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!i � <br /> APPLICATION FOR CONSTRUt:Ti ION PERMIT <br /> CITY O� EVERETT•BUILDING DIVISICIN <br /> 32U0 CEDAR STREET• 6VERETT, WA 98201 •259-8810 � <br /> I I DEMOL1710N I I COMBINATION � UIILDING fJ MECNANICAL I I PLUMBING I I SIGN <br /> PROJECT ADDRESS n�D� `�j� R�• �v���' W�a�. <br /> L <br /> owrlFn renp nu�m[ss <br /> r.nr ruo�¢ <br /> �.01�.5Yl�1/E�CE(r No•'S,11.�. 2Z0"l CD6b`fA/E.hi71'fE'►1(�,�VEKE1l',t.c.�4��of Zg�:p� <br /> IfIN11i p �� IA411 4f�ItliF55------ � ----�-"-�'-- - . . <br /> �MI �.G�J cnv )ir Pnor�F <br /> I (11.��Du �. ��.TTL�.,wA. �18�Ot ��2-It�4�o <br /> Jnnrnurr.i unnrcir.nrn.L_e_.-1 ,-�.-in'u'nnunrsv -- - iair-- - <br /> d� T�VV�-� �i. zm rnoi�e - - <br /> �------ � TGJ�lEl�.P'-E�. SE,t�T7��WA,98101 2�i2-8263 <br /> C.GNrnn� cnrn�v,cun� rnnn nuunFpc --- --- ----�..nr- -- - _ <br /> Tq�p�� ]IP PIIOqF SIAIEUCENSE� '— <br /> �VI\ Cfj{,^F��jj2l�'�lo1J�j� 4TttAVE.5U1T�`�rJ,`�A.V�tA9Q�i3�, TU,RN�fG237o2 <br /> MFfI1�I11C�1 C011II1nCIUli AInII.�UIt(1FSS ` - <br /> �'��� ��� PIIONE S1niEUC[N$E/ <br /> PLUMflR!(iCO111f1�nlnfl MnII�Df�O@55 -- <br /> n�� ��� PIIpqF. STAIEIIGENiEI <br /> c� annr.irnir.rnrvmnK-- --_--- <br /> - 20'12 S_Q�_ HEATING SYSTEM: I l GAS f 1 ELECTRIC I:7 <br /> t/M�sr,ninewonKnuusan7n�nerootnr,r�n�rvo��vcu r p�-��-II-�-- -- � — <br /> -y_"'�-�-`' �{• �-�-^-`_���1 (HI 1�♦G� ���ritnr� �. r,+�,'Jnri��rFrip. - <br /> WIT�� <br /> MEur @ Fl,00�c��xovuoc,�v�c a� JoN�sT��w,�u r�. 2�(2-8�3 <br /> O� �rL1.G�• I HEREBV CERTIFV TNAT i HAVE READ AND EXAMINED 1HI5 <br /> rnornseu use or nun nwo �PPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> . PROVISIONS OP LAWS AWD ORDINANCES GQVERNINO TNIS TYPE OF <br /> tenn�uescnirurn�nrrnorF�mr��1su�owr�neiowio7nn�nncinwocories� — �'ORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> 1Oi ��Ai.�x:K Sv_fr-:7 or 1 �r'�Y DF E�T�I� AJTHOR 7Y TO V OLATEAOR RCAINCEL THE PROVISION OF AINY <br /> _ VDI.UNE 3 op �'I.p,�� ,�E 32 pERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORI ErD BY THE <br /> OWNER OF iH15 PROPERTY 70 PERFOpM THE WORK FOR WHICH <br /> APPLICATION IS NA AND 1 COMPLY WITH THE STATE <br /> rnnr�,ri inK ri n ouMnen - CONTRACT�RS LAW CW ANO 29G20U WAC. <br /> =�f=�.����uFi�T �11 i <br /> CONSIIi1M,710NInM11H�Plfl pUPfIf5S.7F.1EPIlONENUMBEq /���0 �� <br /> �P_A1'C�H H _ „ '. X <br /> sicrvmm�e oare <br /> —____ CRY AUSINESS IICEHSE NO. <br /> PLUMBINO --- <br /> NO. TYPE OF FIX7"URE OR IiEM MECHANICAI — <br /> FEE NO. TYPE OF FlX7URE OR ITEM FEF <br /> _ WATER CLOSEi(701LET) --� — <br /> ' NC-M{NDLG UNITS-N.P. —�— <br /> BATHiUB � <br /> LAVATORY(WASI-IOASIN) � FORCEDAIRSYSiEMS-O.T.U. M E.A. i <br /> SHOWER ' HEAT PUMP � <br /> ---•'_ <br /> — ' UN17 HEATERS-B.T.U. M , <br /> KITCHEN SINK& DISP � <br /> — � CLOTIiES DRVERS <br /> , _ DISlIWASHER � -- ; <br /> LAUNURY Tf1AY VENTILATION FAN � <br /> CLOTHtS WASHER ---� �ANGE HOOD � <br /> URINAL ' WATER HEA7ER � <br /> ---�— <br /> ' WOOD STOVE --''— <br /> DRINKING FOUNiAW � ' <br /> FLOOR URAIN �:— META:FIqEPLACE(WOOD BURNINF' � <br /> i <br /> — : FIItEP1.ACE INSERT(WOO�PURA" �— <br /> BACKFLOW PREVENiERS � <br /> � OAS FIREPLACE � <br /> _ SINK(SERVICE-�AR,F_TC.) _T_ <br /> ' OAS RANGE <br /> — � <br /> -- ..__ ' GAS PIPING � <br /> � <br /> —"-' — � EXHAUST FAN <br /> —__y— i <br /> _ � <br /> �_,_ '_ <br /> � <br /> __ ' i <br /> __,_�_ <br /> �_ � <br /> _ sue Tota� s ' <br /> — PERMIT ' SUB TOTAL S i <br /> a _!— ' <br /> ?OtALFEE E i PERMI7 a � <br /> TOTALFEE S � <br /> FOR OFFICE USE ONLY: <br /> rnorirseinncrc � nrnnsernnr.�c smeseronck <br /> PlANC11ECKNU�p ER FEC <br /> �/! / �7ECEI1'T NO. <br /> us[zov—c -- inrnnKn . ��' �y - � �Lr� l�- . <br /> wcnNt s�e _ FEES VALUATION <br /> - _._ nves n r�o FEL <br /> IIEIlliIILIIAl1AilOH OUIIDINp � Z� <br /> NOpfUW[�pN� SIZEOPOLWRI. / <br /> UIlIIS � <br /> � 18 riuvniNo � <br /> occurnticr ra orstomFs a;curnrn tonu na,EM�Ni - �_ <br /> a„�� ,3� - �rE�:�,�,�,��� � <br /> ❑YES NO <br /> fIf1E�yU�i1�AliFOb IlEA5fN1 ADUI710NN,fqANCIIECK � <br /> {'VJ i <br /> i <br /> fl 5 ftl�lRLFIIlIEqU flf-nStNJ 011lEll <br /> � �S ��5� ' SI�lEOUILbINdSUliCINRAE ;r� <br /> lYP Of CUNSr- rini�snr�n VEppy <br /> py,,, CITY OF EYERET7 runur,wonKs � <br /> G (� �' � LOCAL SALES J <br /> 1 • '`- nn�e_' �ti_'�1_9 TAR CODE IS 3105 70TAL — <br /> —� -_ _ _ -- _ — 25 � <br />