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APPLICATI(,.� FOI� CONSTRUC7.JN PERMIT� <br />CIl"Y OF EVERETT • BUII_DING DIVISION <br />3200 CEDAR STREET • EVEFiETT, WA 98201 • 259-eFi10 �""' <br />' DEMOLITION COMBINATION � i BUILDING � MECHANICAL X PLUMBING SIGN <br />PflOJECT ADDRESS - <br />70 / % s��" �j'%. 5�- �/.0 t f Ca /7� � �i�l,�l,�. � 4i<} <br />OW'1CI1 NNI Ap[1Nf,54 ❑Iv Tir P�ID4C <br />�I�oiasicu l�il�crL< A�� �ol 7s'��.5f 5:. i�:��iA 35S-�z» <br />�-- <br />irNnrn rnn nnnnres r.irv---�----n�� rnor�F- <br />..namraronn�ci,r,�n Mnueooness <br />u�n.�nnnr_ss <br />r��or+F <br />ri�or+e sinrEi.ic�NSE. <br />rreomruraicoN�nncron n+ui�nnn¢ss urv �m vrro^+r srnTeuceNse. <br />�/ti, i}![,( �%I us+,y,� I �vJ f 1?�t` A� r. itl.% �(r'u�wl, t�, I u , In.�A. U86+ z(�� (�,�,� F,y, l YY 2� <br />PUI�,•pMOWNIf1nCiDf1 �MaI1�UDPF55 GtV - ZI� �'��ONf STAtFIIf.E F� <br />U[SCRipE WOf1N �ND SOUTRF. f00UCF INVOIVCO <br />�1 , • ��Lf Y �IN �l� iJ.^'1 % <br />P��OPoSEO USE OF IfI11lDINA <br />i.ec.�. oesc�arnorJ or rnorenrv is�wwr� eeiow a� er teci� ivro corn <br />�oi eiocK or <br />rnnr,c�r�zio wuMnen <br />CONSTPUCTION 1 O�N IENOf.R. �DOfiE55. TCLEPHONE NIIMfl[R <br />PLUMBINO <br />NO. TYPE OF FIXTURE <br />I WATER CLOSET�TOILET) <br />1 BATHTU� <br />LAVATORV (WASH L <br />SHOWER <br />KITCHEN SINK 8 DI'� <br />DISHWASHER <br />LAUNDRYTqAY <br />CLOTHES WASHER <br />DPINKING FOUNT4IN <br />FLOOR DRAIN <br />DACKFLOW PREVENTE <br />SINK (SERVICE — �AR, <br />SUB TOTAL S <br />PERMIT E <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />rnorrt SernncK nron snnncK sme srrnar.K <br />usi-�oar— — <br />u[iG�tt UMIIAiION <br />p��11MNCY NU C <br />1 iRL AU�M RE00 <br />nnr srniNKien m <br />IOI�nIA <br />rro or nwr � i.nir, <br />IIN115 <br />9tPu4c tH:c.UPpNIIO�D <br />11�n50N <br />Vnf AN l 5111 <br />i nc <br />s¢e or oi.oc�ii <br />FEE <br />HEATING SYSTEM: I' GAS ' 1 ELECTRIC f l <br />c-oatnr, r rrnSON a+n r�ror�r r�e <br />I HEREDY CEFiTIFV THAT I HAVE iiEAD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO �E TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br />OTHER 57ATE OR LOCAL LAW REGUTATIf IG CONSTFUCTION OR THE <br />f'ERFO(iMANCE OF CONSiRUCTION. THA1 I AM AUTHORIZED DV THE <br />OWNER OF THIS PROPERTY TO PERFORAI THE WOFK FOR WkiICH <br />APPUCATION IS MAD[ AIJD 1 C01dPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 23 200 WAC. <br />xu � 1"� `�- (t' 9S <br />cIGqP•UIl[ D�if <br />CItY PUSINFSS IICE�6C NO <br />NO. TYPE OF FIXTURE OR ITEM <br />AIC — AMNDLG UNITS — H.P. <br />FORCED AIR SYSTEMS — O,T.U. M E.A. <br />HEAT PUMP <br />UNIT HEATERS — B.TU. M <br />CLOTHES DRVERS <br />V[NTIL�TION FAN <br />RANGE HOOD _ <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE (WOOD I <br />FIREPLACEINSER7�WOOD <br />GAS FIREPLACE <br />GAS FANGE <br />i E%HAUST FAN <br />' __ — <br />—� SUB TOTAL 5 <br />i <br />PERMIT $ <br />TOTAIFEE S <br />rvn�icrrecKr+u �n„ / rre �rr.rmrrao <br />(� <br />FEES YALUATION <br />' � �:`� nunrnNc <br />IIYFS I1 NO <br />CITY OF EVERETT <br />LOCAL SALES <br />TA% CODE IS 3105 <br />i•I IIMOINO <br />MfCu�NIC�I <br />AI)OIIION�L Pl �N CB[CK <br />on�en <br />crnir nuuon+r, sunr,�uncc <br />rum ic vronKs <br />TOTAL <br />