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APPLICATI� FOR CONSTRUC�ON PERMIT <br /> CITY OF EVERETT•BUILDING DNISION � <br /> 3200 CEDAR STFIEET•EVERETT,WA 98201 •(425)257-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBINO � 6KiN <br /> PROJECTAODRESS: 2�iO4 S��' S�' Ev[/Gi� L.✓a YBeV�/ <br /> /taw /�'� cM z c� R d3o4 5�'' S� E t� .�- 9R:ta/ <br /> � <br /> �En uui�i.mn[ss ' an nv a <br /> ni v�c r YJ5-�o�-0�?3 <br /> 1FNLN� uYIY)LV�f55 Gl� )�V ✓��JNf <br /> v. I] �o..s�._(�32�[ N,ls��sd PaiK �y��JLtt�o,• W 3R� � 42ft- 4S/S <br /> �11LwitCf frtS�GrF�� 41i1�111uF55 C ry /l�� KnZ <br /> (�wnP✓ <br /> f.LMI�410�+11�1l:IIN� N111�IXM[55 CII\ )i� �iVn[ [t�1111C(HSF• <br /> Own er — <br /> ViUr1Hl;:�l!(WI��fIU� 4�'l�!'CAFS$ flry )�n ��q4f <I�iFIICfMif• <br /> (7 NVI�/ __ — <br /> 1'1114BMGCONIYK}pl� V��l�f%Nf$$ Clh jIV 1'M'�f $I�ff1iLFNSF• <br /> cowm+ctrmcru�wcx�+ OH,^ �/ � <br /> n����� MEATING SYSTEM: ❑GI1S L�f�LECTRIC ❑ <br /> UiSCPiRF NI)$W��I�OOt�GFNVqVE CW�1LivfPSON�M)1'IqNIW <br /> . �.0..�. '( .11p� <br /> _L—i3 ti � �� /.3 g <br /> —� I HEREBY CEHTIFY THAi I MAVE RE�D �ND EXAMINED 7HIS <br /> AFPIICATION�ND NNOW THE S�ME TO BE tRUE ANO CORRECT ��� <br /> nna+�tro ou pnnmwc: PPOVISIONS OF�AWS AND ORDMANCES GOVERNING THIS tYPE OF <br /> Qe�<.�� - WORI( WIIL BE COMPUED WITH WHETMER SPEGFIED NEREIN OR <br /> itr.uo[sc���•npuprrirortnn�srqx+�eunwou�rtecnrvioca+esr rypT THE GRANTiNG OF A PERMIT ppES NOT PRESUME TO GNE <br /> to� eia:, or AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOC�L UW REGUTATIN6 CONSTRVCTION OR TNE <br /> PEPFORMANCE OF CONSTRUCTION TMAT I AM AUTHORIZEO BY iME <br /> OWNER OP TNIS PROPENTY TO PERFORM THE WONK FOR WHICH <br /> PPPLICATION I$ MI10E RND I COMPLY WIfH TNE ST�TE <br /> ru+cn u.i o.nween GO TRACTORS LAW IB 2]FCW AND,�96200 WAC. <br /> �7/C,rr; //O cbo4 �d�-,�-�ar,,i 5 ��GG <br /> CO�151111KfHM�U�N�(uftF��NIM[5� �[lt1+qMFMWRi�� <br /> •1UpE b�l[ <br /> OiYEULeE551�[[NSC NO <br /> PLUYBINO MECNIINICAL <br /> NO. TYPE QF flXTIINE OR ITEM FEE NO. T7E OF EOURMlMT FEE <br /> WATER CLOSET(TOILET) A/C—NHN�LG UNRS <br /> J BATMTUB FRqCEDAIFSVSTEMS ' <br /> T <br /> LAVATORY(WpSH BASIN� NEAT PUMP <br /> SHOWEH UNIT HEATERS <br /> NITCHEN SINK 8 OISP CLOiH�S DRVERS <br /> DISHW�SNER RANGE HOOD <br /> L�UNDRY TRAY WATER HEATER <br /> CLOTHES WASMER WOOD STOVE <br /> URINAI METAL FIREPLACE hH00D BURNINGI <br /> DRINRING FOUNTIIIN FIREPLAC[INSERT�WOOD BURNINW <br /> FIOOR DFAIN GAS FIREPLACE <br /> BACNFLOW PREVENTERS GASRANGE <br /> SINK(SERVICE—BAR,ETC.) GAS P�PING <br /> E%HAUSTFAN <br /> W/! '1 <br /> SUB TOTAL 5 SUB TOTAL S <br /> PERMIT f CERMIT S <br /> TOTALFEE S TOTALFEE f <br /> FOR OFFICE USE ONLV: <br /> �11()���1�rx pr�n'f�� S�OFSFis�y, r��x �[[/.uV «t � AfrfiriNo <br /> / <br /> � L <br /> ust r i�+m� � .�uv�vn FEES V�LUATION FEE <br /> �-I —I� —�J �/� <br /> ❑Y(5 x0 PViMW. ZO I.JJ 'L� <br /> 11FIli��11�411AllpM1 4U b I�W11l1NG $IjI/f IX�lIDG/�1� L � <br /> 2 � � p4i�c �J �! r, v�i14PiYf. __ ___ _�+ <br /> IX:IIM�\'� MOf��i�'v�l♦ UI"f1�1VNIlO1G R�SlWNI 4f(�I�AN'�1 ��_ <br /> f. O ' __ _ <br /> ' ❑\!S N7 <br /> [iN[SI`ui•:eIEN�CO'O �ri�v'(w ��dli(nMR�VO�K� _ <br /> plr�[11 <br /> �19t<U�AINIOD M��n'I <br /> $411 Rm�U�Mf.SnOG��npS <br /> -- -4� <br /> rvrrni�'oaa rinrsu�rnooroe+ CRVOFEVERETT nrx�r,wrv�.c <br /> iOCAI SALES -- — --- '---`' <br /> _�_� ���t � Q 7AX CODE IS J105 70T�L `_ <br />