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APPLICATAN FOR CONSTRUC�ON PERMIT� <br /> CIiV OF EV�:RETT•BUILDINCa DIVISION <br /> 3200 CEDAR STFF.ET•EVERETT,WA 98201 •257-8010 <br /> f':� DEMOLITION �1 COMBINATION �l BUILDING �✓MECHANICAL Cl PLUMBINO 7 SI6N � <br /> PROJECT ADDRESS //7D� �kP�(� S r' ��/1!G � 7 WA• /S�O � <br /> ( <br /> ON WiLI.WN[55 LIIY !iV Pr�pE <br /> ���c�or� 1708 - ds� Er�i�fr qNao� <br /> 1[N�NI . 4ul�COPE55 LIiY Ip q� <br /> �11A�/// <br /> •NCMRFL1pIq:5CiMR 4ul�OO�E55 C�I♦ Z�p q� <br /> 4EKR1LLp1Iq/CfOP YIIl�Cp1[55 CIiY SIV RCIE 511IFlICEN3f• <br /> MtCN�NiC4ClN1PqIM 4uL�ODP65 OtY 1W Hp1h 54�FLCEMS[ <br /> - - Ntul `usl .�.2 ,2 �o..�b.,ed A�t Evra/f 9Q.b/ 42S�sB•9si/ /�tAf�/' �Q2rJmU <br /> �4lMUiM�CpNIR4�M Y4�,�pq�i55 UV Zn P,q1( SLIFIKENSf• <br /> [p1iP1Ci MC[Ci Vip�n n <br /> /ODO�� HEATING SYSTEM; f ,pAS fl ELECTHIC ❑ <br /> ��ED SQ F��•�E���T�S/all urnni c ��P�c� q��nS .2S• S -SS6Q <br /> t�n � �. r .�. .K as �•!'e <br /> I HEREBY CERTIFY TMFi I HAyE READ AND E%AMINED THIS <br /> rwwos[n uuar euuoxq — APFLICATION�ND KNOW THE SRME TO BE TRUE/.ND CORRECT.ALL <br /> No•he PROVISIONS OF LAWS AND ORDINRNCES GOVERNINO THIS TVPE OF <br /> ua.�o[scaprqworprqv[arvisrowvntiowonur.�Hrencor�A �"/ORN WILL�E C01APlIED WITH WMETHER SPEQFIED HEREIN OR <br /> NOT THE GRANTING OF A PERMIT OOES NOi PRESUME TO GIVE <br /> wr xmx a AUTHORITY TO VIOUiE OR CANCEI THE PROVISION OF FNY <br /> OTHER STA1E OR LOCAL LAW qEGUlA71NG CONSTRUCTION OF TME <br /> PERFONMANCE OF CONSTRUCTION.THnT I AM r1UTNOPRED BY TNE <br /> OWNER OF THIS PROPERTY TO PERFOPM THE WORN FOR WHICH <br /> 4PPlICAT10N IS MADE AND I COMPLY WITH THE STATE <br /> v�uc[�u.io r.wn[n CONiRACTq{IS UW IB 27 R�96 200 WAC. <br /> .s'I /I ^ 1 <br /> casrnuctaeio�r�¢ro[neop�[SS*E�[v�qr�[qoueFa x ���<<�L 4���� pa-al- o� <br /> v <br /> simu�wc p��� <br /> cnr eusnass�cros�rw <br /> PSUMBINO MECHANIGAL <br /> N0. IYPE OF FIXTURE ON ITELI FEE NO. TYPE OF EOUIPMENT FEE <br /> W�TERCLOSET�TOIIET� � NC—bMNOL0UN1T5 WnoLC <br /> BA7HTUB FORCED AIR SYSTEMS � <br /> UVATOHV IWASM BASIN� NEAT WMP � <br /> SHOWER UNIT NEATERS <br /> KITCMEN SINN 8 DISP CLOTMES DRYEPS i <br />� OISHWASHEP. PANGE MOOD <br /> LAUN�FY T{IAV WRTER HEATER i <br /> CLOiNES WnSN[R WOOD STOVE <br /> URIN�L MEiALflREPUGE�WO0D9URNINO) � <br /> _ ORINNIN6FOVNTAIN FIREPUCEINSERT�WOODBUPNMQ) i <br /> FLOOR ORRIN OAS FIREPLACF <br /> BAGNFLOW PREVEN7EH5 GAS RUJGE <br /> SINN�SERVICE'—�Aq.ETC� G�S PIPIN� <br /> EMMAVSTFAN � <br /> SUUTOTAL f SUBTOTFL S <br /> PERMIT S PERMIT S <br /> _ TOiALiEE f IOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> �i�0415(iB�O IR�NSRB6x Si1�EL.I6LCF pL.WCMC�tM1M&P fEF R([f�Ptlq <br /> uuiam io-�n�� v�c�nrsnE PEEB V�LU�TION FEE <br /> �.cs c:rvo <br /> e�nown <br /> N[MIN1114.1�ICry 11(IfN�M[ll�M'1 SllfIXfLqill <br /> Vry1�5 <br /> ttuuarta <br /> OCCIM�NCv MICi5�0u�5 OCCUC�M�LO�O 9�St4(NI yECN�NC4 <br /> capiv <br /> rt5 ,IM <br /> iNF5V11MFlLl11�[l.0 IIf�SCM MDIINMl4Pl/J1W[CR <br /> OIXEP <br /> iNf ltN1M RCpO 11f/�iU11 <br /> SIIfF BULWI SUICN/.RpE <br /> r�rEarcoxs nua�wuwcoe. CITVOFEVENETT wazcvroaa <br /> LOCALSALES — <br /> o.re TAX CODE IS 7105 TO7AL <br />