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APPLICATI� FOR COMSTRUC7�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERE iT,WA 98201 •257-8810 <br /> fl DEMOLITION f�i COMBINATION x BUILDING ❑ MECHANICAL fl PLUMBING �-� SIGN <br /> PROJECT ADURESS <br /> .w!' /e �t J [.rP I <br /> rnvucn nu��mcecs; ^ c�ir z,a rr�ouc <br /> �' ����o,vA.vo 3xo?/oy �� s E Eve.,.�.,ft w�4 90?cQ Hx,� 379-o9ob <br /> *cr:.vr uu��c��rss cnv� r.. i r+�a�c <br /> NIA F�cr, �v��-��iv/oi-�f3v�)v3z-f3Sz_H <br /> AO�rt6t(N�o[5Gq[q uVLWcncss t�lr za R�ON[ <br /> fl2�rifec.rs �f/ w ia 9rs-�ya A�. N.,E.��_�✓�N�.%��t�9 f2diz Y�s-yes-s� <br /> f.CN[H�LCOIIiRA�iq1 YVL�COPL 5 CI1Y f (4' 1�Iqf1[ $tl.IfI�CCAS[• <br /> �!�` Gl'. �•���c��lr Yorr- H...IY/� —_ <br /> VCU�I::qlCCrliPiU:IOR 41RUOD�65 Cilv � IW I��ONC `+4�fL�LCN'.I.� <br /> c a-+� -- <br /> PiVA�unqcoNln�clon u/,n�oJa6s Glr IiP � r�qr.t Si�t[UctNSc <br /> ..e. <br /> co•nn.cr mce a�wann I� / - <br /> �'o Ge �LTCR .../ l' �v HEATING SYSTEM: �NGAS ❑ELECTRIC i . <br /> i,s;n�nc wouK u�o soowc rooiecc iHvavcn cor�uci Pcnso�+u�o rra�¢uo <br /> T 3 sv ���- / .�.� 4sy,� F�f �,�,,M c. ,`Reri,a�v �1.25-� 379-D7nl, _. <br /> Sfwit' �e.�2� y ��rr�, 3liP-T� fRon [,Ii4' G/sy7fj1�8Y7�3Z$5.�11 <br /> I HER[OY CEPTIFV TMAT I HAVE READ ANO EXAI.IINEO TH6 <br /> APPLICl+TION ANU NNOt4 7HE SAhtE TO OF TRU[AND GORRECT ALL <br /> r��e�rosco use cr eunone: pROVI510N5 OF LAWS AND ORDINANCES GOVERNIN,THIS TYPE OF <br /> � WORK \YILL GE COAIPLIED YlITH WHETHER SPECIFlED MER[IN OP <br /> ac>�_;�[scn++u2.crrn� imri.a<v.r+u�. voauru��iwOCov2s� NOT. THE GAANTING OF A PEHfdIT DOES NOT PRESUI.'E TO GIVL <br /> Anr,�rr/ <br /> io� 'j� � � - ���Ly. . /,.�'a /yz CO AUTHORITY TO VIOLATE OR CANCEL TME PROVISION fiF AN1' <br /> Oa..y��n�.. � �rYnT o w:l/�.� OTMER STATE OR LOCAL L4Yl PEGULATING CONSTRULT:'�OR THE <br /> ��!J /.. f(e /��d7 r/aAP�+�./• ✓ .� �L PEFFORIAANCE OF CONSTRUCTION.THAT I A!d AUTHOPIZ[D OY THE <br /> S �1r��../t ,�P .v< tL Gty� wR�� OWNER OF TMIS PROPERTY TO PERFORIA THE WOPK FOP 1YHICH <br /> ; /,.- rC .... //K� Cc.�__r�( �- l+^�d �PUC eFw . APPLICATION IS I.IAOE AND I C0IAPLV WITM TME STATE <br /> r.��en uz i n e�onreen <br /> T CONTRPCTORS LAvI 1027 RC1V ANO."96200 WAC. <br /> O �d U-DO - U - p <br /> ca:s:eucrioruo�HlEu�S,n.aoon[ss.�nr.�orsr�a�r�n X �tJ��.t.�/��t:n� C�/L��� <br /> f� � swru�m�c nerz <br /> N�A <br /> cnvous�ucssi¢c�;civ <br /> PLUAIBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEIA FEE NO. TYPE OF EOUIPMENT FEE <br /> tYATERCLOSET�TOILEp � AC-AHNDLGUNITS ' <br /> BATHTUB � FORCEDAIPSYSTE615 �y{ <br /> Ii.VATORY�WASMBA5IN) ' HEATPUldP <br /> SMOI'!ER � 8 UIJITHEATERS <br /> � KIiLHEN S:NK 8 DISP I CLOTHES DPYERS C Co/". <br /> � DISHVlASHER � RANGE NOOD ' _ <br /> �. LAUNORVTRAV WATERNEATER (v/f _ <br /> CLOTHcS WASHER WOOD STOVE _ <br /> URINFL � �.IETALFIREP�ACE�LYDODBURNRIG) _ <br /> ORINKL.G FOUNTAIN FIREPLACE IkSERT�WOOD BUFNING) _ <br /> �. PLOOR�RAIN GASFIPEPLACE _ <br /> _� �ACKFIOW PRE"ENTERS Q GAS RANGE _ <br /> (,+ SINK ISERVICE-�AR.ETC.) GAS PIPING N! _ <br /> E%HAUST FAN 3�T/ / �;/ ._ <br /> � SUOTOTAL S SUDTOTAL 5 _ <br /> PERIAIT 5 PERMIT 5 _ <br /> TOTALFEE S TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> �np-r.��.pC�rn �E�N5C�9�x S�DCSE�BaLR ttAi� CMMJw6[F iF n¢[�airq — <br /> <lrl o� -d 3 �8�.�9 <br /> a4/ v <br /> i.;��,:r:;:� �o�u'.0 �+wns�*c FEES VALUATION FEE <br /> - SZ� �' ,.�r�o �-_ <br /> _ ounonr SZ,_�C� I <br /> rrtu�urn�nN r�oao�ucrr: sC[r.o�a:�� <br /> °""� /45S S F ^°'"°"� _ <br /> r,�i,�a1.Gv �e:J.L::15 CCCUP/.r11lO�p O�SCUFNi 4CC14HKK <br /> P 31�. Z �,.�, v� i <br /> .:F c-I�.AvIENREOD PEASpI �OUII�pNµpl�NC�ECN � <br /> OiuCn � <br /> i+.u�rnvecoo nusori I <br /> S���L BuuD�NG SU11LN�uCE <br /> �v�iii,,�n.r �u:;��'«+o�:tou+ CITYOFEVERETT �votcwon.s <br /> I � LOCAL SALES I I <br /> � _� I�„�i�,�j� TA%CODE IS 3105 7U7AL _ <br /> ! <br />