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APPLICATI� FOR CON8TRUCTAN PERMIT� <br /> CITY OF EVERETT•BUILDINO DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201•257-0810 <br /> il DEMOLITION �l COMBINATION ❑ BUIlDINO PKIMECMANICAL LUMBINO il BIflN <br /> PROJE ADUPESS n ,r J� F - g <br /> l � <br /> oman u.ti�onmss cin tc noE <br /> ��llLFl` �.IY4'� 1�� TQ\C` <br /> 1[N�N� Nq�l%WITb Clit t0 N9�E <br /> N1C rI4C�Mf�ElK1HP 4�LL�WR{S Cll� !Y %�[ <br /> � 1 <br /> � i .n �y�•Tvuc T�c �l 1201y - nT�l 5T� �0 EJfR��T 1n�A RR.i^� al �?9� <br /> l' aErcN ra��nu;�oa �.w�wuEea cn� rn nuc er.rtic . <br /> � <br /> 41LN�N11:41'Mif1I. 1(M1 4�R�[M`.�(55 C11V lf ROiL Bl/�flC[NSf� <br /> � Ty'-. \?�j4•., eN-14-�r.2i r itu�-r 1 <�- i�CllC.11�1•1A I �q 1�9?n Ru(jS�MI'A�(�55(iA <br /> �tWBMICONIP�OON Y/.R MKL�S —Cil♦ tb 6t4flFtNSE� <br /> ����� <br /> LCM\N VPCf O�MMF <br /> HEATINa 6VSTEM: AS f 1 ELEClRIC ❑ <br /> w�5nrtEw�wx�nnsa�nErm..wE�rrar.n � tornu:trrnvwu�onn�tw <br /> yc/ r�>Pc� 'F_x�,T�u� � — <br /> «��,_,_���� a� ti,o�s r.u�a -- <br /> 1 NEREBY CERTIFY iHAT I HAVE READ AND E%AMINE� TNIS <br /> APPLICATION AND NNOW TNE SAME TO BE TPVE RND COFRECi.ALL <br /> �seo ua a nuxn�: pROV1510NS OF UWS ANO OROIN�NCES OOVEPNINO THIS TVPE OF <br /> Las d� (o.IRU CL 11 WORK WILL BE COMPLIED WIiM WNETHER SPECIFlED NEREIN OR <br /> uou xnvironaraav[u�•p�ww�euowon�n�cw*r.ocorr4 NOT THE ORANTINO OF A PERMIT WES N0T PRESl1ME TO OIVE <br /> �o� eim. o- AVTHORITY TO VIOUTE OR C�NCEL THE PROVISION OF ANY <br /> 0711[R STATB OR IOCAL UW REOULATINQ CONSiPUCT10N OR THE <br /> PERFORM�NCE OF CONSTRUCTION.TH�T 1�M AUTMORIZED BY THE <br /> OWNE THIS OP R TO PERFORM THE WORN FOR WMICN <br /> IrJ7�O�—� �1� ��P1I APP N E ND I COMPLV WITN THE SUTE <br /> viu¢n uno ruuxe NTRAC RS W 8 P7 W AND 288 YOO WAC. <br /> CCNSfNUGfqMlO�I1lF10EP�OLV�[55�[l[Vq�4Nl�lfN � f � <br /> x <br /> 9�GM��V11f ���� <br /> cnreus ssirnrstrn <br /> VLUMEINO MECNIINIC�L _ <br /> NO. TYFE Of FI%TUflE Oi ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> W�TER CIOSET�TOILEiI A'C—A'HNDL6 UNITS � <br /> B�THTUB � FORCED��R SYSTEMS _�_ <br /> "L UVATORY�WASHp�SIN� ME�TPUMP _ <br /> SNOWER i UNITHE�TERS � <br /> NITGHEN SINK 8 DISP GLOTNES ORVERS <br /> DISNW�SNER R�NOE IIOOD _ <br /> LAUNDRVTRAY WRERHEATER _ __�_ <br /> CLOTNES WASRER WOOD STOVE � <br /> 1 URIN�L MEIAL FIREPLACE�P�OOD BIIRNINO) <br /> ORINNINfi iOl:Ni�W FIREPUCE INSEHT IW�D BURNINO� <br /> FLOOF DRAIN OAS fIREPI�CE <br /> B�CNFLOW PHEVENTERS OAS R�NGE <br /> SINN�SEPVICE—0<R.ETC� 6A5 PIPINO I <br /> — —� E%HAUSTF�N <br /> __� �_ <br /> i <br /> SUB TOT�I 5 SUB TOTAL f �— <br /> PEP1Ali f � PERMIT S � <br /> ___TOUIFEE S � � _ TOTALFE.• S _ <br /> FOR OFFICE USE ONLV: XOW _ <br /> rnc��rsr.e.�w ni•ns��u+:. sro[u*eK:+ R�rcr�tcnruuxn ��[ uECEvtr�o <br /> u <br /> i.:�r�;,.� unt. wuxt e�+r fEEB 'VALUATION FEE <br /> r,rEs n Hu Wsan <br /> �n�„��rin�iu�ur. �ao�u.r, siteaboaii "—""—_ -- <br /> n�+roxa <br /> V/���4,IIM.� YLvS'OnfS q.lWIN1lW> NYY[M\ YIGM�MLN <br /> fi�Min � <br /> nrrs nxo <br /> Itl�F5�1��MlIf1PEUU I�F�501� ����N�MCIIfG <br /> OIMP <br /> IN�f 4�uYMOO AE�SIn <br /> 6i1�F WILOMI6URL1W1Uf <br /> ��rEacoxs� n�ns�wwv:oe. CITYOFEVERE7T weicwdMt <br /> LOCIIL BALEB � <br /> �,�� T�%CODE IS J106 TOT�L <br />