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APPLICATI� FOR CONSTRUC�ON PERMIT <br /> CIN OF EVERETf•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> JfhROJECTAODRESS:_� �O /3Q ST,Cc�J , <br /> X��Tof��,e��c—Q�rzB x ��—E��z �a:�� 4a5_ aK�_ 3ibv <br /> uuuLOni55 Orv Irr nuovE <br /> �niuu uuurc+�ess <br /> nn riv v�ro.�f <br /> •�P���fC10�Df51G��En qul��l)ufSS �ilv )ro �y�y�� - <br /> f.(NU14 CO•i���Cip� pnrl�CIM[55 Cilv )in v�pVf [dIL IiLfMSF� <br /> x �,,.,,,�.«,.,�;:,`.����s, ��rv ,�,. �,�.< <,.,E,�E�«. �L <br /> QUA�/T�iS�EAT/.YC /9�7 �1t<Ss'.t/ �O� G�{�E.C'E)T- 982C�/ 1�/�GG�26 �OAGiy�g/l�7�' <br /> PIU1IBivLCOrltu�r�pn Mut�IXmF55 [iM1 f�n 'uT.f f�IFIrLtMSi. <br /> �orn+�¢i rvacr or wn� .._ <br /> ��� �(! C�O— MEATING SYSTEM: ❑GAS G ELECTRIC ❑ <br /> Xmsceinc�imnnf�oor�ce iHvoivco rnvun�.intnv.vnr�.�•,r�.� - <br /> _��-�n_r PiPE i m ee��,c _ <br /> I HEFEOY CERIIFY iHAT I llqyE READ ANO E%AMINE� iN15 <br /> yneorosrousr er pmipiNr. /PPUCATION AND MNOW TNE SAME i0 OE TqUE AND CORREC�ALL <br /> � .�'EYT 00 S FAOVISIONS OF LAW$pND OROINANCFS GOVERNING TNIS TYPE OF <br /> lFwin[scm>nrniorrnor[arvisrqwvertawou�n�cn�woro�iFs K'OPK WIIL OE COMPLIED WtiN WHETHER SPECIFIED H[fiEIN OR <br /> NOT. T11E GRANTING OF A PEFMIT �OES NOi PqESVME TO GIVE <br /> �o� _��a+ pr AU7HORITY TO VIp�qTE OR CANCEL THE PROVISION OF ANY <br /> OTIIER STqTE OR LOCnL L/W PEGULATING CONSTRUCiION O�l THE <br /> PERFORMANGE Of CONSTFULTION TMAt I AM AUTNORIZEO BV IH[ <br /> OWNER OF TMIS PqOP[RiV 10 PERFORM THE WOqN FOR WHiCH <br /> APPLICATION IS MqOE AND I COMP�Y WITH TME SiqTE <br /> rencn u�i o mruotn COHiRnCTORS LAW IP 2;RCW AN�29G 200 WAC <br /> f,p4GIntKOp110n11(NpFfl Mt�nE55 IUFMOVE NU40FI1 /�/L�-'��.-��J7y�v /D/ <br /> Y ( !/� i.s'3� <br /> X�N/IV111 11��1 <br /> CIIY 0119NCSS l ICI N�l'.Cl <br /> PLUTABINC MECMANICAL --- <br /> NO. TYPE OF F�%TURE OR ITEM _ FEE N0. TVVE OF EQUIPMENT FEE <br /> WATER CLOSET QOILET) PIC-P/HNDIG UNI�S <br /> BATMTUO --- <br /> / FORCED AIR SY57EM5 <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SMOWER UNIT HEATERS <br /> _ NITCHEN SINK 6 DISP CLO7HE5�AYEfiS <br /> DISNWFSHER FANGE HOOD <br /> LAUNORY TRAY VlATER HEATER <br /> CLOTHES WASMEF 1V00D570VE <br /> Ufi1NAL META�FlREPLACE hY00�BURNING) <br /> DRI'INING FOUNTAIN FIFEPLACE INSEFT hV00D BURNING� <br /> FLOOR ORAIN Gn5 PIREPIAGE — <br /> OACNFLOW PqEVENTERS GASRANGE <br /> SINK($ERVICE-BAR.ETC) J/' GASPIPING �— <br /> EXHALIST FAN <br /> SUO TOTAL 5 SUO TOTAI E 7G,'� <br /> .____ PERMIT 5 PERMIT S ��`— <br /> __ TOTALFEE 5 TOTALFEE S �' <br /> FOR OFFICE U5E ONLY: <br /> �nnuiulnvv nren5rlp4� S�o[5[tB4n rinqb�tc nuaarn r(r nrrfm�r�o <br /> Go�d� <br /> ��strovr iot�n�• vnuvvrE FEES VALUATION fEE <br /> � — <br /> ❑v[s Owu nu:nn:n — "- _ — <br /> r�Fm��nun�noa r,o or tmfwnc yt[or eioc�i —'--- - <br /> utin� -- <br /> mxvr. <br /> cx�ur��rr � . „�"e�� urumnr�na�n n�sw�m� o�c.uru . __ "__ ____ ' ". "_'__— _- <br /> cnooi� <br /> ❑rF5 ❑v0 - � - � . <br /> PPfSCHM.[lfl�a[OT� n1�tiON �— �Dq1ipN4MulOrtf.R <br /> fll� (ll��(11 � <br /> uia,.nnuro uFncnv <br /> 1�11 flil�l�.r.l:$IIIICII�IIC! <br /> nrrnrro��v�— rinec�nrNovrnnr CITVOFEVEqETT ron,mwnu..c I '"� -"- <br /> LOCALSALES " - -- - .�—-' _— ' <br />�I _ __ _ onc TAX CODE IS J105 7otaL _ <br />