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APPLICATION FOi� CONSTRUCT�vN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREE'f•EVEHETT,WA 98201 •259-BB10 <br /> il DEMOLITION (p�'COMBINATION rl BUILDIN(i I� MECHANICAL � � PLUMBING f I SI(iN <br /> PROJECTADDRESS lJ„7� E ��S/�� <br /> ovmEn MUU00NE5 cttt im r��pr�[ a� <br /> %y[E E. .B��N� �o �o,r aa�6 �reJ�` f do3 .3.�s- 7a.�- <br /> tEN � 4MLRlpni55 Giv 11r rrroNF <br /> fiP�/��f/9x <br /> QILWT[CiORDE5IGN[il M�IIMIp�E55 arv �m rrro�+F <br /> sit�rE .ts ours��,c, <br /> aENCMICONrn�ciOR MUL�00t1E55 Glr )ir rr1J4[ cT11E�iCFNSF. <br /> �u�,�cR <br /> MECNANIL�LC�ONTR�CTOR M�II�IXME55 GTV 71P pIqNF STATFLICEN$F• <br /> MW/�_ <br /> 1'LUMBMGCONiRAf.fOR MuI�IXME55 CIIY tIP p110NE ST�tEUCENSE� <br /> '�.3 a� pO� <br /> conrn�cr ra�ce or won� — <br /> S• ^. /�S G /I HEATING SYSTEM: I i GAS �ELECTRIC f I <br /> pESCRIBE Yqi1k�NO. F i00T/�E INVOLVED CONT11Ci FFRSON�N�PI�ONf NO <br /> T� 6 <t �' ss-�7� <br /> � <br /> 1 HEHEBV CERTIFV THAT I HAVE READ AND E%AMINED THIS <br /> APPLICATION AND NNOW THE SAME TO BE TFUE AND CORRECT ALL <br /> v seouse or euiipma � PROVISIONS OF LAWS AND ORDINANCES 60VERNINO THIS TVPE OF <br /> �° ��j��� B'1��'a�i WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LE6�l0ESGPoPTIONOFM10PEpIY�SIqWryBELOWOR�TT CN caXnu_s� , NOT. THE ORANTINO OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ioT_�e�ocK ov -S � U J AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR LOCAL LAW REOULATINO CONSTf1UCTION OR THE <br /> ,S�C�e /f��d�d PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOFIZEO BV THE <br /> OWNER OF THIS PPOPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE ANO 1 COMPLY WITH THE STATE <br /> PNICELT�I ID een CONIAA RS LAW 1827 RCW AND 286200 WAC. <br /> �, �1 3 C ,� �a�9� <br /> CO45T UCTION 1 O�N LENf1E LONE55.TELE1M10NE NLMPER <br /> UBE �� p�tE <br /> Clh'BUSINE55 LICCNSC NO <br /> PLUAASINfi MECHANICAL <br /> NO. TYPE OF flIITURE OR ITEM FEE N0. TYPE OF EOUIPMENT P c� <br /> WATERCLOSET(TOILET) � p/C—p/HNDLOUNfT3—H.P. � <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> UVATORV(WASH BASIN) � HEAT PUMP i <br /> SHOWER � UNIT HEATERS—B.i.U. M <br /> / KITCHEN SINH 8 DISP i / CLOTHES ORVERS ' <br /> DISHWASHER � VENTILATION FAN � <br /> �_ <br /> LAUNDRYTRAV ; / pAN6EHOOD ' <br /> CLOTHES Wf•SHER / WATERHEATER � <br /> UHINAL � WOOD STOVE � <br /> ORINKINO FOUNTAIN METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR ORAlN � FIREPLACE INSERT(WOOD BUHNING) —�— <br /> BACKFIOW PREVENTERS � GAS FIREPLACE � <br /> SINK(SERVICE—BAR, ETC.) �AS RANOE —�— <br /> OAS PIPING <br /> � /� E%HAUST FAN � <br /> � <br /> � i <br /> ' — <br /> SUB TOTAL S // ' SUB tOTAL E � <br /> PERMIT f � PEFMIT E <br /> TOTALFEE E � TOTALFEE S � <br /> FOR OFfICE USE ONLY: <br /> ff10N1FfTPK1K MMI5FTR�CN / SIpE5iT8�� PI�NCIIFCMNUA�qFP RF �D _ AFf.FlPT110 <br /> 7��� r ` <br /> usEiowF — / �otence wc�rrtsnv FEES VAIUAiION FEE <br /> iives i� No nivniH� (of3 �7`7) <br /> r�eimrt uun�nor+ Na a oweiura size a eioarti <br /> IINIIS ( J E. LIVh/p C % � i <br /> qR PLIIMPINO _ --r/) <br /> C�—"'" <br /> OCCUPIIN(:Y NO M S�Om15 IX:CIIP�Ni 10�0 P�SEMENt q � <br /> ppp�p MFOUNIf.�I —. �jy/�— <br /> Ll��-' <br /> jL o-/ I nres o - - <br /> FlRE MMOEOD BF�SOY �DINIION�IM.�NCRff.K <br /> __--'_;____ - <br /> __ ornrn <br /> rmrsrmr�eiFnneon nr��� --- <br /> Sr�lf PURoiNC.SUnGunrF ��J <br /> rvre or r,or�si ninNs�rnnovF�9Y CITY OF EVERETT runuc vmnec -- _ _ � <br /> n <br /> J L�CAL SALES —�'- <br /> -/�/ _ i,,,�� g 5/c,(e TAX CODE 1S 3105 TOTAL __ _ __7��1i�J <br />