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APPLICATIO�I FOR CONSTRUCT��ON PERMIT <br /> CITY OF EVEFETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT,WA 98201 •259-0810 <br /> f I DEMOUTION f I COMBINATION (QBUILDING I 1 MECHANICAL � ' PLUMBING I I SIGN <br /> PROJECTADDRESS 1� ���_- �� �� <br /> 4 (t� <br /> owvEn u�n�nonFss cirv �m n� Nr <br /> ��stil iM9 %c.�o �C��s ��� �,4s;.v� / / ,E�/�,��7' l//� ;�.�a�/ 7�/s a23.�! <br /> 1EN11NT Men ernx�rss m�r nr "�—�y-�n�r�F ,/ - <br /> �I:NnIiJ �aT�oC-/z�r�r� .2�a25 �✓. CMS•��� Kp . •�-Ci �l'810Y <br /> �RLHI1CCTonDE516N[n MMl �nitRE55 ❑ir )Ir rHUNF � <br /> r ,v So.�r� a.t�( /oL/sT �vr_SE ohccr�v�,� 1J� • _ <br /> ueanur,oNm�c�on M�nennness un nr rnoar .�urucr�+se. <br /> Cq/�ltif COrV�S� SVCS g� 7 -5.�1�ro S%. ��E.�'/F�T ldla �?��-ifoO S <br /> MFCNI.NIfM CONiqRfiDR M�II�bURF55 GTV )ip �PIIONf SiATF I�CFNSE i <br /> 1 • / � -- -- �5�'/�fCO5Io77LH�r <br /> PIUMBINGCONIR�f.T IIAII�[I[)RE55 CIfY }iP PIIONE S1AIF UCENSF� <br /> CONTR�CT PRIGE Of WOf1K <br /> /,5 Jp� HEATING SYSTEM: I i GAS � �ELECTRIC f I <br /> OESCPIBE WORN�Nb SdIMF f00GGE INVOLVEO CUN1eCi PFniOH PI�ONf NO <br /> 90a s F a F %,c-••/A�v T /dr �e�e�-�9rtn- � ,-i <br /> �FF'if7 SP'�C� r � - ' i <br /> I HE EBV CERTIF THAT I HAVE READ AND E%AMINED THIS <br /> APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> rnorasEousF a omiarro PROVISIONS OF LAWS AND ORDINANCES GOVERNIN:THIS TYP�OF <br /> 1������ `S� WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> lE6�lOF5CRIPTIp1OFP1101'FRM1�SNOWNBEIOWOR�R�GNTWOCOPIES� NOT. THE GRANTIN6 OF A PEHMIT DOES NOT PRE3UME TO GIVE <br /> iot PLOCN ,Of AUTHORITY TO V�OLATE OR CANCEL THE PROVISION OF ANY <br /> !� / O7HER STATE OR LOCAL LAW REOULATINO CONSTRUCTION OR THE <br /> S� /� /L�q �'F PEFFORMANCE OF CONSTFUCTION.THAT 1 AM AUTHOq12ED BV THE <br /> OVVNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLtCATION IS MADE ANO I COMPLV WITIi THE STATE <br /> PARCEI UN I 0 MIMAER CONTRACiORS LAW t827 RCW AND 296200 WAC. <br /> CdISTRULTION IO�N LENOER.Af1Ui1E55.TFLEP110NE NUMPF.11 x j/���j/ lGµ4. �/.� i�'F�r'�✓�ctlb I�i— ! � <br /> SIGNAfUPE ^� ^� �/ � p�TF <br /> et i� � <br /> QTY BUSME55I IC[NSL NO <br /> PLUMLINO MECMANICAL <br /> NO. TYPE OF FlXTUqE OR ItEM FEE NO. TVPE OP E�UIPMENT FEE <br /> WATEH CLOSET(TOILET) A/C-A/HNDLa UNITS-H.P. � <br /> BATHTUB ' FORCED AIR SVSTEMS-B.TU. M E.A. � <br /> LAVATORV(WASH BASIN) � HEAT PUMP � <br /> SNOWER � UNIT HEA7ER5-B.T.U. M � <br /> KITCHEN SINK 6 DISP ; CLOTHES DFVERS <br /> T <br /> DISHWASHER � VENTILATION FAN � <br /> LAUNDRYTRAV � RAN6E HOOD � <br /> CLOTHES WASHER WATER HEATER � <br /> URINAL WOOD STOVE <br /> DRINKING FOUNTAIN METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR ORAIN � FIREPLACE INSERT(WOOD BURNING� � <br /> BACKFLOW PREVENTERS i GAS FIREPLACE i � <br /> SINN(SERVICE-BAR,ETC.) 6A5 RANOE � _ <br /> 6AS PIPINO ' <br /> i EXHAUSTFAN � <br /> � � <br /> � � <br /> � -__ -_T.- <br /> SUB TOTAL E SUB TOTAL S <br /> PERMIT S i PERMIT S � <br /> TOTAL FEE S � TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: <br /> ffMNT SFiP�CN REUISFTP�f.M SIDE SEfp11f.N PI�N CIIFCN NIIM fR( f(f I �Ff.flPt NO <br /> �,'?� /3. iv <br /> use zoNc io��nee v�uHi srtF FEE� VALUATION FEE <br /> IIYE$ I'� NO � <br /> nuuniNr �7j � - <br /> IIEIOtlf UMIUTION NO Of UWFLIING SIIE O�ALIXirtI �7` — i <br /> UNiiS �1Z0 1'I• PIIIMfliNO _____— __— _—___--_+-- <br /> O(;CU��Nf:Y NOMSInnM1S U(:C11�'�NllO�[1 B�SEMENI 'y MffH�NIGI i <br /> ' IIVES /�NO --_--- —_ —"____ �-._._ . <br /> REM��M�FOp 11fAS0Y Apf1111pN�IPIANC11Cf.N � <br /> I <br /> I <br /> �l <br /> AN1 omrn � <br /> � <br /> rmvsrmr��irnnFon nr�sro+ -- --- -- � <br /> �� t�eiennnowrcunc�unr,c -- ---- .i-'.1� <br /> �mr or roHv ri�Ns errpnnvFn nr CITV OF EVERETT �nni ic wnn.c � <br /> I LOCAL SALES '- - <br /> � — - i,.,�_ Nn/� TAX CODE IS 310F ' �O7AL ------ --� � (� <br /> - - -L----- ���.� <br />