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APPLICATIO� �OR CONSTRUCT�N PERMIT� <br /> CITV OF EVERETT•BUILDING OIVISION <br /> 3200 CEDRR STREET•EVERETT,WA BB201 •259-BBtO <br /> ❑ DEAAOUTION ❑ COM8INATION �UILDINO ❑ MECHANICAL �PWMBINO ❑ SpN <br /> PqOJECT ADDRESS:_ O Jy�� A�uE S�E E.��(-_ L�.T,�. I3y f�C J I� <br /> uwrtH uu��om[ss arv im nqr� <br /> /,a.�FN w h,2oA�+ 2YLU ��LirralN w�Y LVNi✓at� _Yl036 lzobl ���-b�,o <br /> itrawr uu��mn[ss nrv i�r naxE <br /> N/A <br /> •zn�arano[sax[n uu�,�ss arv im — wp.t <br /> �Son4noS /9/S /»�e./is Fr�.ztF 9Bzo�_353-OS3/ <br /> GfNF COM1nnC�d1 YYlMryE55 f.11v ]il' MqMF [l��EIICFMSE• <br /> rle«,,,r 1�.�„��.r���a �.�� +�a u,��„ G,t..G�_�.,�9�D36_L7ar)�F���ro ELFCTEC/�U.TE <br /> VfLN�NILAlLp1iR�C1 � NMl.�pppE55 fAry /�1• PIA]11E 511�FlICEMSE� 1 <br /> E/rc�.-,rGIC,a�yy Con/.,.�h,-.aYao � ,4 .✓„ � .;y�ye�ad_9Ia3E oc)�y�-��mEl,Ecrecit�-rE ! <br /> PlU1ANGCplIRY,tOP MYI�pIl1E55 CIIY IIV pIqNE SI�iEIICEN5E1 '� <br /> .�/l (�UmR /LEv!/,tir.c� 57�4 i�,b'h r�L /l� r�,S�Lfc—P�2]l aS3/S�iS-�pW�aBr�Dy <br /> carrtwc,vac�a wo„ <br /> _ pp HEATING SYSTEM: fJ GAS ❑ELECTRIC ❑_ <br /> o[scnxxaaunsw�n roo��MvavEo ca�u��rtn, rwxrw <br /> — � n �zoc. 337- �33 <br /> /� � 6 F cL+ Zc�a no <br /> l-.;]i'G nP yy � I HEREBY CERTIFY TH�T I H�VE READ ANO EXMAINED THIS <br /> nnovos[o use ia �PPLICAiION M!U NNOW THE SAME TO BE TRUE AND OqiRECTµ{, <br /> L ` ' PROVISIONS OF UWS AND OR�INANCES OOVERNIN(i THIS TVPE OF <br /> WORN Wilt BE CAMPLIED WITH NMETHER SPECIFIED NEREIN OH <br /> I� i[cuo[scwr�qxd qrcisrawxecipr �n nw� s� rypT. THE ORANTIN6 OF A PERMIT OOES NOT PRESUME TO 61VE <br /> �or�eiocK a �UTMORIIY TO VIOL�TE OR CANCEL THE PROVISION OF ANY <br /> OTMER STAIE OR LOG1L LAW pEODUTINO CONSTRUCTION OR iME <br /> � � I PEFlFORM�NCE OF CONSTRUCTION.TH�T I AM�UTHORIZED BY TME <br /> OWNER OF THIS PROPERTY TO PEHfORM TME WORN FOH WHICH <br /> � J' - ' � . � APPUCATION IS M�DE AND I COMPLV WITH TNE STATE <br /> nwccu�m.Mn�e[n CONTfIRGTORS LAW IB.27 HCV/AND 288.YOO WAC. <br /> -�a % �- �l,�i"w� G��/, p <br /> COMSiP11L1NMIlOINlEN0E�1.�001�ESS.�EIFRqMEN1MKN �. F�C/ �� z� <br /> � e- E ) ^' -o s"�027650 �•" <br /> CIIY BU:MN551 iCENSC 1q <br /> VLUYBq10 MECHIINICAL <br /> NO. TYPEOFFl%TUHEOIi�lEM FEE NO. TYPEOFEOINPMFM FEE <br /> WATER CLOSET�TOILET) NC—NHNDLU UNITS <br /> �� BATHTUB ' FORCEO AIR SYSTEMS <br /> UVAIORY(WASH BASIN� ; HE�T PUMP <br /> SHOWEfl UNIf HEATERS <br /> KITCHEN SINK 8 UISP Z CLOTHES UqYERS <br /> ,.1 DISHWASHER � RANGEHOOD <br /> LAUNDRV TR�Y WATEN HEATER <br /> CLOTHES WASHEF WOOb STOVE <br /> URIN�L MLiAL FIREPLACE(VJOOD BURNING) <br /> DRINKING FOUNTAM FIREPLACE INSEflT(WOOD BURNING) <br /> FLOOR DRMN C.AS FIIIEPLACE <br /> BACKFLOW PREVENTERS GAS RANGE <br /> SINK(SERVICE—BRfl.ETC.) GAS PIPING <br /> [%IIAUST FAN <br /> SUB TOTAL S SUB TOTAL i <br /> PERMIT f VERMIT f <br /> TOTALFEE f TOTAIfEE f <br /> FOR OFFICE USE ONLV: <br /> lPCNlFFiP6M pF/.05F�B.W^ SIlK.5F1B�L�/ R�NG�[f�MIAY1f11 !FF PfC.FM�Np <br /> /. /J <br /> : _ _53�� <br /> us[Io:vv iuuntn u�c,w�vF FEES V�LU�TION FEE <br /> ' .6l ,5 ❑re� nuuvvr. '� / ��_ � J ) <br /> PflGrlltiu���l�ON NOUf11W[IUNG S�EC�PIIX 1 -------' .. <br /> uHi�s . �v7✓6 �f. Lnii,�V f ri�iwin�r, ri <br /> �� �F. GArtnoE __ ______._____ . ___ ' /.��;JJ <br /> xy,cwur�..,o runsiowis a:cm,.wiiwu e�vww u�rn.�n,.i j , ��;i <br /> R s/J.� 2 n.�s � —.__—.._ . --' .' <br /> IIIIESVIIINMtLl1l110'� II��SOY 4XMINIII�I1��N11i11X <br /> �IIIIIII <br /> fi0l4Al1MllE00 ...__ I�f�[In <br /> G1111 1111111�I�II:SIi�N�11nM:f .� <br /> �ro[orcoNs� — r�nv5�nr�Mvrpnr dTYOFEVERETT rimnrvnw�..e �----' -�:.� ''� � <br /> �.JKf LOCALSALES --- ---�--- -- <br /> —._«— <br /> _�/� u.0 {0 3o SG TA%CO�EIS7105_ 7ot�l ___ <br />