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APPLICATIC� FOR COiriSTRUCT'"'1N PERMIT <br /> CITY OF EVERETT•BUILOING DIVISION <br /> 3200 CEDAR STREET•EVERETT, WA 98201 •259-8810 <br /> ❑ DEMOUTION ($� COMBINATION O BUILDING ❑ MECHANICAL O PLUMBING ❑ SIGN <br /> PHOJECTAODRES¢: .,7 J/ (�Q//�u �{L,P Fj/�G���.�C.c1{�'�rrSdU� <br /> � <br /> ON�/ER � MNL�OOPE55 cJiy I�r r��pr¢ <br /> _ �� / h �,�. �/ � . _/ <br /> (77"'�J^�_ {^7 V ��� � _iJC� JL ��OIfJ /.-. i -�J',�'7 <br /> IEN�NT , YNlM10RE55 CITY )ip p�pNE <br /> Of �10.av�nui.Cf�i �4/� AdP C�✓zr��N-_�'S(a�l 70Ln- <br /> I11�MT[GF bE51GN� M�II IIDpf1E55 GIfV 71f� I'NONF <br /> GENER�L GONlI1ApCf1 MM1110D11E55 f,iTY ii� PHONf SI�I[IICENSE� mC�� <br /> NARIS n�[JEfSC� 372 �'� � o�,l��a� m+�on ' �F���/ s'�=o79n -OtE/h( <br /> u�cN�rncuca+*a�cion M•n�oo�ss rarv lm r��orrz i cr�rr��crwsE. I <br /> RUMLMGCONI�Uf,TOR M�IL�OOqE55 /� GTY jlP PHp1E SfAIEIICENS[� <br /> �pQ�S r�/��,:'1 G 9100� /YIC'��/1'�n�: � 11IL~A�� /'�IC�11YjGJ�_^r� qg� I� 7VJ —J.j(n �/ <br /> ���OOO, HEATING SVSTEM: ❑GAS ❑ELECTRIC ❑ <br /> oEeC,ME �NO SOUMIE FppTllfsE MV0.VED �Uv s crnn�r.r rrn5or1 um r�No <br /> 1 av � <br /> w�\�S a � e Mar ��.,�ol �I,� 'r <br /> � <br /> � ro„� �,.�Q�- I NI;REBY CEFTIFV THAT I HAVE READ AND EKAMINED THIS <br /> oiavos¢o use or �pwo APPI ICATION AND KNOW THE SI1ME TO BE?RUE 11N0 CORRECT ALL <br /> PRO"ISIONS OF UWS ANO OROINANCES GOVERNING THIS TYPE OF <br /> WORiC WILL BE COMPLIED WITH WHETHER SPECIFIEO HEREIN OR <br /> ieu��oEscmvria+a�'rmorEaTris�awr�eEiavon�n�cHrnocov�si NpT. THE ORANTING OF A PEiiM1T DOES NOt PRESUME TO GIVE <br /> �oT eioc� a 4UTHORITY TO VIOUTE OR CANCEL THE PROVISION OF ANV <br /> OTHEti STATE OR LOCAI LAW REGUUTINO CONSTRUCTION OR TIIE <br /> _ PERFORMANCE OF CANSTRUCTION,TNAT I 11M�UTHOR12ED 8V THE <br /> OYVNER OF THIS PROPEATY TO PERFORM THE WORK FOfi WHICH <br /> APPIICATION IS MADE AND I COMPLV WITH THE STATE <br /> PIYICEL TN!I D.MIMSER CONTfiACTORS UW 1d27 RCW AND 29620D WAC. <br /> CONSTRVG110N 1 WN IENOF.R.110U1E55.TElEP110NE MIMIIEH %�,�L��_�'� � ��� J� <br /> v� <br /> SION�TURE O�IG <br /> CITY BUGNFSS I K;[NSf.Np <br /> K� MECMAINCAL <br /> N0. TYPE OF FlI(TiME Op ITEM FEE NO. TTE OF E'7JIPMIENT KEE <br /> WATER CLOSET(TOILE� � A/C—ARINOI(3 UNffS <br /> BIITHTUB ' FORCEO AIR SVSTEIAS ' <br /> � , <br /> UVATOiiY(WASH BASIN) � HEl1T PUMP ?— <br /> SFIOWER ' UNITHEIITEHS <br /> KITCHEN SINK 6 DISP � CLOTHES DRVERS <br /> DISHWASHER � RANGE HOOD � <br /> • UUNDRY TFAV � WATE HEATER ' <br /> CL4THE5 WASHEH � WOODSTOVE , <br /> URINAL � MEfAL FIREPLAC[(W00�BURNING) ' <br /> DRINKING FOUNTAIN i FIREPLACE INSER7 (WO�D BURNING) i <br /> FLOOR DRAIN ('iAS FIR[PLACE � <br /> BACKFLOW PREVEN7ERS � GASRANGE ; <br /> SINK�3ERVICE—BAR,ETC.) GAS PIPING �_ <br /> EXHAUSTFAN � <br /> � <br /> � � <br /> � � <br /> r � <br /> SUB TOTAL S ; SUB TOTAL f , <br /> PERMIT S � PERMIT ; �— <br /> TOTPI FEE f � TC7TAL FEE S <br /> FOR OFFlCE USE ONLY: <br /> rnonr seTp�cK nten sFta�cK SIOE SFTB�CN IR�N CIIECk NVMpT ru� nrr.rm!r�o <br /> .a�n� <br /> USE 20NE IO1�RE� V�C�NI SRF. FEES VALUATION FEE <br /> � <br /> ❑YES ❑ �1 BUItblHfi �// ��n� <br /> HEIONf LIMIIATION NO O�pWEIIING 51ZE Of BIOGRI 7 <br /> 11N1I5 � <br /> rmunnm ' <br /> ��r+cr rq(x Stnm[s oc:Cur�nt lo�o B�SfMENi M�.r��aNi�ai � � <br /> ❑v[s O Nn — -- — ' <br /> � <br /> FIPESPBINK.LENR[0'D �f�50H ApfN110NMPIANG��ff,M � � <br /> _�__ <br /> ou��n � <br /> � <br /> FIH!NARM pE0'D Ff�SON �— <br /> StIUFBUI1U�Nfi511fU;H1IV.iE — ;/;i� <br /> — - rLL <br /> 7VPEOff,ONSf vtnNsernnovrner CITVOFEVERETT �IIPIICWpPxS <br /> LOCALSALES ------- ------ ----- <br /> ,,,,, 7AX CODE IS�705 7oin� <br /> --- -�- <br />