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APPLICATIOAFOR CONSTRUCT�N PERMIT� <br /> CITV OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259•BB10 <br /> ❑ DEMOLITION ❑ COM8INATION ❑ BUILDINQ ❑ MECHANICAL ❑ PLUMBING �SIGN <br /> PROJECT ADDRESS: <br /> �'7G/ �'� � om (,r/� <br /> OMIEP Y4tM011E55 <br /> GIM�a� 6�5a� l2933 I�eLN� � A� I�+y(LK(fiND 98o3y P�E <br /> 1F,4N1 uWMp1E55 �Gty�'r.� ^/l� ('�������70�1� <br /> _PEr- I�vHRR� g7D/ C`v��E,t.��� �' i 7 <br /> •RLMiCG1pIpE5qNFN 4MMpIE55 C11Y j�p P . <br /> G[NEIINCOM�Obtp1 M4LMMf55 [I�V !IP PlqMF [41EIICCHSF� <br /> �PaCw ,VEoN 1Nc /4721 /6�'"�f✓ENW. M;�/ty5uiai.E 9�2�7/ �L�l6Sz-382y ,4A�[tr�loy4oD <br /> ucNwiLKCONIR�ctOn uut�p0a[55 ('itt zin MqME Si�iEIICEMSE. <br /> fYU4BMIGLp11fl/�CtON 4�lA0ME55 p1Y }Ip PIqNE SIAIEIKENY• <br /> yq��w:.vmc[a wau <br /> �1 S DO HEATING SYSTEM: ❑GAS �ELECTRIC ❑ <br /> o[uwxwa�.�r.osou•ncsoor.cEMvaveo cwi�ypcnsa+uro�qwr,�w <br /> 0 G4 R•1l�S N iui y ` �/L 35 —2g' D <br /> LL / EtN S�D <br /> I MEREB� RTI=V THAT I HAVE READ AND EXAMINED TMIS <br /> nuoroscDUSEa�wxnra APPLICAT�. WD dNOW TNE SRME TO BE TNUE AND CORPECT ALL <br /> PROVISIONS OF LA1V5 NJD OROINANCES fAVEPNING 7H15 TYPE OF <br /> WORK WILL BE COMF::E� WITH WHETHER SPECIFIED HEREIN OR <br /> lEWlpESCNPIqN0iM10PEHiY�51qK11lELbNW�RACHTqCppIES� NOT.THE GRANTINa OF A PERMR DOES NOT PRESUME 70 GIVE <br /> �ot etofx a AUTHORITY TO VIOLATE OR C�NCEL THE PROVISION OF ANV <br /> OTNER STATE OR LOCAL lAW REGUUTINO CANSTPUCTION OR THE <br /> PERFORMANCF OF CONSTRUCTION.THAT I AM AUTMOflIZED BV THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MAOE AND 1 COMPLV WITN THE ST�TE <br /> wwc[it�uio.ruueEq CANT CTORSUWIB RCWAND296.ypOWAC. <br /> �3zRxf- i- 035 -000G x �� �� <br /> CON511111LiNMIIONIlENOEN.M1'Ipi1ES5.iELERqNENWBEN U/L/Q� <br /> �,.,�oa�2�� ' o�— <br /> dIY&19NESS IiCEMSC 1q <br /> P���� MECHANICAL <br /> NO. fYPE OF Fl%TUHE O!i ITEY FEE NO. TYPE OF EOUIiMFNT FEE <br /> WATER CLOSET(TOILET) q/C—NF1N�L6 UNRS <br /> BRTIiTUO FOPCED AIN SYSTEMS <br /> UVATORY(WASH B�SIN� HEAT PUMP <br /> SHOWER UNIT MEATERS <br /> NITCMEN SINK 8 DISP CLOTY.F^ORYER6 <br /> DISMWASHER RANGE H6JD <br /> UUNDRV THAY YlATER HEATEfl <br /> CLOTHFS WASHER WOOD STOVE <br /> URINAL MEfAL FIREPLACE pVOOD BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT hY00D BURNING) <br /> FLOOR DRAIN GqS FIREPLACE <br /> BACNFLOW PREVEMERS GA$RANGE <br /> SINK�SEiNICE—BAR.ETC.) �pIP�NG —� <br /> IXHAUST FAN <br /> SUBTOTAL S SUBTOTAI 5 <br /> PERMIT S PERMIT S <br /> TOTALFEE S TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> fI1LVITCfTP/�LR PEAq$FiMCR $1�[$FTBIiCN 1'lNIC11fCYNVYB�11 fkf ^. �/ 11fLE1PINO <br /> ,�j ! <br /> usrzor¢ �m�n¢e vecerv�y�t F ES VALUATION FEE <br /> ❑YES p 1q �— <br /> — ouiowa y�� 13s <br /> I�EIGnII�u�i�rpx NOIXpx(luH6 sREaB:DGrtI <br /> UMi[ <br /> v���uawc <br /> CCCUVANCY MMS�(�[S CENPN1110�0 BiISiMENI <br /> GfqIT 4[��II.N�L4 <br /> ❑YES ❑Np - <br /> f111E5PfliKKLLflflEOD iYA[pN �Op�10N11RNlCNfCx <br /> Op�FO <br /> i1REN/.NIA�IFOO RF��'JM <br /> � S�AIE BNIpHf.A111CN�ME ;S i.� <br /> rrrear.or�v nievsarpqoo�[nar CRYOFEVEHE7T ruaix:won.c 1 <br /> /J'�" LOCAL SALES — — �—� <br /> o•ie d TA%CODE157f05 TO7AL �;�fS <br />