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APPLICATIO� FOR CONSTRUCT� PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STTiEET•EVEREIT,WA 98201 •(425)257-8810 <br /> ❑ DEMOLITION ❑ COMIBINATION ❑ BUILDINO ❑ MECHANICAL ❑ pIUMBINQ O 810N <br /> PROJECTADDRESS: /Oocs dS '� Av[ SE E�/FRsTr <br /> oob //netin!(.-Sw�RTN .(s9061H'HC.«RTSf pf...� L� ic 9S'o/L '7� <br /> ON+�Fl1 Mu��V V(SS Gtt ti� P'qNf yjS'� , <br /> eARoa GiIART/<�C /OD/S .2S'N /lVf SE 6✓F.tETT �✓� 98108' 3/6�3355 I <br /> 1EN�Nt uYlAUp1E55 LIfY pv RqNF I <br /> T..�f.icsSic.r ��tisw .?Y/d7�'C.f/foLN/4 SGY_'-vc,ce/'l %�1A 9d'.Zo/ �.?O6� 7f2 -9�op I <br /> •nCPo*6i0nOE5icNE� / u�i1MMEss c�rv br rwOnF <br /> GFNEM-I/1CONIOACICA YMI M0�[55 CIIY )iP P�q4F 51�If IIC[MSf• <br /> �/!:' i/i:_1 <br /> MFCMINI�/yCONINACIOA A��R��F.$$ CAry )IF p11ONf [i�IfIICFNSf• <br /> vI11M9MGtON�n�CtpM1 4lILIXInE55 C�h I�V nMpYF SIAfFIICENSE� <br /> CONIMLI I'PICE O�MVNId <br /> yicpoo NEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> OESCPi9F KWIR�N�J SW�11E�OJl�fil W VMVE� Lb1l�Lt KRSON�MI I'MONF Np <br /> 5'30 �. < </ <br /> j�ee0itro.�r er /��a T r^�'� /em c <br /> a Cp/S/M GaiCt C i HEAEOY CERlIFY TNAT I MAVE READ 11ND E%AMINEO THIS <br /> APPLICATIOH AND I(NOW TME S�ME TO BE TRUE AND CORRECT��� <br /> c r usp'or nmioyi � / PqOVI510NS OF LAWS AND OADIN�NCES 60VERNINC THIS TYPE Of <br /> �/T� f.�' inrly /�7ofrC WORN WILL BE COMPUED WITH WNETHER SPECIFIED MEHEIN OR <br /> IEGLLUESCPiVtiQ10iP11GEN �s e_t�ioyw(�a�nen�cnrvroca+cst pp7. THE GRANTINC OF�PEHMIT DOES NOT Pf1E5UME TO aIVE <br /> �Ot_�c�n;a U O pp— AUTMOF�TV TO VIOUTE OH C�NCEL TNE PROVISION OF �NV <br /> OTHER STATE OR LOCAL LAW RE6UUTING CONSTRUCTION OH THE <br /> � rc W C/C U� J PERFORMANCE OF CONSTRUCTION.TM�T I�M�UiHORIZED BV THE <br /> 7S'n _ - ^^� OWNER OF THIS PROPERTV TO PERFORM THE WORIc FOR WHICH <br /> �, W" APPLICATI IS MADE ANO I COMPLY WITM THE ST�TE <br /> MncEi u[io HuueEn CONTRPCT 5 L IB27 RCr/�ND 2%.200 WAC <br /> CONSIMILIIDN�IENpEq.I.pN1ESS,iEIEMONENU4lER /�/ V L/ <br /> 51GHI.11. O�fC <br /> CIIYBW lKFN5CN0 <br /> PlUMBINO MECNf.NIC11L <br /> NO. TVPEOFFlIITUREORITEM FEE NO. TYVEOFEGUIPMEl1T FEE <br /> WATER CLOSEi(TOILET) A/C—MINDLU UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> UVATORY(WASH BASIN) MEAT PUMP <br /> SHOWEH UNIT HEATERS <br /> KITCHEN SINK 6 UISP CLOTHES ORYERS <br /> DISH WASHEH FiANGE NOOD <br /> LAUNORY TRAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> UFINAL METAL FIqEPLACE(WOOD BURNING) � <br /> DRINKING FOUNTFIN FIREPLACE INSEFT(WOOD BURNING) <br /> FLOOR�RAIN GAS FIREPLACE <br /> BACKFLOW PREVENTERS GAS RANGE <br /> SINN(SERVICE—BAR.ETC.) G!S PIPING <br /> � EXNAUSTFAN <br /> SUBTOTAL S SUETOTAI S <br /> PEHMIT f PERMIT f �— <br /> TOTAIFEE S iOTALFEE S <br /> FOR OFFICE USE ONLY: �', <br /> �PONi511p�Ctl p(ARSitR SIpESEtB.�CI( PIANp�ELFNOMFR !fF r OFCFlPINp <br /> Zo' �: � �o � � S�s� 9� �� <br /> us¢Iov � �m enr+ v¢�m FEES V�LUIHION FEE <br /> �� ❑rF5 ❑xV �— <br /> PUI�IiK. � � � i� � <br /> ��EIOHtU4��AfiON M1OOit�WRIIMG 512EMROC✓f� <br /> � iwns (.�.3'3 Sf rmunu..______ _' '_"__ � <br /> C[u�re�.r.r ro^�y�on.ls uCc�n,I.M�oGu BesFUEx� ulr.n�Mx.0 i <br /> �C11(111' i <br /> 3 1 _ ❑�[5 MO -- �n <br /> fIP(ylY�l4xl[pPE00 �F�4M �����N�I.M�VC���CN / <br /> __ Gr <br /> Ol��fn <br /> t11i[AV.Ii'APEO�D 11F��(1V <br /> suirau:m�ur.sunnum:� '__ .AG <br /> ;>,L <br /> rtrtorcovsr n�nvs�rraowne� CITYOFEVEHETT roxucww��s n <br /> LOCAL SALES - --- G�•— <br /> —/� o��E `j' 9 TAXCODE1531U5 TOTAL <br /> 27 � Z <br />