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APPLICATIO� FOR CONSTRUCT�t� PERMIT//�� <br /> Clil'OF EVERETT•BUIL�ING DIVISION �/ <br /> 3200 CEDAR STREET•EVERETT,WA 9P207 •(425J 257-8610 <br /> ❑ OEMOLITION �'�1 COMBINATION J,�I BUILDING �I MECHANICAL �] PLUMB�NG ❑ SIGN <br /> PROJECTADDRESS:_���_�/�'� /�-✓c_l.�c�_-l� �' /�_-- <br /> �� �c��i�^� l,,.c /��{c.���.,.,(�akr�x�5 �KZS� (�z��� 337-`/73it.�!Y <br /> OWNF11� MMl�CM1E55 CiIY � S�� �HOM1[ <br /> N'%i� — <br /> 1�N�N1 441 MIIN(55 C.I�Y )�� P��011f <br /> (:, r 11..� i� 1z639 �v.E. e�.�_��s,� ts sz7-o3�E, -- <br /> •�o��.tcronxsic�irn J u•�i�onursa arv nr r��or <br /> � i <br /> y�,L,ti�s�a (:u'f" Zc �LZ2 �bi� � ...(c ,.��i� S¢�..rn5 18tSf. fELfiV_ICJ_SZL�3— <br /> cniuu�. Mm.c�c.� u+n e�nn¢ss /� u�— ��r r�v..� � <un utr.isi� <br /> i <br /> 4 Il = LN�4- � ."� Z�c ILTz 5 i -�bi,�I< <«-� �_Sl��,s �1'u>y 3E�Q�yt t�52 � 7 <br /> MCI��� ' 1(.nYlf1/.f.lU1� II�•LPf�fMF$5 (.i.�♦ l�f' CiIOf.I �I11fl�CCNSC� <br /> / D <br /> S � ✓••�,�.� � �_� f� 11az. �J. r.b�_..k Yey.{ L/a Sdc�r�a �:i13�(: SG l�YJI o52�7 _ <br /> !'�I4Bib{,�ON�NOW ,M��II.MM�RS � ^ CItY lln 1'WO•�F S���FIiL[NSF• <br /> _�L�r JA.,Sa.��•,i7�.��^c I727. /�.�LS k ?u..-I L.E 41a.r-1 �1925� SEIUY C�%2�.._ <br /> cov-idc c�urwnnK /,�7 >�' <br /> '//� �,v J, �,J ,. . , � l � • �.r> ,� I i�.-i HEATING SYSTBM: ❑GAS ❑EIECTRIC � <br /> oFs�woaeewospo.mrooucsiuvavco ikJ com�cn.n¢ov�Nnrrmvnio <br /> _(�r�_"l- �/ o �A � uGZflh3 ar ���,• ��,ts) 337-Y)33 -- <br /> /` � <br /> L`ISa f�.,...c 7�1� I2Z1�l� i..� mrl�z�c S�U;Y t5 �iv 7Y� _ <br /> I NEHEBY CERTIFV TNAT I HFVE RFAD AND E%AA'INEO iH15 <br /> UC� ��„ � (i J�,/� �r�1I ��v . qpp��CqT10N AND NNOW TNE SAME TO BE iRUE ANU CORRECT ALL <br /> rnar$s�oi��sr m nun r. pqOV1510N5 OF Lr1WS AND ORDININCES GOVERNING TMIS tYPE OF <br /> �/����(n - s.