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APPLICATIA FOR CONSTRUCT& PERMIT <br /> CIN OF EVERETT•BUILDING DIVISION <br /> 9200 CEDAR STREET•EVERETT.WA 98201 .(425(2570810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING MECHANICAL ❑ PLUMBING ElSIGN <br /> PROJECT ADDRESS: I I(I 7,poS <br /> - <br /> rt <br /> MIICIMnFYMMn aPPISS Clic /f IagN <br /> MYEn4 COYIPu:IOn YM NMIAM Cnr !f %f)VF {I.II ICFMI• <br /> �o���n //yy9 /1�+",�I•t lUE I(!r�lay.� qPO�� 415'R.7/333r �/orY�v�E3s/O6 <br /> YFCHY.C4 Y,dIn.C1UM 4N AfAPFSS (YM1 If � %IRK KII IIKFNSFF <br /> %IMMCONIRY.Ip1 Yn WON{t brY !Y � fl.y4 {MItIKENAF <br /> yy�� I,s4S NEATINO SYSTEM: j71 OAS ❑ELECTRIC ❑ <br /> RYhjUI.�/� W Ini. yFp��'A�c�✓ lmC S4,4e4iw cm x Flwsn• f.aw NO �2S �f��•33 <br /> �C7LI,J�C f' (fILNA G6!' (JILNA Gd <br /> 14/A K Jw+d 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> rMONOIwI a warl PROVISIONS OF LAWS AND ORDINANCES GOVERNING TIOS TYPE OF <br /> WORK WKL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> IF"DExMYnW OFf O ERI,IAaI•IN MLdrM ARWH WC s' NOT. TIIE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> IDI Mora of AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> JPEF'r, E OF CONSTRUCTION THAT I AM AUTHORIZED BY THE <br /> F TMS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> ION IS MADE AND I COMPLY WITH THE STATE <br /> DTORSLAW1A27RC D795YODWAC <br /> fwn 11PRlt{S RltnU4 M� wR <br /> CM M1SICiw NO <br /> PLUMONG UEC ANK:AL --_ <br /> NO. TYPE OF RETURN!OR REM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET( bC—A4MOL0 UNITE <br /> BATHTUB FORCED AIR SYSTEMS _ <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER _ UNIT HEAT ERS <br /> KITCHEN SINK A DISP CLOTHES DRYERS <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER 14EATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE(WOOD SURNWOI <br /> DRINKING FOUNTAIN FIREPLACE INSERT(WOOD BURNING) <br /> FLOOR DRAIN GAS FIREPLACE I <br /> BACKFLOW PREVENTERS i GAS RANGE <br /> _ SINK(SERVICE—BAR.ETC I GAS PIPING <br /> EXHAUST FANS <br /> I <br /> SUB TOTAL S SUB TOTAL L <br /> PERMIT f PERWT $ / <br /> TOTAL FEE $ TOTAL FEE $ <br /> FOR OFFICE USE ONLY: <br /> r"fv"IC. IYYI RIYta Isocul w nMICIICV`7 fit Mnll'INO <br /> INF/OK Im.M. VY;.NIFEES VALLA FE_ _. E <br /> CITE <br /> Olay ww1lNn II <br /> Hl KWI1.lun% NO aNR <br /> 1Ilm Wf a M06'll <br /> IIMIb %1110111 I <br /> OCCIMNC• Yin Ylinb LACI.,IOW lbiWFl WI'MYL4 <br /> MOIL DII{ 0 W) <br /> Wdi <br /> FM MMiAlfPM9Tl A.VYI KYMI n.NC1YC. <br /> OINFP <br /> rfK AUPM%uO Wnnv <br /> TIME MwOMIIIIRCMIMN I <br /> •M nCpl.l n.N lDPI CRY OF EVERETT nwlf wnl.a <br /> oAlt�' 7 TAR COD <br /> 8 SIDS TOTAL —7. <br />