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A►PPt1CATIa4 FOR COPISTRUC N PERMIT
<br /> CITY OF EVERETT*BUILDING DIVISION 411 .
<br /> Itl
<br /> 3200 CEDAR STREET M EVERETT,WA 98201•259 8810
<br /> "1 DEMOLITION I? COMBINATION BUILDING ±'d MECHANICAL PLUMBING SIGN
<br /> PROJECT ADDRESS
<br /> I3 10O114 PI- 'E. E err
<br /> 11ZI CAPITAL.. CRP. 110 FINE ST 14,14 +1z. FTS.IwCIS`t-G CA: 44111 4I5. 133 15d$
<br /> CITY LIDS CO,YcAg r�j
<br /> MA:4414!.T OA Of.SAVIf to Mkct ACVAA cx f.T',. flax "�- AK.Ar , .«.�.. 3.4/.44,
<br /> CO$N EI L PE51441,4 6.R P 2200o (4 TO AvE. W it 2F N10U$'7LA E 'T '�'E wit 48o*t3
<br /> . .e .-..�-,.
<br /> �>+M1M1 C>i"1k�'17b:1f:.�12.1E N+SA.�C#1ax ems. f 4t4: aik Yrk}kTC *JCh9E 4;IG^£h°rf 3.
<br /> ICON SU OA RS 1503 I IAIILITAI*:.Y 1b.W 4:),,MF4" ?x t3 todo SI DtL.E WA ' BI f;j
<br /> VEGIA CACCOVINACKIN, MN,rr s; F,r, FF, 1..raf STATI UCV"66...425,ael-
<br /> t-46.RrT MEc1�tx+N t-AL.. INC. c t 30 153 Iv /�V£" I BO.We 2109 8EOI D WA /son gzz4
<br /> AISANOVA I:U IRPc*Cw MAA A LA4a',G B,t*., i`A, P'.CAAc ATM %CAN*.
<br /> 5ArME
<br /> +i5 71c0C HEATING SYSTEM: I ta?.AS r'EiECTRIC I
<br /> OE NOOK INO NAIAarE.oOtAne ntOV gQ CCAA/AW Dr}Md'7.t ANDrtig:CC N4:
<br /> 3j o00 5f S INA LE 5 TORY vvocP RrA.4e0 1.0.TP( R"aelNs A*A C.D N 4 4- DleStiN AI>�au p
<br /> Soli, MEW CON Sle047+01.. MINOit SITE
<br /> t14PRc►vSAteeirS- I HEREBY CERTIFY THAT i HAVE READ AND EXAMINED THIS
<br /> ++U kFituttFt}E MMSini4 APPLICATION AND KNOW THE SM TO HE TRITE Al CORRECT ALL
<br /> C1AFy4Ai2lE TrACIL I T f PROVISIONS OF LAWS AND 3ES GOVERNING T}NS tart OF
<br /> WORK WILL I5 COMPLIED WITH WHETHER SPECIFIED HEREIN OH
<br /> icsG"c tlascs+t�t to Uf P 5'5I4I'P? tam+e1+.0"al"1*CR Twiz*"C h, "' NOT.Tiff GRANTING OF A PERMIT DOES NOT Y e TO GIVE
<br /> for *mot oF 1 it 1 AUTHORITY TO VIOLATE OR CANCEL THE PROY1SIOM Of ANY
<br /> 5 8E e E 5 OTHER STATE OR LOCAL.LAW REGHTATING CONSTTRLNCTIO N OR THE
<br /> ice`, f `r PERT: OF CONSTRXIC'IOH.THAT I AM AUTHORIZED BY THE
<br /> IY OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH
<br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE
<br /> wkOcEt rax t o.w R CONTRACTORS LAW ley RCN AND 255200 WAC,
<br /> 2$os t oo 4* tea° f ,p
<br /> cawaraucMfg tome trANtitAVON SS TF,5FP*4 NOWFII ' x / r ,1/tC (j k t.O1.0 1
<br /> dtwt ttAWAawI
<br /> !MUSS ON( MECHANICAL
<br /> NO. TYPE or FIXTURE DR ITEM FEE NO. - 'TYPEOIFFOU4PW 71Y FEE
<br /> WATER CLOSET(TOILET) AC«-M IOU S WOOS—H.
<br /> BATHTUB ' FORCED AIR SYSTEMS—H ILL #M S A. e
<br /> LAVATORY(WASH ) = HEAT P*JMP
<br /> SHOWER ; UNIT HEATERS---a T:U. M R
<br /> KITCHEN SINK 3 DISP I CLOTHES DRYERS
<br /> DISHWASHER` VENTNJITION FAIN
<br /> LAUNDRY TRAY ; RANGE 0000
<br /> CLOTHES WASHER , WATER NEATER
<br /> URINAL R WOOD'STOVE
<br /> DRINKING FOUNTAIN METAL FIREPLACE(WOOD BURNING)
<br /> k FLOOR DRAIN. - - i FIREPLACE INSERT(WOOD BURNING)
<br /> SACKFLOW PREVENTERS , GAS FIREPLACE
<br /> SINK(SERVICE—OAR,ETC.) o GAS RANGE
<br /> _ OAS PIPING ,
<br /> EXHAUST FAN
<br /> • ,
<br /> SUB TOTAL s r (?i i).. SUS TOTAL 5:.
<br /> PERMIT S', i 1.V'"' PERMIT S'
<br /> TOTAL FEE & TOTAL FEE $;
<br /> FOR OFFICE USE ORLY;
<br /> rrs,ptt qv fax t Of sl.s .111 1t . Dr-IrD tt i rim cs 4,,mortn rgr # lF4:'Eun w9
<br /> 7-0 '1 `. wr » L ` 'B`
<br /> Ail F NtQ'A Y�c+WI�Ir FEES VALUATION
<br /> «u / ...� 1�. 1 Sf "rt9 Y•�ct- --c n,.....: JQ B03 i
<br /> l+NP`,rrlt,kxtiro% froth tl+pexur.: 'WI rota rr fA SL/a "
<br /> S6 ( t I.4 e'D±'r„ n<Tri+„.. w _ ,
<br /> I t.IA�.MHcv K°;.a.ST,'4kt9 OrA11'MHrIUkt, I.M.SPMte]I T-^^Y->^'•'""
<br /> EL.. I 3 1 W,) .^ '.5 y n..,,.�..--,..... :
<br /> .t .«_ Mltlltk'Wsi t+x AkA,arik -
<br /> Of*kJ7M♦NFtiiI.tMIa3'A M:tgatl. ... ,«..�„r-.-. __ .»
<br /> l!" CITY LocAL.SALES ETT'
<br /> 1/. (``s� ,pott t)'" `t TAX CODE IS SIOS TOTAL 4
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