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APPLICATI� FOR CONSTRUC�ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVEREIT,WA 98201 •(425)257-881U <br /> ❑ DEMOLRION ❑ C�INATIp�p��q ❑ ECHANICAL p P;UMBINnfi G�p SIpN <br /> PRWECTADDRESS: , /J. / / <br /> Gl�tKc�+ l�Ti�f�t��Wsy ayoZ �m p �2�1 a5�-iti�9 <br /> �a <br /> ��tv�ti -�.,�b\�c�--1,.oiy� � Ac�rv���n���"�ra; o�d6et� �9 93L Z_ <br /> FWWy�� (� �IMMK55 fJn <br /> 1 Y /N- . ��v wror[ • <br /> �Ctq1 GNEH 441�OUIIf55 [IfT 111_ �J1(yI�_.� � .. . <br /> 2\�+ }�su,y`►-�`_c�N S�Y�c�-c:a�"_�JPye� q,f�o3 6a/-C`SP3 $.�/ <br /> GFNf�4CONIH� 1(M 4ut�MME55 t�l� pl' RNry[ 51�If!i[(M4• <br /> N W" - -- !Fl1S - -- --.. <br /> YFCHYIIUIClY�11.�l�I(�P 4��11l;IWf$$ Clry I�f C��OM1f—_ il�lflICENSC• <br /> %V Y�1 `\ <br /> VIIIN�MGCON11f�p11 y�r���XqF55 - ---" <br /> a�' 8e rHonf — <br /> �_ SGIF I ICEFSi• <br /> CONIM1AC�PfnCf W w(y1R �— . . . . � . � � _ <br /> 2 L� HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> ascwe:woa..r,o�aE� cE Mvuvco cwrt.cr so.i.a�rHrn+.� . <br /> T � i .L � � z <br /> ___i�r�e i i,vv,�l< .�r�l,o�(�ty eaQQ 3�-�tzz <br /> DVP� �\ OD i HEREB'/ CERTIFV THAT I HAVE REAO AND EX�MINEO �HIS <br /> rnoaosfo us x vno�wr� APP�ICATION MID KNOW THE S�ME TO BE TRUE ANO CORNEp'ALL <br /> /.C���� M�� �� 1,, PFOVISIONS OF��yy5 AND ORDINANCES GOVEqNING THIS Tn�F OF <br /> Na. WORN WIIL BE COMPLIED WITH WHETHER SPEGFIED HEFEIN OR <br /> t[c��o[scmvnpvprveoreun�yqwxeuowon�n• Hnvpro�cs� NOT. THE GR�NTING OF q PERMIT <br /> �or eioce a AUTHORiTV TO VIO'.ATE OA CANCEET E�PROVSUON Of �INY <br /> OTMER STATE OR LOCAL l�W REGUUTING CONSiqUGIION Ofi TII[ <br /> PENFORMANCE OF l'ONSTRUCTION TMAT 1 AM AUTMORI2ED BY TME <br /> OWNER Oi THI,^� PqOPERTY TO PERFORM THE WORK FOR WHICM <br /> APPLILr1TI0N IS MADE qND I COMPLV W�TH TNE STATE <br /> r�wcci iu i o rvuwp[n CONTRqCTORS lAW IB 2]qCW AND Y�3fip 200 WAC <br /> CWCIq Ip�N(f�fl[q./�[11)11E5$ IEIEIYIOMEHI.'�.�RFfI ���(%�'jjj�''''��'''���/^/'/ ]Ii�j/. ry�� '1 �//� <br /> f1 X--�f���'/:�./, 6 !J /.S `U <br /> "Gry.�1VPE U��f <br /> � n,���4 � <br /> ci*rBu4F(SSIiL[rySCr�_p' <br /> PLUMBING MECNANICAL � <br /> NO. TYPE OF FlIITUPE OII REM FEE NO. TVyE pF Ep�IPMpT FEE <br /> WATER CLOSET(TOILET) NC—AMNDLG UNITS <br /> BATHTUB FOACED AIR SVSTEMS <br /> LAVATORY(WASN BASIN) MEAT PUMP - <br /> SNOWER UNIT HEATERS <br /> NITCHEN SINK 6 OISP CIOTNES ORVERS <br /> DISHWASHER RANGE HOO� <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> UHINAL METAL FIREPLACE(W000 BURNING� <br /> ORINI(ING FOUN'AIN FIREPLACE INSERT�YYOOD Bl1RNIN(i) <br /> FLOOR DR�IN GA$FIREPLACE <br /> BACNFLOW PREVENTERS GASPANGE <br /> SINN(SERVICE—BAR,ETC.) GAS PIPING --T— <br /> EI(HAUST FNJ <br /> _ — � <br /> SUB TOTAL f SUB TOT�L S <br /> PEPMIT f PERMIT S <br /> TOTq�FEE f TOTALFEE f <br /> FOR OFFICE USE ONLY: <br /> (pON1Yip1Ct— q{�p5p�gqy yCcSFIS�CM PI�NC��EOMI�yPf11 fFF PifFIPINO <br /> f3 <br /> us6+anr io�•n[• v�pv�v:[ FEE yALU�iION FEE <br /> OrEs O«o --.. .`--?— <br /> — numiwc —. :O� <br /> NEILNf1141I�Iqh NOC(IIW{IIIMi SUfO�llW�l <br /> IINII[ <br /> M114PMfi <br /> Cl.CIF�N(:Y Yl!`I�i�'vl> CY.f11n�N110�U B�$�M{N� 4t1.N�M1lf�1 �� � ._.• � <br /> C,�OVv <br /> ❑vf5 ❑�M ._._ ____'_ _'. <br /> fIPFiM11rIKlf�PC�'p flF�tifN �pp�ItM11"11N11�ff.R � <br /> _�_t <br /> OIMsp <br /> fIPE/.IAPMplO'� Rf�cnV <br /> i1111 fl11�1UM11:511I�C1�E�Rif � <br /> trv[nrcovvt rinrp�vmpvf„e� CRYOFEVERET7 ninur.xrres <br /> IOCALSALES –� — - <br /> out TA%CODE IS�105 70T�L � <br />