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APPLICATI� FOR CONSTRUC7�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT.WA 90201 •257�?B70 <br /> f'� DEMOLITION ' COMBINATION i I BUILDING f� MECHANICAL i 1 PLUMBING i 1 SIGN <br /> PROJECTADDR€SS <br /> 4�l3 �Il.6�we�0 t�+16 �✓��T � <br /> OC:NEn �ul�DO�[;5 titt u r� c <br /> TikoMas •1• �irJ 4'7t�s _Gs�.7 _woqD_�+_u�� �°3 L4�j 2�I-eoP�3 <br /> �o�o�t �u���non[ss cin im wqr¢ <br /> ♦nhn�¢10���E5�1��[P i.�u�epDi�65 Lilv I�n ���O�iE <br /> �� <br /> 4C/AyCR4�'�CGNIBACIOII N/.M1�pOqC55 LRT ZV RIONE SGi(lqENSU <br /> _VM'�� — <br /> iA[�N1NiC0.CO11iP6iOP N�IIApOPC55 CIiY IP RW��E Si�fELCCNSL� <br /> CLIIMp'll(iCON�I��Li011 IAMLIDME55 CIIY Z4 'Y1�IK SI��LlKCNSE� <br /> cm+ta<cr rnec or v:oun <br /> HEATING SYSTEM: fl GAS C7 ELECTRIC f� <br /> cc scr�oc v.on.r.rvo saw.r.E roo�wc u��.avm corv*ec*ncnsa�an�o rrror E r <br /> b� �7 sd vr- � acKc,�, 1U�-_SF�ar�.l . �-letzZi�l <br /> - z59-�b'S <br /> I MEREDY CEFTIFY TIIAT I NAVE READ AND E%AMWED THIS <br /> . resm usc or ewmiec A7FLICATION AND NNOW THE SAh1E TO UE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAYlS AND ORDINANCES GOVERNING TMIS TYPE OF <br /> WORK V11LL�E COIdPLIEO Y�ITM WHETHER SPEGFIED HEiiEIN OR <br /> a.:.i ncsceivrqriarneor[etr6rrowne[iowon�nunrnocovrtsi rypi TNE GRaNTING OF A PEflAnT DOES NOT PFESUldE TO GIVE <br /> �c* &o[e or AUTHORITY TO VIOLFTE OR CANCEL TNE PROVISION OF qNY <br /> OTHER STATE OR IOCAL lAY!PEGUTATING CONSTRUCTION OR THE <br /> PERFORlAANCE OF WNSTRUCTION.TNAT I AIA AUTHORIZED DY iNE <br /> OWNER OF THIS PflOPERTY TO PERFORI.t THE 1VORN FOR IYMICH <br /> APPLICATION IS h1ADE AND 1 COI.IPLY WITH THE STATE <br /> r�ncu��aiormue[e CONTRACTORS YlIB: C D256100WAC. <br /> CONSiHUCt10rylO�NIElNEP�DCBC55� L[✓�ILIWNBEN X Z� �/ 1 <br /> .I('AI���� ��, _—• CAtE II <br /> L1]I i` <br /> CI�YOI151NCS:l�CE1� . <br /> PLUMBING MECHANICAL I <br /> NO. TYPE OF FI%TURE OFi IiEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATEfl CLOSET�TOIIET� A C—A MYOLG UNITS <br /> BATHTUB FORCED AIR SVSTEMS <br /> LAVATORV�WASH�ASIN) HEAT PUIdP <br /> SHOWER UNIT MEATERS <br /> KITCMEN SINK 6�ISP CLOTHES DRYERS <br /> DISMPIASHEP RANGE HO00 <br /> LAUNDRV TRAY WA7EF HEATER <br /> � CLOTHES\'lASHER WOO�STOVE <br /> URINAL GIETAL FIREPLACE�WOOD DURNING) <br /> �RINNING FOUNTAW FIREPLILE I45ERT(WOOD DURNING) <br /> FLOOR ORAIN GAS FIREPIACE <br /> BACKFLOVlPflEVENTERS GASFANGE <br /> SINK�SERVICE—BAR.ETC! GAS PIPING <br /> E%MAUSTFAN <br /> 1 <br /> 1 <br /> SUBTOTAL 5 : SUBTOTAL 5 � <br /> PERIAIT S � PERMIT 5 I <br /> TOTALFEE 5 TOTALFEE 5� <br /> FOR OFFICE USE ONLY: CD O� <br /> rnonrs[+o+cn nc�es'cm^¢e secu�ortK ru(y an�ctae�uueen� ra e¢civr�q I <br /> Z� ' W� S , �` 'V/.i JLl �l �� <br /> osEzorvc p ior�nu vecmrsrte / FEES VALUATION FEE <br /> h nres ✓o �M1p� S <br /> ��E�,;��� �u�r.ia�� eaoso.aiur.c sueoFmor.ri <br /> . �N,�s � � sF a��e� <br /> occuner¢r nous*wts accur.wrio�o o.s�wurt <br /> G�'^.V� � NECNINIC4 <br /> �� :lVES rl�O <br /> ��t[SP��.rnl[PI�EOD PUSON b�I�CM4Vl/JICHECIt <br /> OIIQB <br /> Ii��LA�/.q4N(QO AE�S0�1 <br /> S��IC&IRpW SUPG W�GE <br /> �r���orcor,s* ttu�s�rnnovcoe CITVOFEVERETT ruoicwoaKs <br /> � LOCALSALES <br /> u.rr Z� TA%GODE IS 9105 707AL <br />