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APPLICATI�1 FOR CONSTRUC�N PERMI i� <br />CITY OF EVERETT • BUILDING DIVISIGN �Y <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257-0810 <br />; 1 DEMOLITION ❑ CUMBINATION i7 BUILDING I�I MECHANICAL ❑ PLUMBING �] SI:aN <br />o':urtn uaiupunESs n c�rv ZiV ruurve <br />I�%ivi-i,.�. ?.�� G.'. LGc. N�'irr,Lfll•1 .Sl:o:yi.� t''+1� 'I��Y4S-'�/n <br />i[NeNt 41quuUrrsS clrv z�a ���CiR <br />•nunrzcronucsr,uin un:uoor�css r.�rv r�v n�o��r ��a�AGG.'G{PV <br />� �1.a �. r _ .-�` 3i ;, si o r <br />eo�i ir .. C�,�.C/ /� .� /' 7l t /✓.•.� i - l✓ �4'� � <br />cu rvucor�necroa urauoon�ss crt. n� v��orv sureucc�ae. <br />ucuumwicorrtaecran ueneooncss cirv .�. rMor�e sureiKcvs�. <br />��mnnu,r,r,ornn<non uuuoon[ss U�v —'--r.r, vrroiie su�[uuvsE. <br />�iin .,,.. CL <br />oc•,�1➢bEYlonnnuny=� �nclOOGCE�xvavED <br />iY�sF 4f (-3�.si� /tisc i A <br />�/�lX ,�i�://Iln'T�..(iG <br />vr�orosmuse or emmun � <br />imei ocscmvnoH w veorenrr imowr� o[�ow on er*�a <br />wt _ a�ocn or <br />I'nf1Ct l 1R% 10 11I1MiCli �I <br />L>'� �lQ�o��T <br />cowrnucuon �oanemcn. eoouess, *[�cruorvE nuuocn <br />PLUM8ING <br />k0. TYPE OF FI%7URE Ofl ITEM <br />WAT�R CLOSET �TOILET� <br />�ATHTUB <br />LAVATORY �WASN BASIN� <br />SHOWER <br />� KITCHEN SINK R DISP <br />� DISIiWASHER <br />LAUNDflYTPAV <br />CLOTNES WASHER <br />URINPL <br />SUOTOTAL 5 <br />FOR OFFICE USE ONLY: <br />rnOqtC[rl�acn n[enscloeCK S�DESEin�CK <br />1�[I.:illLll.IitPIION <br />iiTu <br />NO O' pVl[LLl�ti: I 92[ CF <br />Vi��lS <br />HEATiNG SYSTEM: ❑ GAS ❑ ELECTFIC �:, <br />tcnucr vusorur�ovuo�c r+o <br />I HEf±E6V CERTIFY iHAT I HAVE REA� AND EXAMINED THIS <br />APPLICATION AND KNOY� TNE SAME TO �E TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS TVPE OP <br />WORK VlILL BE C01dPLIED YlITM WHEiHER SP_CIFIED HEPEIN OR <br />NOT THE GPANIING OP A PERMIT DOES N0T PRESWAE TO GNE <br />AUTHORITV i0 VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHEfl STATE O(i LOCAL LAW REGULATING COIISTRUCTION OR THE <br />PERFORMANGE OF CONSTRUCTION TNAT I AIA AUTMORIZED BY THE <br />OWNER OF THIS PROPEPTV TO PERFORIA THI_ WOFK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONiPACTOFS LAW 1 21 RCW AND 29G.200 WRC. <br />,�!,�-f� !��� .�/�/i <br />o��E <br />tin nu;ir.�ss ucu�se rio <br />FORGED AIR SYSTEM$ <br />HEAT PUfAP l <br />UNITHEATEP$ ��jqq-/JjAiL� ` <br />CLOTHES ORVERS <br />RANGEMOOD <br />YfATEP HEATER <br />WOOD STOVE <br />h1ETnL FIREPLACE (wOOD BURNING) <br />FIREPLACE INSERT (WOOD dURNING) <br />GAS PIREPLACE _ <br />GAS RANGE <br />GAS PIPING <br />E%HAUSTFAN _ <br />SUBTO7AL 5 <br />PERMIT 5 <br />PUIILNELK <br />[lY[5 .^� NJ pwIOP�G <br />a�ocT� <br />PlU�A01Nti <br />�S[YENI YEGUIII��( <br />pVES IlNO — <br />.�OII IOII�L PLAN CNCfK <br />orHcn <br />s*�r[ ouiic�nc,uncN�.nee <br />CITY OF EVEHETT wsicwonxs <br />LOCALSALES <br />TAX CODE IS �105 TOTAL <br />accEirr ra� <br />