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FROM:CITY OF EVERETT ELD13 D'T TO: <br />D <br />APPLICATION FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION p <br />3200 CEDAR. STREET • EVERETT, WA 88201 6259.8810 <br />I i DEMOLITION I I COMBINATION I ! BUILDING P( MECHANICAL ! ! PLUMBING SIGN <br />PROJECT ADDRESS #(y° - �C(,E� 114 ?9208 <br />1467 s• E• EVE,e&7 Mfl L L WAY <br />IT rr �- %'Art clTy zlr FIJDNE <br />Tftantc Assot,lA-s qw JPrsey <br />rAMI ADDn: S5 - fJl'r TP maNE <br />Mc�a»a lct�s /022o N.F• .PciM.fs �r�S� 3oo-Kill Wj WA ..98033 <br />• " 1;nY Ap Fllo•:F <br />WafeYsim tl <br />Gea�-_f2f8p1113i0tAve. S�/4f2 seefflp lv,d g9161 620 <br />n1DNr Slml ucnJAr, <br />•:n't CON1D',r Ton Mn'I nnlin.as I:N' '� . _ .__. <br />---' CITY hr PII J. <br />�Lr:L. At rrainnclurl Itel: Anall.as �GZ�-232�f�CIT N>� /T'►7 WA Q8o53-S362426 PAAESLF1671AR <br />/�af'Sle�i Erl�frieer{i Inc,_ • _-11Y _ tIP. /--' . 1 u:a 1 . <br />'.1 uI. JI C4Vllml101 M AIKNu:yS ( , PI I(1NL - ti151 <br />Po 86r 249Q ' 404,Lien _.WA - 98o5G 277-//!( - <br />5fd Mr�ienrca(.. — -' ' <br />�n ii (YY(11$ HEATING SYSTEM: I I GAS F! ELECTRIC /!✓f�_.. <br />7 5/ ....... _... <br />'" f.D91n.'I r`I IIYU\ANP FIIANF ND <br />•; .pnn worm n.11 }OVAllr rtXITAAF n.Voi VLV <br />F6.n1•sh. ond_lns4ree10_�><<aus-t �ah.a.ifh Danoyl4r�t,--_ <br />, <br />M4Ke, UP drr S��P/y Fan. g?. e de%usar5 fi-o CZo6 --836__? Q2G_..-_ <br />N I H6H68Y CERTIFY THAT I HAVE READ AND EXAMINED 11II5 <br />Nesl-P�P. 1tsf_7 Gas/ne fe{ryers=!lea, <br />21<I $t I• / ' AF'PL.ICATIpN AND KNOW THE SAME TO RE TRUE AND C(?R! TYPE <br />ALL <br /><rn,;1 n DIa. i•r mN�IN`�� __,,tf,, PROVI$IONS OF LAWS AND ORDINANCES GOVERNINu 1 HIS TYPE OF <br />�• 1�. F�7tR�ra ry�. 6 (p/ $ vd re�4, _ WORK WILL BE COMPLIED WITH WHETHER SPECIFIFO IIERCIN OR <br />o�i-r5l-r 5t:ial•n s, of imarraty (SNDwn euow oR ntmt:N iWD ct>rasl NOT. THE GRANTING OF A PERMIT DOES NOT PHI-,-LIME`J GIV6 <br />AUTHORITY TO VIOLATE OR CANCEL TIIF, PHUVISIOI f ANY <br />"— OTHER STATE OR LOCAL LAW REGULATING CUNSTRUCI It 'IRE <br />PERFORMANCE OF CONSTRUCTION. T14A1 I AM AUTI IOHI7F 1. 'LIE <br />-- •--- ""' OWNER OF THIS PROPERTY TO PERFORM THE WOFFK FOR CH <br />APPLICATION IS MADE AND I COMPLY W1114 111E STATE <br />rnumncTORS LAW 18.27 RCW AND 296200 WAC. <br />--w-rl TAX It, Blimptn -' - - <br />,•4S11uK;jj0N tOkN I rNrlrll Arcn,-5 ILtt,,00Nr NIJMBFII <br />!'1 tIMBING-- <br />10), <br />TYPE OF FIXTURE OR ITEM <br />_- FEE <br />'WAIIin OLOSCT.(1.OILET)_ <br />(WASH BASIN) <br />_l._AV_ATORY <br />SHU\VEn <br />— <br />DISNIWASI <br />LAUNURY 1 HAY <br />CIOIHESWASHEH <br />_. <br />URINAL <br />DRINIgNG FOUNTAIN <br />DRAIN <br />_FLOOn <br />BACKFLOW_PREVCNTF.R_ $-- <br />I` <br />SINK (SLHW;F -• BAn. ETC) <br />--- - �— GUD TOTAL <br />--„ PERMIT <br />$ <br />.•,� <br />76TALFEE <br />S <br />CIR OFFICE USE ONLY: <br />1 111 M TPAV, ____. I <br />m.nn nCTDACK I <br />SIDE ArinAfX <br />-. <br />~ <br />• IANI --•'— <br />IUI AIKA— <br />YACANT..rtF <br />I IYLL; II N!1 <br />^'dll IIMIIAII(1!7 <br />NO 01 IIY,rLLIN', <br />$Mtr DI HLLX:n.I <br />IIIRNCY ND (, SlnnlF <br />qr1 <br />Al AAv nfOU <br />rrIIIIJSI Ffi Itl IJT1�- • <br />IIr Ar'.' a• •. <br />. .. ._._—_.... <br />$If.NAI\III! X DM171 <br />..__.—_.._. <br />f.,T1'nIL$dJF.SS LICE NSC N.— V —T_ - - —_ <br />....... __.._ <br />TYPE OF EQUIPMENT <br />FEE <br />NO. <br />_ <br />AfG—AIHNDLQUNITS —H.P. <br />__ <br />- .._.. <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />ii T PUMP <br />' - <br />M_ _., <br />......__l.__..- <br />_UNITHEATERS-^B.T.U� <br />CLOTIJES DRYERS <br />- <br />VENTILATION FAN <br />•� <br />RANGE HOOD <br />' <br />T"_ <br />WATER HEATER <br />-� <br />WOOD STOVE <br />FIREPLACE (WOOD BURNING) <br />METAL <br />FIREPLACE INSERT (WOOD BURNING) <br />...... ... l--. <br />GAS FIREPLACE <br />' <br />GAS RANGE <br />.. .... _.....a._._... <br />GAS PIPING _... .._.._......_ <br />_._-_..... ._... l...... . <br />EXHAUST FAN <br />SUB TOTAL <br />$ <br />., <br />'— <br />PERMIT <br />- <br />S <br />' <br />TOTAL FEF <br />.._. �T"_. <br />null UNA <br />1'I IIMnINA <br />Mr r110111 .. q('.W:C.K <br />ADIKIIONAI VI•IAIr ❑llll Gl' <br />F1m4ill111YL:3n; CITY OF EVERETT rl�n,lr.c+pro-;•. <br />NFy LOCAL SALES <br />TAX CODE IS 3105 TOTAL <br />PASC <br />.. _ I I R y_._._! i NO <br />FEE <br />