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APPLOCdTIt� ���R CONSYRUC7b�1 PERMIT� <br /> CpY CF EVERETT•BUILDINO DIVISION <br /> 3200 CEC.�p.,t,TREET•EVERETT,WA eB201 •25&BB10 <br /> ❑ DEMOLITION .�COMBINATION ❑ BUILDINfi ❑ MECHAlqCAI ❑,1PL INO ❑ BNiN <br /> PROJEC7ADDRESS: �'f �J /O5�/% �� f}Jc .S E F_✓���7� ��� <br /> awEn wn�om[u nn – t�. nori <br /> LD�N Or�zRAH 2920�!/3 L��oln 1.�� �y�+ww�� 9Bo36 �6� 787-67mo <br /> lE1MN'A WVLIiDd�E53 -TA�Y tin Pi <br /> __�1_{_'1 _ <br /> NKMRLld10EWYrtR Wullpp(SS -- f�lY �--l�n Mpy <br /> .� (�-.ry /vl•��/,�on F"J�itf�_9�ZU$ l2cw) 353 -053/ <br /> OEMFP4 IWL�P: Y4L�pptSS f��� )�� Aq� al�lEIKFNlF� I� <br /> �G'4iu`�ira..�,w, ZA?��l3 C��wlnUkc 6u�iEf <br /> �EYJ3 6 -y7-6?� E6EcT�c s bo.t'e <br /> ��f2'tt�,� �.�5: ��rv .�� A� s..�E���. <br /> �weai,ti w�rn.+�rorzs 7"r2�� t3 L^ca��CJcu �-�Kict� �/YA36 7Y�7-67� e�ec.Tre 1taoTg <br /> PIV�bN�CCN1P1GfOq Y4lI.pL'�I(SS IIY tl� %qNE SI�fEIICEMSE• <br /> t�ERCRi�r`":,ra,.�cwas Z92o�R !1-col�u.E, &u�tf yl'X�_3b <br /> cwiwcrraaav� �--- - 7B7-b'�C� E�ec7eCZbuS6 <br /> JED 000. UO Ue� ti�^-i.��•! ftn jl.r�f��c/ NEATING SYSTEM: �GAS ❑ELECTRIC ❑ <br /> nFS�*�[ NUSOWREfO01bfMVOLYEO cou�acrxrep1wonq�rtw � <br /> �'� /3d8 s�f'«l �]e�s,✓e �uRr TokNspU (2�6�.�1-'l�33 33H-e�o <br /> �/�--- <br /> Z ca. 5�4 c e/ s��c d 14k Zob 7E�'7-67�u <br /> ���L /�S3 __ I HEREBV CERTIFY THAT I HAVE PE�D AND E%AM�NEU THIS <br /> �yEp�a � y� / p � APPLICA710N AND KNOW TME SAME TO BE TRUE ANO CAPPEC7 AI,� <br /> Ou0 ICL 'Kr�"t I�yµ1_II^ PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> �C`V �V~y `����� �_ WOflK WILL BE COMPLIED W11M WHETHER SPEGFIED HEREIN OR <br /> i¢nuocscwr�or+arna[nniviov,weei un�i.c�irwo ryp7, 7HE GRANTIN6 OF A PERMIT OOES NOT PRESUME TO f31VE <br /> im�_xow pr ��� 3�9� AUTHORITY TO VIOUTE UR CANCEL THE PROVIBION Oi ANY <br /> OTHER SiATE OF LOCAL I.nW REODUTINO CONSTRUCTIpN Oq 7HE <br /> PERFORMANCE OF CON57 RJCTION.THAT I AM AUTlIORIZED BY THE <br /> OWNER OF THIS PqppERTY TO PERFORM THE WOqK FpR WHICH <br /> �PPL�CATION IS 1.'ADE ANO I COMPLY WITH THE STATE <br /> nwcElnuio.wMeen - CONTR�CTOflSLAWIB.YL7 �ND286.200WAC. <br /> `°�`v�v Tr ER,�,f�3'at`NicM'„�BtU� r�w� 5� ��="`�3'�s.� a i 97 <br /> �JEiZGTt MAC� cJa}y' ���r��s:��E„x� <br /> PLUMlIIM YECHANICAL <br /> NO. TYPE OF Fl%iURE Oq IfEM FEE NO. TY�E OF EOUIPNENT FEE <br /> WATER CLOSET(TOILEn /y�_�ryp�0�Rg � <br /> 6�iHTUB FORCED/4R SYSTEMS <br /> UV�TORY(WASH BASIN) HE�T PUMP � <br /> SHOWER UNIT HE��ERS <br /> KITCHEN 514K 8 OISP CLOTHES ORVERS <br /> DISMWASHEF qANGE H000 <br /> LAUNORY TR�Y WATER NEATER <br /> � CLOTHESWASHER WOODSTOVE <br /> UHINAL ` METALFlREPUCE�WOOOBURNING) <br /> DRINKiNG FOUMAIN FIREPIACE INSERT(WOOD Bl1RNING) <br /> ROOR DRAIN WS FIREPIACE <br /> BACKFLOW PREVENTENS OASRANOE <br /> SINK(SERVICE–BAR,ETC.) r— GAS PIPINa <br /> EXHAUSTFAN <br /> i <br /> —� <br /> SUB 70TAL f SUB TOTAL t <br /> PF.RMIT f PERMIT f � <br /> TO7A�FEE f TOTALFEE f <br /> FOR OFflCE USE ONLY: <br /> i11O1lTSETBK'N PE/JISF1pACY. S��ES(IB�LM ryMICIRfRMApl11 fFf KfFMINO <br /> S�a � yoa 3� <br /> usEi �F io�/.nE� VK/uI�5i1 FEES VALWITION FEE <br /> -a a ,�,c, ��. ��.,�«, ��,a0� 0 ,5 <br /> HFim�iuwr�nox rqaowtuwc SUEpB1UN11 - ------- <br /> a g �,�,� � <br /> (o 'o b now�vx: <br /> aano��iru�cr rodsirn�s accwu���o•o e�ss xi ..�–._–_____.__ "_ /r"y�00 <br /> � 4FC���NN:4 __— /��b d <br /> •'J Z O�FS 0 f — <br /> iGE RLERPEO'O 11F�SW ------ ��INw4A�NLiYCt <br /> OIIMI� <br /> iWENMMNEp'D PE�.[pN -��-�-- <br /> ft�1EBU1fIIMlL11KIWiItE �j� �("» <br /> irCFO�f,ON51 VfeNSMMqyFOBv �' � <br /> CRYOFEVERETT Mmir.wna� _�_�� <br /> LOCALSALES �------- ----- --- <br /> – o�ie 2 9 TA%COUE IS]I05 TOTAL _ -3 ,� <br />