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APPLICATI�I FOR CONSTRUC'1�N PERMIT� <br /> CITY OF EVERETT•BUILDING�IVISION <br /> 3200 CEDAR STfiEET•EVERETT,'NA 98201 �257•8810 <br /> t <br /> i� DEMOLRIDN i' COMBINATION ❑ BUILDING �IECHANICAL '-� PLUMBING �� SIGN <br /> PROJECT ADORESS � �3 9 /C��� ���U� <br /> Ci <br /> Ow11EP M�M1�W�1C55 CRV IM AYT1[ <br /> iLN�Nl 4�p�pME55 CIiY jT (ryp1�[ <br /> avc�,✓� Tsc�au <br /> �uL�l:l[CIRIpC51GNIP usilA'M�LGS CRY IW Aqik ��� <br /> /.c/l�LG/T�-,� /D3/ ��n/Ti�✓f G.�Y'l0/pGE1Y�m�Ta.c� �9 7YSd(o <br /> [:U�Ce�LLO�RRktpV V4lapOnl55 GiY SN fYqN[ 6i�i(IILENS[• <br /> k'i/ �'Za�'�/ /��' q,tcr.v�vae�e Av& E. TACo.rt4, /n/A. 98yi�/ �53-�iu-/8B� <br /> 4LCMarICaICOH�Pq'pq WpA4[KLSv PiY ZIP PNph I�iC UISE• <br /> .,�r�N'�/�ran/�yTt'�vs �/�//7 �,s�Fi� f/,.�/E. �.Ko.zw/,,� 9�'�c��s3) 9zG-33ofl <br /> r�utlHJqCLM1RLQOR M�LL�OJA65 Cltt I�P PHph 51LI[lKt�4t• <br /> Sr/PPRS/O�F�iC'�(.' <br /> co�nrua rnc[o�nwx� <br /> o�SD�� HEATING SYSTEM: ❑GAS r!ELECTRIC I ! <br /> o�sanec wan�um souu+c roa*�c�nnav�o carrt�cr ttnsai+No rr�ayn <br /> i.✓� �o.i/ .rF Fi>,'-2ca� .*�ur/p.Py.� �� GA�Ar/.fGrJ�ii ZS3-7Z y-t�tS3 <br /> .�v?rJ/ FZ/Yl_ c� 78�_S � 7r�1-' �Q2t� <br /> J!"�b J!' � Av"�i91-� �J ,�C1�j s' � I MERCpY GEliTIFY THAT I HAVc pEFO AIJ� E%AIdIN@D THIS <br /> � APPL�ChTIOtJ AND KNOW THE SAIdE TO DE TtiUE NJD COPREGT ALL <br /> nnonosec usc w uuuonr. pqOVI510N5 OF LqlYS AND OR�INANCE3 GUVERNING TN15 TYPE OF <br /> T�ZE�G/N'uu'J�P/�^�/�� WOFN tYILL �E COIdPLIED WITH WNETNER SPEqPICO H[REIIJ OR <br /> i��.ai�F�.anvirovnvaorccn�snowrieuowon��ucHnvocari[5� NOT THE GRANTING OF A P[AMIT DOES NOT PqESUME TO GIVL <br /> �o�_ e�ecx_ or AUTNORITV TO VIOLATC OR CANGEI THE VRpVISION OF ANY <br /> �� OTMER STAT[OR I.00AL LAW PEGULATING CONSTRUCTION OF Tk1E <br /> � ,,� r PERfOR1dANCE OF CONSTRUCTION.TMAT I pld AU7HORIZED DV THE <br /> l� OWNER OF TMIS PROPERTY TO PLRiORN THE WORK FOR WHICM <br /> AF'PLICATIDfJ IS� I COMPLY WITN iHE SiATE <br /> ru�;.i�r.v m ruu0[n CONTFFCTORS LAW 18 W AND 296200 WAC. <br /> �J.51npplpllO�HLEM%R./�ME69.T[1EPI1C141NYBCP x� �� �-��-Q/ <br /> 6�GN�tUR[ O�tE <br /> CIiV BIISIM55lF[NSE Iq <br /> P�UMBINO MECIIANICAL <br /> NO. TYPE OF FI%TUNE ON ITEIA FfE NO. TYPE OF EOl11PMENT FEE <br /> WAiER CLOSET�TOILET) A'C—AM1INOLG UNITS <br /> BATHTUB FORCED AIP SYSTEMS <br /> LAVATOPV�WASH BASIN� HEAT PUtAP <br /> SH0IYEP � UNITHEATERS <br /> kIiGH[N SiNK b DISP CLOiHES�RYEPS <br /> � DISHWASHEP RANGEHODO <br /> LAUNDRVTRAY 1YqTER NEATER <br /> CLOTHES WFSHGR WOO�STOVE <br /> URINFL � METALFIR[PLACE(WOODPURNING� <br /> DRINKING FOUNTFIN i FIPEPLAGE INSEFT(WOOD�URNING) <br /> � FLOORDRAIN GASFIREPLACE <br /> BACNFLOW PPEVENTEfiS GAS PANGE <br /> SINH(5[RVICE—OAR.ETC J GAS PIPING <br /> E%NAUSTFAN <br /> � <br /> i <br /> i <br /> SUOTOTAL S � SUBTOTAL 5 <br /> PERMIT S PER61R S <br /> TOTALFEE S ! IDiALFFE 5 <br /> FOR OFFICE USE ONLY: <br /> m_„rsc*wcx ac�qstte� siocsEm�cK rrtcxxuuecn rEc nrcuv�w <br /> l73-a�a <br /> �sc1o„c �otern.e v+curt5rte fEES VALUATION FEE <br /> ❑r[s niro eurtom� <br /> �,��,,.�.uu.,.,rnv rpaowcu�vo saeaeioaii <br /> VNilS RWOrtA <br /> 4 JUP�I�Y IqpS1�qS5 OCfUP/.�I1lOM BA$[MLNI y[CNMiIG4 <br /> f]vEb ❑Iro <br /> (IR[SGnilµ�[pN[OU IiGSCN ���1b����MECM <br /> Oill[q <br /> fiRGL�R1Al1(OD RE/.50Y <br /> I <br /> S1AE PNIDi�q 5V11CHMGE I <br /> rrr¢o�cons rum;err�er C�TYOFEVERETT rue.kwonRs <br /> / LOCALSALES <br /> �,,,•t t TA%CODEIS3105 TOTAL i <br />