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APPLICATIO� FOR CONST�tlJCT�N PERMIT� <br /> CffV OF EVF.HETT•BUILDING DIVISION <br /> 3200 CEPAR STRrE7•EVERETT,WA 98201 •259•8810 <br /> fl DEMOLITION Il COMBINATION f� 9UILDINO fl MECNAlNCAL �1 PLUMBINO fl SN1N <br /> PRQJECT APDFESS � 3 = 7 LI/ <br /> Lc�7'' � cYllt. .Ss <br /> cn wn pn nr npr <br /> F d�iK .�z�X�6� ��re�- ��'ao3 �as .�x-s--s�ras <br /> �IE Nt 4µN10�E54 jN PIMMF <br /> �,i,�� /9is//�.�.w sr r�.J�ero)'>` ��ad-3 `�.'tS' 3s3 -�cts.� <br /> �• CI pESiGMR �W�yRM�On�k55 C�tv /M Rpry[ <br /> ��'�iFC __ <br /> GENFMtCONtIUGlq1 4ulA0G(1fS5 GIY j11' P1CMF SIAfEtICFNSF• <br /> ✓ �� <br /> MECIIWi2LL CN111�Cfp11 �I�ODPF55 fAtt t�P FIqNE STAiEIICFNSF� <br /> P1��4BINGCONIR�f.tM YYlACq1E55 p�Y jIP PIqNE SIAiEIICENSE� <br /> CON111M.'I I'MLE M WOIIN <br /> �D�97D _ HEA7ING SYSTEM: GAS �l ELECTRIC f I <br /> Ocun9f�xUnR4uC�PFiOpiWE ��� cOM1�ci1�cn5d�nrmrrpME�q <br /> ✓ K �f <br /> / 07Shc�f <br /> I HEREBV CERTIFY THRT I IiAVE REAO AND E%AMINEO THIS <br /> nnaros[nusc or au�pea APPLICATION AND NNOW TNE S�ME TO BE TRUE�ND CORRECT ALL <br /> PROVISIONS OF LAWS AND OROINANCES GOVERNIN6 THIS TYPE OF <br /> WORK WILL BE COMPLIED WIT/NMETHER SPECIFIED HEREIN OR <br /> imucescmm�wp vrrorenrv�vpm+e[iow r rn mei[s� NOT. THE 6ReNTII:G OF A PERMIT DOES �WT PRESUME TO 61VE <br /> io� �pp� a — AUTHORITY TO VIOUTE OR C�NCEL 'HE PROVISION OF �NY <br /> OTHER STATE OR LOCQ�AW REODUTIN�3 CONSTRUCTION OR THE <br /> SiL PERFORMANCE OF CONSTRUCTION.TMAT I AM AUTHORIZEO BY THE <br /> OWNER OF TMIS PROPEATY TO PERfOHM THE WORK FOH WHICN <br /> �PPIICATION IS M�DE AND 1 COMPLV WITH TME ST�TE <br /> vu+cci rnx io Mrvecn CON A RS lAW 1827 RCW AND 28fi?00 WAC <br /> �� i�if�f7 <br /> tON51'pILt�OxIWNIE n,Mp11E55.lEtEIYqMEMNPEn z � - <br /> PE C� ��lE <br /> (/ <br /> &IS�NESSIS:[H. ND <br /> PLUMBING MECM�NICIIL <br /> NO. TWEOFFl)(TUREORREM FEE NO. 7YPEOREpU1PMEHi FEE <br /> WATER CLOSE'(TOILET� A/C—MINOLO UNITS—H.P. <br /> ,�7 BATMTUB FORCEOAIRSYSTEMS—B.TL. M E.A. <br /> LAVATORV(WASH BASIN) HEAT PUMP <br /> SNOWER UNITHEATERS—B.T.U. M <br /> KIiCHEN SINK 8 DISP CLOTHES DRYERS <br /> DISHWASHER VENTIL�TION FAN <br /> LAUNDRYTRAV pANGEM000 <br /> CLOTHES WASHER WATER ME�iER <br /> Ut7iNAL WOOD SiOVE <br /> ORINKING FOUMAIN METAL FIREPLFCE(WOUO BURNING) <br /> FLOOR DAnW FIREPLACE INSERT�WOOD BUPNING) <br /> flACNFL0IV PREVENTERS GAS FIREPLACE <br /> � $INK�SERVICE—BAR.ETC) pASRANGE <br /> GAS PIPING <br /> E%HAUST FAN <br /> SUBTOTAL S SUBTOTAL S <br /> PERMIT f PERMIT S <br /> TOTALFEE f TOiALFEE f <br /> FOR OFFIr,E USE ONLV: <br /> rnrn�isFi��ct nr�rsErentK sroESFte�cx n�Hci�ccKr�iwnrn rrf 3 nEcrw�rro <br /> � zD S 7/ �7C'v� /3i79� <br /> ustrnvv� ior�ntn v�c�rng�� FEES V11LUI1TION FEE <br /> �—I $�13Z ,+ts �;� oU��: �s� S��o <br /> nnr.�rt uuneim� eo a uwi.wuc sirr w aiocni <br /> �y uvqs I t3�/fo J7 S.f� r�uumm� ___ �7 � DO <br /> CCCOU'nµGY NJMSIiqfS OCCUPMl�lO�� flA5E4[Mi 4[b1W�CLL � <br /> IL•3 U. Z n�cs r+o -- -- (oc7 � o0 <br /> nnE tMM Ran nt�SW ��d�MM�lAN10RCN <br /> on�rn <br /> nn�m Ritnn[on ncn,ccH — <br /> sr�t[eimm+c:surcrum:e �SU <br /> �mta �ou�r nnvs�rrnWEoer CITVOFEVEflETT rireir�wnx: � <br /> LOCAL SALES — ���, <br /> ��+iE I 7 TA%CODE IS 3105 TOTAL / l�U <br />