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APPLICATI�1 FOR CONSTRUC7�N PERMIT� <br /> Cf7Y OF EVERETT•BUILDINa DNISION <br /> 3200 CEDAR STREET•EVEHETT,WA 98201 •(425)257-8810 <br /> ❑ DEMOLITION �COMBINATON ❑ BUILDING ❑ MECHANICAL ❑ P�UMBINO ❑ 816N <br /> PROJECTADPR�SS� II�F30 "' Z�i� �/L• S.E . <br /> ►,I�,,,,+ C¢�5r D"ra/• Cn2P. �o.eoti 34o E�surY.Dt 9Row (�r.s��L81 <br /> oYwrtn uu—iucnE� r n nr vwN[ <br /> 1[WW! uul E0d655 Gn !iv vrq4F 1 <br /> �FSf6f.I ('OAISuLTArJTS g��-2"`eSt MUr��'rE0__ 27 (air)7yS-GSG9 --- <br /> •ncHncronxvw[n uui�onuesx ciri nr r�wr <br /> Nn4�+ d�DEy [o2P P o r�nx 3�1u �isx�m,Dc��ozo (yS)?��(-3181 Nean+cni�bl <br /> pFKMICONtMGT� C�Ir )�r r��riF cl��[�KIMSF• <br /> I����`149 s. ��,�_�y BfwcESHo�3JA <br /> $N1��T+ N94T�6- �i"r xo E�"nFrT cS) 3µ7-o211 <br /> {ECXINICNLd1iM�CIUP 4uUf%M 5 [iM1 )�f• inb:f Si��iIKEMR• <br /> fi��y Hw�q9 S, '�- �', /u z5)3�L8-S/qo DV D t S <br /> ,Gniie�rcn P��iu.Ai�- L4_�r n 1 CL�YlETT ��y�1.� ��._�� <br /> ,�lb1qM6Cp11P�f.TOP V��IACORf55 LIIY 1�0 ���F S��IFIKFFSF� <br /> fpN�MCf PIbCE M WOaR <br /> HEATING SYSTEM: J�GAS ❑ELECTRIC �__ <br /> OESCa9Fv.'�nR�MoSW�P[�001�GFwv.]IVFn C l�Cr�rw50r��rvfir�Nnr�q <br /> _ i yt6nnM (�Fzs} 7b7- 3�S1 ��,-. <br /> � �oZ4 c��s)���-3�s� <br /> �It�(J G 1 LN µ-��DENLE I NEPEBV CERTIFY TNAT I H�VE AEAO AND E%11MINED iH15 <br /> �pP�ICATIGN NID KNOW TXE S�ME TO BE TqUE�NO CORRECT ALL <br /> rn,xoSFo us[or em�uea pa�;;�;;,;.�,^,�UWS AND URDIN�NCES GOVERN7NG THIS TYPE OF <br /> y/p{il(WqL BE CCSlPLIED WITH NMETHER SPECIFIED NENE�N OR <br /> IEG�L0E5CPIPIqNOf VW1'EPlY15MOYMlEIOWd���1�LMIMVCOPIE51 NpT. THE GAANTING pF A PERMIT DOES NOt PRESUAE 70 61VE <br /> ioi_S�aK or_ �UTMOAiTV TO VIOL�TE OR CANCEL TME PROVISION OF 11NY <br /> pi:;�n�:`T�OF 1::,A�UW RE�IN.ATINO pON57RUCT10N OR TME <br /> ����_�� ��'S PEFFO�MANCE OF CONSTRUCTION.TNAT I AN AUTHOqIZED BY iHE <br /> OWNER OF TMIS PPOPERTY TO PERFORM T�E WORI( FOR WMICM <br /> APPL�CATION IS MADE �ND I COMVLY WITH TNE STATE <br /> MnCFI ux i D xwb:e CONTR�CTORS LAW IB 27 RGW AND 096.200 W�C <br /> p�E�,�. s�,� ..�� ,Ne� �� l�Zl�� <br /> CdI5l1XILTqNIGNIE�.�d'4/M�!�55�FLfM,ONEM1411F�1 <br /> �JS(70'Iejjis•5T. S•W. S/a� rTE/ 102 smru��mE ouc <br /> ��ys)b7o-9uoq I�RL� (�riSWOL�/ [itYN4NE55lICFHS[HO —__ <br /> PLUYBIN6 �IECN�NIC�L _ __. <br /> NO. TYPE OF FlKSURE OR ITEM FEE NO. TYPtl OF EOUIMAEMT FEE _ <br /> WATEFCLOSET�TnILET) ' �� NC—AMNOLfiUNRS <br /> BATHI'UB ' FORCED AIR SYSTEM i ' <br /> LAVATORY(WASH B�SIN) � HEA�PUMP _ � <br /> SHOWER UNIT HEATEt15 _ <br /> � KIiC��EN SINN 6 DISP CIOTMES URVERS <br /> DISHWIISHER AANGE HO00 <br /> LAUNDRV TP�Y WATER NEATER <br /> L�JTHESW�SHER WOODSTOVE _ _ <br /> URINN. A+ETN.FIREPUCE(WO00 BURNING� <br /> DRINNM6FOUNTAIN FIREPUCEINSERTIWOODBUVNING) _ _ <br /> FLOOR DRAIN GAS FIREPIACE _ _ <br /> BACNFLOW PFEVENTEFS G�tS RANGE �— <br /> T <br /> SINK�SERVICE—B�R_ETC.) GASPIPING __ _ <br /> _ EMHAUSTFpN �' ,_ <br /> / _i_._ <br /> SU��TOTAL f SVB TOT�L f � <br /> VEPMIT S PERMIT f � <br /> TOTALFEE S TO�AIFEE f <br /> FOR OFFICE USE Oh�Y: _ <br /> fRONTSi}P�Gt uFMSEIl�CR 40ESF1l�CF M�MC��LCKn f fFF aff.F���NO <br /> 7� v S D� - <br /> u5Ela1r lo��a[� v�c�h�g FE 6 V�WATION �EET__ <br /> �2-/ V� �v svrt fs o w ��.in� - l�,.bc _./�5�_i___ <br /> M[ww��iui�ioy wonuw�i��w s�i[axwni """'-- _"'--' - .. /J� I <br /> u+ns wownwa _c7 _' <br /> � bio s o r —_ +--- <br /> 'INIACY VJ(�SIM'.IS CY.LIIC�NII(IN1 01${4[NI 4i1:M/.FN:�1 � <br /> . �_� 2 o.�s r/ ----- - -2� _. <br /> �!MSIPM�tI[RPEO'o— nf�5m ��dIRW��r�wc�rf.� "_— _ _' _.. <br /> i� _ <br /> O�I�FP <br /> IIREW.FMPkO'0 11i�cryV � .� <br /> i l�l l IIIIV I)NII 5�1�[��1�:f <br /> n'[ar,p�c� riees�r��nm•nnr CITYOFEVEflETT ���w�✓�+m"" n^ ' <br /> W._."_' <br /> IOCALSAlEB --' — —` ��—j�/,�li_.fis <br /> ��� p.�E � TAJf CODc IS J105 70TAL_ " ' 11�[/L b(J <br /> .. �. ____.___ _.._. �__..._... ._..._ <br />