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. . 4PPLICATI� FOR CONSTRUC�ON PERMIT <br /> ' CITY OF EVERETT•BUILDING DIVIS�ON � <br /> 3200 GEDAR STREtT•EVERETT,WA 98201 •(425)257•8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING O MECHANICAL ❑ PLUMBINC �SIGN <br /> PPOJECS'ADDRESS: �✓OI�I E�/E�.'bGEEI�I tiiRN� E✓f�f�T�Wff qP�(.7.�i <br /> �AS1_K_t1�mE.�t�c.Ji- Solq t�.t���e�,�m� 6vC.c6r�,�A 9Y2fl3 <br /> rnwrn vui�ooa[ss on rm vrqa� <br /> IIN�F1 4111�(IMf$$ G�Y )IG PqNF <br /> �AEyFRSC�71 0 K <br /> ♦nL�errcronl�pGN� u��lIM9+[ss Urv lir nqv.( <br /> 4 ods TMSr�r�v337v3 SEMr1�,wqq �i3 - �'�010��y <br /> crrvm+�arnn.c uui�nnn�ss ��rv � nr r�xrvc utuCrHsv. <br /> � � <br /> YFO��M�UI(.b111Uf.1pP V��UOlMF55 CIIY bl' MIOYf Sf��iIiCFNiF• I <br /> 4PI�iGCO111N1fiq1 4u1�IXMlf$$ �IIY IIP �IIOI�{ $I�IFIIL[N5�• <br /> �1,e� <br /> C If1�C�T�C�V VIn11R <br /> HEATING SYSTEM: O GAS ❑ELECiRIC ❑ <br /> MscniOFw'�ah�r�t�50u�n�lOp��G[Nvav[o c t�trryn50v�tmri�p?rnp <br /> - � •,-s�� a••v " u , �,45 Z r � o�.nncs o �.z.��,+3 <br /> ' q'•II"xN'-IU" rt�eirl. P•IWAsi 47,�13 Fr. <br /> �� i��S��iCO'� . [!IQJrJ7TL(. WnLLAI� y�•Y�sQ A�rEREBY CEflTIFV THAT I HAVE REA� AND E%AIAINED TNIS <br /> ' PLICATION AND KNOW THE SPME TO BE TRUE�NO CORRECT ALL <br /> i-�osro iisE or nunpen pqOVI510N5 OF�AWS�ND OROINANCES GOV[RNING 7HI5 TYPE OF <br /> WORI( WII L BE COMPUED WITH WHETHER SPEQFIEO HEHEIN OR <br /> lFa4o[SC�mna�oi n nn�SqvmB�mwqu��eGH�»CI[Om�Si NOT. TNE GFANTING OF A PERMIT DOES NOT PRESUME 70 GIVE <br /> �p���E /11T1') i�lO�_p�__ AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> DTHEq STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR TME <br /> PEi1FORMANCE Of CONSTRVCT:ON TMqT I�M AUTMONIZEO BY TME <br /> Q OWNER OF THIS PAOPERTV TO PEFFORM THE WORK FOR WHICH <br /> I I� USLI (.�� O� OI NPI.WT(�� �pPP��C�TION IS MAOE AND 1 COMPLY WITH THE STA1E <br /> rencn un n rn�4nrn CONTRRCTORS lAW 1B 9 RCW ANO 29fi100 WNC. <br /> CONS11111Cf10N IO�N I INflFll.�[IM[SS.1R[AIOME MUVPHI <br /> �� ��u� 73�/�q <br /> �r ,��.,�„� o,,, <br /> Gtra�vrrtss�4�Mt[vo <br /> PLUMBING MECHIINICRL <br /> NO. TVPE OF FIIRUNE OR I7EM FEE NO. TYVE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILEn A/p—ARINDLG UNiB <br /> BATHTUB FORCED AIR SVSTEMS <br /> LAVAiORV(WASH DASIN) HEAT PUMP <br /> SIIOWER UNIT HEATERS <br /> NIiCHEN SINK 8 DISP CLOTIIES DRVERS <br /> DISHWASHER RANGE HOOD <br /> LAUNDRYTRAY WATEfl NEATER <br /> LLOTHES WASHER V/000 STOVE <br /> 11RINAL METAL PIREPLACE pN00�BURNING� <br /> pfi1NKING FOUNTAIN FIPEPLACE INSERT�YJOpO Bl1RNING� <br /> FLOOR�RMN GAS FIREPLACE <br /> JACNFLOW PREVENTERS GAS RANGE <br /> SINK(SERVICE—BAR,ETCJ GAS PIPING <br /> ExHAUSTFAN <br /> SUOTOiA� f SUBTOTAL S <br /> PERMIT S PERMIT f <br /> iOTA�FEE S iOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> rnnHiYm.r. nr�nsnn.r.e soestia�cn n�Ha�� �y.mrn rtr �"Tcem�xo <br /> ?_5 '� Zo�H: NA io' � �YD7'G� �jy.3? <br /> ns[tnvr em�n�� v�c�vtL¢ FiES V�LUIITION FEE <br /> �� Sv.a�'�l � ❑rrs �u '__ — '_�__ <br /> RI111111� <br /> 1�[IC�1�1�411n�11)Y �.Ob[�Wf11111G 512FO�BlDC�i1 -- - <br /> 0 u f�1.�S�LI�JL Il�irl\ �� fIVVPiHf{ � <br /> . �i <br /> CL1111M\'.:Y Y`^���.in15 CY:f111`1NI1!)�[1 fl�$�4[41 MF11��41C�1 <br /> c,novr <br /> ❑�FS ❑NO <br /> fIPLS%i:llnt[NPC]"D �l�ti(n lf�(w11nV111Y�M1'1�([.Y <br /> OII�C11 ` <br /> (NCnUBNPfOD Pf�59V — <br /> [���I Rll�lf)�MIi511(IC1411f[ <br /> nrrM�:ova rinn��`vno� CfTYOF[VERETT run,�cwn.,.c ""�' --_' —'— <br /> / LOCALSALES — —---- �— -- <br /> c+it } TA1(CODE IS 7105 7o7nL <br />