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FROM:CITY OF EUERETT BLIX3�T TO=COSCp FIRE PRp7 <br />J(YJ 9� 1995 3�13PM p143 P.85 <br />APPLICATION FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT • BUILUINQ DIVISION �C+�R� <br />3200 CEDAR 6TREET • FVERETT, WA 98201 � 259•BB10 <br />I I DEMOLITION f I COMBINATION f'I BUILDINO I I MECMANICAL I I PLUMSINQ f t SION <br />PROJECT ADDREBS <br />n .� � � _— <br />�.SSoP.�. .�.. _ �eQ <br />��N�ti. �� uro 68 '.1&,�L— ��Vaee�r A�... Z�� 4 5 <br />�ncwrrmoni�k��� µut�iu+urs"� '. �nv—' '—'no —' orrotir '-- — .— — <br />, ; , <br />f�FHCMLWNi11A('7(M �� A/W �pp�;gg .. ... CI1Y �� ih` /NONF tiI�Ic11CIN�• <br />r�' t. QE �tl�Ciod�/ r'� �_._��o _��3 $Z9-V65�.._F.-0sc,�EO!IOaLI►L_ <br />McauMOu txx�m�tton Mui nod�8a r.nr iir PNpNF til�lF 11f.7NVl / I <br />OIIIMliNOCONTMI'iO4 �� M�n h01N�F6g t;IIV � pY PNONG 61�1F IKY.N;k � � <br />�� pn <br />t:ONIRHGiMM�CFMWIN�K � '� ..�� � ' .�• � '�� <br />HEATINQ BYBTEM: C! OAS f. I ELECTRIC f I_ ,_ _ <br />�secnbewormnwo nnFroouoiMvav¢n �p+rncTrrNe�»+�rrovi�one�a. . �—. .— —' . <br />� �. SPRINKL6YL Ni�DS _ �vBFY'-t" G1144� 1 i?lX�� $Z'l –Qb5� _ <br />_ —�_.T._ _. .._. ._. _... <br />_�� y..�� I NEREBV CEqTIFV THAT I HAVE READ AND EKAMINED THIB <br />Nn000sco u9c ar euniurx. . � A�PI.ICATION AND KNOW THE BAME TO bE TRUF AND COAR[CT, ALL <br />P(1pVI810N8 OF UWB AND ORDINANCE9 60VFRNINO THI9 TYPF. OF <br />_ WORK WILL BE OOMPLIED WITH WHFTHER BPFCIfIEp HCREIN OR <br />IFpMD[lCqivTWNUFPni7r[i11v�9�NMmBEIOWp�ATT�CMIW0000¢F) NpT. 1HE OpANTINO OF A PERMIT DOEB NOT PHESUMF TO QIVE <br />�m .. _. _ b�ocx _ ._ oF_. ,. AUTMORITV TO VIOLATE OR CANCEI tHE P110VI8�ON OF ANV <br />� 07HER 81ATE OII LOCAL LAW REOULATINO CON9TRUCTION OR TI1E <br />PERCORMANCE OF CONBTqUCTION. THAT I AM AUTI IORI7kD BV 1HE <br />--- �"— OWNER OF TMIB PlIOPERTY 10 PERFORM THE WORK FUR WMICN <br />APPLICATION 18 MADE AkD I COMPLY WI111 THk 6TAiE <br />iMncn tut i n. mn�etn ' —�' '— GONTRACTORB LAW 1l.27 RCW AND Qi18200 WAC. <br />ar�emuci� �iMv i n+ocn. �nnnces, iti on ronc rnnuo�n . '— x—� _ �'/j /`'J' <br />., ._ _., ._ srotiaimc ' uuf — <br />Citr ouvNE69lIClNBE N0. � �� <br />PLUMMNO � � MECNAMCAL � <br />N0. TY�R Oi fl1RURE OII ITEM iEE N0. TrPi OF flX�U11E Oq ITEM F!E <br />� WATER CL06ET (TOILET) �_ y IUC � MINDLO UNITB — N.P. ^ —� <br />. <br />FOl1 QFFICE UBE ONLY: <br />rao�rt evmnc. — ncn� sEt�ncK <br />UBF 70NC tOt I1NF� <br />IICqMI IMAITATqN NO Of DWClUNO <br />UMRII <br />FIRE B��NI(tN1iKp0 <br />i <br />1�... � T� <br />� <br />... i.� <br />--' i- <br />—� <br />` -- �- <br />► � <br />� � <br />� <br />_ _a_ <br />eroF aa.w,ac ' <br />VAQANT611[ -_— <br />IIYkB �I NO <br />N !l0(N.1 <br />U/CMLNI <br />�1YFR II NO ' <br />ci rccK t+ui <br />y�� <br />p�Ml MNO <br />MI IIMO�NO <br />ARqIAMCAI <br />MNlliIONAL PUN C120K <br />UINLR -� <br />TYI'E OF CONAI. � PI ANN 111 veo sr CITY OF EVERETT rimi.K wonKo <br />� LOCAL BAlEB — <br />enF � ��. a�� TAl( CODE IO 0106 TOTAL <br />9.T.U_M F..A. _ _�_ <br />_ <br />. _... .�. � <br />� -- -- �— – <br />_. � _ � <br />��•�� ��l <br />1 <br />� �� �. <br />1 � <br />OURNINO�—•- — —�1 <br />— "'-�' — <br />� BURNIN(;) . . _ : <br />BUB TOTAI f <br />_ PERMIi . .. � —�— <br />y TOiAL �EE E � _ _ <br />ree inr.�mi No <br />y=�— Lii � oc= <br />� VALUATION FEE <br />ca—�—� <br />. <br />