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APPLICATI�1 FOR CONSTRUC7�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,NIA 98201 •257-d810 <br /> �: DEMOLITION I-� COMBINATION ❑ BUIL�ING Id MECHANICAL r pLUMBING I�.� SIGN <br /> PROJECTADDRESS <br /> /000 s.E . E��.�kl- w�n�� w�-j S�; fr �os <br /> onr.ea u..�.nooness a*r zi> vHOHe <br /> � I ��� <br /> rtrvurt uuuoon ss cirv ziv rHor.e <br /> MCIIII[CLUliOESGNER MAILADOPESS CIiY 21P p11011[ <br /> C,pG PL.o-,,NNy 72000 64�7 AUeW na .�l�La�� �L'2¢nc� WA. 5,,;}Fc ZF `/?5• 7�•67 <br /> r,crirn+icor:rn�craa r.unnooecss crv zm rr� ie sursuccHs�. <br /> �.�icrvnruca�cc�uanao�+ �.annoo��c;s arv iir rv�ouej37-A �ai�iE�¢Errsc• <br /> 7l�G. N�i.ctln,�icq) �M/� Z�l 9oo»,r�vd,AN � '�/9 n„�/<o�., WA. 9H3_Sy 7jJ6�yeL+KOIIB� <br /> v�wao�,mecorunacrori i.uiuooncss cirv zia / vr�one srueiwer+se. <br /> LC!1!(14Li pqILC Of VIp1iK <br /> 6 �_� HEATING SYSTEM: ❑GAS r ELECTRIC ❑ <br /> OESLHIpE WOPY.All'J$W�RE fWiAGE�IROLYFO CONiACi PERSON A110 FIIONE NO <br /> Pewo�clL �j1,sh:�� /1�c�- wcnlc ;� �f�iL �wmar� <br /> PfK�x /-, zD6- z55-5823 <br /> I HEREBY CERTIFY THAT I HAVE READ AND E%A�dINED THIS <br /> APPUCATION AND NNOW TYE SAlAE TO DE TRUE AND CORRECT ALL <br /> raovosco use or ammwc /�� PROVISIONS OF LAW 5 AND OR�INANCES GOVERNING THIS TVPE OF <br /> OF�+�GL S/'I�Cr VlORK WILL BE COGiPIIED WITH WHETHEfl SPECIFlE� HEREIN OH <br /> �cwiocscaivna�annov¢en�snowr�onawonen�o��wpcovies NOT THE GPANiING OF A PEF1dlT DOFS NO' PRESNdE TO GIV[ <br /> ior__oiac+ o� AUTHORITY TO VIOLATE OR CANCEL TME PFOVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING WNSTRUCTION OR THE <br /> Qj( PERFOR�dANCE OP CONSTRUCTION.THAT I Ald AUl'HORIZED DY THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORN FOR WMICM <br /> APPLICATION IS MADE AND I COMPLY WITH TfIE STATE <br /> ranc[i*ex i o nuveEn CONTR�A/CTORS LAW 1827 FC W AN�296200 WAC. <br /> CONSiPUCi1011LCRNLCf10EP.�OpRC55.IREP110NENUM0E11 X/j',�,�/-�J � . Cdt.hn�i� 3�27/O <br /> SicuL� r�e onrE T— <br /> CIIY 6USiHE55lIC[rv5[NO <br /> P W MBING MECMANICAL <br /> NO. TYPE OF FIXTUPE OH ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET� NC—AHNGLG UNITS <br /> BATHTUB FORCEO AIR SYSTBdS <br /> LAVATORY(WASH DASIN� HEAT PUMP <br /> SMOWER UNIT HEATENS <br /> KRCHEN SINN 8 DISP CLOiMES�RYERS <br /> DISHWASHER RANGE MOOD <br /> LAUN�RYTRAY WATER MEATER � <br /> CLOTHES WASMER V:OUD STO`/E <br /> UPINAL METAI FIREPLACE�WOOD DURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT(\NOOD DURNING� <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACHFLOW PREVENTERS GAS RANGE <br /> SINK�SERVIGE—�AR.ETC.� GAS PIPING <br /> EXHAUSTFAN <br /> Z. M <br /> SUBTOTAL 5 SUBTOTA: S <br /> PERhl1T 5 PERMIT 5 <br /> TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> iPJGI`..Elpa(,N PEPPSElOAIX Si0[SEiB�d. VU{n'�G�tlEQNUF10iP vn PEE PECEIPLNO <br /> " 1 �_���U <br /> u�;�roc� io�aacn v�ceirtsrte FEES VALUATION FEE <br /> nres n xo om�oim; � <br /> nocHtuunnrroH r�oorrnveiu�.e: sa�o�'o�ocn � <br /> uwrs vw��oirvc <br /> U-'ornNm rmP'stov.[s occuverrtlo�� B�Stueni �E�H����µ <br /> GBOV� � <br /> ❑YR 0 HO <br /> iIf:E5Pf11iKL[IiHE00 lItA5011 �OOIIIONµf'LViCII[CN <br /> w�en � <br /> i�RenieWnnwo neesom <br /> SiRE BWlOiNG SIIPCN�RGE �— <br /> iwcorr,ar�sr vuHsr.�vawcoov — CITYOFEVERETT vuo�cwonns I <br /> LOCALSALES <br /> i„�i TA%CODE IS 3105 TOTAL <br />