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APPLICAT�N FOR CONSTRUC�ON PERMIT <br />CIN OF EVEFETT • BUILDING DIVISION � <br />3200 CEDAR S'i 9EET • EVERETT, WA 98201 •(425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: <br />Bra�.� �Z2Z- �%vk �r �r f✓ereff'WiT ry&zc8 <br />oM^,fn 4�il�pp+EsS c�n' I�r 1`HMt <br />1fN�N1 V�II�f1MlSS fllv )�V IIR)NE <br />•�1L�x�fC�O�M5�G4U� M����DOaL55 Cilv !.� p�.f <br />Ti-Llie-c(< `fS✓nrt�� �v L� �- wy�_�II�J��J`�o36 yzS 7d7�!ll1 <br />fi(Nf�HCONlf11C1(XI MYI�OU�FS$ C�IY li� 1`i�il'�C Cl/.III�CENGf� <br />Sti`we- __ � ks��C oa �k R <br />uva���+�uicnv�n.rwn vui�oonFss r�n nr� r�.�•.r snn�c[N<t• <br />ruiuen.cco�nn.nq� wu��am[ss rnr nr --- rr¢n.r su�nrcra;f � <br />Foum�crnn¢� u� vmnh <br />��d-D'D '�,a��.. _ <br />o�scumov.an«.vu; a�rnou�Eiumrvco <br />I 2 X � H vn�ea�{-ed' s✓n room <br />VPpI`OSFI]'1[k O! PmlOiNf. <br />Su/� �:yi✓� <br />IF W L OESCniP Vp� 0� PnpI�FPrv Is�qwN fl[10w W��1eO� 1Yro CO��[51 <br />io� oiae __ a <br />I�41L[11�1110IIIIMP 7 � <br />0 �f�. � � �0� �0.� <br />CON5�1111CIIpl IOIrv I fNllf It /.pl111(55 I[IEMONF MV411F11 <br />PLUMBING <br />NO. 7YG c C� FI%TUflE OR ITEM FEE <br />WATER CL � iET (TOILET) <br />BATHTUC _ <br />IAVATORY (WASH BASIN) <br />SHOWEP <br />NITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNURVTqAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />OACNFL0IYPREVENTERS <br />SINK (SERVILE — BAq. ETC � <br />SU�TOTAL 5 <br />FOR OFFICE USE ONLY: <br />rnou�armvx nransnn/yC <br />26 � <br />Ili[ lCYf � f 1 OI y(/.�� <br />� 7 <br />\— <br />uF�Cd��Voi / n00�[mfLLiNG <br />� r.�l[ / <br />i m[ nun;n mo�o <br />��N <br />fi <br />SIS[ Of <br />HEATING SYSTEM: CJ GAS ❑ ELECTRIC ❑ <br />carvucr v� n5n�a.vt� nrt�vr r�o <br />f�oc%���,/�s J�� y�r/v7 <br />I HEREOV CER7IFY THAT I HAVE READ AND EXAMINED THI$ <br />APPIICATION AND NNOW THE $AME TO OE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND OROINANCES GOVERNING TNIS iVPE OF <br />WORN WII L BE COMPLIED YIRH WIIETHER SPEGIFl[D HGREIN OR <br />NOT. THE GRANTIYG OF A PERMIT DO6S NOT PRESUME TO GIVE <br />AUTMORITY TO VIOLATE OR CANCEI THE PROVISION OF ANY <br />OTMEF STAiE OR IOCAI L�W REGULATING CONSiRUCTION OF TkE <br />�ERFORMANLE OF CONSTRUGPON TMAT I AM AUTNONIZEO �Y iME <br />GWNER OP THIS PROPEFiY Tp PEPFORM THE WORN FOR WHICH <br />qPPLICATIOt� IS MADE I COMPLY WITM TIIE STnTE <br />GONTR ORS AWIB ) ND296200WAC <br />/ <br />�x _ �0-�-9 <br />��, ��� �„�� <br />blYBU4NCS5U(- �`!vp <br />TVPE OF EOUIP <br />P/C — NHNOLG UNITS <br />FORCEO Plq SYSiEMS <br />HEAT PUMP <br />UNIi IIE�TFRS <br />CLOTIIES ORVC.RS <br />RaNGE H000 <br />�:YN7ER HEATFR <br />ilOOD STOV[ <br />'dETALFMEPLACE(WOCD <br />iOTAL FEE S I <br />r�� rrrimMo <br />1n — <br />Or[5 F"� qmmn�u —� <br />OlOf�il <br />5'/ 1I�IUPiNf� <br />1 <br />�SFu( V � yFl]�n.nf4 <br />o.rs ryLn --- —.. <br />-- roaunv��nwo�ra <br />ou.rn —_�_ — <br />a.m m�m.wc snn��unr,r <br />GTVOFEVERETT m�ei��,wo��•< <br />LOCALSALES — — — <br />TAX CODE I5 J105 TOTRL <br />