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APPLICATIC 1 FOR CONSTRtlCT �N PER�IT <br />CITY QF EVERETT • BUILDING DIYISION � <br />3200 CEDAR STREET • EVEAETT, WA 98201 • 259-8810 <br />❑ DEMOLITION � CQMBINATION ❑ BUILdING ❑ MECHANICAL ❑ PLUMBINfi ❑ SION <br />PROJECT ADDRESS: %i � � n'�,,f P I,�� ,�_./ , f P-I + qA� nR <br />4200 <br />IEN�NT uM11fW11fSS .._�-4IY .�-- !�n P�qME <br />}�rcH��rca� i\I�ni1l,,...�-F— ' p9/5�,� �Nt Sfr 100 o i � le 2nf u�5 y9 <br />11f1�NTCCTdIDESiONER 41U1�00q[55 CIfY � )ir t PNpr�E O� <br />�vr�r�., ,,._ I�vv�es 221 p Fle�ei'rl r'��jO�,nn�{. ^�a�/ e706 aS942o0�5uNMAN�OSf4 <br />oeH[n•i cp�rp�cian N4lApp11E55 . <br />CONfMGTPPoCE pF Wp(�K <br />r a,w �� siru c�� irrl — l C, t, HEATING SYSTEM: Q� (ipS O ELECTAIC ❑ <br />OE3GMlEW0111t11Np5pVARElpp7/�6EWVqVED Cd1I�CT1'f.R50H P/qN[1q <br />T � � �_��i-�I'L00 <br />;� c� �!�!7.-7 7 ferh Qs n+ �rvsrA <br />lEnu UFScmvtroH a PROVERiv (S�WwM eFlOw an �n <br />I <br />�or _ e�ocK _�_ or 8R <br />0._.1L���' � j A't l ��) <br />� vork;,�, aF 39 �0- o00-012 - <br />PAqLFLfAlf10. M/M6ER <br />i <br />J- or—_ uQ 41 <br />CONS IICTIp/!'�iV1lENOER,�INM1E5l.TElFAbHE'IiAul <br />� NO. TVPE OF FUR <br />c <br />. WATER C�OSET (TOIL <br />BATHTUB <br />UVATORY (WASH BA'. <br />SHOWER <br />KITCHEN SINK 8 �ISP <br />DISHWASHER <br />IAUNDRYTRAY <br />� CIOTHES WASNER <br />URINAL <br />ORINKIN6 FOUNTAIN <br />FLOOR DPAIN <br />�—Z BACKFLOW PREVENYI <br />SINK fSFRVIf:F _ pea <br />SUB <br />i f <br />FEE f <br />FOR OFFICE USE ONLY: <br />fRONiSETl�GM RE�R SETBALM <br />� / �� / <br />U9E lONE� 10111PE� / � <br />/`� ' <br />IIEIOIIT LIMIt�IION / Np pf p�y[���Np <br />uNIfF <br />� <br />OLCUPANLI Iq q SIM[S OCCUPANflO�U <br />-/1l I n�q <br />Z <br />FEE <br />� <br />'7 <br />Kit'�natri �,�` ZJ(o o�!/$ 027�i <br />I NEHEBY CERTIFV AT I 1{AVE REAO AND EXAMINED THIS <br />APP! ICAT'1N AND NNOW THE SAME TO BE TRUE AND COqqECT ALL <br />PROVISIONS OF lAWS AND ORDINANCES GOVERNINO THIS TYPE OF <br />WORK WILI BE COMPLIEO YVITH WHETHER SPECIFIEO HEFEIN OR <br />NOT. THE ORANTINO OF A PERMIT DOES NOT PRESUME TO 61VE <br />AUTHORITY TO VIOIATE OR CANCEL THE PROVISION Of ANY <br />OTHEH STATE OR LOCAL LAW REUUUTINO CONSTRUCTION OH THE <br />PERFORMANCE OF CONSTHUCTION. THAT 1 HI� AUTHORIZED BY THE <br />OWNFR OF THIS PROI`ERT TO PEFFORM THE WO�N FOR WHICH <br />APPLICAiION IS MADE AND I COMPLV WITH THE 67ATE <br />CONTRAC LAW A. RCW AND 28Q.200 WAC. <br />x � <br />S �fUnF OATE <br />1 r 1 <br />CITY ,MESSLIG,-NSENO <br />FORCED AIR <br />HEAT PUMP <br />UNIT HEATEF <br />RANGEHOOD <br />WATER HEATER i <br />WOOD STOVE '. <br />FIREPLACEINSERT <br />C;AS FIREPLACE <br />GASRANOE <br />OAS PIPINO <br />T111N CI�CN NUMpFiI <br />veGNt 511F FEES <br />pYES ❑ Ho <br />OUIlf11Hf. <br />51iE Oi BI UOq 1 <br />(� � S PlI1M111H(i <br />!� 4ENI <br />� � MFCIUM(:AI <br />GrEs (yFn <br />�OU� IIIIN�I 1R �N C��f CN <br />on�n <br />si�i¢ e�mnwa sanciunne <br />CITYOFEVEREiT niqiir,vmne5 <br />LOCALSALES <br />TAX CODE IS 9105 ioiAL <br />SUB TOTAL f <br />PERMIT f <br />TOTAL FEF. f <br />�FF RFf.EIPi <br />_�^ � <br />