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� APPLICATI� FOR �:ONSTRUC�ON PERMIT <br /> CRY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVEREIT,WA 98201 •(425)257-8810 '���" <br /> ❑ DEMOLITION O COMBINATION ❑ BUIL ING ❑ MECHANICAL ❑ PlUM81N6 ❑ SION <br /> PROJECT ADDRESS: I5b� 2 3 �� 5 T. <br /> �(��t�a.<,�� �93n zz'�A�e.vu, .slrn�� !ua 9B�9z �sco)6sz�ozs <br /> q wuwon[ss ctrv nr awowf <br /> �1.6�'c a�cuv�c �sz�s s�c�sT- F�.u�,� y8zo� --- <br /> t[�yryi 4 I�bpE55 f.lfv !�V YrqNf <br /> ��[, F <br /> •pLHiiC�O�Lf51CiF�� ���INIMFSS C��v h�' �'M�� <br /> �j EC.� <br /> erxtnucor+m�cron ue�ieonness cnv ��r �—' mxra cun.u<rr.sr. <br /> ��LF <br /> MfCNJ+IGlCON1RICIVA 41itAIRWF55 CIiY III' v��p:f [fl.�(LICEN[E• <br /> /1/O�'4- <br /> PIIIMlMGCON!P�[HM��y MulLIXM1F55 Oiv I�n !wONf SI��FIICFNSf• <br /> �-��O?cY'2�Z S� C�U�io l�e �SQ -- <br /> cOM N�Lt mmcf U�W(M�t <br /> NEATING SYSTEM: GAS ❑ELECTRIC ❑ <br /> o[scwevwoa«��.nsou.nrraoii.c vav[o cw�.c��•�nrw�xnri«rnw <br /> � 2 ZS �u7L -�S,jZ <br /> r... <br /> I HEREBY CERTIFY TNAT I HAVE AEAD AND EX�MINED THIS <br /> 4���+�L- qPPIICATION FN�I(NOW THE S�ME TO BE TRUE ANO CORRECT RLL <br /> �wovoys�ro ust or nuimis,-. � PROVISIONS OF LAWS�ND ORDINANCES GOVERNING THIS TYPE OF <br /> R PNTA �-' WORN WIIL BE COMPLIED WIiH WMETHER SPEQFIED HERE�N OR <br /> lEeu.oescamnwa v�nmsrqrmPEiawon�n¢eiwocoAFsi rypT. THE GRANTING OF R PEPMIT OOES NOT PRF.SUME TO GIVE <br /> ior aiaca or_ AUTHORITV TO VIOUTE OR CANCEL THE PROVISION OF I1NY <br /> OTMER STATE OF LOCAL�AW REGULATING CONSTRUCTION OR TME <br /> PERFORM�NCE Of CONSTRUCTION TMAT 1 AM AUTHOH�ZED BY TME <br /> OWNER OF TNIS PROPERTY TO PERFORM TME WORN FON WHICM <br /> APPIIC�TION IS MADE AND I COMPLY WITH THE ST�iE <br /> bu¢[uuioruwwn CONTRAGiORSUWIB2]RC NO2YYOOWIIC <br /> �39i `��o oi av �(�`'/// /L -�1-9f� <br /> �pN5iR11Ct1pN10�NIfMIFR�'JM�LSS.tEI[�Mb�EMUMI1Ef1 �./f/� �( ✓�Y � � <br /> 11E C,_ / lM1f <br /> —�C <br /> Gry W9MFSS IICE NSC HO <br /> iLUYBING MECHIINIC�L <br /> Hp, TY E OF FlXTUNE OR REY FEE NO. NPE OF EWIPMENT FEE <br /> WATER CLOSET(TOILET) NC—NIIN�LG UNITS <br /> BAIHTUB FORCE�AIR SYSTEMS <br /> LAVATORY(WASN BASIN) HEAT PUMP <br /> SHOWEP UNIT HEATERS <br /> NITCHEN SINK 6 UISP CLOTHES OPYERS <br /> DISHWASNER RANGE HO00 <br /> LAUNDRY TRAV WATER HEATER <br /> LLOTHE$WASHER N/ODD STOVE <br /> URIN�L METAL FIFEPLACE�WOOD BURNING) <br /> DRINNING FOUNTAIN FIPEGLACE INSEPT�WOOD BURNING) <br /> FLOOR DR�IN GAS FI9EPLACE <br /> BACKFLOW PHEVENTERS GASRANGE � <br /> _ �— <br /> SINN(SERVICE—BAP.ETC.� GAS PIPING _ <br /> E%HAUSTFAN __ '+,_ <br /> SIIB TOTAI f SUB TOTAL S <br /> PERMIT f PEPMIT f <br /> TOTALFEE S TOTALFEE f i_ <br /> FOR OFFICE USE ONLY: _ <br /> lPMliYip�f:M R(�RSf1BAC�f $I�[$f�BKM �IANCIIEL4NU4X(f1 !FF,/ /1(� PfCf���NO <br /> �"j� .��` 7�� 0%� 7� V <br /> usetoev �aunr• v:r.rv�vn FEES V11lW1TION FEE�__ <br /> �y/���� �.J /��/ <br /> ��A�� OrF.'� 12NU Plli�lr�v�: L(i� _ � <br /> NfIGM�IIV11/�IIOh NOC�I1WFLlING $IIfC�lIOG�tI <br /> �J I N�I\ `I l� ryI14RiNf . _ _ <br /> J ^ — <br /> pL1:VIMM::♦ Mlry�li'u!) pC111'1NIlf11I1 B�t(W�Y Ni1�.�11tiN'�1 <br /> LN�II' —J �'_ ..____ _ .__ _. . <br /> '�.� O`f5 ❑h7 <br /> RPESPPIVeIFPPCTO ��I�K(W �Dp1�lW���1�NO�l1.• -- <br /> owrn --yy'-- <br /> fIPCNAPMPk�O Ff�cl]V �� _-- - — � <br /> 4��1�RililUM(:5111�[r��1�f.r � <br /> �rvvnrtp��v� riees�rra�vtnor CRYOFEVEREI'T ���A�����'"° <br /> LOCALSALES " -- � <br /> �„�t � g TA%CODE IS 7105 T07�L ��D <br /> ✓ ^,o �9 d iss��'c-�T <br />