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APPLICAT[�.,N FOR GONSTRUC". iON PERMiT <br /> �r � <br /> CITY OF EVERETT• BUII_DING DIVISICIN <br /> 3200 CF_DAR STRC-'ET • EVEFETT, WA 98201 • 7_59-8810 <br /> I I OEMOLITION I I COMBINAI'ION I I BUILDING ! I MECHANICAL f I pLUMBING fji SIGN <br /> PROJECT ADDRESS <br /> .�/s ENsr <:/�S�niO ,c'/7. sf°i,��:� �- _a <br /> ovm[n Mnuenonecs r,nr vn• r��or+r <br /> P/1.�Nt� CC iaS�I"oN 9�i S_ -ia"/,"!/E. s.F. . Ev_re��r. �5'�- �1-y9 <br /> iF.N�Nr rAnp MnnrGs qrr 71r A1oNF � <br /> �Cr i-//a/� 3/s-F_'Ns�r c�93'i,vo irL�. si'�cF-� �-v�2rr rv,cz- <br /> �ncnirrCtOnnEsir,r�fn Mnn.�onnf.F3 � cuv �in �HONF <br /> 0[NFf1qCON11U[TOO MnI1.��pIlE55 Lllv )iP PIIONF Si�'ELICf.NSF.� <br /> /���/��it/EON�O. ���.f�[;K'S,tE`i-L.yn�iu.�ood c��_9�ayH 776=;'S.3$'BE,CQYNco7�citq <br /> MFpUNIr,p�_�pNTRRCTOfI MAIL�DONFSS Cltt 21� PIION[ STRTF.LICf.NSE� <br /> PIUMpINGCONiq�C1IX1 MRLLADDFESS CItY ., PIIOqE SGTeLICFNSf.� <br /> f.ON PACT PRICE Of W0f11t <br /> � vZ &'9U pO HEATING SYSTEM: I 1 GA5 'I ELECTRIC fl <br /> 1 <br /> DESCRIPE WOfIN RND SOII�RE FWU(iE INVOIVEfI CUNIACI PEfIfON ANO PMON[NO <br /> _T�, star/ y9 °x ir_& �� - s E, . 3s � <br /> Sin• /+�P Cn.�e1 - 1'�/�,«, ���4.�-ce/ S�y n u�� C�F� FULTON - 77�, - �TS 3S <br /> � <br /> � 1 HEREBY' CERTIFV THAT I HAVE R[AD AND E7(AMINED THIS <br /> �,4�_e✓'S S�j.9 �R-VI__ qppLICATION AND KNOW THE SAM[TO BE TRUE AND CORRECT.ALL <br /> ��OI'OSFD USC OF PUIt01N0 PROVISIONS OF LtlNS AND OFD!NANCES GOVERNINC THIS TVPE OF <br /> H�/�c S'�LdN WORK WILL BE COMPLIED WITH K'HETHEq SPECIFIED HEREIN OH <br /> LEG�L�ESCRIPTIONOFPIIOPERiV�SMONNAEIOWONRTUGIITWOCOPIE51 NOT. THE ORANTINO OF A PERMIT DOES NOT PRESUNE TO OIVE <br /> ior eiocn or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHGR SiATE OR�ACAL LAW RE6UlATIN4 CONSTRUCTION OR THE <br /> �SF'Ai �*] TI��I�D PERfORMANCG OF CONSTRUCTION.?HAT 1 AM AUTHORIZED BV THE <br /> U'�.��i05� .� 't%� - OGC OWNER OF THIS PROPERTV TO PER�ORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I I;OMPLV WITIi THE SiATE <br /> nn�ce�x�Mrrt�a��- �—v C — CONTRACTOF£LAW 18.27 RCW AND 2fr6.2f�WAC. <br /> CON5IRIICTIONIO�N IENpEf1 �bI1f1E55.TELEPII(k!E NIIMPFR f� y �/" �Q — / <br /> SON�tUPE p�TE <br /> _ _ _ �� <br /> _ CITVBUSINESSIICFNSf110 O`)-(�( ��'�'J <br /> PLUMBINO MECHANICAI <br /> NO. TYPE OF FIY.TUqE OR ITEM FEE NO. TYPE OF flXTURE OR ITEM FEE <br /> WATcRCLpSET(TOILEI) � A/C-A/HN�LOVNITS--H.P. �- <br /> 9AtHTU3 ; FOHCED AIR SY5TEMS-B.TU. M El. ' <br /> LAVAiORV(WASH BASIFq � HEAT PUMP F <br /> SHOWER UNIT HEATERS-B.T.U. M � <br /> KITCHEN SINK 8 DISP � C�OTNES ORVERS _ ' i <br /> DISHW'1SHER � VENTILATIOfJ fAN i <br /> —`_ <br /> LAUNDRYTRAV HANCaE H000 � <br /> CLOTHES WASHER i NATER HEATEIi i <br /> —.— _ _ ' <br /> URINAI _J_ WOODSTOVE ' <br /> DRINKINO FOUNTAIN i NETAL FIREPLACF.(WO'JD BURNINO) i <br /> FLOOR DRAIN � FIN[PLACEINSERT(WOOD dURNINO) � <br /> BACKFLOW PREVENTEHS � 3ASFIRCPLACE � <br /> SINK(SERVICE-BAR,ETC.1 t3AS RMN:.E � <br /> _ ,-- <br /> ' GAS P�F•�NG ' <br /> � EXHAUST FAN —�— <br /> "— —.-- <br /> � i <br /> — � — <br /> — � <br /> i � <br /> SU�TOTAL S ' SUB IOTAL E � <br /> PEPMIT S � PERMIT E � <br /> - - --•- <br /> TOTAL FEE S � TOTAL FEE E ' _ <br /> FOR OFFICE USE ONLY: <br /> fRONTSETPALN Rf�RSFTPAf.R SIpESFTBAf.k PIpNCuf. NUMf�qf; �LE RECFIPThO <br /> :��`n��,i�� =3�/�� /O��/i 2 <br /> usezoNe � io��nee �L �� v�ceNtsirr FEES VALUATION � FE._. � <br /> (� - � L�?7 `Y nves i� No � <br /> nuaon�� .�� �� �� )r'� <br /> HEIOIITLIMIT�TION NOOrUWf.LIING SVEOfBtIXi41 — � <br /> UNII$ Pt IIMpMO � <br /> 2LU�L Ir�l- __ _ —__"_ _ � <br /> OC^"��NCY NO(K S10NiE5 (%:CUP�M IO�J B�SEMENI MECIUNIGI � <br /> IIVF:'. il NO - � <br /> fIRE�LAR1,!RE00 RE�SON �OOIIION�LPUNf,NECN — _ � <br /> '_ __ O1H[R--" � <br /> fIRF5P111NNLERREO'D RF.�SON — - <br /> ST�ICPUIIflMGSUfIC1Uf16E / � <br /> TVPEOFCONST PUNS qnOVFONY CITVOFEVERETT PUPII[Yr"�1ec � <br /> n" LOCAI.SALES - �— <br /> oetE _ �.� � TAX CODE IS 3105 TOTAL ' - i � <br />