-�iI d(��i � WORK WI�L BE COMPUED WITH WHETHER SPECIFlEC HLREIN OR <br /> �mun[�cn�nlln�orrnorEmvig ,wr�6[wwp+r.na rnoconcs NOT. THE GRAHTiNG OF A PEPMIT DGES N07 PRESUME TO GIVE <br /> �m o�o[e or _,_ ���THORITY TO NOLATE OR CANCEL THE PRUVISION OF ARY <br /> — ' OTHER STATE OR LOGAL LAW FEl3VLATING CONSiPIICTION OR iHE <br /> PEhFOR1AANCE OF GONSTRUCTION TMAT I AM AUTHORIZEO�Y THE <br /> — OWNER OF THIS PROPEAiV TO PERFORM THE N'OHh FOR WNICH <br /> y3��, � itY,_ ��3_�ov�� Sl� I� � Z_ APPUCATION IS MAOE AND I COMPLY Wi1N THE STATE <br /> r�ncn u�i n�mwe[n <br /> CONiRPG70R5 LAW�B 2]RGW AND 296200 WAC <br /> ctwti �iC�i��+�a���llri(iFn.�MnE55 r[t[I'��OMFuuuPF� y [t4��/ �N�!< l5� �/�/S <br /> �/Jh(r�i�c.,�� Cn �l�Q _ .ium. u.n <br /> JC/� i"� ll GJq� 'J!✓f�� SIY-e'7'IL crtvnuvucs;ucvi�r�+o _ '__" __ <br /> PLUMBING MECHANICAL <br /> ry0. 1YPE OF FI%TUHE OR ITEM FEE NO. TYPE OF EQI�IPMENT FEE <br /> � WATERCLOSET�TOILET) NC-P/HNOLGUNIT3 <br /> � BpTHt�O FOPCEDAIRSVSTEMS <br /> 4j LAVATORV(WASH BASIN) NEAT PUMP <br /> SHOWER (j UNIT HEAIERS (���� - - <br /> KITCI![N SiNN S pISP CLOTIIES URVERS <br /> L �ISHIYASHER Z RANGEHOOD __ <br /> LFVN�RYTFAY Z YlATERHEATER _ <br /> � CLOTHESWRSHEH VJOODSTOVE <br /> UiiINAL ME'NL RREPLACE M1Y000 BURNING) _ <br /> DRINKING fOl'NTNN FIREPLACE INSERT(WOOD BUHNMG� <br /> FLOOR DRAIN GASfIREPLACE <br /> OACNFLOW PFEVENTERS GASRANGE <br /> SINK(SERVICE-OAA.ETC.) GAS PIGING _ <br /> -- ---- EXHAVSTFAN _j__ <br /> — � Q, (v U <br /> SU�TOTAL $ SUB70TAL S <br /> PEHMIT S __ PERMIT S <br /> TOTAIFEE S TOTALFEE f <br /> FOR OFFICE USE ONLY: <br /> If1�N1Vi11�fx I�f��SlIPC[ Slp[$CIBI.C� ft�NC11[LFM1JA1Pff1 fff �FfFI��NO <br /> __ZQ � " � SI /O � � .�4` 77/ dS _ <br /> �«tovr �m.��r• vuv�..ne FEES VALUATION FEE <br /> �-3 ❑.�t o�u ninioiHr, —_�a�� 2]L__ Jl� <br /> n[ieia�ivrtuiu+ � Mannwn.�ue siEo.eioeni f�e �' J <br /> inns wnunwr. /.6 ` <br /> �E" ZYS 776 S.F --- - --- - - �--�- — —�- <br /> ocume�.r. M�o,�.��n wrun�r�iiu.o n�svt+� urre.mrn _ 1s1U'OJ <br /> ra�aoi• - --- - <br /> ❑�[5 LR'e0 . . <br /> a-3_U1. Z__ .00moM.i n.w u�rc. <br /> nui :,iu+nwu � ��r.son __ — -- <br /> ou�En <br /> �—.�r.:Tneao '- nf��nv <br /> � . v.n ninm�vr.snnnuncF '__.. __ _"''-�_'� <br /> -�.i ,�pyv� — rina5�rrnnvrnor CITY OF EVERETT nixur.v.�omc — - ��'��_�'J <br /> LOCAL SALES '- � �-----—" -��-`�� <br /> _�_� o��t% 7 SS TAX CODE IS]105 TOTAI _�__ /' - - <br /> ' —" 1 <br />