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NOV-17-00 FRI 05:05 I'll EVERETT PERMIT SERVICES FAX N0.15 257 8857 P. 01 <br />APPLICATIONOFOR CONSTRUCTION PERMIT <br />CITY OF EVERETT v BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT, VIA 98201 . (425) 257.8810 <br />(3 DEMOLITION ❑ COMBINATION ❑ BUILDING )d MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTADDRESS: 71'� Ohl EV�n..=-T I" . , . 1.Tn-! <br />(be L-0 4 71; <br />Cahn 1'nc�� NsG_� zBlz Co�csY Pr< GvIS2 rJvJa j8261 4'25 Z5i�21s7 <br />GEry[n4 WINM(:TM MN1 M1OpnFM1) all Af <br />mnnKn Hrcc or varvi <br />-� <br />HEATING SYSTEM; 0 GAS ❑ ELECTRIC 0 <br />o[irnoLrra(i[um solrxNF •nonce wvAtvro <br />SFh[(�u-L� TSD,922 SF nG - a�s'c <br />coxur. v[rsso«Wnvwrq xo —' <br />. <br />I LJC� �j_SIG'M I qa-`7TS-6M14 <br />�no,eseR usi (w mranlw - -�-- <br />• r^n 0� <br />L11( <br />1 HEREBY CERTIFY THAT I HAVE READ AND EEAMINEU THIS <br />APPLICATION AND ANOW TIE SAME TO BE TRUE AND CORRECT ALL <br />PROVI}IONS OF LAWS AND ORDINANCES GOVERNING TI IIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />WWINOT, THE GRANTING OF A PERMIT DOES NCT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL TY.E PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATIN J CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THr.r I AM AUTHORIZED BY THE <br />OWNER OF j11S PROPERTY TO PERFJRM THE WORK FOR WHICH <br />APPLICAi '*' IS MADE ND 1 ,OMPLY WITH THE STATE <br />CONTRA O SLAW IE27 W F96.200WAC. <br />jn/vL/�� <br />IFc•[p[SCNrnW p IbtolCAlr lulnvm M[owwxn¢A,.q can[m <br />101 _ -CLOCK or <br />' <br />rtnR[mll)"oul L-1 L.uVT' - <br />29zBcr1-1=o23 —arx'; -I <br />Cnx[rn[K:nTH L nW , l'rn[M1 NKmESf t[L[nloxi NwiEn <br />SKArr UuY —• <br />_ <br />UIT YUSH[N UCim m <br />PLUMBING _ <br />MECHANICAL - - --' <br />TYPE OF FIXTURE UR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMBIO' <br />FEE <br />WATER CLOSET (TOILET, <br />�BATHTUB <br />AIC-AAHIOW UNITS <br />"—�- <br />FORCED AIR SYSTEMS <br />' <br />LAVATORY IWASH_BASINI <br />HEAT PUMP <br />�- <br />_ <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK 8 DISP <br />_ <br />CLOT NEE DRYERS <br />_ <br />DISHWA6HER <br />RANGE HOOD• <br />LAUNDRY THAV <br />WATER HEATER <br />CLOTFIES WASHER <br />WOOOSTCVE .. <br />_URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINICNGFOUNTAIN__ <br />_ <br />FIREPIACE—INSERT (WOOL) BURNING) <br />_m <br />FLOOR DRAIN <br />GAS FIREPLACE <br />_ <br />_ <br />OACKFLOW PREVENTERS <br />_ <br />GAS RANGE <br />_ <br />SINK (6E(NICE7BAR. ETC) <br />GAS PIPING <br />EXHAUST FAN <br />SUB TOTAL f <br />PERMIT f <br />TGTALFEE f <br />-� <br />AL S <br />SUBTOTAL <br />PERMIT S <br />TOTAL Fry S <br />_ <br />FOR OFFICE USE ONLY; <br />° <br />rnnx[SLtn•�-_ <br />'� <br />mmsrlwA <br />Bogwrf•Gx <br />N; nl[c[NuwnK <br />rrF 155— <br />IKup,xp <br />uK rawF <br />NrJUrt1l,KuvOn <br />mia(A <br />vrcWry¢ -- <br />OVER 0 w <br />VALUATION <br />FEE <br />_FEES <br />_ <br />_ <br />rro OF UwEIWF• <br />Ivnre <br />R[iorelocni <br />— — <br />_'�•_ <br />— <br />•••—�— <br />" " —i"°� <br />.....__._1.. ._ <br />f <br />olti[B♦NCT I wr, v,ml <br />CJIG Jn <br />__ <br />❑Fi gl411FlIPFW4 <br />RMyNN nLO'D <br />[,mt mY limo <br />wSrMFF1 <br />Orn OxD <br />wo.- (x, <br />•-- <br />•MrIONIIhWCN[CK <br />-- <br />nL1Vlry' <br />IpxenY <br />_ <br />_27Gt <br />••,•-- <br />W <br />Ilrciv rnnci—'-' <br />IiWsn�rnpWooT CRY OF EVEREIT <br />LOCAL SALES <br />�f�/, TAA CODE IS 1105 <br />nlplrwon.p <br />TOTAL <br />Ll i <br />