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r -- <br /> APPLICATIOr! FOR /�ONSTRlJCT1UN PERMIT <br /> CITY pF EVEPETT•BUIIDING DIVISION � <br /> 3200 CEDAR STREEI •EVERETT,WA 98201 •259•8910 <br /> � UEMOUTION ❑ COMHINATIrlN [i BUIIDING L I MECHANICAL ❑ PLUMBIN(i ❑ SIGN I <br /> PROJECTADDRESS: __��(��_. � `'( �- Cl,��`�?,�`T7 wp <br /> "C�DE3 1,�1�'Q6!IJ i � f�o�TC�t E=U���; �t/�+`�� � ss s ��s� <br /> ow�rtn rMi-�nEss cm � — <br /> iFM�Ni Yql�IXMf55 CI1Y !�� PIqNE <br /> ��GMTCCI OROESqNE11 M�H �MInE55 Llf�' !11' n110NF <br /> OENEMIGONIO�Ciflll M�II11fMrt1E55 C�IY !11` PiroNf [I�1f.11CFN5EI <br /> YECNO�IC�I LON7R�Cipf1 4�I1�IIfMIf.55 f.IfY 71P PIIONC SGfF L�CENSE� <br /> iLUM11M10GONiB�f,fpi MMl�f1011E55 (:Ilv —"'"--"' � t0• ---�-_�'--' PINNaf SGIEIICENSE� <br /> CONfMtIFM(;EOiW0111t -- -'--'-- <br /> HEATING SVSTEM: 11 GAS ❑ ELECTRIC ❑ <br /> o[scrNeewoaK�r+usouu�rom�oE�vaven � c��ur�rri��di�rmr�ro�w�wo � <br /> LJ�Iv1 O L I 7' I � � �l.lJ� ___ <br /> ,� I HEREI3V CEPTIFV THAT 1 NAVE HEAD AND EXAMINED THIS <br /> - APPLICAIIq�I AND NNOW THE SAME TO BF. TRUF AND CORRECT ALL <br /> ►novouo use or n�n�dra pROVISIONS OF LAWS AND ORDINANC�S 60VERNIN6 THIS TYPE OF <br /> _ WOf1N WILI. DE COMPLIEO WITH N�;{ETHEH SPECIFIED HEREIN OR <br /> LEMl0E9GHIP710NOi17NN'ERIY�SIIOWNIIEIOWOR11tI11CNIW0001ME5) NOT 111C 69AN71N(3 OF A PEHMII DOES NOT PRESUME TO OIVE <br /> im Z maK__a ��P I�U� AU�IIORITY TO VIOLATE OR CAMCEL THE PRJVISION Of ANY <br /> IJ �_I OTHFR ;tAIF OR LOCAL LAW REOUI,ATINd CONSTRUCT1�N OR THE <br /> ;W 'IG D� S W /� �`�^� # � PEIiFO(1MAMCE OF CONSTqUCT10N.111AT I AM AUTHOHI2ED BY iNE <br /> �" OWNEfI Uf THIS PROPERTV TO PERFORM THE LVORK FOR WHICN <br /> TU�� ZH �cryNloE �S APPUCATION IS MADE AND 1 COMPIY WITH THE 6TATE <br /> VMILELIMIO.MI4SER CON ACiUf15LAWIB27HCW D2982U0WAC. <br /> �`-�1 ZgO5 - 3- 032 - QOoO_ �jj� �� � (7��/7 <br /> CONStP11CI�ONIWN�EN0E11.N1d1E6S.IElER10NEN11MRL11 K_ Y"-� ��4\r �` �� �-�l_ '—[— <br /> j � n� �/ S IIIIIF � p11IE <br /> ` �'cf�^Pdty Q(111.1nZ <br /> , CIIY p11FMF55IICFNS[IKl <br /> � LUMlIN�3 MECIUNICAL <br /> TYPE OF FIKTURE OR ITEM FEE TYPE OF EOUIPMENT FEE <br /> AT[H CI.OSET(TOILET) A/C—MiNDL�UNI73 —��— <br /> B TU8 ' OfIf.FD AIR SVSTEMS % ' <br /> UVAT Y(WASH BASIN� � H PUMF ��—i-- <br /> 8F10WEfa � UNIf 1 iERS � <br /> KITCHEN SIN DISP , CLO711ES VERS i <br /> OISHW/.SHER �— MNOF:HOOD � <br /> IAUNDRY TiiAY --[ ; WATER IIEATER { <br /> CLOTHES W�SHlq�� � WOOUSTOVE �— <br /> , <br /> URINRL � Mf fAI FIf1EPIACE pV00 URNIN�) ' <br /> DFlINNINC1fOVNTAIN � ___� _ FIREPIACEINSERT�WOn_�WINO) � <br /> FIOOR ORAIN ��� � UA3 fINf-PIACE �— � <br /> PACNFLOW PREVENTE � OAS RAN6[ C � <br /> S�NN(SERVICE—B .ETC.) � � _ OAS PIPINO _—� � <br /> � � F%I IAUST 1'AN � ' <br /> _—T — — — �. — i <br /> --� � ---�— � <br /> i � <br /> - — <br /> SUB?OTAL f � � SUBTOTAL f <br /> PEqMIT f _—�T ,�i�� PERMIT S � <br /> TOTAL FFE 3 ' TOTAL FEE f � ' <br /> FOR OFFICE USE ONIY: <br /> lRONfSEIR�CN RF�115F111ALt SIOElEIB�CIt �I�Nf11CfMMlYllfll fEF IIFf.flPINO <br /> USE 20NE io���e V�CANI Sltf. FEES VALUAtIOH FEE _ <br /> ❑rvs ❑ rxi ainiunm <br /> IIEIONT IIMf�TId1 NO Of OWFIIIlq �ilE O�elDO/11 �"- --- <br /> IHIIIA PI UMOMfI I <br /> - _____-__'__"'"_"_"_'___-_ -__-- �{-.- <br /> O^���NGr Iqp71MfS OCf.UI'�NI10110 l�SEMfNi MiP1UNlf.�1 � <br /> ❑YFS CI HO _-- ------ -_ ----J-_. . <br /> fIf1ESPPoNIIIERRfO'0 �(�CON �IHNIIUN�IPI�HI:�IIfM i <br /> —________ __ _ _ �__- <br /> oinrn ' <br /> � <br /> FpE MMM REO'0 nf es� . ------ � <br /> Sts�F n�n�wqr,SnnOu�N�F �1 <br /> i <br /> ___ __"_.__'_ __ ' --r� <br /> nvForcd+s� n�nws�rnnov�nnr— CITVOFEVERETT runiuwrn�e•, — — <br />� IOCAL SAl.E3 --- ----- - -� ------ - —� --- -------�-- <br /> �,,,,f TAIt CODE IS J105 iora� ' <br /> --- — ---� - ---____- ...._ _------ � -- --'-- <br />� <br />