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pPPLLCATI�N FOR CONSTRUCI �ON PERMIT�1�� <br /> CITY OF EVERETT• BUILOING DIVISION <br /> 3200 CEDAR STREET• EVERETT,WA 98201 •259-881C <br /> I DEMOlIT10N f I COMBINATION � I 6UILDING I MECHANICAL � ' plUM81NG i SIGN <br /> VROJECT ADDRESS �/ �� <br /> �l f�L6)Lc�-' c'l T� �r�l v oNc <br /> OWNFR <br /> M4��nDOHE�S CITV � <br /> — I:ITY 11P � 1`IIONF <br /> iE1UNT -- MMlnOp1E55 <br /> •qCM�1iCi OF i�9GNFv MMl A[RlRE55 <br /> -- C11' TP �HONF -- <br /> -- CIIY ----- :I� �—-- PIION[ $TFTEIICENSE� <br /> fiENERrK'1J�P.�ClCN M61L�100NE55 . � Qnp <br /> �� �, . ' !X/L <br /> �� SiPiE 1�CFNSE• <br /> �CH�`��C4�ONlRAf.TOR MA' �WRESS G ZiC P��ONF <br /> -S�T N�:.=�w1.� i�i s� �,c�r r�k�,��9�-���- tlr� _ 3y�--���� �zcd�a��-�s <br /> Z�p p��Oryi $TAiE LICENSE• .I_/� /�[/�p� <br /> p�UM�N^CONIRI�TOP MM�FF35 � r� �����(Yl �S�'V„-' `LOIr�{ <br /> j�{G�� .� sa�4 <br /> Vw L`-- <br /> ar+rn<c•�uce o"wo�'K � � HEATING SYSTEM: GAS ' I ELECTRIC f I___ <br /> �/1 �/� _ — - — <br /> t� P As ooHor+ENo �_n�_ _,Z � �_w/ / 59-3�zo <br /> XWBE�W�� E�V� ,�{'� �O <br /> ��._ —_ <br /> ����_� ✓� "'_�— � �� �._�tl _"______ '_.� <br /> �, � `/ I HEREBV CcRTIFV THA1 I HAVE READ AND EXAMINED THIS <br /> E-1�U�_ L���p / Q y'L.1- APPi ICATIGN AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> cnorpseo u5F a�nion+ti PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> (` r�` WORK WILI BE COMPLIED WITH WHETHER SPECiFIED HEREIN OR <br /> r�r r p�pT. THE G�ANTINC OF A PERMIT DOES NOT PRESUME TO GNE <br /> IEGAL DESLRV110f+�P��RTV ISNDWM PELOW ORAT1/iGXTWO COGIES <br /> AUTHORITY TO VIOLATE OF CANCEL THE PROVISION OF ANY <br /> �or��e*�K ��- OTHER STATE OR LOCA� LAW AEGULAT�NG CONSTRUCTION OR THE <br /> n , {ti _� PERFORMANCE OF CONSTFiUCTION.THAT 1 AM AUTHORRED BY THE <br /> L1��C��� S�;"T OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION �S MADE AND I COMPL� WITH THE STATE <br /> C NTRACTORS LAW 1827 RCW AND 29 200 WAC. <br /> PMGEL 1M D M9FR <br /> 4�Sz`�- aa�:12��-- �^ ' �r <br /> �pNSiqUCTONiWNLENDER +OV1E55.1ELEW�011E1NM�E �—�S� SIGNA'URE OPTF 9 <br /> �����1/�/�5 �.L ..� �Z� _{ � <br /> CITY BUS�NE55 LiCENSE NO. <br /> i z zia � �, r�' �� <br /> , MECMANICAL FEE <br /> VLUMBING 7ypE OF EGUIPMENT <br /> NO. T/PE OF Fl7CTVRE OR ITEM FEE NO. __ --�T— <br /> � WATEaGIOSET(TOILET) A/C-AIFINDLGUNRS-H.P. <br /> FORCED AIR SYSTEMS-B.T.U. M E.A. <br /> 9qTHTUB - HEAT PUMP <br /> LAVATOR'�(WASH BASIN) UNIT HEATERS-B T.U. M _ <br /> SHOWEF � CLOTHES DRYERS � <br /> ' T <br /> � KITCHEN SINK 8 DISP JENTIIATION FAN <br /> I . p15M�Na�ER "— RANGE HOOD .-�i— <br /> LAUN[�RY TRAY _ WATER HEATER — <br /> � CLOTHES WASHER WOOD STOVE <br /> URIhAI METAL FIREPLACE(WOOD BURNING) _ <br /> DRWKING FOUNTA�N pIREPLACE INSERT(WOOD BURNNJG) . � <br /> � <br /> FLOOR DHAIN GAS FIREPLACE �— <br /> B1IGKFLOW PREVENTERS � GAS RANGE — <br /> SINK(SERV:CE-BAR.ETC.) GAS PIPING � -� <br /> —. � 3 EXHAUST FAN��__, ' <br /> — -- ____ ' --_ ' <br /> - .-' '_ __ _ ' SUB-�---,$ - <br /> > -�--SUB 10T.AL 3 --�oERMIT $i_�`�.��- <br /> i _ �1t/ � <br /> .._ PEFMIr S TOTALFEE � � �y.— <br /> �- ., — TOTAL FEE S <br /> f11R OFFCE USE ONLY: --�-- FEE ncccmryyyQQQ <br /> DE SFiBACN fUN G��ECN NUMAFP ��U ,� //J��'� <br /> F�1QIT 9FT�K � � PEAR� TBA / — � _— J .^1/�/ �- ` .J O FEE <br /> V / <br /> �/�� iEES VALUATION <br /> / IOiAPFP VTGN151TE /� ' .i�� <br /> useeorvE � � — ,,y« ��� nu --- _. �2z Za .., <br /> g�p;pING <br /> _�__ <br /> �2iarrc"�ir�nori / uHi oc rnve�ur+c s� oc�oc� t C iVinl4 P�ur.mwc _ _ -- � — <br /> � �.s R.d�+` -.- <br /> flPSFMENi / MFf11PNiGl — _ _ ��—i'— <br /> ���A�y yp(:L f tnFlES OLCUR�NT LOAO � __ --- <br /> �aa�v� /J rves �r� �� <br /> N.3 v�� [j I _ �_—_ ppDI110N41 P�ANCHKK —____ <br /> (c --_ RFASON <br /> FlFE KAPM Rc0� -- <br /> q1HfR --- -)"�--) <br /> =AFS�PINKIFRP[(]�p Rf/°ON ---- ;TAIEPInLD�NG5URC114RCF _.. _.__ ��'YI.SG <br /> - o�nusavvaovennr CITY OF EVERETT �'��R�1O'N°�"s — �� 1 �, <br /> - — _ �- <br /> rrvFrr�oucr . - _- <br /> ,tiJ{} �LOCAL SALES ------ �C22'� <br /> TAX CODE IS 3105 707AL . _L---1 <br /> � - - .��<<t_3 Z� b_-1-- -- _ _ — <br /> - --- - <br />