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APPLICATIO�FOR CONSTRUCT� PERMIT <br /> CITY OF EVERETT•BUILDING DNISION � <br /> 3200 CEDAA STREET•EVERETT.WA 98201 •(425)257-8810 <br /> ❑ DEMOLITION C�CPM8INATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBINfi ❑ S16N <br /> PRWECTADDRESS: �7.78 sj�" .f� �v <br /> �AfCe�i �dun�-z /,�.i.�r�r' (�e '/yv/ /f'D6'fl SC Bc�1 y.Zt� H?/- HO�p' <br /> b/mFP Mu �OONE55 Glv t�P N9M <br /> ifN�Nl MYI�MYR55 Lll� !IV P�1CNF <br /> •IIC1YifC'011MLG1R11 MNI AINMf55 CIfY !�� MI(NF <br /> f.FMRuI C(nm�LtOn Nul�O��E55 Cib !rP vip4E 541L uCMY� <br /> /:o//r..f 3l0�42�-�6S:C PRO/iE.+`�077�C <br /> YFCN1N�PlC.0Y1R�qOP MMI�OG�E55 OiY IiP FIqNf SIAic�i�ENSE� <br /> fu ! /� ... P/ G �v�s=7i>-O�1z cA.,vorio?3NF <br /> PIUMBMGCO�IINKIC(1 4��1I�IX1E55 CIiY IIV PNp�F SIAIEIICENSf• <br /> co.nnu�vnictorwa�.� . HEATINGSYSTEM: ❑CAS OELECTRIC ❑. <br /> 7_', '79�� <br /> oEurvsc woaK�Nn sou�nE roor�E wvoiveo cwi�r,r n nsa+�Mo r�o.lE ra <br /> /✓r..� �.«r/. r U 7ri <br /> ✓e♦ - HOGS" <br /> � HEREBV CERTIFV iHAT I HAVE READ I.ND EXAMINED TNIS <br /> r�w�oseo use or eundna APPLICATION AND NNOW THE S�ME TO BE TRUE AND CORRELT ALL <br /> � PROVISION$OF LAWS ANO ORDINIINCES GOVERNING THIS TYVE OF <br /> f/No�r �s.wi�o ��l' WORK WIIL BE COMPLIED Wi7H WHETHER SPECIFIED HEREIN OR <br /> icm�oescmrnworcnor[nrvisq�etiowonenecHtwoconcs� NOT. TNE GRANTING OF A PERMIT DOES NOT PRESUME TO 6NE <br /> io� � eioc. or_,.�� Jd' � AUTHORITY TO VIOLATE OR CA�ICEL TNE PROVISION OF �WV <br /> OTHER STATE OR LOCAL LAW REGUUTtNO CONSiRUCTqN OR TME <br /> PERFORMANCE OF CONSTRUCTIOA.TMAT 1 Mi�UTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFC9M THE WORK FOH WHICM <br /> APPLICATION IS MADE AND I COMPLY WITH TME STATE <br /> ru+cnvaioruue[n ' CONTRACTO SUW�iB27RCWAND296200WAC. <br /> I3�Sot�-a-o3� - aoo6 1� G � J�/6'8' <br /> Cd151N11GIl(INlOINI[NCFP.�fI[M�C!$.f[lEl'NdiEMUVRER X � Q(/O/ � <br /> $�CiNAlU11L O IC <br /> GiY&14NESSL6EH5[NO <br /> PLUMBINO MECM�NICAL <br /> NO. TYPE OF Fl%TUNE 011 REM FEE NO. T'PE OF EOf11PMEM FEE <br /> ,? WATER CLOSET(TOILETj A/C—NHNDL(i UNITS <br /> / BATHTUB / FORCEDAIRSYSTEMS <br /> // LAVATORY(WpSH BASIN) HEA?PUMP <br /> SIiOWER UNIT HERTERS <br /> KITCHEN SINK 8 DISP / CLOTHES DRYERS <br /> / p15HWASHER RANGEHOOD <br /> LAUNDRY TRAY WATER HEATER <br /> / CLOTHE.'.WASHEfl WOODSTOVE <br /> UFINAL METAL FIREPIALE Q400D BURNING) <br /> �RINNING FOUNTAIN FIREPLACE INSERT�'JOOD BURNING� <br /> FLOOP DHAIN GAS FIREPLACE <br /> BACNFLOWPREVENTERS / GASPANGE <br /> SINK�SEPVICE—BAR.ETC J GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOiAL 5 SUBTOTAL f ' <br /> PERMIT S PEpMIT f —�— <br /> TOTALFEE S TOTALFEE 5 <br /> FOR OFFICE USE ONLY: 5/�' /�I <br /> rnrnnvm•rx ar�nsne�c. siasc�e�c. ruaarta�+u rn rtF n�cnrrrw <br /> �v ' 2p i � .5 O� J`/�D�6 <br /> us[rrn�. �o���rc� v�cuns��E FEES V�LUIITION FE� <br /> ���I � � �ES ,Orw ninio�vc. v73 � / <br /> ��F�f....�ivi1��NN uOOU�lIiwG SitEO/&OW� �' //� ' �S <br /> y� ur�ns S/Y 3 S �F. viownwr, _'_"—D ' O[7 <br /> OC1111��4(:1 M�Malrn�.( IX:CUI'I.N�lf1�U B�SF4iM� 4lf1��Nl(:4 GQ i0(� <br /> f.HWn � . . _ __ <br /> o.es ,d.o <br /> �oui¢wu.n•v o¢r.. <br /> rme-.{vn�xttur,ca'o nr+�a+ _��� <br /> ;`1(� O�Nfn <br /> lIREAIAI�MflCO'� Pf�FnV T <br /> ,G��If flIVtUWf SIIIIC11�11f.E / i s�l <br /> tw6nrrro �r rtnvserrnwmor CRVOFEVEREIT M�w�Mw�uns <br /> LOCAL SALES J���—� <br />\ � o•iE ',� J ta TAX CODE IS J705 TOTAL 'JS' Sd� <br /> 1 ss �s-97 <br />