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APPLICATI� FOR CONSTRUC7�N I�ERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257-8870 <br /> "- DEMOLITION COMBIN�TION �! BUILDING '�'-MECH�NICAL � PLVNBMG f-i SIGM <br /> PROJECT ADDRESS /� � � <br /> CO O o �� <br /> ow u�nr.mrrc.s (�arr za r.pw <br /> 1[N�Nio Ap�11F65 ��k�/• r ��„�?� [hH111E�� �P1 S� <br /> !ni[LIORU[!,v)IRR VbU .O'N�E55 Oiv lT PIIp1E <br /> nnr�f�y �� <br /> 6HM1P1lCOr�1R Ct� P �55 Grv lF f'HPlE 6L1FlIGENSF• <br /> � �R.,a� AS'Sof/�GN. P/.SE Ik�n�K sv�)� <br /> ucuca �.*� 4M�x�oqiEss air IA �art sr�r[I�LCr�sF. <br /> �„�`�i"� /k 5k,.,-� y�S-3�/-4�1� <br /> ��� <br /> ni. �oco�rtn�cron �ui�oonEss cnr 2m —�rar¢ sr�i�iKvis�. <br /> ^���� �€awo�. � o�-• 3��3�9 - <br /> HEATING SYSTEM: '1 GAS ' . LECTRIC �- <br /> or.cmn�wpM�.ro sauu+[romu'.�Mvav[n cart r rrn;�.,r n�r���rrc rq [� <br /> '�L `�S-3$rL$��d <br /> .. Q a 6 • ' ?�O-�'bo(� <br /> I HERE�V CEHTIFY TNFT I MAVE PEAD AND E%AMINED THIS <br /> APPLICAiION AIlO NNOW TME SA1dE 10 BE TRUE ANp COPPECT ALL <br /> rnunosm osc or em�om PROVISIONS Of LAWS AND OROINANCES C�OVEf1NING THIS TYPE OF <br /> �� /� WORN WILL OE GOMPLIEO WITH WHETMER SPECIFI[D HEREIN OR <br /> imuncscnrorioHav oM nlswvmBEwxone*ucnivrowoi[61 ��p7 THE GFAiJTIMG OF A PLRMIT OOES NOT PRESUMG TO GIV� <br /> ior B�oce a AUTMORITV T(1 VIOLATE OR CANCEL TNE PROVISION OF AnY <br /> OTNER STATE OR LOCAL LAW REGUTATINfi CONSiFUGT10N OR THE <br /> PEFFORIdANGE OF GONSTRUCTION.TMAT I AM O.UTHORIZ[D BV THE <br /> OWNER OF TH 5 PPJPLFTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MPDE ANU 1 COMPLY WITH TME STATE <br /> �,.—�,.,���.�ip N��q CONT^RACTORf LAW 1B 2]RGW AND 29G 200 WAC. <br /> CO:'����JQIOM1l011iLENpEP�WI1E56.iRE0MC1hIAR18EP % t '/fV \ <br /> $qN�TO E � OAIE <br /> CIIY Bll$ML:S 11f:l Ny[Iq <br /> PLUMBING MECHANICAL <br /> NO. T'PE OF FINTURE OP ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> J WAT@P f,LOSET(TOILETI P/C—A'HNDLQ UNITS <br /> BATHiUO FORCED AIP SYSTEMS � <br /> � LAVATORV(WASNBASIW ; HEATPUMP <br /> SHO�V[R � UNITMEATERS <br /> �/. NITGHEN SINK 8 DISP � CLOTHES DRVERS <br /> DISHWPSHER R4NGC HO00 <br /> LAUNDRYTRAY � �NATEFIHEAT[R <br /> CLOTHES WASI/ER �':000 STOVE <br /> UFINAL � MEIAL FIREPLACE(WOOD BURNING) <br /> DRINKINO FOUNTAIN ! FIREPI ACE MSERT(WOOD BURNING) <br /> FIOOR�PAIN GAS FlR[P�ALE <br /> �ACNPIOW PREVENTERS � GAS FANGE <br /> SINK iSERVICE—BAR,ETC.) GAS PIPIN6 <br /> � E%MAUST FAN <br /> SUO TOTAL 5 � SUO TOTFL S <br /> PERMIT S i PERMIT 5 <br /> TOTALFEE S i TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> fppq(CI.tOccx PE�uS[iBI.CR SIOESEIB�L:: RANCMECxNU4BEP fEE AECEIVfW <br /> us[:�.rv= ioitirtr. wcwrsne FEES VIILUATION FEE <br /> nvEs nrw luw.+n � <br /> �rt�,�rtiie��ir,iwn r�oarwrt.ura vzEae�oe�i <br /> pHIiS P�4NB11q <br /> (4lII��NCY NOLi51qi[5 OLLIN�Xi�U�O ��.IM[Ni NEC���XLN � <br /> fiHpU� <br /> iYCS C11p <br /> tlnEtil'PIHILLERPE00 R[I.SCN �����aN�CME:�! <br /> OT�CF I <br /> tln[eU�RE00 AFASOM i <br /> f 1eIE BLLIO�Ya 6VRCI4PpE <br /> nveor ur�s nwwsuvwovsour CITVOFEVEREIT nreicwomcs <br /> LOCALSALES <br /> �.,� TA%CODE IS 3105 ,TOiAL I <br />