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■ <br />APPLICATIG.d FOR CONSTRUCT �ON PERMIT <br />CITY OF EVERETT • DUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259�8010 <br />DEMOLITION COMBINATION � BUILDING ' MECHANICAL u PLUMBING i SIGN <br />PROJECT ADDRESS �. <br />� <br />'10/ r/5`� .�L .5.�. U�,,,, 91.� , `�3� 9 �>' <br />awr�Fn � �inn nnrnn « nrr . �� rr�o�n � <br />S�,o��p��a� �,�id ,�p�. 70� 7�-� �. :s� cv���� <br />— - --- -- - - -- - - <br />nunr�t unn nnnnr — _ i n� nr - rnuqt <br />nncnnrctonuEsir,���n MMI/PI�PCFS CILY 7�� �91ONf <br />GfNCfW C091Pnrt��q A�MI AUIttiF6 ci�v i • PIIONf SGIEIICFNSE• <br />Lin�4�r�1 `�1u��6tvt�t 17Ga5 /��/�✓r /VE /����t�i/�� Li,�1� 1-�1��1�/f�,�l-' <br />vecr�nNicnicm���naon n+ nnness an ;ir rnorur sirrFi.ieFse. <br />L�ln�}r� '�'lu�rbi�cl 171��-5 /30=/}Uc"Nc �"io� wnn-•iiv�u,�lr_��?k �d07a- <br />rurMewccovmncron �+a .uuness i�.irv v�r –� ,��;��F suiencFr+sF. <br />DESCPoPE WORN �N� $OURRF. FOpi�OE INVOlVEO <br />PqOPOSED IISF. O� P1111 �iNA <br />iFon� oescmrtioN or rnorFnrv isNovm eetowon ertecn tvroconiEsi <br />lOi PLOCN Of <br />NineaEn <br />GONSiPUCT10N I O�N tFHDFR AppqE55. TFI.EPIIpNE NVNBEfi <br />PLUMBIN6 <br />NO. TYPE OF FII(TURE OR !7EM <br />� WATER CIOSET IIOILETI <br />LAVATORY (WA3H BA! <br />SNOWER <br />KITCHEN SINK 8 DISP <br />DISfiWASI1ER <br />LAUNDRVTRAV <br />CLOTHES WASHER <br />iy[.z.�: <br />SINK (SEiiVICE — BAR, <br />FOR nFFICE USE ONLY: <br />rnor�. rnncH ��r�n�rineCK <br />U�C ]ONF <br />IICIOHT IIIAITAT10N <br />UCCIIPANCV N^ �'� SfOF'IS <br />cnour — <br />FlRE �UHM REO D <br />r inp crniHHi en neo 0 <br />ivrF ur coNst <br />SUB TOTAL $ � O r <br />PER611T $ p � <br />T07AL FEE E / /nn ;� <br />IOIMf� <br />H.> Of UWf.ILMG <br />119it� <br />LCCIII'RNI lOAll <br />P[�SOh <br />nrnsov <br />ri nr+s �rrnovr r <br />f�41F <br />Slflf SFipRfM <br />vn� nr�i �nr <br />I Yf5 <br />sizt: or m urn i <br />HEATING SYSTEM: i' GAS ' i ELECTRIC f 1 <br />C.oNtnC.t rPn50r+nNnr110HF Np <br />I HEREBY CERTIFV THAT I HAVE READ AND ExAMINED iHIS <br />APPLICATION ANO KNOW TNE SAME TO BE iRUE ANO CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WORK Wlll BE COMPL�ED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. TH[ GRANTING OF A PERMIT �OES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br />OTfiER SiATE OR IOCAL LAW REGULATING CONSTRUCTION OR THE <br />P[HFORMANCE C1F CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY ?O PERFORM THE WORK FOR WHICh <br />APPLICATION IS A1ADE AND I COMPLV V�'ITH THE STATE <br />CONTRACTORS LAW 1P.27 RCW ANO 296200 WAC. <br />x — <br />sic,mnnr <br />urv auaues� nr,rws[ no <br />MECHANICAL <br />NO. TYPE OF FI%TURE OR ITEM <br />FVC — A/HNDLG UNITS — H.P. <br />fORCED AIR 5"STF�1S — BS.U. M E.A. <br />HEAT PUMP <br />UNIT HEATER9 — �.T.U. M <br />CLOTHES DRYERS <br />VENTILATIUN FAN <br />FlANGEHOOD <br />WA7ER HEATER <br />WOOD STOVE <br />METAL FlREPIACE IWOOD BUPNING) <br />GAS FIREPIAC <br />GAS RANGF <br />GAS PIPING <br />EXHAUSTFAN <br />rl nn rnFfH Nuunr'� / <br />/ ri <br />� �� ___ <br />—.—_ . _..__--_— __ <br />FEES __ <br />Nn Puil U��:il <br />PIIIM111N � <br />PAcii�INl M[CII�NIC�I <br />I1VE9 f)NO <br />— ppp1110N�1 PUN GIIECN <br />OTI'ER <br />cinir nnnnivcsunc�unne <br />°` CITV OF EVERETT rnnuc wonns <br />LOCAL SALES <br />TA% CODE IS �105 TO7AL <br />SUB TOTAL $ ; <br />PERMIT S <br />T07A1 FEE E 'L� <br />rrt nFr.FmTNo <br />VALUATION FEE <br />_r . <br />I I L�o ;cc <br />�T <br />