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APPLICATI� FOR CONSTRUC7�.11�1 PERMIT <br /> ^�, ��� ,, p ,� /I' I CIT f OF EVEAETT•BUILDING DIVISIGN � <br /> O � � I 3200 CEDAR�TREET•EVERETT,WA�Jd201 •259�8810 <br /> fl DEMOLITION 1�bOMBINATION fl BUILUING fl MECHANICAL i 1 PLUMBING �I SIGN <br /> PROJECTADDRESS <br /> .-. � - n / �` � . <br /> ��� J7/`{ la �✓v i) .ri_ i <br /> r��iuooncss nrv rm r�m�¢ <br /> 1�,1P��cnl�nmeS ��.� iu5����,+� Pu- r,rr - � ,�_��Lhe1.�alIl�t.st»a�ar,�.� -o�ml <br /> �cverrt uuunnnrss cnr :m riror,� <br /> encr�nccron nevcriu� u�u mcmc s — urr �m r��or,e <br /> ��S15u�1�Fltch�4.e�1��14�uif1L� r ,�,,:a� ac�C����hF�' � �a��,x�4� _ ' -'� o <br /> cErimur,or�mec�any uuuoun[s; ii� <br /> ��P�rn ���meS u(� S1�ML Y�1ETCM �u��� <br /> " icanncron uui�nnacss nrv rir ruon¢ snrzucu�sc. <br /> �1k��1�m1�����'Lln�i+'� S�- SF r-��,r�4+ �u(��aQ�G3�4,)._33�I����JB.�T5P�.5b�P <br /> r�uuanmr.ar��m���n��a�i� �`� unii�nnncss cnr rm runr�e sni�u<Ense. <br /> cm��cFrn'c�or"„o�K'��—�,�[ 3310 Lr1K(' �� l�ln �IR-��_��=�lILLSIdG�T_13�I�'-5� <br /> �I 1,�� �(''�� HEATING SYSTEM: �lQGAS f I ELECTRIC fl <br /> or,cnieewo nwunncrooucEnrvavco `�rnncrrrnmnumrnaicuo <br /> �lc1c�•. � •• 'J � in '�1- �1-rn �nhn�i�N 5�Lu5��� YY�clf_�I_(�1��_�YC6C� Gr YVl 'ICP � e�7� <br /> �t��nre Fwr��- IStFl�nr.�.L`�-U 4'�nd 1-1mL.�.l2��LS�1��i.lo-C�1�\ Fli.'�l�s- 3� <br /> `53yc_.eman�- (�����ti�� ¢ I IIERLDV GERTIFV THAT I HAVE HEAD AND E%AMINED TMIS <br /> rnorroscc vs_or nuimma /FPLICnTION ANO NNOW TNE SAIdE TO BE TRU�AND CORRECT ALL <br /> jl - PROVISIORS OF LAWS ANO OROINFNCES GOVEHNING THIS TYPE OF <br /> ` S� WORri WIIL �E COMPLIED VlITH WHETHEfl SPECIFIEO h1EflEIN OR <br /> teceioacmruawrrnorcnrv�suawr�oeiowon�n�c�nvmcones� NOT. THE GRANTINCa OP A PERMIT JOES NOT PRESUME TO aIVE <br /> io+�o�a:n o�IlflSl� c� EC� AU�HORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> p /� OTHER STATE OR LOCFL LAW REGULATING CONSTRU(,TIDN OR THE <br /> �IQ'� C C mPM�,� \'f P P� ( FERFORIAAfICE OF CONSTFUCTION.THAt�qM FI/THORIZEO BY THE <br /> (� OWNER OF TI{IS Pf10PERTV TO P�RFORM THE WORH FOR WMICH <br /> Vo�.imP 59 PICI}s, \-pC��c����34n A�PLICATION IS 61AOE AND I COMPLY WITH THE STATE <br /> �encci rne i o uinnn¢n W NTR�CTOIIS LAW IB 2]FlC W AN�206200 WAC. <br /> consmr.cuoxm.n�rrmrn.�oontss.rncruo�ie�mue¢n %_�-���`.(7- � � LI'. <br /> si a euu�r � � �� � o.ie <br /> =1�.I.L <br /> C.IIY OI5iXC551ICC16C NO <br /> MLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUqE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> T WATERCLOSET�TOILET) A/C-AMN�LGUNRS-H.P. <br /> BATHTUB ' '� FORCEDAIRSYSTEMS- � <br /> �.TU. M EA. <br /> _� LAVATORY�WABH BASIN) �— HEAT PUMP —�— <br /> 0'7_ SHOWER UM7HEATERS-�TLL M <br /> KIrCI{EN SINH 8 OISP <br /> __� CLOTHES ORYERS <br /> '� �ISHWASHER VENTILATION FFN <br /> LAIINORY TflAV l �-----'--- T- <br /> _� RAkG[H000 miPnnwnnP <br /> '� CLOTHES WASHER —�— WAIiR MEATEP —�— <br /> _ Ul11r�qL WOO�STOVE <br /> DRINKING FOUNTAIN � <br /> _ h1E7A:FIRFPLFCE�WO00 OURNING) <br /> _ FLOOFDHAW FlIiE:PLACEINSERT�W0009URN'NG) <br /> BAGKFLOW PREVENTERS ' `� GFS FIREPLACE <br /> SINN�SERVICE-BAR.ETC.) —�—I— GASRANGE --�— <br /> GAS CIPINCa <br /> E%IIAl15T FAN <br /> SU�TOTPL 5 ' SU[7 TOTAL E <br /> _ PERMIT 5 —�— PEfi�dlT E <br /> TOTALFEE S TOTALFEE F <br /> FOR OFFICE USE ONLY: <br /> inoursenucH n[ensvmAcx smcsrimcx rinr�artcxr�uunen rcp nmrmrvo <br /> �� �� � �-»,xr 3v i���ay <br /> us[ioi io�en[e vew�n��sur FEES VA�UATION FEE � <br /> �-_3 y�.�s i.rm nunnnu: --- - - - —�-- <br /> uucm u�"J uiau ��o�x m�nuur. sin o�nu+rn - -----.—.— /�Z�732 _�� ��_'? <br /> .=�.) urnis � 2 YJ $F LiviN9 t rins�nnu: I <br /> �J S,f�Ci9'[A4c ____-_'- .--_____ _ <br /> . ._.__ _—__---�_-_ <br /> CCCIIf'INI:V IF1f�151��11iI5 (N;CIII�ANIIO�U 11nv1Ylrl! � <br /> CIIO11 F1fC11I.1�1(:nt <br /> rcau�i 2 ��,�s � - -- ---- ---L�`�-�-`�'� <br /> nne�ununcw�--' nresnv — <nwurnuirvu� �nrr.x <br /> omm — _ <br /> rmcsrmxxienncan nre=or� -- <br /> surtnmm�ru:sunnanc,e '^ � <br /> �m[nrcouv wnes�rrrm¢rppr CITYOFEVERETT �`vnucwonnc <br /> ��' LOCALSALES --'----- -- '---'— '.�. <br /> J u.n n/�$ C TA%CODE IS 7105 7�TaL ' <br /> `�.— L <br /> —'.—�_—_—_-l1- S '___—__ —___ _—_— '___' "'_.__—__ . _--_____.i. _ . <br /> 1 <br />