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APR-13-01 FRI 12:26 PM EVERETT PERMIT SERVICES FAX N0, 425 257 6657 P. 01 <br />• 49 <br />APPLICATION FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT - BUILDING DIVISION <br />3200 CEDAR STREET - EVERETT, VIA 98201 • (425) 257.8810 <br />n DEMOLITION ❑ COMBINATION A BUILDING ❑ MECHANICAL ❑ PLUMBING 0 SIGN <br />7N <br />`ad/33 !4n1.)544-4M5 <br />9225 <br />uFbuur.1foNIM for ugm^kss _ GM — )m PIONt 191F IiCCN(d• — <br />rI'wse'Ca'1uP:Kv1 V41 iMME55 fllr !w YnJnE 51;7i Kr,R • ,..__..--- <br />eaun:ii Grace a-vraroT'y-5 g�pp - <br />HEATING SYSTEM: X('FAS ❑ELECTRIC 0 <br />[C•.c.9rw1M{ .u, wArF ran, OF.IVdvoO <br />--TErJA7NT IMPko✓EMfiJr 78 !_;¢tr'97C <br />fai..Cl rf.10RAW Iw E NO <br />, <br />GAKIGW/1 (,✓iRf[ES�Pc'>i9TC Srn2E <br />*#NK KAloTI-fSU�/S£r$F4wS/u� Zs3 8la <br />.- — <br />1+wi mla JcrJ:r ;u nu rt7,a rs !` pd� r <br />�( ✓7ti� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME 10 RE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK W 1 L BE COMPLIED WITH WHETHER SPECIFIED HEREIN On <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRE$UMC TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION, THAT I AM AUTHORREO BY THE <br />OWNER Of TH$ PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION I MADE AND I COMPLY WITH THE STATE <br />CONTRACTDRS W 1T RCW AND 296 2DD WAC <br />X �13 O,,•,_—.- <br />— <br />i0.cCCNPna rr iAcm nY ivK ortawai.,.r. 1w cmcs, <br />101 BLOC...__ —OF___ -- <br />(� <br />lvwri iiv in rAww <br />"2428o4-1-ov-OoO3 _ <br />(04gm V,TK.IIMII I[MfI,.HAaKP., RI[PKtf uUVllFll— <br />-• MJl1-�EN' �%��JNy�D <br />GTr euYNfi51KfN. NU -_ « —•--- <br />KiTme NG <br />MECHANICAL <br />NO <br />TYPE OF FIXTURE OR ITEM <br />NO. <br />TYPE OF EOUIPA@M <br />FEE <br />WATCH CLOSET(TOILET) <br />AIC �-NHNDLG UNITSBATHTUn <br />FORCED AIR SYSTEMSLAVATORY(WASH <br />BASIN) <br />HEAT PUMP <br />S110WEN <br />r <br />UNIT HEAL ERSKITCHEN <br />SINK A DISP <br />CLOTHES ORYERS <br />DISkIWASFIER <br />RAf.rE HOOD <br />— <br />LAuNORYTn" <br />WAIERHEATEFI _ <br />�— <br />CLOTHES WASHER <br />_ <br />WOOD STOVE <br />• <br />URINAL <br />METAL FIREPLACE [WOOD BURNING) <br />• <br />DRINKING FOUNIAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />-- <br />—_ <br />FLOOR f1IlAIN�•• <br />— <br />OASFIREPLACE --- <br />_,,,-- <br />DACKFLOW PnLVENTER5 <br />_ <br />GAS RANGE <br />) <br />--r <br />—�• <br />--« — <br />SINK 15ERVIDE —nM, ETC 1 <br />��— <br />�_ <br />G <br />PIPING GAS <br />• <br />EXHAUST FAN <br />— SUB TOTAL 5 <br />SUBTOTAL f <br />PERMIT S <br />f <br />— _- <br />— <br />_--__ <br />TOTALFEE.S <br />---PERMIT <br />_ TOTALFEE f <br />—,- <br />-_ - <br />FOR OFFICE USE ONLY: <br />olo-COW <br />IM;rn.r•rn(. <br />7-Ewr`— <br />NPO511,r IV1JN <br />IYY:ITNCv Mi V N.At> <br />f,G n. <br />aeJ. <br />•� IIMT� <br />1n.r.rnn/T <br />rnn;riw. <br />IJ1 Vin — <br />S""' . <br />P. GitL.I rn <br />rFF <br />Ntnrnl0 <br />• <br />rncnvlyK <br />FEES <br />_ YALUIITIDN • <br />FEEEE T_ <br />_ <br />NJarrwrl UNn Ias <br />_ <br />OPf.n'AN1 lUnU O SFLVfw <br />AAM�� <br />--�-- • <br />url.uwru <br />AI1y 1'n1Al11 AM aY.C. <br />—y <br />' <br />-- <br />TOTAL <br />rlA+i nnrOO• <br />LL—TAX <br />LOCALSALES <br />CITYOF EVERETTAX <br />CODES 3105 <br />I-7848 <br />