /> S� (^��� /�.—� I HEREBY CEPTIFY iNqT I NAVE RE:O AND E%AMINEO �HIS <br /> _f@l�� L' �.2 ����'� APPI�CATION ANO 0.NOW THE SAME TO BE TRu!�NU COFREL'T ALL <br /> r�aroseo ust or nmmiwr. PPOVISIONS OF�qWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WOHN WI�� BE CO��PLIED WITH WNETHEfI SPECIFIED HERE�N OR <br /> t¢c�i.nescamnaua niror[nrvis�wvmnr.owrn�m.cruwocoAc;i NOT. THE GPaNTING OF A PEPMI7 DOES NOi PRESUME TO GIVE <br /> io��a�oc. or �E ADtj�j 1 AUTHORITY TO VIOLATE OR CANCEL TME VFOVISION pF ANY <br /> OTHER STATE OR t OCAL LAW REGUTATING L'ONSTRVCTION OF THE <br /> PEFFORMAI:CE OF CONSTRUL?�ON.TMAT I I1M AUTMORRED BY TME <br /> OWNER OF THIS oROPERiY TO VERFORM THE WORN 'OR WHICH <br /> aa—�rrr� �PPLICr1TIDN IS M:.DE AND 1 ^OMFLY WITH TME STATE <br /> vu+cE�ueioruuxen ',s��' p.�.����.y. �.�.�'��� ��"�TRpCTOR$IFWIE2iRCWAN�296i00WAC <br /> Pt�lFJiXSAV��Xsi euxw.+eot+ uX� R n <br /> Cp151R11Gi1flM1��NIfNIMfINMWf $lEl[MDVE V4PFIt `(�L� �� �'j� q <br /> T]l�1_`%e 4 'f�,��.-�'F.k�— ��,�� <br /> C�lv 9U51F,55��.i:"4 Nf' <br /> PLUMBINC MECMIINIC�L <br /> NO. TYPE OF fl1RUN[OR I1�M FEE NO. iYVE OF EOUIP:IENT FEE <br /> WATER CLOSET(TOILET) NC—NNNULG UNRS <br /> � BATHTUB F�F'"7 AIR SVSTEN <br /> LAVATORY(WASH B�SIN) HEAT PUMP <br /> � SHOWEH UNITHEATERS <br /> NITCHEN SINN 6 OISP LLOTHES ORVERS <br /> DISHWASMER RANCE HOOD <br /> LAUNDRY TNAV WATER HEqTER <br /> � CLOTHES WASHER Yl000 STOVE <br /> URINAL METAL FIFEPLACE pN00�BUFNING� <br /> DRINKING FOl11�ITA1N FIr7EPLACE INSERT�WOOD BURNING) <br /> FLOOR DP�IN GAS FIREPoACE _ <br /> BACNFLOW PREVENTERS GASFANGE <br /> aINN(SERVICE—BRR.ETQ) '�A$PIPING <br /> •%HAUSTFAN +_ <br /> SUB TOTAL S SUB TOTAL f <br /> PERMIT S —T PERMIT f <br /> TOTRL FEE S TOT��FEE S �__ <br /> FOR OFFICE USE ONLY: <br /> fRnNiViP�(N 11f�P$f19�f,Y $IMSFIB�CR 1't�HCll(CRNIIMRf ffF AfffIPINO <br /> 2D 2D S Cnd�'�( - <br /> usFtovr I io�.u�. v¢•e� �r FEES V�WIITION_L FEE <br /> � __ ���, <br /> 7 6�Z .rs ❑�, w����..,�. _1�+1LP 7� <br /> 11EIGNIIIVI�I.:�JN M1OO�[MIIIIMG SI$FO�BIDG�II p,� <br /> �a ������� /( 1'IIIYNiNf D <br /> 7 za >l. __ _ lL�T <br /> ocum��.cr -�...q.0 a:nm�rvnwn n�svuc+� �viwmru _��_.- <br /> r.uour <br /> K•3 J-1 x,Z -- m�s � ---- -- - — - <br /> vn�csruwxicuar:n m.s<w �o�unaun.�cnrc. ._ '. _._ ' <br /> pinF� <br /> pnE�4PMPlO'. RH�pv --"- <br /> il�lf 911r�U�Nl:i�i������t: �. 5� <br /> tmtarta��� r�.Ms�rrnmvnn+ CRVOFEVENE77 n����r•^':"' 2 <br /> � � LOCALSALES —'- — --- - --`�_�`--' <br /> \ ��.�t � g TAIf CODE IS 3105 TO7AL �^y_ <br />