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APPLICATI� FOR CONSTRUC�ON PERMIT <br /> CIN OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257-6810 <br /> T�,DEMOLITION ❑ COMBINATION J�BUILOING ❑ MECMANICAL ❑ PLUMBIN6 ❑ SI6N <br /> PROJECT AODRESS: �JZO� EVEp('�E-E� WAY <br /> Ros�a-Nae�-rc.E �viS- 114TN t#�_-S,e.t� i2 E�.t,�vuE Wb98ao4- ('f25)454-3030 <br /> C'.YxEn wu��ppn[s5 CYrv !m � rwDr�[� <br /> �ASN Mu�nlFtt &wK- �e as cwv�E �425�35b-2b(r4 <br /> �EM�N� YYI 41y1[55 ry,l� 8V pupaF <br /> Ca.x��L�4DE�C�M�55��4TL9tL�,�,JtZF�auNrc.ar.E T�e,wA.9bo43(4t5)Wo-67o� <br /> �I� f/-S �, <br /> G(N[1Pl CM:p�L101 4u�/.pfMF55 C�h Ii� rv✓•tif 5411 VCENSF• <br /> 'fBD <br /> uf�pu�yv¢�4�CavlmC�un uul�tAnF.sl C�n )ir rvq�.f [urp�itFxSE� <br /> 1 Vl/ <br /> PIUupMGCONIP�r.�On 4ulAIMM(55 �Irv jin v�pvF SIUFI�CFFSf• <br /> / � <br /> cor�rn�c�rmc[o�wo <br /> Z�Z�F__O S_F. �IA(C LF_—.STbQV A D HEATINGSYSTEM: GAS ❑EIECTRIC ❑ <br /> OFSCwBF wJRM eM115oW u[�OO��cF rvvolKo �pyie�r v�n5O4��M�l rr2Mr^y� <br /> �NN�d�V�5�Ctw] -rQ�. JNC, <br /> �Clo�t�y 5u2k.o��4iN� si !l. 25 670-670 <br /> ALLQN�OOAT�F I`EI�.� (.,)C1Q I MEREBY CERTIFV THAT I HAVE PEAD AND E%AMINED THIS <br /> � APP�ICATION AND KNOW THE SAME TO BE TRUE�NO CORREGT ALL <br /> ruorosfa vs¢or punrn�m pqOVI510N5 OF IAWE AND ORDINANCES GOVERNING THIS TYFE OF <br /> ���5 WORI( WIIL 6E COMPLIED WITH WHETHER SPECIFIEO HFFEIN OR <br /> tEf.RO[SCPiPpp� rvn�anisrrovmauanaun¢nrwacon[si NOT. TME GRqNTING OF A PERMIT DOES NOT PRESVME TO GNE <br /> m� etace a AUTHORITY TO VIOIATE OH CANCEL THE PROVISION OF �NV <br /> G�- OTNER STATE OR IOCAI LAW PECULATING CONSTRUCTION OR THE <br /> S�/C. S�'I'r� T � PERFOPMANCE OF CONSTRUCTION THFT I AM�UTHORIZED PV THE <br /> OWNER OF THIS PFlOPERTY TO PERFORM THE WORK FOR WHICM <br /> APPLICATION IS MADE ANO I COMPLY WITH TME ST�TE <br /> renc[uuiormwen ^ CONTqACTOR5lAY1192]Pf.WAND296.200WACR�NI�� <br /> '�-: DO� O�r: pOJ <br /> GOHSi111FlIM1l0/.NIfNnF11.NM111C$$.�CIEMOMEHUUREII ������� <br /> SGNUVn[ �Dq( ' <br /> C�1�9V4MSS I�f.FNS[NO <br /> PLUMBING MELX�NICAL � <br /> NO. TYPE OF FUfTURE ON REM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET) NC—NHNDLG UNRS <br /> BATHTUB FORCEO AIR SYSTEMS <br /> LAVATOHY(W�SH B�SIN) HEAT PUMP <br /> SHOWER UNIT HEATGRS <br /> KITCHEN SINK 8�ISP CLOTNES ORVERS <br /> DISHWpSHER RANGE HOOD <br /> LIIUNORY TR<.V WATEp HEATER <br /> LLOTHES WASHEfl WOOD STOVE �— <br /> URINFL METAL FIREPLACE pM1'000 BURNING) <br /> DRINKING FOUNTRIN FIREPIACE INSEFT(WpOD BUPNING) <br /> FLOOR DRI1W GAS FIREPLACE <br /> BACKFLOW PREVENTERS GASRANGE <br /> SINK(SEFVICE—dAR.ETQ) GAS PIPING �— <br /> EXHAUSTFAN • <br /> y_ <br /> SUB TOTAL S SUBTOTAL S <br /> PERMIT S PERMiT f <br /> TOTAI.FEE f TOTAI FEE S <br /> FOR OFFICE USE ONLY: <br /> rnn��um�ce nnnsnp�cv siasr�n�c. rur�cn¢..� ra rtr nrrnr�r�a <br /> o cri�a8 �a.�� <br /> usrroar_ �m�nf• v�uv�vrt FEES VAWIITION FEE <br /> 1 C__-�— — 9�0' 9S <br /> _,— �— orr; � xinirv�K. <br /> nnc���1411111UY/ NOC�OW[IIING i1IE 81 RqI /JL� � <br /> /1� r uNuS� /�OT r�noninr. _'_"__—_ —"__ '__._"_'_ — <br /> OCCV�Ui11 Vlnitlf.nU fYfUnINIlU1p P�SFVfNI <br /> CIIOVP I ) 4f1:����Uf11 <br /> � ❑Y[5 N� <br /> iIRC5(1'�1/1(/14M1CHl�L�]'p IIF�Vry1 �Dp�XW111'I�M1CII(CK <br /> " 'O _ 011�f� <br /> f1FL�UFM PLO'O 11(I.i(f V — <br /> �/�--'i� �3� cunnu.imnr.suncmnr.c 50 <br /> n�t ni co•i�� rinngenrnpvrner pTY OF EVERETT rvqucwa�.c <br /> -- �F.'. <br /> �` �� TL LOCALSALES -- -- —�— — <br /> -1`� w�E �Z TA%CODE IS 3705 TOi�L � s <br /> ( <br />